Human Milk Banking–Facts and Issues to Resolve

Corpeleijn, Willemijn E.; Vermeulen, Marijn J.; Vliet, Ineke van; Kruger, IR; Goudoever, Johannes B. van

doi:10.3390/nu2070762

Cited by 13 publications

(12 citation statements)

References 20 publications

(20 reference statements)

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“…Although the details of wet-nursing practices are not exactly explained, wet-nursing should also be applied meticulously as human milk banking (25). A well-designed recording system to collect human milk, to comply with the rules of hygiene, to provide a quality control system, and to follow technological developments should be established (14,15,25).…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Practices About Wet-Nursing and Human Milk Banking in Kayseri, Turkey

Yılmaz¹,

Aykut²,

Şahin³

et al. 2018

Erciyes Med J

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Objective: The aim of the present study was to determine the knowledge, attitude, and practices of mothers about wetnursing and human milk banking in Kayseri, Turkey.Materials and Methods: This descriptive study was conducted in the family healthcare centers of four community health care centers in Kayseri Province. The questionnaire form was fulfilled with face-to-face interviews of 614 participants.Results: Of the mothers, 88.9% had heard about wet-nursing, 10.9% had a wet-nurse of her own, 5.2% had a wet-nurse of her child, and 5.0% had been a wet-nurse of another child. Wet-nurses were chosen mostly from relatives. Of the mothers, 93.6% stated that they had not heard about milk banking, whereas 97.2% did not know its purpose and services. More than half of the mothers (61.6%) thought human milk banking as a right application, whereas 75.4% of the mothers who thought that it was not right were against it because they believed marriage between foster milk siblings was religiously forbidden. Most of the mothers (79.8%) stated that they could milk for another child, and 56.2% identified that they could donate breast milk to the human milk bank. Conclusion:More than half of the mothers thought that milk banking was a correct application. Mothers who were opposed to milk banking showed religious justifications as reasons. Placing the subjects "milk banks" and "human milk donorship" during education on breast milk in hospitals is important in terms of increasing the awareness of mothers.

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Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude, and Practices About Wet-Nursing and Human Milk Banking in Kayseri, Turkey

Yılmaz¹,

Aykut²,

Şahin³

et al. 2018

Erciyes Med J

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“…Mixed breast milk is distributed in sterilized glass containers and pasteurized at 62.5°C for 30 minutes. The pasteurization process is designed to eliminate the risks of infection including HIV and CMV ( 30 ). Pasteurized breast milk is then rapidly cooled in an ice bath for 30 minutes to ensure an effective vacuum seal.…”

Section: Discussionmentioning

confidence: 99%

The Experience of Human Milk Banking for 8 Years: Korean Perspective

et al. 2016

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Human milk banks are a solution for mothers who cannot supply their own breast milk to their sick or hospitalized infants; premature infants, in particular, are unable to receive a full volume of breast milk for numerous reasons. As of December 2015, there was only one milk bank in a university hospital in Korea. We reviewed the basic characteristics of donors and recipients, and the amounts and contamination of breast milk donated at the Human Milk Bank in Kyung Hee University Hospital at Gangdong in Korea from 2008 to 2015. The donor pool consisted of 463 first-time donors and 452 repeat donors who made 1,724 donations. A total of 10,820 L of breast milk was collected, and 9,541.6 L were processed. Detectable bacteria grew in 12.6% after pasteurization and 52.5% had cytomegalovirus DNA before pasteurization in donated milk. There were 836 infant and 25 adult recipients; among new infant recipients, 48.5% were preterm; the groups received 8,009 and 165.7 L of donor milk, respectively. There was an increase in the percentage of preterm infants among new infant recipients in 2015 (93.1%) compared to 2008 (8.5%). Based on the number of premature infants in Korea, the number of potential recipients is not likely to diminish anytime soon, despite efforts to improve the breastfeeding rate. Sustainability and quality improvement of the milk bank need long-term financial support by health authorities and a nationwide network similar to blood banking will further contribute to the progress of milk banking.

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“…The main processes used for human milk pasteurization are based on thermal pathogen inactivation: (i) the low-temperature, long-time (LTLT) method (62.5°C; 30 min) ( 5 , 6 ), which is also called the Holder method (traditionally developed in milk banks); and (ii) the high-temperature, short-time (HTST) method or flash heat pasteurization, which has been more recently investigated ( 9 – 13 ).…”

Section: Introductionmentioning

confidence: 99%

A New High Hydrostatic Pressure Process to Assure the Microbial Safety of Human Milk While Preserving the Biological Activity of Its Main Components

Demazeau¹,

Plumecocq²,

Lehours

et al. 2018

Front. Public Health

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Background: The main process used to pasteurize human milk is the low-temperature, long-time Holder method. More recently, the high-temperature, short-time method has been investigated. Both processes lead to the appropriate inactivation of vegetative bacterial forms but are ineffective against bacterial spores.Research Aims/Questions: We aimed to accomplish two main objectives: inactivation of all pathogens, including spores; and preservation of the activity of milk components.Design/Methods: Recently, a novel high-hydrostatic pressure process has been developed by HPBioTECH. Using the same raw human milk samples, we compared the effects of this method with those of the Holder method on vegetative and spore forms of pathogens and on bioactive components (lipase activity, immunoproteins).Results: Two main microbial strains were selected: Staphylococcus aureus (as a reference for vegetative forms) and Bacillus cereus (as a reference for spores). Use of the high-hydrostatic pressure process led to microbial decontamination of 6 log for both S. aureus and B. cereus. Additionally, the bioactivity of the main components of human milk was preserved, with activities of lipase, α-lactalbumin, casein, lysozyme, lactoferrin, and sIgA of ~80, 96–99, 98–100, 95–100, 93–97, and 63–64%, respectively.Conclusions: Use of this novel high-hydrostatic pressure process to generate microbiologically safe human milk may provide important benefits for preterm infants, including improved assimilation of human milk (leading increased weight gain) and improved resistance to infections. Because 10% of all human milk collected is contaminated by B. cereus, use of this method will also prevent waste.

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Human Milk Banking–Facts and Issues to Resolve

Cited by 13 publications

References 20 publications

Knowledge, Attitude, and Practices About Wet-Nursing and Human Milk Banking in Kayseri, Turkey

Knowledge, Attitude, and Practices About Wet-Nursing and Human Milk Banking in Kayseri, Turkey

The Experience of Human Milk Banking for 8 Years: Korean Perspective

A New High Hydrostatic Pressure Process to Assure the Microbial Safety of Human Milk While Preserving the Biological Activity of Its Main Components

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