Emotional journey of Asian mothers of premature infants who received pasteurised donor human milk: a qualitative study

Loh, Hui Fang; Lee, Jiayu Rachel; Tan, Andrea Ruwen; Goh, Xin Lei; Low, Yi Fen; Ng, Yvonne Peng Mei; Shorey, Shefaly

doi:10.1136/archdischild-2022-324748

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…F. Loh et al (2022) підкреслюють, що частина матерів відчувають негативні емоції навіть після згоди на призначення дітям донорського грудного молока, це вимагає додаткових консультацій. Найбільш схильними до таких коливань є жінки-мусульманки, для яких важлива релігійна приналежність донорки [9].…”

Section: результати дослідження та їх обговоренняunclassified

Breast Milk Bank of Kyiv Perinatal Center – experience in 2022

Bila¹,

Zahorodnia

Баришнікова³

2023

RHW

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In the conditions of rapid social and economic changes such society categories as pregnant women, women after labour and newborns are especially helpless. Lactation onset is extremely sensitive to stress. Instead, under the stressful conditions breastfeeding is the key to safe nutrition and protection from the emotional stress of the child and mother. One of the modern technologies for supporting breastfeeding is breast milk banks (BMB), the first of which in Ukraine is functioning on the basis of the Perinatal Center in Kyiv. This article is devoted to the peculiarities of the BMB’s work in the conditions of a full-scale war.The objective: to study the main indicators of BMB work in Kyiv Perinatal Center for 2022 and compare them with the indicators of the previous periods.Materials and methods. The reports on the activities of the BMB in Perinatal Kyiv Center for 2020, 2021 and 2022 were analysed.Results. During 2022, there was a tendency to increase the number of breast milk donors who delivered in other institutions, but the number of donors was similar (26.4 % in 2022 versus 5.7 % and 4.6 % in 2021 and 2020, respectively). In 2020, the recipients of breast milk were 400 newborns, in 2021 – 560 newborns, in 2022 – 2010. A decrease in the quantity of premature newborns in the structure of recipients of donor breast milk was also found – 12.7 % in 2022 versus 74 % and 82 % in previous years.An increase in the number of full-term newborns who received donor breast milk during the lactation is a significant result that corresponds to the social situation. The volume of harvested breast milk decreased from 990 litres in 2020, 980 litres in 2021 to 660 litres in 2022.Conclusions. The Breast Milk Bank (BMB) of the Kyiv Perinatal Center continues to play its role in preserving the life and health of Ukrainians and restoring our country. The volumes of breast milk received from donors in the hard year of 2022 were less than in previous years (660 l vs. 990 l), but an increased number of newborns who received it was found (2010 children in 2022 vs. 560 children in 2021), and the predominance of full-term recipients among them (87.3% of all recipients in 2022 versus 26% in 2021) was observed.Among breast milk donors, women who had premature births continue to dominate – 77 %. The main task of BMB is to involve women with term births to donation. This will allow both to increase the volume of donor breast milk and to improve its quality from the point of view of benefits for the growth of a newborn.

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Section: результати дослідження та їх обговоренняunclassified

Breast Milk Bank of Kyiv Perinatal Center – experience in 2022

Bila¹,

Zahorodnia

Баришнікова³

2023

RHW

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Unveiling the voices: Exploring perspectives and experiences of women, donors, recipient mothers and healthcare professionals in human milk donation: A systematic review of qualitative studies

Li,

Ip,

Fan

et al. 2024

Women and Birth

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Perceptions and experiences related to use of breast milk from another mother in central Nepal: a qualitative study

Shrestha,

Gulrajani,

Ginsburg

et al. 2024

Preprint

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Background When maternal breast milk is unavailable in sufficient quantity for infant needs, the World Health Organization (WHO) recommends the use of human donor breast milk if safe, affordable, and available. However, in Nepal and most other low- and middle-income countries, there are significant barriers to accessing safe and affordable donor breast milk, including a paucity of milk banks. An in-depth understanding of perceptions and experiences in Nepal related to use of donor breast milk could inform the development of interventions to address identified barriers. Methods From December 2019 to January 2020, we conducted a qualitative study, including focus group discussions (FGDs) with parents and community health workers, and key informant interviews with public health stakeholders in Dhulikhel Municipality, Kavrepalanchowk District, Nepal. In total, 44 individuals participated in five FGDs, including two with mothers, one with fathers, and two with community health workers. Nine key informant interviews were conducted with stakeholders. Thematic analyses of translated transcripts were undertaken to explore perceptions and experiences of participants related to use of human donor breast milk. Results Several participants in this study reported that informal breast milk sharing between relatives and neighbors is common when a mother’s breast milk is unavailable or insufficient; such sharing can occur via direct breastfeeding or milk expression. Numerous potential benefits with breast milk sharing were described, including overcoming initial difficulties with milk supply in the postpartum period, convenience when mothers are unavailable, and reduced risk of infant infection and gastrointestinal distress. Hesitancies to breast milk sharing included the risk of disease transmission from donor to infant and the possibility of decreased bonding between mother and infant. Some participants expressed that animal milk is preferable to breast milk sharing when mother’s own milk is not available. Conclusion Participants were aware of the potential benefits of donor breast milk but identified numerous barriers to widespread adoption, including concerns about infectious diseases and mother-infant bonding, and preference for animal milks over another mother’s milk. Addressing these concerns may help increase the acceptance and practice of donating and using human donor breast milk among mothers in Nepal.

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Emotional journey of Asian mothers of premature infants who received pasteurised donor human milk: a qualitative study

Cited by 3 publications

References 29 publications

Breast Milk Bank of Kyiv Perinatal Center – experience in 2022

Breast Milk Bank of Kyiv Perinatal Center – experience in 2022

Unveiling the voices: Exploring perspectives and experiences of women, donors, recipient mothers and healthcare professionals in human milk donation: A systematic review of qualitative studies

Perceptions and experiences related to use of breast milk from another mother in central Nepal: a qualitative study

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