First work results of donor human milk bank: realisation of the pilot project in the multi-faceted pediatric hospital

• Irina A. Belyaeva
• O.L. Lukoyanova
• E.P. Bombardirova
• Nataliya A. Kharitonova
• T.V. Potekhina

Abstract

Aim. Effectiveness and safety analysis of donor human milk banks functioning on the basis of department of premature and newborn babies of multidisciplinary pediatric center.

Study design. This is an open prospective-retrospective cohort study of donor human milk bank function­ing importance within 18 months of its operation in neonatal hospital in the area of breastfeeding promotion, enteral nutrition optimization, hospital-acquired infections prevention.

Material and methods. 123 lactating mothers were examined (120 women have become donors). Self-report survey and microbiological (culture) study of breast milk before and after pasteurization were administered. There was 125 donated breast milk recipients (clinical and anamnestic data, starting date and enteral nutrition build-up rates, dynamics of body weight and microbiological monitoring data analysis). There was 20 children in the com­parison group with similar distribution by maturity degree and nature of pathology. All of them were observed in hospital one year before donor human milk bank opening. Statistica 6.0 software package was used for statistical analysis. Mann-Whitney U-test was used to calculate non-parametric data validity.

Results and discussion. Donor human milk availability in children active treatment group allowed to re­duce the proportion of newborns that received milk formula at the beginning of hospitalization on ²/₃. In case of donor breast milk administration age at the onset of enteral feeding was reduced by an average of 50 hours; time of central venous catheter administration and device-related infections risk also were reduced. Full en­teral feeding access time also reduced significantly. After donor human milk bank opening in case of discharge 85% of preterm infants received exclusive breast feeding. During the period of donor human milk bank working, breast milk substitutes usage in the department reduced by ²/₃ unit.

Conclusion. Preliminary evidence indicate about safety and sufficient of donor human milk utilization ef­ficiency in optimal nutritional status and clinical symptoms of perinatal pathology in hospitalized preterm infants dynamic supply, that can reduce non-communicable diseases risk, decrease the time of full enteral feeding transfer and the duration of hospitalization. Donor human milk bank functioning in hospital contributes to support and promotion of premature breastfeeding (including extremely low birthweight infants breastfeeding).

Keywords:donor human milk bank, premature infants, breastfeeding

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