www.mmbm.secure-form.com Open in urlscan Pro
198.54.116.189  Public Scan

URL: https://www.mmbm.secure-form.com/
Submission: On May 20 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 4 forms found in the DOM

Donor_Interview.html

<form action="Donor_Interview.html">
  <input type="submit" value="Donor Forms">
</form>

LabCorp.pdf

<form class="form" action="LabCorp.pdf" target="_blank"><input class="btn btn-default btn-sm" type="submit" value="LabCorp Sample Slip"></form>

Quest_Lab.pdf

<form class="form" action="Quest_Lab.pdf" target="_blank"><input class="btn btn-default btn-sm" type="submit" value="Quest Lab Sample Slip"></form>

Guidelines_for_Pumping_and_Handling_Breastmilk.html

<form action="Guidelines_for_Pumping_and_Handling_Breastmilk.html" target="_blank">
  <input class="btn btn-info btn-lg" type="submit" value="Guidelines for Pumping and Handling Breastmilk">
</form>

Text Content

Donor Instructions
 * Step 1
 * Step 2
 * Step 3


DONOR INSTRUCTIONS

Dear Donor Mother,

Thank you for your interest in donating your milk. We look forward to having you
as a part of our team in improving the lives and health of the premature and
sick babies we serve.


THE DONOR APPROVAL PROCESS IS THREE EASY STEPS:

STEP 1     Complete and return the indicated forms STEP 2     Complete required
blood testing STEP 3     Deliver at least 100 ounces of milk to the milk bank or
depot



Please carefully read all of the enclosed important information sheets.

The precious milk that you are sending will be fed to the most fragile and ill
babies. Following our instructions will enable you to provide the purest,
freshest, and most carefully handled milk possible. Please carefully read the
Pumping Instructions and Medication Information, and feel free to call us if you
have questions at any point during the process. We have staff available to
answer any questions.


After we receive your milk and all of your paperwork and blood test results, we
will carefully pour, mix and pasteurize your milk by gently heating it to
destroy any bacteria that may be present. Pasteurized donor milk has been found
to be as protective against infection as fresh milk because the majority of
antibodies survive the heating and freezing process. Next, we will distribute
the milk to premature hospitalized babies or to sick babies whose doctors have
prescribed donor milk for them. Not only does you milk contain very important
antibodies to fight infection, it is also easy to digest and full of valuable
nutrients.

We sincerely thank you on behalf of another mother whose precious baby will
benefit from your generous efforts.



STEP 1:COMPLETING THE FORMS

Please review all instructions on this page before completing the form

After completing the form we will contact your healthcare provider for any
needed supplimental information on mother and baby.

Please review our Notice of Privacy Practices


Please click this button to complete the required forms.



STEP 2: GETTING YOUR LAB WORK DONE

YOU CAN GET YOUR BLOOD WORK DONE AT ANY TIME ONCE YOU HAVE YOUR LAB SLIP.

Should you arrive at a lab not having your lab slip please show the lab this
sample slip.



 * FOR DONORS DROPPING OFF AT THE FLOWOOD OFFICE:
   
   Blood work is done at LabCorp on Lakeland Drive, Flowood, MS

 * DONORS OUTSIDE THE FLOWOOD AREA:
   
   The nearest Quest Lab or LabCorp (drawing facility) to you. We will send you
   a lab slip for the nearest lab to you.

 * DONORS NOT LIVING NEAR A QUEST LAB OR A LABCORP LAB:
   
   We will arrange lab testing on a case by case basis. Call our office at
   601-939-5504 for arrangements.


THANK YOU SO MUCH FOR GETTING YOUR LAB WORK DONE AS SOON AS YOU CAN AFTER
DROPPING OFF YOUR MILK. WE MUST HAVE YOUR LAB WORK TO USE YOUR MILK.



BLOOD TESTING INFORMATION

TESTING REQUIRED FOR MILK DONORS
Potential donors are screened serologically for HIV-1 and -2, HTLV-I and -2,
Hepatitis C, Hepatitis B, and syphilis prior to the first donation. A certified
laboratory does the tests, and results are valid throughout the time of donation
unless life-style or medical issues suggest an increased risk for donation, in
which case deferral or retesting is at the discretion of the individual milk
bank. Negative test results do not require confirmatory testing. If a screening
test is positive, the milk bank can defer that donor or follow up with a
confirmatory diagnostic test. A confirmatory diagnostic test cannot be a repeat
of the same test but must be more specific and less subject to a false positive,
according to medical standards. Milk banks are not required to run diagnostic
tests; however, they may do so. Donors are deferred indefinitely for any
positive result on a diagnostic/confirmatory serological test. Any milk from
this potential donor, that has already been donated and is being held at the
milk bank, is disposed of according to institutional protocols. In all cases,
whether or not screening tests are negative, a donor is deferred if her
lifestyle or medical risks suggest that she could have harmful substances in her
milk.
WHAT IS AIDS?
AIDS, or Acquired Immune Deficiency Syndrome, is a condition caused by HIV (the
AIDS virus), in which the body’s normal defense mechanisms against certain
infectious diseases are severely reduced. As a result, patients develop unusual
infections and cancer, and ultimately die of these complications. There is no
known cure for AIDS. Although some people may be infected by HIV and have no
symptoms, it is believed that anyone infected by the virus may infect others by
certain routes.
WHAT DOES AIDS HAVE TO DO WITH DONATING MILK?
Any infant who receives donor milk is extremely vulnerable to infections. It is
known that HIV can be spread via body fluids. HIV can be found in the milk of
infected women. Therefore, if you are in ANY of the high-risk groups listed
below, we are asking that you voluntarily refrain from applying to donate milk.
We truly appreciate your willingness to understand the critical need for these
voluntary screening procedures. Sometimes the best gift is no gift.
WHO IS AT RISK?
It is known that certain groups are at high risk of contracting HIV as well as
passing it to others:

 * Those with a positive result when tested for HIV.
 * Those with symptoms and signs of AIDS (unexplained enlarged lymph nodes,
   unexplained weight loss, night sweats, chronic diarrhea, fungal and viral
   infections of the mouth, unexplained dark skin nodules.
 * Sexual partners of HIV-positive individuals, or those who are at risk for HIV
   infection
 * Men who have ever had sex with another man since 1977.
 * Present or past abusers of non-medical, injected drugs.
 * Persons with hemophilia who have received clotting factor concentrates.
 * Sexual partners of individuals in any of the above categories.
 * Men or women who have engaged in sex for money or drugs within the last 12
   months and persons who have been their sexual partners.



MEDICATIONS AND LIFESTYLE GUIDELINES

Do Not Donate if:

 * A. You, your baby, or any household member becomes ill. The exception to this
   is an uncomplicated cold, seasonal runny nose, or allergies, in which the
   sick person’s oral temperature is no higher than 100oF. The sick person must
   not be in the same room with you while you pump milk. With all other
   illnesses, we cannot accept milk collected in the 24 hours before the person
   became ill and until 24 hours after they are well. Illness includes active
   herpes, any sore in someone’s mouth (even a cold sore), or thrush in the
   baby’s mouth. If you have questions about this, please give us a call and we
   can discuss it further.
   
   Do not donate during the 4 week period following a case of rubella or chicken
   pox in your household, during the reactivation of latent herpes simplex virus
   or varicella zoster of the breast or chest area (may resume when lesion crust
   over).

 * B. If you need to take any medications or drugs, please check with us.
 * C. You have ANY breast tenderness. In the presence of plugged ducts or breast
   infection, unacceptable bacteria may be present in the milk. DO KEEP NURSING
   YOUR OWN BABY and collecting milk even though it cannot be used by the MMBMS.
 * D. You smoke cigarettes or use tobacco on a regular basis.
 * E. You use recreational drugs such as marijuana, amphetamines, cocaine, etc.

 * If any of the above circumstances has occurred and your milk has already been
   sent, please call the MMBMS immediately if you think there might be ANY
   reason to put a hold on distribution. Each situation is different. Sometimes
   your milk may be perfectly safe to use. We want you to keep in close touch
   with the MMBMS.
   
   If you have any questions please call us.

Additional Instructions and Restrictions:
 * All nursing mothers need to eat a balanced diet with at least eight glasses
   of fluid per day.
 * Vegans should be taking a daily multivitamin.
 * Any alcohol intake requires a 12 hour waiting period before pumping.
 * Caffeine from tea, coffee, soda, or chocolate is acceptable if caffeine
   intake does not exceed more than the caffeine equivalent to that in 24 ounces
   of coffee per day. Cola and tea has less caffeine than coffee. If you are not
   sure, call us.
 * Herbal teas are okay, but limit to one cup per day. If greater than 1 cup,
   vary the type of herb.
 * Vitamins are acceptable in usual dosages. No mega-dosing and no
   herb-containing vitamins.


STEP 3: DELIVERING YOUR MILK

PLEASE PUT YOUR MILK CONTAINERS IN A PLASTIC BAG (FOR EXAMPLE: A CLEAN GROCERY
STORE BAG) AND TIE IT CLOSED. INSIDE THE BAG PLEASE PUT A CARD WITH YOUR FIRST
AND LAST NAME AND YOUR DONOR NUMBER IN PERMANENT MARKER. IF POSSIBLE, PLEASE
WRITE YOUR NAME ON THE OUTSIDE OF THE BAG IN PERMANENT MARKER.

AVOID GIVING US ANY CRACKED OR LEAKING CONTAINERS.

PLACE YOUR FROZEN MILK IN AN ICE CHEST OR COOLER (ICE IS NOT NECESSARY, EVEN IF
MILK IS IN THE COOLER FOR SEVERAL HOURS) FOR TRANSPORTING AND DROP IT OFF AT OUR
OFFICE OR DEPOT.


PLEASE BOOKMARK AND READ THESE DETAILED INSTRUCTIONS ON GUIDELINES FOR PUMPING
AND HANDLING BREASTMILK.



PLEASE CALL THE MMBM OFFICE OR THE DEPOT NEAREST YOU FOR ARRANGEMENTS TO DROP
OFF YOUR MILK
Hinds, Madison, and Rankin County Donors (also Central Mississippi)
MMBM 2001 Airport Road, Suite 204, Flowood, MS 39232
601-939-5504
Gulfport Depot – Memorial Hospital at Gulfport
4500 13th St, Gulfport, MS 39501
228-867-4053
Gulf Coast Breastfeeding Center
6340 Kiln Delisle Road, Pass Christian, MS 39571
228-363-0158
Hattiesburg Depot – Forrest General Hospital
6051 U S Highway 49, Hattiesburg, MS 39401
(ask for Lactation Consultant)
601-288-3763   or  601-288-4500
Columbus Depot – Mom 2 Be
449 Wilkins Wise Road, Columbus, MS 39705-1756
Store hours: Tuesday – Saturday 10-6
662-570-4991
Tupelo Depot – North Ms Medical Center – Women’s Center
4566S. Eason Blvd., Tupelo, MS 38804

Call Mon. – Sat. 8:00am – 4:00 pm

662-377-5490
Oxford Depot – The Lactation Station
21 Shackelford Road, Oxford, MS 38655
662-816-8020
Meridian Depot – Anderson Regional Medical Center – Lactation Center
2024 14th Street, Meridian, MS 39301
Reba Lee, RN, IBCLC @ 601-553-6034 or
Michelle Johnson, RN, IBCLC @ 601-553-6501
Vicksburg Depot- Merit Health River Region
2100 Highway 61 North, Vicksburg, MS 39183
Contacts:
Lacey Griffith, RN, Director of Womens Services (601)-883-4209
Lacie Brewer, RN- OB Educator 601-883-5353
Starkville Depot & Lab-Starkville Clinic For Women
100 Medical Park Drive, Starkville, MS 39759
662-323-4427
Kings Daughters Medical Center
427 Hwy 51 N, Brookhaven, MS 39601
Contact: Angie Williamson RNC, BSN
601-835-9285
Delta Baby Café- Indianola
(inside of Sunflower County Health Department)
227 North Martin Luther King Drive, Indianola, MS 38751
Contact: Jacqueline Lambert
662-763-1744
Out of Area Donors

Please call us at 601-939-5504 for instructions regarding sending your milk via
FedEx.

We will send you a kit that includes an insulated shipping container and
instructions on how to ship your milk.

Mothers' Milk Bank of Mississippi