Macronutrient content of donor milk from a regional human milk bank: variation with donor mother–infant characteristics

2019 ◽  
Vol 122 (10) ◽  
pp. 1155-1167 ◽  
Author(s):  
Luke Mills ◽  
Lynda Coulter ◽  
Emma Savage ◽  
Neena Modi
Keyword(s):  
Human Milk ◽  
Gestational Age ◽  
Fixed Effects ◽  
Energy Content ◽  
Human Donor ◽  
Donor Milk ◽  
Macronutrient Content ◽  
Lactation Stage ◽  
Milk Bank ◽  
Human Milk Bank

AbstractBetter understanding of the variation in macronutrient content of human donor milk (HDM) potentiates targeted nutrition for preterm babies. The present study describes the relationship of maternal age, parity, monthly lactation stage estimate (LSEm), daily volume of milk expressed (Vd), sex, gestation and birth weight z scores with macronutrient content of HDM. Multilevel mother–infant pair ID random intercept models were performed using the predictor variables above on the outcome HDM macronutrient content determined using mid-IR spectroscopy. Mean macronutrient content was also compared by gestational age and small for gestational age (SGA) (z score < –1·28) or appropriate for gestational age (AGA) (z score ≥ –1·28) categories. A total of 2966 samples of donations from 1175 mother–infant pairs to the UK Northwest Human Milk Bank between 2011 and 2017 were analysed. Mean protein, fat, carbohydrate and calculated energy were 0·89 (SD 0·24) g/dl, 2·99 (SD 0·96) g/dl, 7·09 (SD 0·44) g/dl, and 60·37 (SD 8·41) kcal/dl (252·59 (SD 35·19) kJ/dl), respectively. Preterm SGA HDM was significantly higher in protein, fat and energy content than term AGA HDM and significantly lower in carbohydrate content than term AGA HDM after controlling for LSEm, Vd and between-subject effects. Degree of prematurity did not influence macronutrient content. Between-subject effects accounted for more of the variance in macronutrient content than the fixed effects in the model. Despite this, SGA status, as well as prematurity, may be an important determinant of macronutrient content in human milk. As bioavailability of macronutrients from HDM is uncertain, studies evaluating growth and body composition in preterm and SGA babies fed HDM are warranted.

Macronutrient Composition of Donated Human Milk in a New Zealand Population

2020 ◽  
pp. 089033442096366
Author(s):  
Rachael L. Lamb ◽  
Jillian J. Haszard ◽  
Helen M. J. Little ◽  
Anthea F. Franks ◽  
Maggie G. Meeks
Keyword(s):  
New Zealand ◽  
Human Milk ◽  
Energy Content ◽  
Primary Role ◽  
Total Carbohydrate ◽  
Macronutrient Composition ◽  
Term Infants ◽  
Macronutrient Content ◽  
Milk Bank ◽  
Human Milk Bank

Background A primary role of human donor milk banks is to provide pasteurized human milk for the sick and preterm infant populations and to support the mothers of these infants as they establish their own milk supply. The results of human milk pasteurization continue to be studied to provide information that enables optimal nutrition in this sick and preterm population. Research aims The aims of our study were to determine macronutrient characteristics (fat, protein, carbohydrate) and energy content of human milk donated to the Christchurch Women’s Hospital Human Milk Bank in New Zealand, and the influence of Holder pasteurization on this macronutrient composition. Methods This was a retrospective, pre/post pasteurization observational design to describe the macronutrient content within two groups of donors, mature preterm PDM ( n = 13; 21%) and mature term PDM ( n = 50; 79%). Sixty three samples of human milk donated to the human milk bank by 27 registered participants (mothers of preterm and term infants) were analyzed. This analysis took place July–September 2018 using a human milk analyzer before and after Holder pasteurization (62.5 °C for 30 min). Results Preterm milk contained on average 76 kcal/100 ml energy, 4.0 g/100 ml fat, 1.1 g/100 ml protein and 8.2 g/100 ml total carbohydrate; and mature term milk contained 68 kcal/100 ml energy, 3.5 g/100 ml fat, 0.8 g/100 ml protein and 7.9 g/100 ml total carbohydrate. Wide variation between single, donor-pooled samples was demonstrated and there was no major result of pasteurization. Conclusion This research adds to the evidence regarding the macronutrient content of preterm and term milk and that these values are unaffected by Holder pasteurization. The variance in individual pooled donor human milk indicates the importance of determining the nutrient composition of donated milk to inform fortification procedures.

scholarly journals Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1107
Author(s):  
Hoang Thi Tran ◽  
Tuan Thanh Nguyen ◽  
Debbie Barnett ◽  
Gillian Weaver ◽  
Oanh Thi Xuan Nguyen ◽  
...  
Keyword(s):  
Human Milk ◽  
Low Birthweight ◽  
Electronic Monitoring ◽  
Pass Rate ◽  
World Health ◽  
Middle Income ◽  
Donor Milk ◽  
Milk Bank ◽  
Human Milk Bank ◽  
Health Organization

Background: Since 1979, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) have recommended the use of pasteurized human milk from a human milk bank (HMB) to feed low birthweight (LBW) and preterm newborns as the ‘first alternative’ when mothers are unable to provide their own milk. However, they have not issued any guidelines for the safe establishment and operation of an HMB. This gap contributes to the demand for gathering experiences from HMB networks, especially those from lower-middle income countries. To fill this knowledge gap, this study examines the characteristics of donors, donation, pasteurization, and recipients during the first four years of operation in the first HMB in Vietnam. Methods: Data about the donors, donation, pasteurization, and recipients were extracted from the web-based electronic monitoring system of the HMB from 1 February 2017 to 31 January 2021. Results: In the first four years of operation there were 433 donors who donated 7642 L of milk (66% from the community) with an increased trend in the amount of donated milk, donation duration, and average amount of milk donated by a donor. Approximately 98% of the donated milk was pasteurized, and 82% passed both pre- and post-pasteurization tests. Although the pass rate tended to increase with time, a few dips occurred. Of 16,235 newborns who received pasteurized donor milk, two thirds were in the postnatal wards. The main reason for the prescription of pasteurized donor milk was insufficient mothers’ own milk in the first few days after birth. There was a decreased trend in the amount and duration of using pasteurized donor milk in both postnatal wards and the neonatal unit. Conclusions: The HMB has operated efficiently in the previous four years, even during the COVID-19 pandemic, to serve vulnerable newborns. Ongoing evidence-based adjustments helped to improve the operation to recruit suitable donors, to increase the access to and quality of raw donor milk, to improve the pasteurization process, and to meet the need of more newborns.

scholarly journals High-Temperature Short-Time Pasteurization System for Donor Milk in a Human Milk Bank Setting

2018 ◽  
Vol 9 ◽  
Author(s):  
Diana Escuder-Vieco ◽  
Irene Espinosa-Martos ◽  
Juan M. Rodríguez ◽  
Nieves Corzo ◽  
Antonia Montilla ◽  
...  
Keyword(s):  
High Temperature ◽  
Human Milk ◽  
Donor Milk ◽  
High Temperature Short Time ◽  
Milk Bank ◽  
Human Milk Bank ◽  
Short Time

DIAGNÓSTICOS DE ENFERMAGEM DE MULHERES NUTRIZES ATENDIDAS NO BANCO DE LEITE HUMANO

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Nathália Carolina Tomazelli Crespo ◽  
Rosimere Ferreira Santana ◽  
Valdecyr Herdy Alves ◽  
Audrey Vidal Pereira ◽  
Giovanna Rosario Soanno Marchiori ◽  
...  
Keyword(s):  
Human Milk ◽  
Sleep Pattern ◽  
No Donors ◽  
Tissue Integrity ◽  
Disturbed Sleep ◽  
Nursing Diagnosis ◽  
Milk Bank ◽  
Las Mujeres ◽  
Human Milk Bank ◽  
Milk Banks

Objetivo: conhecer o perfil de Diagnósticos de Enfermagem em mulheres nutrizes atendidas no Banco de Leite Humano. Metodologia: estudo descritivo, com 30 mulheres atendidas no Banco de Leite Humano entre doadoras e não doadoras. Os dados foram coletados nos meses de março a maio de 2012. A análise se deu por meio de estatística descritiva. Resultados: os diagnósticos foram descritos para dois grupos: Não doadoras: Disposição para conhecimento melhorado (100,0%), Risco de infecção (80,9%), Integridade Tissular prejudicada (80,9%), Padrão de sono prejudicado (76,1%), Conhecimento deficiente (66,6%), Ansiedade (52,3%); Em Doadoras: Padrão de sono prejudicado (77,7%) e Ansiedade (55,5%). Conclusão: a taxonomia diagnóstica encontra-se de acordo com a população estudada. Validou-se a necessidade do uso dessa tecnologia como um sistema padrão de linguagem.Descritores: Bancos de leite; Diagnóstico de enfermagem; Cuidados de enfermagem; Saúde da mulher; Aleitamento materno.NURSING DIAGNOSIS IDENTIFIED IN WOMEN AT THE HUMAN MILK BANKObjective: to know the profile of Nursing Diagnosis in women hosted in the Human Milk Bank. Methodology: descriptive study, with 30 women attended at the Human Milk Bank between donors and no donors. Data were collected from March to May 2012. The analysis was done through simple descriptive statistics. Results: diagnosis were described for two groups: No donors: Readiness for enhanced knowledge (100.0%), Risk for infection (80.9%), Impaired tissue integrity (80.9%), Disturbed sleep pattern (76.1%), Deficient knowledge (66.6%), Anxiety (52.3%); In Donors: Disturbed sleep pattern (77.7%) and Anxiety (55.5%). Conclusion: the diagnostic taxonomy is in agreement with the studied population. The need to use this technology as a standard language system was validated.Descriptors: Milk banks; Nursing diagnosis; Nursing care; Women’s health; Breastfeeding.ENFERMERÍA DE DIAGNÓSTICO IDENTIFICADOS EN MUJERES ASISTIDA EN BANCO DE LECHE HUMANAObjetivo: conocer el perfil de los diagnósticos de enfermería de las mujeres dio la bienvenida al Banco de Leche Humana. Metodology: estúdio descriptivo, con 30 mujeres atendidas enel Banco de Leche Humana entre los donantes y no donantes. Los datos fueron recolectados entre marzo y mayo de 2012. El análisis se realizó utilizando estadísticas descriptivas simples. Resultados: los diagnósticos han sido descritos por dos grupos: No donantes: Disposición para mejorar los conocimientos (100%), Riesgo de infección (80,9%), Deterioro de la integridade cutánea (80,9%), Trastorno del patrón de sueño (76, 1%), Conocimientos deficientes (66,6%), Ansiedad (52,3%); Em Donantes: Trastorno del patrón de sueño (77,7%) y Ansiedad (55,5%). Conclusión: la taxonomía diagnóstica es función de la población estudiada. Han verificado la necesidad de la utilización de esta tecnología como un sistema estándar de lenguaje.Descriptores: Bancos de leche; Diagnóstico de enfermería; Atención de enfermería; Salud de lamujer; Lactancia materna.

Biomonitoring Bisphenols, Parabens, and Benzophenones in Breast Milk from a Human Milk Bank in Southern Spain

2021 ◽  
Author(s):  
Luz M. Iribarne-Durán ◽  
Laura Serrano ◽  
Francisco M. Peinado ◽  
Manuela Peña-Caballero ◽  
Jose Antonio Hurtado ◽  
...  
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Southern Spain ◽  
Milk Bank ◽  
Human Milk Bank

scholarly journals Representations of women milk donors on donations for the human milk bank

2016 ◽  
Vol 24 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Wanessa Debôrtoli de Miranda ◽  
Maria Cristina Passos ◽  
Maria Imaculada de Fátima Freitas ◽  
Palmira de Fátima Bonolo
Keyword(s):  
High School ◽  
Human Milk ◽  
Social Representation ◽  
Prenatal Period ◽  
Structured Interviews ◽  
Milk Bank ◽  
Social Representation Theory ◽  
Human Milk Bank ◽  
Milk Banks ◽  
Representations Of Women

Abstract Human milk banks (HMBs) have difficulty maintaining and increasing their stocks, and the number of women enrolling as members remains low. The present qualitative study, based on social representation theory, aimed to understand women’s representations of the milk donation experience. The data were collected through semi-structured interviews conducted in 2013. In total, 12 women aged 18 to 39 years old participated in the study. Most were primiparous, married or living with a partner, housewives, completed high school, and belonged to lower economic classes. Four categories emerged from the testimonies: human milk donation; representations about human milk banks (HMB); the importance of breastfeeding for the baby and for one's conceptualization as a mother; and prenatal care and donation awareness. The main reasons for donating were representations that value breastfeeding, human milk, and the donation act. These mothers had difficulties donating, but the rewarding feeling, the value of this practice, and the support they received from people important to them helped with the donation. The findings related to the value of the donation and breastfeeding provide ways to effectively encourage and motivate potential donors, achieving comprehensive care starting from the prenatal period.

scholarly journals Quality of human milk expressed in a human milk bank and at home

2018 ◽  
Vol 94 (4) ◽  
pp. 399-403 ◽  
Author(s):  
Mayla S. Borges ◽  
Angela M. de M. Oliveira ◽  
Wallisen T. Hattori ◽  
Vânia O.S. Abdallah
Keyword(s):  
Human Milk ◽  
Milk Bank ◽  
Human Milk Bank ◽  
At Home

scholarly journals A Descriptive Study of the Attitude and Experiences of Donor Mothers in a Human Milk Bank

2020 ◽  
Vol 7 (37) ◽  
pp. 2005-2010
Author(s):  
Srenivas A ◽  
Kumaravel K. S. ◽  
Anurekha V ◽  
Prathibha K ◽  
Gobinathan S ◽  
...  
Keyword(s):  
Human Milk ◽  
Descriptive Study ◽  
Milk Bank ◽  
Human Milk Bank

scholarly journals Quality management in Human Milk Banks: a scope review

2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Rosana Rodrigues Figueira Fogliano ◽  
Elena Bohomol ◽  
Mariana Cabral Schveitzer ◽  
Kelly Pereira Coca ◽  
Ana Cristina Freitas de Vilhena Abrão
Keyword(s):  
Quality Management ◽  
Human Milk ◽  
Continuous Monitoring ◽  
Quality Of Services ◽  
Inclusion Criteria ◽  
Management Interventions ◽  
Milk Bank ◽  
Human Milk Bank ◽  
Milk Banks

ABSTRACT Objectives: to identify the main quality management interventions used by professionals working at Human Milk Banks. Methods: a scope review conducted at PubMed, VHL, Scopus, SciELO, CAPES thesis and Google Scholar databases. Primary studies were included that address quality improvement strategies to improve Milk Bank processes in Portuguese, English and Spanish. Results: search totaled 192 scientific studies, 17 of which met the objective of the study and inclusion criteria. The main quality management interventions used in the Human Milk Bank addressed tools for continuous improvement. Six were aimed at improving processes, one to prevent errors and failures and two to achieve continuous monitoring. Final Considerations: the tools used by professionals working in Human Milk Banks have demonstrated effectiveness in managing the quality of services.

Sign in / Sign up

Export Citation Format

Share Document