Factors associated with postpartum women's knowledge, attitude and practice regarding human milk banks and milk donation: A cross-sectional survey

Zhang, Na; Jun-yan, LI; Liu, Xinwen; Jiang, Yulei; Redding, Sharon R.; Ouyang, Yan‐Qiong

doi:10.1016/j.midw.2020.102837

Cited by 23 publications

(27 citation statements)

References 21 publications

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“…Awareness of human milk banking was low in our study, with only 17% of participants having heard of it prior to the survey. This finding is similar to those of studies conducted by Zhang (20%), Wang (28%) and Qin (16.7%) [29,30,33]. This may be related to the lack of…”

Section: Discussionsupporting

confidence: 91%

“…The required sample size was determined using the single proportion population formula n ¼ Z 2 a=2 Pð1−pPÞ δ 2 with the following assumptions: estimated prevalence of willingness to donate human milk 81.3% [30], critical value at 95% confidence interval (1.96), margin of error 6% and response invalidity 10%. The required sample size was calculated as 181.…”

Section: Sample Size Determinationmentioning

confidence: 99%

“…The estimated prevalence of willingness to use DHM should also be considered in the sample size determination since willingness to use DHM was another dependent variable in our study. The estimated prevalence of willingness to use DHM was 38.3% [30], and the remaining assumptions were the same as above; this yielded a sample size of 281. Taking into account the two dependent variables, the final required sample size for this study was determined to be 281.…”

Section: Sample Size Determinationmentioning

confidence: 99%

“…However, most HMBs in China are faced with the dilemma that the number of milk donors and the amount of DHM are far from meeting clinical demand [27]. Moreover, many mothers in China are reluctant to use DHM to feed their children due to lack of knowledge of human milk banking or concerns about the safety of DHM [28][29][30]. There is currently no human milk bank in Wenzhou, and understanding mothers' acceptance of human milk banking is crucial to the establishment of HMBs in Wenzhou.…”

Section: Introductionmentioning

confidence: 99%

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Postpartum women’s views on human milk banking in a city in Southeast China: a cross-sectional survey

Zhu

et al. 2022

Int Breastfeed J

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Background Donor human milk is the best alternative for preterm infants when their mother’s own milk is insufficient or unavailable. The development of human milk banks in China started late, and in most of these banks, the amount of donor human milk is insufficient for clinical demand. Moreover, many mothers are reluctant to use donor human milk due to safety concerns. It is important to understand the potential supply and demand of donor human milk before establishing a new human milk bank. This study aimed to understand women’s acceptance of human milk banking in Wenzhou, southeastern China. Methods A cross-sectional study was conducted in three community health centers in Wenzhou, southeast China, in December 2020. Data were collected from 305 postpartum women selected through convenience sampling. Sociodemographic, perinatal and breastfeeding characteristics, awareness and knowledge of human milk banking and willingness to donate human milk, and to accept donor human milk were assessed. Multivariable logistic regression analysis was used to explore independent predictors of willingness to donate human milk and to accept donor human milk. Results Only 17% (52/305) of our participants had heard of human milk banking prior to this survey. The prevalence of willingness to donate human milk and use donor human milk in our study was 73.4% (224/305) and 44.6% (136/305), respectively. Employment (adjusted odds ratio [AOR] 2.30; 95% confidence interval [CI] 1.17, 4.50) and human milk banking knowledge (AOR 1.23; 95% CI 1.12, 1.35) were independent predictors of willingness to donate human milk. Monthly household income in the previous year (AOR 2.18; 95% CI 1.17, 4.06), awareness of human milk banking (AOR 2.41; 95% CI 1.24, 4.67) and knowledge of human milk banking (AOR 1.22; 95% CI 1.11, 1.35) were significantly associated with willingness to accept donor human milk. Conclusions In our study, awareness of human milk banks among women in the first year postpartum was low. More mothers were willing to donate human milk than to use donor human milk to feed their children. In our study, knowledge of human milk banking was a predictor of both willingness to donate human milk and willingness to use donor human milk. Programs with detailed information on human milk banking are needed to help mothers improve their knowledge and increase acceptance of human milk banking.

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Section: Discussionsupporting

confidence: 91%

Section: Sample Size Determinationmentioning

confidence: 99%

Section: Sample Size Determinationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Postpartum women’s views on human milk banking in a city in Southeast China: a cross-sectional survey

Zhu

et al. 2022

Int Breastfeed J

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“…This is probably attributable to the efforts of our staff in providing correct information and following up with donors. Additionally, 62.6% of the donors had a bachelor's degree, and well-educated mothers tend to have better knowledge about and attitude towards milk donation [21] . Most of the donors began to donate milk at 1 month postpartum at the earliest, and the number of donors who started to donate deceased rapidly at 3-6 months postpartum.…”

Section: Discussionmentioning

confidence: 99%

Eight-year Operation Status and Data Analysis of the First Human Milk Bank in East China

Hu¹,

Xue²,

Zhang³

et al. 2021

Preprint

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ObjectivesTo analyze the operation status and data over the last 8 years of operation of the first human milk bank (HMB) in East China.MethodsData related to the costs, donors, donation, pasteurization, and recipients were extracted from the web-based electronic monitoring system of the HMB for the period August 1, 2013 to July 31, 2021. ResultsOver the 8 years of operation, 1,555 qualified donors donated 7,396.5 L of qualified milk at a cost of ¥1.94 million, with the average cost per liter of donor human milk being ¥262.3. The donors were between 25 and 30 years of age, and the majority (80.1%) were primipara. All the donated milk was pasteurized and subjected to bacteriological tests before and after pasteurization: 95.4% passed the pre-pasteurization tests, and 96.3% passed the post-pasteurization tests. A total of 9,207 newborns received 5,775.2 L of pasteurized donor milk. The main reason for the prescription of donor human milk was preterm birth. As a result of continuous quality improvements, January 2016 witnessed a significant increase in the volume of qualified DHM and the number of qualified donors. However, in 2020, as a result of the restrictions related to the COVID-19 pandemic, the volume of qualified DHM and the number of qualified donors decreased. ConclusionsOver its 8 years of operation, our HMB has made steady quality improvements in its screening and information processes. Continuous quality improvement is on ongoing need, along with recruiting more qualified donors and collecting donor human milk for vulnerable newborns.

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Perceived facilitators and barriers towards acceptability of human milk sharing among mothers in Dhaka, Bangladesh

Faruqui,

Hossain,

Rayna

et al. 2023

Repro Female Child Health

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Objective To explore the facilitators and barriers towards participating in or rejecting human milk sharing among the mothers of infants below six months of age. Methods This study employed a mixed‐methods, cross‐sectional study design. Participants were 279 mothers, enrolled from five health institutions having specialised child health‐care services, in Dhaka, Bangladesh, from December 2021 to January 2022. Quantitative data were collected by a pretested semistructured questionnaire, while qualitative data were collected using focus group discussions. Results Of all the participants, only 22.9% reported practising milk sharing. Those mothers who practised milk sharing were more likely to have >1 living child, delivered via caesarean birth, gave birth to preterm babies, and had newborns with birth weights <2500 g. The perceived facilitators identified for human milk sharing included helping babies in need, acknowledging the benefits of breastmilk, avoiding wastage, and supporting peers who were unable to breastfeed. Conversely, the most important barriers to sharing mentioned were, the need for permission from husband/family members, discomfort while sharing milk, wide availability of breast milk substitutes, and the establishment of milk kinship. Conclusions The findings underpin the key socio‐cultural and religious aspects in the acceptability of human milk sharing, and the importance of involving health professionals, mass media resources, and community, religious and social leaders when designing practical and culturally sensitive interventions to motivate mothers to overcome milk sharing hesitancy in Bangladesh.

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Factors associated with postpartum women's knowledge, attitude and practice regarding human milk banks and milk donation: A cross-sectional survey

Cited by 23 publications

References 21 publications

Postpartum women’s views on human milk banking in a city in Southeast China: a cross-sectional survey

Postpartum women’s views on human milk banking in a city in Southeast China: a cross-sectional survey

Eight-year Operation Status and Data Analysis of the First Human Milk Bank in East China

Perceived facilitators and barriers towards acceptability of human milk sharing among mothers in Dhaka, Bangladesh

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