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Table 1 The variety of circumstances under which milk kinship may be created, as reported in the literature1

From: Human milk bank services and Islamic milk kinship: pathways and processes for ensuring respect for religious law and tradition in the provision of donor human milk for small vulnerable newborns

Breastmilk is consumed before the child has attained 24 [2, 45] or 30 months [8] of age

The child has any number of breastmilk feeds [45], at least five feeds [8, 45], or at least 15 feeds [2]

The child receives breastmilk over at least 24 h [2]

The child is fed enough breastmilk to reach satiety [2, 46]

The child is fed by breastfeeding directly enabling a bond to be created [2, 45, 47] and not by other means such as bottle, cup or nasogastric tube

The child is fed breastmilk by any means including by direct breastfeeding, bottle, cup or nasogastric tube [45]

The breastmilk reaches the child’s stomach and contributes to their growth [2, 8]

The donor of the breastmilk is known [48]

There is certainty that all of the conditions to create milk kinship have been met including regarding volume of milk, number of milk feeds, and the identify of milk donor [46, 49]

  1. 1There may be circumstances additional or different from those described here that affect the creation of milk kinship