Category: Articles & Publications

The Global Launch of The Lancet Breastfeeding Series

Post author By HMBASA
Post date 10th March 2016

The Lancet Breastfeeding Series is the first of its kind to evaluate global breastfeeding levels, trends and inequalities, in addition to the short- and long-term consequences for both mother and child, regardless of where they live or their income. The Series underscores the importance of policy interventions to increase and sustain breastfeeding levels. This interactive launch event will highlight key findings as well as present success stories and opportunities to eliminate barriers to breastfeeding in high- and low-income countries.

For information go to:

The Lancet Breastfeeding Series

Articles & Publications

Benefits Of Donor Milk

Post author By HMBASA
Post date 10th March 2016

Benefits of maternal and donor human milk for premature infants

Howard Heiman a,1, Richard J. Schanler a,b,⁎

a Division of Neonatal-Perinatal Medicine, Schneider Children’s Hospital at North Shore, North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030, USA
b Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA

Abstract:

Nutrition support of the premature infant must be designed to compensate for metabolic and gastrointestinal immaturity, immunologic insufficiency, and the demands of associated medical conditions. The beneficial effects of human milk extend to the feeding of premature infants. While human milk enhances immunity, nutritional concerns arise because the milk may not meet the expanded nutrient requirements of the very low birth weight (VLBW, less than 1500 g) premature infant. Human milk fortifiers are available to provide optimum nutrition. This review summarizes the benefits and limitations of human milk for the premature infant. © 2006 Elsevier Ireland Ltd. All rights reserved.

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Articles & Publications

Best Practise Guidelines for Donor Milk Bank

Post author By HMBASA
Post date 10th March 2016

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

B.T. Hartmann a,c,⁎, W.W. Pang d, A.D. Keil b, P.E. Hartmann d, K. Simmer a,c

Abstract

Until the establishment of the PREM Bank (Perron Rotary Express Milk Bank) donor human milk banking had not occurred in Australia for the past 20 years. In re-establishing donor human milk banking in Australia, the focus of the PREM Bank has been to develop a formal and consistent approach to safety and quality in processing during the operation of the human milk bank. There is currently no existing legislation in Australia that specifically regulates the operation of donor human milk banks. For this reason the PREM Bank has utilised existing and internationally recognised management practices for managing hazards during food production. These tools (specifically HACCP) have been used to guide the development of Standard Operating Procedures and Good Manufacturing Practice for the screening of donors and processing of donor human milk. Donor screening procedures are consistent with those recommended by other human milk banks operating internationally, and also consistent with the requirements for blood and tissue donation in Australia. Controlled documentation and record keep requirements have also been developed that allow complete traceability from individual donation to individual feed dispensed to recipient and maintain a record of all processing and storage conditions. These operational requirements have been developed to reduce any risk associated with feeding pasteurised donor human milk to hospitalised preterm or ill infants to acceptable levels. © 2007 Elsevier Ireland Ltd. All rights reserved.

Best Practice Guidelines- Ben Hartman

Articles & Publications

Cost Saving Of Using Donor Milk

Post author By HMBASA
Post date 10th March 2016

The Cost-effectiveness of Using Banked Donor Milk in the Neonatal Intensive Care Unit: Prevention of Necrotizing Enterocolitis
Lois D. W. Arnold J Hum Lact 2002 18: 172
DOI: 10.1177/089033440201800210

Abstract

Necrotizing enterocolitis (NEC) adds significantly to the cost of care for premature infants and to negative long-term and short-term outcomes for these infants. It is thus in the best interest of the health care system to prevent the occurrence of NEC through feeding protocols that foster NEC prevention (ie, use of breast milk in the neonatal intensive care unit). Banked donor milk has been shown to be as effective in preventing NEC as mother’s milk. Three models of cost analysis are presented to show savings that could accrue to a health care system or individual family if banked donor milk were provided as first feedings when mother’s milk is not avail- able. The cost of using banked donor milk to feed premature infants is inconsequential when compared to the savings from NEC prevention. J Hum Lact. 18(2):172-177.

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Articles & Publications

Human Milk Banking Research Summary

Post author By HMBASA
Post date 10th March 2016

Reduction in Necrotizing Enterocolitis

In preterm infants, feeding with human milk (HM) is a very effective intervention for the prevention of infections and necrotizing enterocolitis (NEC), and for potentially improved neurocognitive and cardiovascular outcomes in the long term. Banked donor milk should be promoted as standard component of health care for premature infants….

Safety of donor milk

One of the main concerns regarding the use of donor milk is the potential for transmission of infective agents….

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Website Research Documents

Post author By HMBASA
Post date 10th March 2016

Breast Milk Banking

In preterm infants, feeding with human milk (HM) is a very effective intervention for the prevention of infections and necrotizing enterocolitis (NEC), and for potentially improved neurocognitive and cardiovascular outcomes in the long-term. Hospitals and physicians are advised to recommend HM for preterm and other high-risk infants either by direct breastfeeding and/or using the mother’s own expressed milk.

Donor HM is the preferred feeding when the mother’s own milk is not available in sufficient quantity.

While in some countries donor HM has been considered an effective tool in the delivery of health care to infants, skepticism regarding its nutritional and immunological quality has limited its distribution in other countries.

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