scholarly journals Maternal insecurity in breastfeeding women served at a human milk bank

2021 ◽  
Vol 21 (1) ◽  
pp. 251-259
Author(s):  
Waleska Lima Alves Simas ◽  
Jaiza Sousa Penha ◽  
Liane Batista da Cruz Soares ◽  
Poliana Pereira Costa Rabêlo ◽  
Bruno Luciano Carneiro Alves de Oliveira ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Human Milk ◽  
Family Income ◽  
Mode Of Delivery ◽  
University Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Lactating Women ◽  
Milk Bank ◽  
Human Milk Bank

Abstract Objectives: to verify the prevalence and factors associated with maternal insecurity in breastfeeding with lactating women treated at a milk bank. Methods: cross-sectional study with secondary record data from January 2017 to December 2018 at the Human Milk Bank of the University Hospital of the Federal University of Maranhão. Results: a total of 891 lactating women were analyzed, of which 23.4% had maternal insecurity, being the second most prevalent complication. Most were young adults, married (68%), with complete higher education (64.9%) and family income above five minimum wages (32.5%). Regarding the obstetric history, the highest frequency was ofprimigravida (63.7%o), primiparous (70%), who had had seven or more prenatal appointments (91 %) in private health services (76.5%) where most births also occurred (78.6%), with cesarean section being the most prevalent mode of delivery (86.5%), 47.2% reported never having received guidance on breastfeeding and 80.7% were breastfeeding for the first time. There was a statistically significant relationship (p-value < 0.05) of maternal insecurity with the place where the prenatal care was performed and the place and mode of delivery. Conclusion: maternal insecurity was the second most prevalent breast complication among lactating women in the service. It stands out the need for adequate guidance and counseling on the subject, especially during prenatal care, contributing to avoid early weaning

scholarly journals Assessment of techniques of massage and pumping in the treatment of breast engorgement by thermography

2014 ◽  
Vol 22 (2) ◽  
pp. 277-285 ◽  
Author(s):  
Anita Batista dos Santos Heberle ◽  
Marcos Antônio Muniz de Moura ◽  
Mauren Abreu de Souza ◽  
Percy Nohama
Keyword(s):  
Human Milk ◽  
Post Treatment ◽  
Lactating Women ◽  
Milk Bank ◽  
Before And After ◽  
Manual Methods ◽  
Human Milk Bank ◽  
Experimental Group ◽  
Negative Gradient

OBJECTIVE: to evaluate techniques of massage and pumping in the treatment of postpartum breast engorgement through thermography.METHOD: the study was conducted in the Human Milk Bank of a hospital in Curitiba, Brazil. We randomly selected 16 lactating women with engorgement with the classification lobar, ampullary and glandular, moderate and intense. We compared the differential patterns of temperature, before and after the treatment by means of massage and pumping.RESULTS: we found a negative gradient of 0.3°C of temperature between the pre- and post-treatment in the experimental group. Breasts with intense engorgement were 0.7°C warmer when compared with moderate engorgement.CONCLUSION: massage and electromechanical pumping were superior to manual methods when evaluated by thermography. REBEC: U1111-1136-9027.

scholarly journals Iron Supplementation in Pregnancy and Breastfeeding and Iron, Copper and Zinc Status of Lactating Women From a Human Milk Bank

2012 ◽  
Vol 59 (2) ◽  
pp. 140-144 ◽  
Author(s):  
J. Mello-Neto ◽  
P. H. C. Rondo ◽  
M. Oshiiwa ◽  
M. A. Morgano ◽  
C. Z. Zacari ◽  
...  
Keyword(s):  
Human Milk ◽  
Iron Supplementation ◽  
Zinc Status ◽  
Lactating Women ◽  
Iron Copper ◽  
Copper And Zinc ◽  
Milk Bank ◽  
Human Milk Bank ◽  
In Pregnancy

scholarly journals Need of the hour? does breast milk bank reduces perinatal morbidity and mortality: a retrospective observational study

2020 ◽  
Vol 7 (2) ◽  
pp. 327
Author(s):  
Narayanan E. ◽  
Mohd Sajjid ◽  
Arun Kumar
Keyword(s):  
Breast Milk ◽  
Observational Study ◽  
Human Milk ◽  
Morbidity And Mortality ◽  
Retrospective Observational Study ◽  
P Value ◽  
Contamination Rate ◽  
Milk Bank ◽  
Mortality Outcome ◽  
Human Milk Bank

Background: Human milk bank plays an essential role by providing human milk to infants who would otherwise not be able to receive human milk. The aims and Objectives is to study the morbidity and mortality outcome  profile of babies fed with PDHM (pasteurized donor human milk) comparing data between Pre Human Milk Breast bank (2015) and Post Human Milk Breast bank (2016, 2017 and 2018).Methods: Milk bank collect, screen, store, process, and distribute human milk. Retrospective observational study was done in Department of Neonatology, Institute of Obstetrics and Gynaecology and Women and Children Hospital, Chennai. Data obtained retrospectively comparing data Pre HMB (2015) and Post HMB (2016, 2017 and 2018).Results: In this study authors collected the data comparing Pre human milk bank (Pre HMB) and Post human milk bank (Post HMB).  After starting human milk bank, around 1799 babies were benefitted and 14.45 lakh ml milk was collected from 16000 donor mothers in last 3 years. Bacterial contamination rate of PDHM has reduced to 4.39% (2018) compared to 7.73% (2016) with P Value 0.0042 (statistically significant). CONS and Staphylococcus aureus were the most common Organisms isolated. There was reduction in morbidity profile like sepsis rate, NEC/ Feed intolerance and ROP profile. Mortality profile also reduced to (7.73-9.31%). Duration of hospital and Duration to attain full feeds were improved all GA group babies.Conclusions: In this study, after starting human milk bank there was reduction in mortality, morbidity outcome, sepsis. Duration to attain full feeds  and duration of hospital stay reduced. We concluded that establishment of breast milk bank will be more useful and beneficial for all GA group babies for better outcome.

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.

Stability of the Antimicrobial Capacity of Human Milk Against Cronobacter Sakazakii During Handling

2020 ◽  
pp. 089033442093257
Author(s):  
Sandra Fernández-Pastor ◽  
Dolores Silvestre Castelló ◽  
M.C. López-Mendoza
Keyword(s):  
Human Milk ◽  
Cronobacter Sakazakii ◽  
Neonatal Infections ◽  
Cross Sectional ◽  
Milk Samples ◽  
Fresh Milk ◽  
Milk Bank ◽  
Short Period ◽  
Human Milk Bank ◽  
The Stability

Background Neonatal infections with Cronobacter sakazakii have recently been associated with the consumption of expressed human milk. Study Aims (1) To evaluate whether human milk has antimicrobial capacity against C. sakazakii and (2) to determine the stability of its capacity when it is subjected to various treatments. Methods The antimicrobial capacity of human milk against C. sakazakii was evaluated using an observational, cross-sectional, comparative design. Mature human milk samples ( N = 29) were subjected to different treatments. After incubation at 37°C for 72 hr, samples were compared with fresh milk on the stability of their antimicrobial capacity. Two-way analysis of variance (ANOVA) was performed. Results In fresh milk, counts of C. sakazakii were reduced by 47.26% ( SD = 6.74) compared to controls. In treated milk, reductions were: refrigeration at 4°C for 72 hr ( M = 33.84, SD = 13.84), freezing at –20°C for 1, 2, and 3 months ( M = 40.31, SD = 9.10; M = 35.96, SD = 9.39; M = 26.20, SD = 13.55, respectively), Holder pasteurization ( M = 23.56, SD = 15.61), and human milk bank treatment with ( M = 14.37, SD = 18.02) and without bovine fortifier ( M = 3.70, SD = 23.83). There were significant differences ( p < .05) between fresh and treated milk. Conclusions Human milk has antimicrobial capacity against C. sakazakii. However, its capacity is negatively influenced by common preservation and hygienization methods. Milk should be stored refrigerated for a maximum of 72 hr or frozen for a short period of time.

scholarly journals Relato de experiência das enfermeiras do Banco de Leite Humano da Santa Casa de Misericórdia de São Paulo, voltado às práticas de promoção, proteção e apoio ao aleitamento materno / Experience report from the nurses of the Human Milk Bank of Santa Casa de Misericórdia de São Paulo, focused on practices of promotion, protection and support to breastfeeding

2020 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Claudia Tavares de Melo ◽  
Marta Bellazzi Padrão
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Key Words Breast ◽  
Milk Bank ◽  
Study Results ◽  
Milk Volume ◽  
Human Milk Bank

Objetivo: Relatar a experiência das enfermeiras do banco de leite humano (BLH) da Santa Casa de Misericórdia de São Paulo, demonstrar as novas atribuições, descrever as repercussões destas mudanças e avaliar o volume de leite coletado. Método: Estudo transversal, descritivo e analítico. Os dados foram coletados dos arquivos de registros do BLH desta instituição, de 2016 a 2018. Resultado: Após início de um projeto com atividades educativas voltadas à divulgação da atuação do BLH, observamos o aumento do número de doadoras de leite materno e, consequentemente, melhoria no fornecimento de leite humano pasteurizado aos prematuros internados. No ano de 2016 os atendimentos somaram 2821 mães, e em 2018, 3238 (demonstrando um aumento de 15% no período). No tocante ao volume de leite coletado, foram 278,65 litros em 2016, contra 370,91 litros em 2018; demonstrando um aumento de 33%. Conclusão: As ações de acolhimento, marketing, socialização e busca ativa realizadas favoreceram o aumento do número de doadoras de leite materno e no volume de leite coletado, bem como sua fidelização. A ampliação das atividades levou a um importante espaço de atuação do enfermeiro que trabalha no BLH. Palavras-chave: Aleitamento materno, Banco de leite, Enfermagem obstétricaABSTRACT Objective: To report an experience lived by the nurses of the human milk bank (HMB) of Santa Casa de Misericórdia de São Paulo, demonstrate the new attributions, describe the repercussions of these changes and evaluate the amount of appointments and milk volume collected from 2016 to 2018. Method: It was a cross-sectional descriptive and analytical study. Results: After beginning a project with educational activities aimed disseminating the HMB, culminating in the increase in the number of breast milk donors and, consequently, in the milk provision (more regular) for hospitalized premature newborns. The total number of attendances jumped from 2821 in 2016 to 3238 in 2018 (an increase of 15%). Regarding the volume of collected milk, we got 278,65 liters in 2016 against 370,91 liters in 2018 (an increase of 33 %). Conclusion: The actions of reception, marketing, socialization and the active search performed favored an increase in the number of breast milk donors and in the volume of collected milk, and to keep their loyalty. The expansion of these activities led to an important new field of nurses activities on the HMB. Key words: Breast feeding, Milk banks, obstetric nursing

scholarly journals BREAST FEEDING

2011 ◽  
Vol 18 (03) ◽  
pp. 485-488
Author(s):  
FARAH AGHA ◽  
HABIBA SHARAF ALI
Keyword(s):  
Breast Feeding ◽  
Family Income ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Early Termination ◽  
Outpatient Department ◽  
P Value ◽  
Cross Sectional ◽  
Environmental Support ◽  
Antenatal Counseling

Objective: To identify the factors, causing the early termination of breast feeding i.e. from birth to six months of age. Design: A cross sectional study. Setting: Outpatient Department of Ziauddin Medical University, Kemari Campus, Karachi. Period: June 2008 to December. 2008. Methods: A structured questionnaire was put to mothers of children up to two years of age attending the outpatient department of pediatrics. Results: Significant associations existed between the early termination of breast feeding and family income, family structure (nuclear vs. extended), mode of delivery ,delayed in initiation of breast feeding early weaning and antenatal counseling with a p-value of <0.05. Conclusions: Provision of adequate prenatal counseling, early initiation, proper economical and environmental support, backup and encouragement are key factors associated with prolonged breast feeding among women.

scholarly journals HUMAN MILK BANK: CHALLENGES AND VISIBILITY FOR NURSING

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Mônica Barros de Pontes ◽  
Tânia Cristina Franco Santos ◽  
André Luís Lima Nogueira ◽  
Maria Angélica de Almeida Peres ◽  
Maria Zilma Rios ◽  
...  
Keyword(s):  
Human Milk ◽  
Implementation Process ◽  
University Hospital ◽  
Primary Sources ◽  
The Public ◽  
Milk Bank ◽  
The Social ◽  
Practice Method ◽  
Power Game ◽  
Human Milk Bank

ABSTRACT Objective: analyze the implementation process of the human milk bank of a university hospital in the state of Espírito Santo and discuss the implications of this deployment to the regional nursing practice. Method: in this historical and social search the primary sources were interviews conducted with eight nurses, and documents from the nursing section. The thematic content analysis and the theoretical framework of Pierre Bourdieu allowed mediation of the objective and subjective dimensions of the social world. Results: it was evidenced that the milk bank was designed in 1993 and implemented in 1994 by three nurses and a doctor. In its historical path, the human milk bank had the participation of nurses involved in knowledge-power relations marked by symbolic violence and resistance to the hegemonic medical power of the time. Conclusion: it was concluded that the implementation of a human milk bank did not happen as anticipated by the public policy of the time, which was the result of a complex power game involving health professionals and the institution itself.

scholarly journals Demand for assistance in a human milk bank associated with socioeconomic and maternal-child health factors in Viçosa - Minas Gerais

2021 ◽  
Vol 43 ◽  
pp. e9-43384
Author(s):  
Rafaela Mara Silva Fonseca ◽  
Lilian Fernandes Arial Ayres ◽  
Luana Cupertino Milagres ◽  
Sylvia Do Carmo Castro Franceschini ◽  
Bruno David Henriques
Keyword(s):  
Human Milk ◽  
Maternity Hospital ◽  
Support Program ◽  
Maternal Child Health ◽  
Cross Sectional ◽  
Milk Bank ◽  
Younger Age ◽  
Human Milk Bank ◽  
The City ◽  
Type Of Delivery

The superiority of breast milk over milk of other species is already consolidated and there are numerous benefits in the practice of breastfeeding. The Human Milk Bank is a privileged place for the establishment of breastfeeding, as actions to encourage, support and promote breastfeeding are developed. This is a cross-sectional, retrospective study carried out at the only maternity hospital in the city. The sample consisted of mothers and babies assisted by a lactation support program from 2005 to 2016 and also mothers and babies monitored by the human milk bank. It was observed that the assistance of the milk bank was associated with the type of delivery performed (cesarean) (OR: 2.11; 95% CI: 1.03-4.33), having premature children (gestational age) (OR: 3 , 48; 95% CI: 1.52-7.95), higher education (OR: 1.16; 95% CI: 1.03-1.32) and being younger (age) (OR: 0.94; 95% CI %: 0.88-0.99) were the indicators that increased the mother's chance to seek care from the milk bank, regardless of parity and place of residence. The support, protection and promotion of breastfeeding that is carried out in this place, is configured as an important scenario favoring this practice, impacting on the health of the mother-child binomial in the present and in the future.

scholarly journals Profile of women attended by the human milk bank of Odete Valadares Maternity Hospital in Belo Horizonte, Minas Gerais State, Brazil

2020 ◽  
Vol 42 ◽  
pp. e47994
Author(s):  
Rose Hellen Cota Bomfim ◽  
Érika Marina Rabelo ◽  
Carla da Cruz Santos ◽  
Mateus Oliveira Marcelino
Keyword(s):  
Prenatal Care ◽  
Human Milk ◽  
Care Delivery ◽  
Maternity Hospital ◽  
Minas Gerais ◽  
Public And Private ◽  
Milk Bank ◽  
Nursing Mothers ◽  
Belo Horizonte ◽  
Human Milk Bank

In Brazil, the first “Human Milk Bank” (HMB) was implemented in 1943. Minas Gerais' oldest HMB still in operation was opened on October 19th, 1986 – the HMB of Odete Valadares Maternity Hospital [Maternidade Odete Valadares] (MOV) – and remains as a protagonist service in breastfeeding (BF) promotion in Minas Gerais. MOV has the oldest HMB of Minas Gerais, which is a reference service for maternal and child healthcare in the state. Learning about the profile of the population served by it is important as it allows ensuring and improving the conditions and resources necessary for the service, as well as facilitating the creation of strategies to improve BF support. Thus, the objective of this study was to learn about the profile of women who used MOV's HMB in a month of 2017.  Descriptive study with quantitative approach. As data sources, service forms from November 2017 were used, totaling a final sample of 238 records. The services covered women who gave birth in public and private hospitals. Most mothers were aged between 20 and 34 years old, had borne their first children, were in stable relationships, and had at least 12 years of education. They had access to adequate prenatal care, delivery and postpartum care, as recommended by the Brazilian Health Ministry [Ministério da Saúde] (MS). The main reported complaint: pain. A large number of women sought the service for guidance on breastfeeding as well. The profile of the attended women is similar to that of nursing mothers from other studies. Lack of orientation was one of the main motivations for them to resort to the service, a factor that can be changed by the strengthening of public policies for an adequate follow-up throughout prenatal care.

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