It is medically known that breast milk is an important source of nutrition for the growth and development of babies. Following the February 6, 2023 Earthquake in Turkey, calls for breast milk donation were made on social media to meet the milk needs of babies whose mothers passed away.
Research Aims:
The aim of this study is to examine breast milk donation calls during the disaster period from a bioethical perspective and analyze the challenges and potential solutions specific to Turkey.
Methods:
We designed an internet-based qualitative research study. The research data were obtained from Twitter posts about breast milk donation during the earthquake period between February and April, 2023.
Results:
We identified two main contexts regarding breast milk donation: culture and belief, and health. The main themes within culture and belief were culture and religion. The main themes within health were misinformation, infection risk, alternative food, milk bank organizations, and allergy risk.
Conclusion:
The study emphasizes that cultural norms strongly influence breast milk donation. In bioethics, milk donation during disasters should prioritize the social needs of infants while considering societal values. It is important to emphazise that despite misinformation, breast milk remains the best source of infant nutrition.
Academy of Nutrition and Dietetics. (2015). Position of the academy of nutrition and dietetics: Promoting and supporting breastfeeding (position paper). Journal of the Academy of Nutrition and Dietetics, 115(3), 444–449. https://doi.org/10.1016/j.jand.2014.12.014
2.
American Academy of Pediatrics (AAP). (2012). Breastfeeding and the use of human milk (policy statement). Pediatrics, 129(3), 827–841. https://doi.org/10.1542/peds.2011-3552
3.
American Academy of Pediatrics. (2020). Infant feeding ın disasters and emergencies breastfeeding and other options. http://toxnet.nlm.nih.gov/newtoxnet/
CassidyT. M. (2022). Historical research: More than milk: The origins of human milk banking social relations. Journal of Human Lactation, 38(2), 344–350. https://doi.org/10.1177/08903344221082674
8.
FeitosaA. L. F.de Carvalho TorresK. C. (2023). Breastfeeding in emergencies and natural disasters: What health professionals need to know. Revista CEFAC, 25(6), 23–26. https://doi.org/10.1590/1982-0216/202325610023
9.
GiladJ.MoranL. (2007). From folklore to scientific evidence: Breast- Feeding and wet-Nursing in ıslam and the case of non-puerperal lactation. International Journal of Biomedical Science, 3(4), 251–257. https://doi.org/10.59566/ijbs.2007.3251
10.
GüneşH. N. (2019). A mezzanine floor in socially constructed maternety discourse: Wet nursing. Electronic Journal of Social Sciences, 18(69), 252–267. https://doi.org/10.17755/esosder.436754
HiraniS.RichterS.SalamiB. (2021). Humanitarian aid and breastfeeding practices of displaced mothers: A qualitative study in disaster relief camps. Eastern Mediterranean Health Journal, 27(12), 1197–1202. https://doi.org/10.26719/EMHJ.20.087
MaheshwariA.ShahidullahM.RahmanM. M.KhatunS.KabirN.KhanamW. (2022). Establishment of the first religiously-compliant human milk bank in bangladesh. Newborn, 1(4), 376–383. https://doi.org/10.5005/jp-journals-11002-0047
15.
MarinelliK. A. (2020). Wet nurses to donor milk banks and back again: The continuum of sharing our milk to save lives. Journal of Human Lactation, 36(2), 213–216. https://doi.org/10.1177/0890334420927329
16.
MartinC. R.LingP. R.BlackburnG. L. (2016). Review of infant feeding: Key features of breast milk and infant formula. Nutrients, 8(5), Article 279. https://doi.org/10.3390/nu8050279
17.
MbuguaK. (2012). Respect for cultural diversity and the empirical turn in bioethics: A plea for caution. Journal of Medical Ethics and History of Medicine, 5(1), 1–5.
18.
Medical Association of Turkey/Türk Tabipleri Birliği. (2023). 6 Şubat 2023 Depremi Bilgi Notu - 7: Afetlerde Bebeklerin Beslenmesi [Information Note - 7 on the February 6, 2023 Earthquake: Infant Feeding in Disasters]. https://www.ttb.org.tr/155yjml
PapastavrouM.GenitsaridiS.KomodikiE.PaliatsouS.RMI.KontogeorgouA.IacovidouN. (2015). Breastfeeding in the course of history. Journal of Pediatrics & Neonatal Care, 2(6), Article 00096. https://doi.org/10.15406/jpnc.2015.02.00096
22.
PramonoA.HikmawatiA. (2024). Donor human milk practice in ındonesia: A media content analysis. Frontiers in Nutrition, 11(1), Article 1442864. https://doi.org/10.3389/fnut.2024.1442864
23.
RoestB.MilotaM.LegetC. (2021). Developing new ways to listen: The value of narrative approaches in empirical (bio)ethics. BMC Medical Ethics, 22, 124, 1–13. https://doi.org/10.1186/s12910-021-00691-7
24.
Sağlam TekirH. (2019). Wet nursing in the geography of ottoman empire and culture.Kafkas University Journal of the Institute of Social Sciences Autumn, 24, 709–730. https://doi.org/10.9775/kausbed.2019.062
25.
Şahin UtkuN. (2020). Wet nursing in antiquity and middle ages: The biological, economic and cultural codes of another’s milk. KADEM Journal of Women’s Studies, 6(1), 51–112. https://doi.org/10.21798/kadem.2020162323
SpitaleG.GermaniF.EarpB. D.MannS. P.BarışM.AnnoniM.ArameshK.LedermanZ.HoC. W. L.CaalsK.D’ImperioA.IencaM.SinghS.SpagnoloD.Biller-AndornoN. (2025). On religious ınfluence in bioethics: The limits of pluriversalism. Bioethics, 39(6), 620–629. https://doi.org/10.1111/bioe.13419
UngerS. L.O’ConnorD. L. (2024). Review of current best practices for human milk banking. Maternal and Child Nutrition, 20(S4), Article e13657. https://doi.org/10.1111/mcn.13657
World Health Organization (55th World Health Assembly). (2012). Infant and young child feeding (global strategy on infant and young child feeding). Revue des Maladies Respiratoires, A55(15), 1–18. https://doi.org/10.1016/j.rmr.2011.11.006.
