Views of Muslim mothers in Turkey on breast milk donation and human milk banks

  • Berrak Mizrak Sahin Department of Nursing, Faculty of Health Sciences, Eskisehir Osmangazi University, Eskisehir, Turkey
breast milk donation; milk banks; milk kinship; Muslims


Background & Aim: In many countries, human milk banks (HMBs) are included in children's health policies and regulations and are supported as an extension of national breastfeeding policies. Currently, there are no active HMBs in Turkey. This study aimed to evaluate the attitude, knowledge, and views of mothers about breast milk donation and HMBs.

Methods & Materials: This descriptive study was conducted in a university hospital postnatal clinic in Eskişehir between January and April 2019. The study population comprised of 250 multipara mothers. Data were collected with the help of a questionnaire comprising three sections.

Results: Only 28.4% of mothers knew about HMBs. A total of 40.8% of mothers indicated that they were against the establishment of HMBs in Turkey. However, only 61 mothers (24.4%) approved of obtaining milk from HMBs. Mothers who did not agree to the establishment of HMBs (77.5%) stated that babies who are fed with breast milk from the same mother would be milk siblings, and it would be an ethical problem if they got married to each other.

Conclusion: Most mothers are hesitant to donate their milk to HMBs, mostly due to religious concerns. Even in a group of Turkish Muslim populations whose sociocultural level can be considered high, resistance against HMBs is thoughtful. It is essential to organize public campaigns, especially through social media, to raise awareness of HMBs. When the results of the study were taken into account, it is believed that an HMB model where the donors and recipients meet each other is necessary.


1. Torres MI, López CM, Román SV, Díaz CA, Cruz-Rojo J, Cooke EF, Alonso CR. Does opening a milk bank in a neonatal unit change infant feeding practices? A before and after study. International breastfeeding journal. 2010 Mar;5(1):4.
2. Parker M, Mannel R. What is human donor milk and why might my baby need it?. Journal of human lactation: official journal of International Lactation Consultant Association. 2013 Aug 1;29(3):421-2.
3. de Halleux V, Pieltain C, Senterre T, Rigo J. Use of donor milk in the neonatal intensive care unit. seminars in fetal and neonatal medicine 2017 Feb 1; 22(1):23-9.
4. Gartner LM, Morton J, Lawrence RA, Naylor AJ, O’Hare D, Schanler RJ. Breastfeeding and the use of human milk Pediatrics. 2005;115(2):496-506.
5. Gürol A, Özkan H, Çelebioğlu A. Turkish women's knowledge and views regarding mother's milk banking. Collegian. 2014 Sep 1;21(3):239-44.
6. Thorley V. Milk Kinship and Implications for Human Milk Banking: A Review. Women's Health Bulletin. 2016 May 1;3(3)1-6.
7. Mackenzie C, Javanparast S, Newman L. Mothers’ knowledge of and attitudes toward human milk banking in South Australia: a qualitative study. Journal of human lactation. 2013 May;29(2):222-9.
8. Karadag A, Ozdemir R, Ak M, Ozer A, Dogan DG, Elkiran O. Human milk banking and milk kinship: Perspectives of mothers in a Muslim country. Journal of tropical pediatrics. 2015 Mar 30;61(3):188-96.
9. El-Khuffash A, Unger S. The concept of milk kinship in Islam: issues raised when offering preterm infants of Muslim families donor human milk. Journal of Human Lactation. 2012 May;28(2):125-7.
10. Gunduz T, Karbeyaz K, Ayranci U. Evaluation of the adjudicated incest cases in Turkey: difficulties in notification of incestuous relationships. Journal of forensic sciences. 2011 Mar;56(2):438-43.
11. Ergin A, Uzun SU. Turkish women’s knowledge, attitudes, and behaviors on wet-nursing, milk sharing and human milk banking. Maternal and child health journal. 2018 Apr 1;22(4):454-60.
12. Ekşioğlu A, Yeşil Y, Turfan EÇ. Mothers’ views of milk banking: sample of İzmir. Turkish Archives of Pediatrics/Türk Pediatri Arşivi. 2015 Jun;50(2):83-9.
13. Yılmaz M, Aykut M, Şahin H, Ongan D, Balcı E, Gün İ, Öztürk A. Knowledge, Attitude, and Practices About Wet-Nursing and Human Milk Banking in Kayseri, Turkey. Erciyes Medical Journal/Erciyes Tip Dergisi. 2018 Dec 1;40(4)204-9.
14. Hsu HT, Fong TV, Hassan NM, Wong HL, Rai JK, Khalid Z. Human milk donation is an alternative to human milk bank. Breastfeeding Medicine. 2012 Apr 1;7(2):118-22.
15. Ghaly M. Milk banks through the lens of Muslim scholars: one text in two contexts. Bioethics. 2012 Mar;26(3):117-27.
16. Pimenteira Thomaz AC, Maia Loureiro LV, da Silva Oliveira T, de Mendonca Furtado Montenegro NC, Dantas Almeida Junior E, Fernando Rodrigues Soriano C, Calado Cavalcante J. The human milk donation experience: motives, influencing factors, and regular donation. Journal of Human Lactation. 2008 Feb;24(1):69-76.
17. Mondkar J, Chugh Sachdeva R, Shanbhag S, Khan A, Manuhar Sinha M, Dasgupta R, Israel-Ballard K, Sabharwal V. Understanding barriers and facilitators for human milk banking among service providers, mothers, and influencers of preterm and sick neonates admitted at two health facilities in a metropolitan city in India. Breastfeeding Medicine. 2018 Dec 1;13(10):694-701.
How to Cite
Mizrak Sahin B. Views of Muslim mothers in Turkey on breast milk donation and human milk banks. NPT. 7(2):114-120.
Original Article(s)