If you’re uncomfortable donating breastmilk directly to a recipient, please consider donating to a milk bank like the Mothers’ Milk Bank in San Jose. According to their website, they have been-
a licensed tissue bank that has been providing milk banking services for over 30 years. Since 1974, over 4000 donors have provided over 1.5 million ounces to help babies survice and thrive.
They are a non-profit milk bank but do charge a $3 per ounce processing fee to recipients. (And herein lies our biggest issue with milk banks since $3 per ounce for a growing baby adds up quickly to become unaffordable for many families.) Most insurance companies will cover the cost of banked milk if it is deemed medically necessary- so definitely worth a discussion with your physician and your provider.
One consideration about milk banks is that they do screen and pasteurize the breastmilk donations. They have stringent donor screening, including blood tests, and therefore this may be preferable for an at-risk baby.
Either way, please consider donating breastmilk that your baby doesn’t need. Another baby would certainly be better off with it, whether you donate it directly to another baby or to a milk bank.