Authors (including presenting author) :
Su T(1), Zhang QS(1), Zhou CB(1), Hung CY(1)
Affiliation :
The Hong Kong University ShenZhen Hospital
Introduction :
Mother’s own milk(MOM) is the best choice for preterm infants and sick neonates. When MOM is not available or not enough, donor milk can be an alternative.
Objectives :
To integrate the benefit and experience in establishing a Human Donor Milk Bank(HMB) in the Hong-Kong University ShenZhen Hospital to promote nutrition status and exclusive breastfeeding rate.
Methodology :
A multidisciplinary team was established to prepare and manage the HMB. To ensure the safety of human donor milk, we adopted guidelines from Human Milk Banking Association of North America (HMBANA) and operation standard issued by the dietitian society of China. Several critical control points were identified for close monitoring including donor recruitment and donor milk pasteurization. All donor milk can be traced back for its donation and processing information, such as name of donor, donor’s virology status, date of donation, mode of sterilization and handling staff etc.
Result & Outcome :
Findings: Total 256 mothers donated 13,2800mls of donor milk since operation of the HMB. Twenty-eight infants with mean GA of 30+2 weeks (SD±40.15 days) and mean birth weight 1510.93g(SD±948.27g) in NICU received donor human milk during hospitalization, 82.14% of whom were VLGA. The average length of stay was 38.54 days(SD±32.54days). An increased in the exclusive breastfeeding rate upon discharge was observed before and after the operation of HMB from 13% to 40%.
Conclusion: Through establishment of human milk bank and maintain a safe and sustainable management system is an important means to promote breastfeeding.