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

Aflatoxin M1and ochratoxin A in a human milk bank in the city of São Paulo, Brazil

2005 ◽  
Vol 22 (5) ◽  
pp. 457-462 ◽  
Author(s):  
S. A Navas ◽  
M Sabino ◽  
D. B Rodriguez-Amaya
Keyword(s):  
Human Milk ◽  
Ochratoxin A ◽  
Sao Paulo ◽  
São Paulo ◽  
Milk Bank ◽  
Human Milk Bank ◽  
The City

scholarly journals Human milk bank in Ukraine – relities and perspectives

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.

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 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

Iron Concentrations in Breast Milk and Selected Maternal Factors of Human Milk Bank Donors

2009 ◽  
Vol 26 (2) ◽  
pp. 175-179 ◽  
Author(s):  
Julio Mello-Neto ◽  
Patrícia H. C. Rondó ◽  
Marcelo A. Morgano ◽  
Marie Oshiiwa ◽  
Mariana L. Santos ◽  
...  
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Maternal Factors ◽  
Milk Bank ◽  
Human Milk Bank ◽  
Iron Concentrations

Breast Milk and Hair Testing to Detect Illegal Drugs, Nicotine, and Caffeine in Donors to a Human Milk Bank

2016 ◽  
Vol 32 (3) ◽  
pp. 542-545 ◽  
Author(s):  
Diana Escuder-Vieco ◽  
Óscar Garcia-Algar ◽  
Xavier Joya ◽  
Emilia Marchei ◽  
Simona Pichini ◽  
...  
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Illegal Drugs ◽  
Milk Bank ◽  
Human Milk Bank ◽  
Hair Testing

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.

Human Milk Banking

2013 ◽  
Vol 32 (3) ◽  
pp. 175-183 ◽  
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.

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.

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