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.

Evaluation of Human Milk Quality During its Distribution flow at Neonatal Assistance Units

2020 ◽  
Vol 16 ◽  
Author(s):  
Maria Berenice Gomes Nascimento ◽  
Lourdes Conceição Martins ◽  
Patricia Ferrante Draghi ◽  
Fernando Luiz Affonso Fonseca
Keyword(s):  
Human Milk ◽  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Fecal Coliforms ◽  
Caloric Content ◽  
Cross Sectional ◽  
Milk Bank ◽  
Human Milk Bank ◽  
Milk Banks

Background: Premature babies have physiological vulnerabilities that influence their absorption and digestion capacity, compromising their clinical condition. Human milk from human milk banks, has contributed enormously to providing these newborns with more complete nutrition. Objective: To evaluate the quality of human milk collected at the Human Milk Bank during its distribution in neonatal units. Methods: Cross-sectional study, with a quantitative approach, carried out in a maternity hospital with Human Milk Bank. After the pasteurization of milk and its consequent release to these units, a new test was carried out in the analyzes of acid titration, caloric and microbiological content. Results and Discussion: Human Milk showed a decrease of approximately 20% in caloric content and a reduction in acidity. Approximately 12.3% of the samples were contaminated by fecal coliforms. Conclusion: There is a need for a second moment of evaluation of human milk, after the flow, or to rethink the new ways of preserving the initial quality of human milk.

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.

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 Bacillus cereus Induces Severe Infections in Preterm Neonates: Implication at the Hospital and Human Milk Bank Level

Toxins ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 123
Author(s):  
Delphine Cormontagne ◽  
Virginie Rigourd ◽  
Jasmina Vidic ◽  
Francesco Rizzotto ◽  
Emmanuelle Bille ◽  
...  
Keyword(s):  
Human Milk ◽  
Very Low Birth Weight ◽  
Severe Infection ◽  
Preterm Neonates ◽  
Human Breast Milk ◽  
Literature Overview ◽  
Milk Bank ◽  
Severe Infections ◽  
Human Milk Bank ◽  
Milk Banks

Human breast milk (HBM) is a source of essential nutrients for infants and is particularly recommended for preterm neonates when their own mother’s milk is not available. It provides protection against infections and decreases necrotizing enterocolitis and cardiovascular diseases. Nevertheless, HBM spoilage can occur due to contamination by pathogens, and the risk of a shortage of HBM is very often present. B. cereus is the most frequent ubiquitous bacteria responsible for HBM being discarded. It can contaminate HBM at all stages, from its collect point to the storage and delivery. B. cereus can induce severe infection in newborns with very low birth weight, with sometimes fatal outcomes. Although the source of contamination is rarely identified, in some cases, HBM was suspected as a potential source. Even if the risk is low, as infection due to B. cereus in preterm infants should not be overlooked, human milk banks follow strict procedures to avoid contamination, to accurately identify remaining bacteria following pasteurization and to discard non-compliant milk samples. In this review, we present a literature overview of B. cereus infections reported in neonates and the suspected sources of contamination. We highlight the procedures followed by the human milk banks from the collection of the milk to its microbiological characterization in Europe. We also present improved detection and decontamination methods that might help to decrease the risk and to preserve the public’s confidence in this vital biological product for infants whose mothers cannot breastfeed.

scholarly journals Human milk banks in the response to COVID-19: a statement of the regional human milk bank network for Southeast Asia and beyond

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Estrella Olonan-Jusi ◽  
Paul G. Zambrano ◽  
Vu H. Duong ◽  
Nguyen T. T. Anh ◽  
Nant S. S. Aye ◽  
...  
Keyword(s):  
Southeast Asia ◽  
Human Milk ◽  
Newborn Care ◽  
World Health ◽  
National Guidelines ◽  
Donor Human Milk ◽  
Skin Contact ◽  
Milk Bank ◽  
Human Milk Bank ◽  
Milk Banks

Abstract Background The World Health Organization (WHO) recommendations on infant feeding in the context of COVID-19 uphold standing recommendations for breastfeeding, non-separation, and skin-to-skin contact, including the use of donor human milk when mother’s own milk is not available. Insufficient guidance on the use of donor human milk and the role of human milk banks in the pandemic response COVID-19 clinical management guidelines in seven countries in Southeast Asia are not aligned with WHO recommendations despite the lack of evidence of transmission through either breastmilk or breastfeeding. The use of safe donor human milk accessed through human milk banks is also insufficiently recommended, even in countries with an existing human milk bank, leading to a gap in evidence-based management of COVID-19. This highlights long-standing challenges as well as opportunities in the safe, equitable, and resilient implementation of human milk banks in the region. Conclusions This statement reflects the expert opinion of the Regional Human Milk Bank Network for Southeast Asia and Beyond on the need to revisit national guidelines based on the best evidence for breastfeeding during the COVID-19 pandemic, to incorporate human milk bank services in national obstetric and newborn care guidelines for COVID-19 where possible, and to ensure that operations of human milk banks are adapted to meet the needs of the current pandemic and to sustain donor human milk supply in the long-term. The Network also recommends sustained engagement with the global human milk bank community.

scholarly journals Growth of Very Preterm Infants in a Low-Resourced Rural Setting after Affiliation with a Human Milk Bank

Children ◽  
2022 ◽  
Vol 9 (1) ◽  
pp. 80
Author(s):  
Chia-Huei Chen ◽  
Hui-Ya Chiu ◽  
Szu-Chia Lee ◽  
Hung-Yang Chang ◽  
Jui-Hsing Chang ◽  
...  
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Rural Areas ◽  
Z Score ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Growth Outcomes ◽  
Milk Bank ◽  
Human Milk Bank ◽  
Milk Banks

The extrauterine growth restriction (EUGR) of very preterm infants has been associated with long-term complications and neurodevelopmental problems. EUGR has been reported at higher rates in low resource settings. There is limited research investigating how metropolitan human milk banks contribute to the growth outcomes of very preterm infants cared in rural areas. The setting of this study is located at a rural county in Taiwan and affiliated with the Taiwan Southern Human Milk Bank. Donor human milk was provided through a novel supplemental system. A renewal nutritional protocol was initiated as a quality improvement project after the affiliated program. This study aimed to compare the clinical morbidities and growth outcome at term equivalent age (TEA) of preterm infants less than 33 weeks of gestational age before (Epoch-I, July 2015–June 2018, n = 40) and after the new implementation (Epoch-II, July 2018–December 2020, n = 42). The Epoch-II group significantly increased in bodyweight z-score at TEA ((−0.02 ± 1.00) versus Epoch-I group (−0.84 ± 1.08), p = 0.002). In multivariate regression models, the statistical difference between two epochs in bodyweight z-score changes from birth to TEA was still noted. Modern human milk banks may facilitate the nutritional protocol renewal in rural areas and improve the growth outcomes of very preterm infants cared for. Establishing more distribution sites of milk banks should be encouraged.

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

Cost Analysis of Operating a Human Milk Bank in China

2020 ◽  
Vol 36 (2) ◽  
pp. 264-272 ◽  
Author(s):  
Cun Daili ◽  
Zhang Kunkun ◽  
Yu Guangjun
Keyword(s):  
Cost Analysis ◽  
Human Milk ◽  
Unit Cost ◽  
Operating Costs ◽  
Children's Hospital ◽  
Donor Human Milk ◽  
Milk Bank ◽  
Children’S Hospital ◽  
Human Milk Bank ◽  
Milk Banks

Background Establishing a human milk bank for the benefit of premature newborns who are unable to receive their mothers’ milk for various reasons is a common initiative. To date, 19 human milk banks have been established in China; however, data associated with human milk banks are lacking, including information on the operational costs, guidelines, and regulatory systems for human milk banks in China. Research Aim Our study aim was to conduct a cost analysis for the human milk bank at Shanghai Children’s Hospital. Methods A management accounting approach, based on the activity-based costing method, was used to develop a cost model for donor human milk. The data were collected retrospectively and included budget plans, financial and expenditure reports, databases, and interviews with the staff and managers at the Shanghai Children’s Hospital Human Milk Bank in 2017. Results In 2017, the total volume of qualified donor human milk was 933.70 L, of which 842.71 L (90%) was frozen and 90.99 L (10%) was freshly donated on site. The total annual cost to provide milk for 212 high-risk infants in 2017 was US$156,923, and the unit cost was US$168/L. Conclusions The operating costs of human milk banks in China are similar to those in other countries internationally, but these costs are so large that they require government and society support for funding and milk donation. Therefore, ongoing breastfeeding support for mothers and measures to reduce the operating costs of human milk banks should be advocated.

Involvement of parents with diet made to premature son: reported experience

2011 ◽  
Vol 5 (5) ◽  
pp. 1302
Author(s):  
Edualeide Jeane Pereira Bulhões Nóbrega ◽  
Rosineide Santana de Brito
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Preterm Infants ◽  
El Niño ◽  
El Nino ◽  
Well Being ◽  
Premature Newborn ◽  
Milk Bank ◽  
Human Milk Bank

ABSTRACTObjective: to report the interest and concern shown by fathers, in relation to diet to be offered to their children for lack of milk from the mother. Method: this is a descriptive report of experience conducted in a human milk bank in a federal hospital in Natal, Brazil, in order to get the food for the newborn. Results: the milk bank can not supply the request to all preterm infants, leaving the grieving parent for wanting to give his son the pasteurized human milk. This causes the parent capture donations of human milk in the community to ensure food for the child. The milk is pasteurized brought by him and being fit for consumption, is administered as prescribed. Conclusion: the father demonstrates believe the quality of human milk and pasteurized to ensure you search for the child. It is believed that his conduct is related to the conceptions of gender that involves the male in society. Thus it is the man to provide food and ensure the well being of those under their responsibility. Descriptors: breastfeeding; breast milk; parenting; premature newborn; newborn.RESUMOObjetivo: relatar o interesse e a preocupação demonstrada por pais, em relação à dieta que será oferecida aos seus filhos por falta do leite da mãe. Método: estudo descritivo tipo relato de experiência vivenciada em um banco de leite humano de uma instituição hospitalar federal, em Natal/RN, Brasil, a fim de conseguir o alimento para o recém nascido. Resultados: o banco de leite não consegue suprir a solicitação para todos os prematuros, deixando o pai aflito por querer dar ao filho o leite humano pasteurizado. Isso faz com que esse genitor capte doações de leite humano, na comunidade, a fim de garantir o alimento para o filho. O leite trazido por ele é pasteurizado e estando próprio para consumo, é administrado conforme prescrição. Conclusão: o pai demonstra acreditar na qualidade do leite humano pasteurizado e busca assegurá-lo para o filho. Acredita-se que sua conduta guarda relação com as concepções de gênero que envolve o masculino na sociedade. Assim sendo cabe ao homem prover alimento e garantir o bem estar daqueles que estão sob sua responsabilidade. Descritores: aleitamento materno; leite humano; paternidade; recém-nascido prematuro; recém-nascido. RESUMENObjetivo: comunicar el interés y la preocupación mostrada por los padres en relación a la dieta que se ofrecerán a sus hijos por falta de leche materna. Método: Memoria descriptiva de la experiencia realizada en un banco de leche humana en un hospital federal en Natal, Brasil, con el fin de conseguir el alimento para el recién nacido. Resultados: el banco de leche no puede suministrar la solicitud a todos los recién nacidos prematuros, dejando a los padres afligidos por querer dar a su hijo la leche pasteurizada humanos. Esto provoca que las donaciones de captura de los padres de la leche materna de la comunidad para asegurar la alimentación para el niño. La leche se pasteuriza por él, y ser aptos para el consumo, se administra según lo prescrito. Conclusión: el padre demuestra que la calidad de la leche humana pasteurizada y le aseguro búsqueda de su hijo. Se cree que su conducta está relacionada con las concepciones de género que implica la masculina en la sociedad. Por lo tanto, es el hombre para proporcionar alimentos y asegurar el bienestar de aquellos bajo su responsabilidad. Descriptores: lactancia materna; la leche materna; crianza de los hijos; recién nacido prematuro recién nacido.

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