scholarly journals Fortification of Human Milk for Preterm Infants: Update and Recommendations of the European Milk Bank Association (EMBA) Working Group on Human Milk Fortification

2019 ◽  
Vol 7 ◽  
Author(s):  
Sertac Arslanoglu ◽  
Clair-Yves Boquien ◽  
Caroline King ◽  
Delphine Lamireau ◽  
Paola Tonetto ◽  
...  
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Working Group ◽  
Milk Bank

scholarly journals Macronutrient variability in human milk from donors to a milk bank: Implications for feeding preterm infants

PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0210610 ◽  
Author(s):  
Ashley John ◽  
Ruichen Sun ◽  
Lisa Maillart ◽  
Andrew Schaefer ◽  
Erin Hamilton Spence ◽  
...  
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Milk Bank

scholarly journals Plasma amino acids in preterm infants fed different human milk diets from a human milk bank

2007 ◽  
Vol 2 (2) ◽  
pp. 51-56 ◽  
Author(s):  
Sandra Christo dos Santos ◽  
Carmen Martimbianco de Figueiredo ◽  
Sônia Maria Oliveira de Andrade ◽  
Durval Batista Palhares
Keyword(s):  
Amino Acids ◽  
Human Milk ◽  
Preterm Infants ◽  
Plasma Amino Acids ◽  
Milk Bank ◽  
Human Milk Bank

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 Processing Human Milk to Increase Nutrient Density for Preterm Infants

2021 ◽  
pp. 089033442110569
Author(s):  
Hande Z. Ulus ◽  
Merve Yasemin Tekbudak ◽  
Jonathan C. Allen
Keyword(s):  
Human Milk ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Low Cost ◽  
Volume Reduction ◽  
Protein Loss ◽  
Donor Milk ◽  
Caloric Density ◽  
Nutrient Density ◽  
Milk Bank

Background: Human milk is the optimal food for newborns. Choices to feed preterm infants in neonatal intensive care units are mother’s milk, donor milk, or formula. Preterm infants have better tolerance for human milk, but the lower caloric density of donor milk might not meet preterm infant growth needs. Preterm infants have higher protein and energy requirements with a limited stomach capacity. Therefore, there is a need for human milk with increased nutrient density. Research Aim: To concentrate donor milk to have a higher caloric and protein density while avoiding side effects of high osmolality by precipitating lactose at low temperatures. Methods: We investigated the results of volume reduction and lactose removal processes on the lactose, protein, osmolality, and viscosity of human milk. Donor milk was obtained from WakeMed Mothers’ Milk Bank. Homogenization and evaporative condensation were applied to samples ( N = 36) before they were stored frozen overnight, followed by refrigerated centrifugation for lactose removal at 0 °C. Supernatants were separated and compared to the composition of controls. Results: A significant reduction of lactose ( SW = -262, p < .0001) and osmolality ( SW = -211.5 p < .01) was achieved in the concentrated milk without a significant protein loss from centrifugation ( SW = -44.5, p = .49). A 30%–40% volume reduction is within the American Academy of Pediatrics recommended osmolality for infant feeding. Conclusion: Concentrating human milk in a milk bank setting for feeding preterm infants might be a simple and low-cost process to achieve a product with higher nutrient density and no non-human components.

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.

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.

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