scholarly journals Eight-year Operation Status and Data Analysis of the First Human Milk Bank in East China

2021 ◽  
Author(s):  
Xiaoshan Hu ◽  
Xue Chu ◽  
Jun Zhang ◽  
Feng Liu ◽  
Xiaohui Chen ◽  
...  
Keyword(s):  
Human Milk ◽  
Electronic Monitoring ◽  
Quality Improvements ◽  
Web Based ◽  
Donor Human Milk ◽  
Continuous Quality ◽  
Milk Bank ◽  
Before And After ◽  
Human Milk Bank ◽  
Operation Status

Abstract ObjectivesTo analyze the operation status and data over the last 8 years of operation of the first human milk bank (HMB) in East China.MethodsData related to the costs, donors, donation, pasteurization, and recipients were extracted from the web-based electronic monitoring system of the HMB for the period August 1, 2013 to July 31, 2021. ResultsOver the 8 years of operation, 1,555 qualified donors donated 7,396.5 L of qualified milk at a cost of ¥1.94 million, with the average cost per liter of donor human milk being ¥262.3. The donors were between 25 and 30 years of age, and the majority (80.1%) were primipara. All the donated milk was pasteurized and subjected to bacteriological tests before and after pasteurization: 95.4% passed the pre-pasteurization tests, and 96.3% passed the post-pasteurization tests. A total of 9,207 newborns received 5,775.2 L of pasteurized donor milk. The main reason for the prescription of donor human milk was preterm birth. As a result of continuous quality improvements, January 2016 witnessed a significant increase in the volume of qualified DHM and the number of qualified donors. However, in 2020, as a result of the restrictions related to the COVID-19 pandemic, the volume of qualified DHM and the number of qualified donors decreased. ConclusionsOver its 8 years of operation, our HMB has made steady quality improvements in its screening and information processes. Continuous quality improvement is on ongoing need, along with recruiting more qualified donors and collecting donor human milk for vulnerable newborns.

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 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 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 Disposal of human milk donated to a human milk bank before and after measures to reduce the amount of milk unsuitable for consumption

2010 ◽  
Vol 86 (4) ◽  
pp. 290-294 ◽  
Author(s):  
Ana L. Grazziotin ◽  
Maria C. B. Grazziotin ◽  
Luiz A. J. Letti
Keyword(s):  
Human Milk ◽  
Milk Bank ◽  
Before And After ◽  
Human Milk Bank

scholarly journals Improving donor human milk collection in a hospital without a human milk bank: a quality improvement initiative at an urban tertiary-care teaching hospital

2021 ◽  
Vol 10 (Suppl 1) ◽  
pp. e001467
Author(s):  
Reema Garegrat ◽  
Nandini Malshe ◽  
Pradeep Suryawanshi ◽  
Suprabha K Patnaik
Keyword(s):  
Quality Improvement ◽  
Human Milk ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Quality Improvement Initiative ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Donor Human Milk ◽  
Milk Bank ◽  
Human Milk Bank

Feed intolerance and necrotising enterocolitis (NEC) are challenges while treating sick neonates. These can be reduced by giving human milk, but adequate availability of mother’s own milk or pasteurised donor human milk (PDHM) is a challenge in neonatal setups, like ours, without an attached human milk bank. Hence, this quality improvement initiative was taken to improve donor human milk collection in our urban tertiary-care teaching hospital, to at least 500 mL per week in 4 weeks. After analysing the problem, our quality improvement team identified a shortage of human milk donation that was due to low awareness among the stakeholders and lack of a system to collect and store human milk and transport it to a milk bank. The team first established a system of supplies needed for milk collection, storage and transportation. It then tested change idea of information, education and counselling to increase milk donation. The team carried out a few plan-do-study-act cycles (individual and group counsellings, and usage of videos and information leaflets) to test the change ideas and adapted a few and abandoned some. During this journey, the milk collection increased to above the target amount. Various challenges were addressed, and there was a need for constant motivation of the stakeholders, especially the mothers, and now there is sustained milk donation in the setup. This is incorporated in the standard operating procedure and as a quality indicator of the unit for sustaining the changes in the unit. Our initiative can be replicated in other setups for increasing collection of donor human milk. Greater PDHM availability for sick neonates will, in effect, reduce NEC and feeding intolerance rates, leading to reduced hospital stay, morbidity, mortality and economic burden.

Establishment, operation and development of a donor human milk bank

2013 ◽  
Vol 89 ◽  
pp. S7-S9 ◽  
Author(s):  
Augusto Biasini ◽  
Marcello Stella ◽  
Laura Malaigia ◽  
Mariachiara China ◽  
Milena Azzalli ◽  
...  
Keyword(s):  
Human Milk ◽  
Donor Human Milk ◽  
Milk Bank ◽  
Human Milk Bank

Best practice guidelines for the operation of a donor human milk bank in an Australian NICU

2007 ◽  
Vol 83 (10) ◽  
pp. 667-673 ◽  
Author(s):  
B.T. Hartmann ◽  
W.W. Pang ◽  
A.D. Keil ◽  
P.E. Hartmann ◽  
K. Simmer
Keyword(s):  
Human Milk ◽  
Practice Guidelines ◽  
Best Practice ◽  
Donor Human Milk ◽  
Best Practice Guidelines ◽  
Milk Bank ◽  
Human Milk Bank

Donor Human Milk Bank Data Collection in North America

2013 ◽  
Vol 30 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Elizabeth A. Brownell ◽  
Mary M. Lussier ◽  
Victor C. Herson ◽  
James I. Hagadorn ◽  
Kathleen A. Marinelli
Keyword(s):  
North America ◽  
Data Collection ◽  
Human Milk ◽  
Donor Human Milk ◽  
Milk Bank ◽  
Human Milk Bank

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.

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