Human milk banking can be an innovative approach for developing countries

Jahan, Yasmin; Rahman, Atiqur

doi:10.15171/hpp.2018.34

Cited by 6 publications

(6 citation statements)

References 12 publications

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“…In Bangladesh, a considerable number of women (approximately 3.6 million) are employed in the readymade garments industry. They usually work for long hours to earn money to support their family (Jahan & Rahman, 2018). These garment factories rarely have daycare facilities, providing care for employees’ children.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and Views Concerning Human Milk Banking Among Mothers Residing in a Rural Region of Bangladesh

et al. 2021

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Background Human milk banks play an essential role by providing human milk to infants who would otherwise not be able to receive mother’s milk. Study aim To determine the opinions and attitudes among possible donor mothers regarding human milk banks in one rural region in Bangladesh. Methods A prospective, cross-sectional study following a probability type of stratified cluster sampling technique was used. Included in the study ( N = 121) were mothers aged 20–49 years, with at least one child, who was currently lactating or had breastfed her child, and who resided in the rural community of Bangladesh where the study was conducted. Data were collected through a 21-item, close-ended questionnaire and a face-to-face interview conducted by the researcher at each participant’s home. Results Among the participants, 98.3% ( n = 119) said that they had not heard about human milk banks before speaking with the researchers. Most participants (71.9%, n = 87) said would obtain human milk from milk banks if necessary, but 28% ( n =34) of mothers indicated that they would not receive milk from a milk bank, even if it was necessary for their children. Only 8.3% ( n = 10) said human milk banks were not appropriate according to Islam and 99.2% ( n = 120) did not know about the acceptance of human milk banking practices in Bangladesh. Conclusions For those with religious concerns, a framework for both the donors and recipients can be established. It can be recommended that health education through healthcare personnel (midwives, nurses, gynecologists, pediatricians, and other health professionals) and religious leaders may strengthen the belief and increase awareness among family members about milk banking practices.

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Section: Discussionmentioning

confidence: 99%

Attitudes and Views Concerning Human Milk Banking Among Mothers Residing in a Rural Region of Bangladesh

et al. 2021

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“…In perinatal care practice, supportive of breast milk availability for preterm neonates from the very beginning should be on evidence-based policies and family centered. 10,11 In a developing country, there is a lack of availability in pasteurized donor breast milk and human milk banking facility and formula feeding being used as the alternative enteral nutrition in absence of mother's own milk. 12 To our knowledge, there was no literature reported regarding the availability of mother's own breast milk based on gestational age stratification for preterm neonates reported from South East Asia.…”

Section: Discussionmentioning

confidence: 99%

Availability of Breast Milk for Preterm Neonates by Gestational Age during NICU Stay

Panda

Sahoo

Jena

et al. 2021

Journal of Child Science

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The objective of this study was to explore the availability of expressed breast milk (EBM) volume for the premature neonates born from mothers in different gestational age groups during neonatal intensive care unit (NICU) stay. All preterm infants (extreme-preterm infant [EPTI, <28 weeks], very-preterm infant [VPTI, 28–316/7 weeks], and moderate-preterm infant [MPTI, 32–336/7 weeks]) and their mothers were included in the study. Infants not receiving mother's own milk and neonates deceased or discharged against medical advice, and the mother with illness during postpartum period were excluded from the study. A predesigned tool was used to collect information on maternal characteristics, neonatal characteristics, and milk diary for preterm neonates from the NICU case records. The primary outcome variable EBM volume available on day 7 was compared across three gestational groups. Logistic regression was used to predict EBM availability. A total of 78 preterm neonates, including 10 EPTI, 37 VPTI, and 31 MPTI, had average birth weight of 962.5 ± 228.25, 1,185.1 ± 183.14, and 1,293.2 ± 182.92 g, respectively. Receipt of exclusive breast milk among EPTI, VPTI, and MPTI was 80, 94, and 83.8%, respectively. Maternal characteristics were similar except for the mode of conception (p = 0.001), mode of delivery (p = 0.04), and antenatal steroid exposure (p = 0.02) among three gestational categories. The median (Q1–Q3) volume of EBM on day 7 were 160 (136.3–202.5), 150 (140–187.5), and 160 (150–220) mL for EPTI, VPTI, and MPTI neonates, respectively, without any statistical significance. Regression analysis suggests no effect of gestational age on EBM availability. The feasibility of mother's own milk use for extremely preterm neonates is similar to higher gestational preterm neonates.

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“…They have estimated that if every woman all over the world optimally breastfed her baby, the lives of 800,000 young children could be saved every. 5,6 Recently published research and systematic reviews support the conclusions that breastfeeding and HM are the reference normative standards for infant feeding and nutrition. 7 Beneficial effects of donor milk remain significant and donor milk is still highly-preferable when MOM is not available.…”

Section: Introductionmentioning

confidence: 94%

Establishment of the First Religiously-compliant Human Milk Bank in Bangladesh

Maheshwari¹,

Shahidullah²,

Rahman³

et al. 2022

Newborn

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Human milk banks (HMBs) collect, screen, process, and dispense donated human milk (HM). There are more than 500 large HMBs in the world but only a few are functioning in Muslim countries, and that too on a limited scale. Human milk banks that are similar to those in the Western countries have been difficult to establish in Muslim countries as Islamic laws do not allow the consumption of unidentified donated milk from multiple donors. Human milk is known to be important for nutrition in premature and critically ill infants, and so there is a well-recognized need to develop religiously compliant and conditionally identified HMBs in Muslim countries. In these milk banks, every mother's milk is processed and stored separately, and the milk provided by one mother can be provided to an infant from a different family only after appropriately counseling both families about the Islamic laws of prohibition of future marriages between milk siblings. Documents related to these issues are provided to both families and data need to be maintained for future reference. In this article, we recount the educational, financial, and infrastructural challenges that we faced in establishing religiously-compliant HMB in Bangladesh. There is already a noticeable reduction in infant mortality in our region.

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Human milk banking can be an innovative approach for developing countries

Cited by 6 publications

References 12 publications

Attitudes and Views Concerning Human Milk Banking Among Mothers Residing in a Rural Region of Bangladesh

Attitudes and Views Concerning Human Milk Banking Among Mothers Residing in a Rural Region of Bangladesh

Availability of Breast Milk for Preterm Neonates by Gestational Age during NICU Stay

Establishment of the First Religiously-compliant Human Milk Bank in Bangladesh

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