Maternal adherence to guidance on breast milk collection process

Carré, Martin; Dumoulin, D.; Jounwaz, R.; Mestdagh, Béatrice; Pierrat, Véronique

doi:10.1016/j.arcped.2018.02.003

Cited by 11 publications

(11 citation statements)

References 23 publications

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“…It is reasonable to assume that contaminating bacterial DNA, arising from the environment, rinsing water, or poor hygienic practices, may persist in milk pumps and/or their accessories, since domestic cleaning protocols such as soap and boiling do not ensure degradation of DNA (Escuder-Vieco et al, 2018). Moreover, mothers often do not follow the guidance for milk collection, leading to inappropriate cleaning of the breast pump (Boo et al, 2001; Carre et al, 2018). Recent study from Moossavi et al (2019) confirmed that “mode of breastfeeding” as a major impact factor that influence on HMM.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Human Milk Microbiota by 16S rRNA Gene Next-Generation Sequencing (NGS) and Cultivation/MALDI-TOF Mass Spectrometry Identification

et al. 2019

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The aim of the present study was to characterize human milk microbiota (HMM) with 16S rRNA gene amplicon next-generation sequencing and cultivation/matrix-assisted laser desorption/ionization (MALDI)-time of flight (TOF) mass spectrometry (MS) identification approaches. We analyzed 31 human milk samples from healthy Slovenian mothers. To check the accuracy of MALDI-TOF MS identification, several colonies representing most abundant genera and those, which could not be reliably identified by MALDI-TOF, were subjected to Sanger sequencing of their 16S rRNA gene. We showed that cultivation/MALDI-TOF MS was a suitable tool for culture-dependent determination of HMM. With both approaches, Staphylococcus and Streptococcus were found as predominant genera in HMM and the abundance of Staphylococcus was associated with decreased microbial diversity. In addition, we characterized factors that might influence HMM. The use of a breast pump was significantly associated with composition of HMM, lower microbial load, and higher abundance of cultivable staphylococci. Moreover, our study suggests that administration of probiotics to the suckling infant might influence HMM by increased abundance of lactobacilli and the presence of viable probiotic bacteria in human milk. However, since our study was observational with relatively small sample size, more targeted studies are needed to study possible transfer of probiotics to the mammary gland via an external route and the physiological relevance of these events.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Human Milk Microbiota by 16S rRNA Gene Next-Generation Sequencing (NGS) and Cultivation/MALDI-TOF Mass Spectrometry Identification

et al. 2019

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“…Contrary to other methods, decontamination using CS avoids heat burnings and represents the advantage of being less restrictive since the material is directly usable at the time of milk collection after being submitted to a 15-min or more soaking solution. It is also the only alternative for mothers in precarious situations without electricity in their social housing (1,32,47).…”

Section: Discussionmentioning

confidence: 99%

“…Clear and illustrated instructions on both cleaning and decontaminating breast pump milk collection kits must be provided for mothers. A demonstration session with a trained member of staff should be held (47). Breastfeeding is possible for COVID-19(+) mothers but requires barrier measures to care for the baby, breastfeed or milk draw (1,2).…”

Section: Discussionmentioning

confidence: 99%

Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic

Rigourd

Mouadh²,

Poupon

et al. 2021

Front. Nutr.

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To promote breast feeding and breast pumping is essential for the most vulnerable infants even if the current coronavirus disease 2019 (COVID-19) pandemic sanitary crisis imposes more stringent hygienic measures. As recommended by the Centers for Disease Control and Prevention, World Health Organization, and Milk Bank Association, “after each pumping session, all pump part that come into contact with breast milk should be appropriately disinfected.” The present study proposed different methods than can be used and focus on the safety analysis of chlorine solution (CS) in terms of residual hypochlorous acid (HCA) and total trihalomethanes (THM). We also performed an efficacy testing of the CS approach to decontaminate the devices used to collect the milk (breast pumps and bottles). The bacteriologic results of 1,982 breast pump milk samples collected in three different settings showed a major decrease of the microbial contamination using either sterile device or decontamination with CS compared to a simple soap washing. The main messages from our study are to propose a guideline for the safe use of CS and to define situations when breast pump decontamination might be necessary: vulnerable babies for which sterile device is recommended; special circumstances, for example the current COVID-19 pandemic; special situations, for example women living in precarious conditions; or women pumping their milk at work but that would have low or no access to boiled water. Overall, cold decontamination reduced losses of milk for bacteriological reasons in human milk banks and may also be interesting to prevent horizontal contamination by virus like COVID-19.

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“…Changes in temperature may reduce the biologically active factors as well as the nutritional and microbiological value of fresh HM [35,36]. At least 52% of mothers had at least one stage of ineffective sterilization of breast pump collection kits [37]. This may increase the potential risk of bacterial contamination of the breast pump [26].…”

Section: Discussionmentioning

confidence: 99%

Mothers' Experiences in Milk Management Out of the Hospital: a Qualitative Study

Yang

Chen

Wang

et al. 2021

Preprint

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BackgroundHuman milk(HM) is important for the health and development of preterm infants. China’s neonatal intensive care units have adopted a closed management system of maternal–infant separation. A prerequisite for feeding human milk to preterm infants in hospitals is to have sufficient and safe human milk. Therefore, out-of-hospital human milk management is crucial. Little is known about mothers’ opinions on out-of-hospital human milk management. This study aimed to explore the experiences of Chinese mothers providing their newborns in the neonatal intensive care units with human milk expressed outside of the hospital.MethodsSemi-structured interviews were conducted with 23 participants who transferred their human milk to the hospital human milk bank during the hospitalization of their preterm infants. This study adopted a qualitative research approach with thematic analysis.ResultsThree main themes were identified: 1) human milk management awareness; 2) lack of standardization regarding expressing, storing, and transporting expressed HM; and 3) external support. Theme 2 additionally has three sub-themes: I) differentiation of preparations before human milk expression; II) differentiation of devices for human milk expression; and III) insufficient knowledge and understanding.ConclusionsIn this study, all participants who received health education showed enthusiasm for participating in out-of-hospital human milk management. However, most participants had questions during the implementation process. Medical staff should provide professional and continuous external support to support mothers in implementing HM management.

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Maternal adherence to guidance on breast milk collection process

Cited by 11 publications

References 23 publications

Evaluation of Human Milk Microbiota by 16S rRNA Gene Next-Generation Sequencing (NGS) and Cultivation/MALDI-TOF Mass Spectrometry Identification

Evaluation of Human Milk Microbiota by 16S rRNA Gene Next-Generation Sequencing (NGS) and Cultivation/MALDI-TOF Mass Spectrometry Identification

Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic

Mothers' Experiences in Milk Management Out of the Hospital: a Qualitative Study

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