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

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.

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Human Milk Banking

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832.32.3.175 ◽

2013 ◽

Vol 32 (3) ◽

pp. 175-183 ◽

Cited By ~ 7

Author(s):

Esther Marie O’Hare ◽

Angela Wood ◽

Elizabeth Fiske

Keyword(s):

Breast Milk ◽

Human Milk ◽

Medical Records ◽

Neonatal Intensive Care ◽

Potential Donor ◽

Heating And Cooling ◽

Milk Bank ◽

Human Milk Banking ◽

Milk Banking ◽

Human Milk Bank

Forms of human milk banking and donation have been present for more than a century worldwide, but, since 1985, the Human Milk Banking Association of North America (HMBANA) has established guidelines to make the use of donor’s breast milk safe and the second best form of feeding to maternal breast milk for a neonatal intensive care unit (NICU) infant. The Indiana Mother’s Human Milk Bank provides an extensive and meticulous process of selecting breast milk donors. The process begins with a phone interview with a potential donor and includes the review of the donor’s medical records, blood laboratory screening, medication and dietary intake, as well as consent from the donor’s pediatrician. The milk bank follows steps of collecting, storing, and receiving the breast milk in accordance with the guidelines of the HMBANA. Pasteurization is the method used to ensure the proper heating and cooling of breast milk. Despite the rigorous pasteurization method, the donor’s breast milk will not lose most of the important beneficial components needed for sick or ill NICU infants. Every batch of pasteurized breast milk will be cultured for any possible contamination and shipped to NICUs after it has been cleared by laboratory testing.

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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

Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo ◽

10.26432/1809-3019.2020.65.024 ◽

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

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THE EFFECT OF HOLDER PASTEURISATION AND MATERNAL CHARACTERISTICS ON THE COMPOSITION OF DONATED BREAST MILK FROM THE HUMAN MILK BANK AT CHRISTCHURCH WOMEN'S HOSPITAL

Journal of Paediatrics and Child Health ◽

10.1111/jpc.14410_87 ◽

2019 ◽

Vol 55 (S1) ◽

pp. 84-84

Keyword(s):

Breast Milk ◽

Human Milk ◽

Maternal Characteristics ◽

Milk Bank ◽

Human Milk Bank

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Relation between breast milk energy density and the pre-conception BMI from donations of a human milk bank

Proceedings of The Nutrition Society ◽

10.1017/s0029665120004231 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Yanira Flórez Matías ◽

Liliana Ladino Melendez ◽

Sandra Patricia Guevara Núñez

Keyword(s):

Breast Milk ◽

Energy Density ◽

Human Milk ◽

Milk Lipid ◽

Human Breast ◽

Mature Milk ◽

Proportional Relation ◽

Milk Bank ◽

Transition Milk ◽

Human Milk Bank

AbstractHuman breast milk is a high value biological substance that grants numerous benefits both to mother and child. Many aspects can produce changes in the milk composition; among them, the pre-conception body mass index (Pre-conception BMI) which is included as a factor that can influence the fat levels and therefore, the milk's energy density. To identify if there is a relation between the breast milk energy density from a human milk bank and Preconception BMI. It is a retrospective study that used information from donations registered in the human milk database at Hospital de Kennedy during 2016. The dependent variable is the energy density from 3 kinds of milk: colostrum, mature and transition milk. As independent variable, Preconception BMI was taken. The R free program version 3.3.0 was used for statistical analysis. The energy density average found for the 3 kinds of milk were: 20.59 + /- 2.3 kcal/oz, 20.51 + /- 2.17 kcal/oz y 19.21 + /- 2.53 for colostrum, transition milk and mature milk respectively. The Preconception BMI average from the donors was 23.56 Kg/m2 for colostrum, 23.9 Kg/m2 for transition milk and 23.1 Kg/m2 for mature milk. No relation between Preconception BMI and energy density of colostrum was found. However, for transition milk and Preconception BMI a directly proportional relation was found (p < 0.01), and for mature milk and Preconception BMI an inversely proportional relation was determined (p = 0.0387). There are internal and external factors than can affect the breast milk lipid content, such as movements of reserves through the organism to protect the milk production, hormonal action, dietary intake, physical activity and socio-economic and cultural aspects; that is why it is not possible to analyze the preconception BMI as a unique predictor of breast milk energy density in an isolated manner. Preconception BMI is related to human breast transition and mature milk energy density in donations registered in 2016 at Kennedy Hospital.

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

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1302-9310-2-le.0505201130 ◽

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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Human milk bank in Ukraine – relities and perspectives

Reproductive health of woman ◽

10.30841/2708-8731.3.2021.234220 ◽

2021 ◽

Vol 3 ◽

pp. 16-20

Author(s):

O.S. Zahorodnia ◽

V.V. Bila ◽

I. Chernyak ◽

I.I. Lazo

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Breast Milk ◽

Human Milk ◽

Premature Infants ◽

Milk Bank ◽

Milk Volume ◽

Perinatal Center ◽

Human Milk Bank ◽

Source Of Information

Premature birth complicates 5 to 8% of pregnancies worldwide. The efforts of the medical world are aimed at improving the care of premature infants, which is much more successful – increasing the proportion of extremely premature surviving infants, improving the health and quality of life of premature infants. Such measures include, in particular, the early start of enteral feeding. It is its early initiation that is complicated by the delay in establishing lactation in the mother. To overcome this contradiction, it is proposed to use donor breast milk, for the procurement and storage of which human milk banks have been created. The objective: to analyze the activities of the human milk bank of the Kyiv Perinatal Center in 2020. Materials and methods. To evaluate the activity of the breast milk bank the main indicators of its work for 2020 were analyzed – the total number of donors, their distribution by age, total milk volume, average milk volume per woman, duration of donor milk to newborns. Results. During 2020, 65 donors took part in the breast milk donation program, who received 8,603 portions of milk and 8,220 portions were given to recipients for consumption. It is established that the main source of information for breast milk donors is the staff of the Perinatal Center, and therefore – the main motivation to participate in the program is the desire to help in the care of premature infants. The main pool of recipients (67.1%) are patients of the intensive care unit. A small part of the donor milk was consumed by patients of the postnatal care department and the second stage of nursing. Among patients receiving donor breast milk in the intensive care unit, preterm weight categories of 1000–1499 g (49.3%) and 1500–1999 g (32.7%) dominated. Conclusions. 1. The main source of information about the breast milk donation program is the staff of the Perinatal Center of Kyiv (32.3%), which determines the main motivation of the study participants. The prospect of developing the idea of breast milk donation in Ukraine is popularization in the media in order to expand the audience and encourage women who have given birth in other obstetric facilities. 2. The main pool of DHM recipients in the Perinatal Center of Kyiv are premature patients of the intensive care unit. The largest proportion of patients receiving DGM were in the weight category of 1000–1499 g. The average duration of consumption of DGM by patients in this department is 6.5±0.9 days.

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

Enfermagem em Foco ◽

10.21675/2357-707x.2019.v10.n1.1396 ◽

2019 ◽

Vol 10 (1) ◽

Cited By ~ 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.

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