Clinical impact of opening a human milk bank in a neonatal unit

Vázquez-Román, S.; Bustos-Lozano, G.; López‐Maestro, María; Rodrı́guez-López, Jesús; Orbea-Gallardo, C.; Samaniego-Fernández, M.; Pallás‐Alonso, Carmen Rosa

doi:10.1016/j.anpede.2013.11.002

Cited by 6 publications

(6 citation statements)

References 22 publications

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“…Ten percent of infants in both groups received only MOM during hospital stay; the percentage is low and similar between groups and does not change conclusions of the study. These results are consistent with those reported by Vázquez-Román et al (2014). These researchers did not find significant differences in clinical markers of feeding intolerance (gastric residuals, spitting, abdominal distension, etc.)…”

Section: Discussionsupporting

confidence: 92%

The Influence of Donor Milk Supplementation on Duration of Parenteral Nutrition in Preterm Infants

et al. 2020

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Background Data are limited on the association between the use of donor human milk and improvements in feeding tolerance. Objective To determine the influence of the duration of parenteral nutrition on the growth and morbidity of the breastfed newborn when using donated human milk in the absence of mother’s own milk. Methods We conducted a retrospective study before and after the intervention that compared two groups of newborns ( N = 284; each group n = 142). We used a convenience sample of all newborns ≤32 weeks gestation consecutively admitted in a single unit before (Group 1 between December 2012 and May 2014) or after (Group 2 between October 2014 and December 2016) the availability of donor human milk. In Group 2, donor human milk was administered at least 3 to 4 weeks or until the baby weighed 1,500 g. Weight was recorded daily and length and head circumference weekly. Parenteral nutrition was continued until enteral feeding volume reached 120 ml/kg/day. Additional variables measured were the number of days with a central venous catheter, age that the enteral feeding volume reached 150 ml/kg/day, and duration of stay. Results The duration of parenteral feeding was the same before and after: 12 (8.23) and 11 (7.19) days ( p = .822). The z scores for weight and height of newborns was lower in Group 2 = −1.8 (1.0) and −2.3 (1.1) and Group 1 = −1.2 (1.1) ( p < .001) and −1.8 (1.4) ( p = .005). Conclusion We did not find an association between the administration of donor human milk as a supplement to mother’s own milk and reduced number of days of parenteral nutrition. Back translation by Laurence Grummer-Strawn

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Section: Discussionsupporting

confidence: 92%

The Influence of Donor Milk Supplementation on Duration of Parenteral Nutrition in Preterm Infants

et al. 2020

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“…In detail 50 mothers suggested to inform (also before the delivery) women about: the advantages of mother milk, the possibility to breast-feed and donate, the difficulties (13) or the first days, the breastfeeding upon request (11) that promotes the stimulation and therefore the production.…”

Section: Discussionmentioning

confidence: 99%

“…The presence of a Human Milk Bank (HMB) in NICU improves both the availability of mother's milk for feeding the premature baby and breastfeeding with higher percentages of nutrition with mother's milk on discharge from NICU [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Questionnaire on the breastfeeding and the donation of 70 mothers\donors.

Quitadamo

Palumbo

Cianti

et al. 2020

Preprint

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INTRODUCTION In feeding premature babies, the first choice is the fresh milk from mother and if this is not possible, the donated milk from the HMBs. The support to the donation of the human milk have proved to be an efficient method of promotion to the breastfeeding. OBJECT The aim is to know the motivations and the experience of the donation to draw lessons for the improvement of our activity about the promotion of breastfeeding and the donation of the milk. MATERIAL AND METHODS 70 donors have been recruited. The questionnaire includes 15 questions which relate to the breastfeeding and donation. It focuses on data concerning the possible factors which favor the breastfeeding linked to the donation and to the subjective description of the donation’s experience and of personal suggestions. RESULTS 67,7% of the interviewed women was made aware of the possibility to donate by the direct information from the HMB staff; for the 83,3% of donors there is an altruistic reason at the base of the donation. For the 24,14% it was the second or third experience. The length of the breastfeeding together with the donation exceeds about 2 months the time occurred for the other sons without donation. For 61,76% it was not demanding to donate the milk and for 75,86% the donation is considered a factor which favors the breastfeeding. Some donation’s experiences were very intense and captivating. CONCLUSIONS The conclusions were categorized into: input received, data sharing and key messages from which operational proposals arose.

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“…Milk donation support practices are the most effective method of protecting, promoting, and supporting breastfeeding [ 21 , 22 ]. The presence of a milk bank in NICU represents a favorable element for breastfeeding and significantly improves both the availability of mother's milk for feeding the premature baby [ 23 – 26 ] and breastfeeding, with higher percentages of nutrition with mother's milk on discharge from NICU [ 26 – 29 ].…”

Section: The New Principles Of Infant Nutritionmentioning

confidence: 99%

The Revolution of Breast Milk: The Multiple Role of Human Milk Banking between Evidence and Experience—A Narrative Review

Quitadamo

Palumbo

Cianti

et al. 2021

International Journal of Pediatrics

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The review recalls the importance of breast milk and deepens the theme of human milk banking, a virtuous reality that is expanding all over the world but is still little known. In the last 15 years, modern biological technologies have crystallized the concept of uniqueness and irreproducibility of human milk, by establishing three new principles: first: human milk: a “life-saving” drug; second: human milk: the best food for preterm infants; and third: human milk: the main component of premature infant care. Our experience teaches us that human milk banking plays many roles that need to be known and shared.

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Clinical impact of opening a human milk bank in a neonatal unit

Cited by 6 publications

References 22 publications

The Influence of Donor Milk Supplementation on Duration of Parenteral Nutrition in Preterm Infants

The Influence of Donor Milk Supplementation on Duration of Parenteral Nutrition in Preterm Infants

Questionnaire on the breastfeeding and the donation of 70 mothers\donors.

The Revolution of Breast Milk: The Multiple Role of Human Milk Banking between Evidence and Experience—A Narrative Review

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