Abstract：
Receiving donor human milk for a baby can have a protective effect upon parental wellbeing. A growing body of research also finds that being able to donate milk to a milk bank, particularly after infant loss, can also boost maternal wellbeing through feelings of altruism and purpose. However, most studies are qualitative, with small sample sizes outside the United Kingdom, and often do not include the experiences of those who have been unable to donate. Our aim was therefore to examine the impact of being able to donate milk, as well as the impact of not being able to do so, using a survey containing open and closed questions in a large UK sample. Overall, 1149 women completed the survey, 417 (36.3%) who donated their milk and 732 (63.7%) who did not. Most women who donated found it had a positive impact upon their wellbeing, feeling proud, useful and that they had achieved something important. Conversely, those unable to donate often felt rejected, frustrated, and excluded, especially if they received no response or felt that restrictions were unfair. Thematic analysis found that being able to donate could help women heal from experiences such as birth trauma, difficult breastfeeding experiences, neonatal unit stays, and infant loss; however, being unable to donate could exacerbate negative emotions arising from similar experiences. A minority of women who donated experienced raised anxiety over following guidelines. These findings further extend the impacts of milk banking services beyond infant health and development and support expanded service delivery.
摘要：
为婴儿接受供体人乳可以对父母的健康产生保护作用。越来越多的研究还发现，能够向牛奶银行捐赠牛奶，特别是在婴儿丢失后，还可以通过利他主义和目的来促进产妇的福祉。然而,大多数研究都是定性的，在英国以外的小样本量，通常不包括那些无法捐赠的人的经历。因此，我们的目标是研究能够捐赠牛奶的影响，以及不能这样做的影响，使用包含英国大型样本中的开放式和封闭式问题的调查。总的来说,1149名妇女完成了调查，417人（36.3％）捐赠了牛奶，732人（63.7％）没有捐赠。大多数捐赠的女性发现这对她们的福祉有积极的影响，感到自豪，有用的，他们取得了重要的成就。相反，那些无法捐赠的人经常感到被拒绝，沮丧,并排除在外，特别是如果他们没有得到回应或认为限制是不公平的。主题分析发现，能够捐赠可以帮助女性从诸如产伤等经历中康复，困难的母乳喂养经验，新生儿单元停留,和婴儿损失；然而，无法捐赠可能会加剧类似经历引起的负面情绪。少数捐赠的妇女因遵循准则而感到焦虑。这些发现进一步将牛奶银行服务的影响扩展到婴儿健康和发育之外，并支持扩大的服务提供。
