The impact on the exclusive breastfeeding rate at 6 months of life of introducing supplementary donor milk into the level 1 newborn nursery

Merjaneh, Nawal; Williams, Patty; Inman, Sandy; Schumacher, Mandy; Ciurte, Anuta; Smotherman, Carmen; Alissa, Rana; Hudak, Mark L.

doi:10.1038/s41372-020-0657-6

Cited by 26 publications

(25 citation statements)

References 23 publications

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“…preterm, low birthweight, severely ill) who are unable to breastfeed or access their own mother's milk, WHO recommends the safe use of donor human milk [16], and reiterated this in the guidance for COVID-19 [9]. When included in a package of interventions to protect, promote, and support breastfeeding, having access to donor human milk can protect the already vulnerable infant from life-threatening complications [17] and help mothers to establish their own milk supply and improve breastfeeding outcomes [18][19][20]. Human milk banks play a significant role in their function to screen and recruit breastmilk donors, and then to collect, process, screen, store and distribute safe donor human milk [21].…”

Section: The Role Of Donor Human Milk Banks In a Holistic Covid-19 Rementioning

confidence: 99%

Human milk banks in the response to COVID-19: a statement of the regional human milk bank network for Southeast Asia and beyond

Olonan-Jusi¹,

Zambrano²,

Duong³

et al. 2021

Int Breastfeed J

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Background The World Health Organization (WHO) recommendations on infant feeding in the context of COVID-19 uphold standing recommendations for breastfeeding, non-separation, and skin-to-skin contact, including the use of donor human milk when mother’s own milk is not available. Insufficient guidance on the use of donor human milk and the role of human milk banks in the pandemic response COVID-19 clinical management guidelines in seven countries in Southeast Asia are not aligned with WHO recommendations despite the lack of evidence of transmission through either breastmilk or breastfeeding. The use of safe donor human milk accessed through human milk banks is also insufficiently recommended, even in countries with an existing human milk bank, leading to a gap in evidence-based management of COVID-19. This highlights long-standing challenges as well as opportunities in the safe, equitable, and resilient implementation of human milk banks in the region. Conclusions This statement reflects the expert opinion of the Regional Human Milk Bank Network for Southeast Asia and Beyond on the need to revisit national guidelines based on the best evidence for breastfeeding during the COVID-19 pandemic, to incorporate human milk bank services in national obstetric and newborn care guidelines for COVID-19 where possible, and to ensure that operations of human milk banks are adapted to meet the needs of the current pandemic and to sustain donor human milk supply in the long-term. The Network also recommends sustained engagement with the global human milk bank community.

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Section: The Role Of Donor Human Milk Banks In a Holistic Covid-19 Rementioning

confidence: 99%

Human milk banks in the response to COVID-19: a statement of the regional human milk bank network for Southeast Asia and beyond

Olonan-Jusi¹,

Zambrano²,

Duong³

et al. 2021

Int Breastfeed J

View full text Add to dashboard Cite

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“…Supplementary PDHM feeding is related to the increase in breastfeeding at the age of 6 months of life ( 99 ). As reported by the National Guidelines for Lactation Management in Public Health Facilities ( 100 ), it is suggested that facility-based lactation management centers should be established at all levels of the public health system like comprehensive lactation management centers (CLMCs) or integrated milk banks at tertiary centers, lactation management units at secondary centers, and lactation support units at primary care centers ( 100 ). However, universal screening of breast milk for SARS-CoV-2 is not necessary ( 84 ).…”

Section: Sources Of Breast Milk During the Covid-19 Pandemicmentioning

confidence: 99%

Maternal Transmission of SARS-CoV-2: Safety of Breastfeeding in Infants Born to Infected Mothers

et al. 2021

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Coronavirus disease 2019 (COVID-19) is a recent epidemic disease caused by severe acute respiratory syndrome virus type 2 (SARS-CoV-2). In pregnancy, SARS-Cov-2 infection creates additional alarm due to concerns regarding the potential for transmission from the mother to the baby during both the antenatal and postpartum times. In general, breastfeeding is seldom disallowed because of infection of the mother. However, there are few exceptions with regards to certain infectious organisms with established transmission evidence from mother to infant and the link of infection of a newborn with significant morbidity and mortality. It is confirmed that pregnant women can become infected with SARS-CoV-2, although the debate on the possible vertical transmission of SARS-CoV-2 infection during pregnancy is still open. In this regard, the literature is still poor. On the contrary, the information on the safety of breastfeeding even during infections seems reassuring when the mother takes the necessary precautions. However, there are still answered questions regarding the precautions to be taken during breastfeeding by COVID-19 patients. This paper reviews the existing answers to these and many other questions. This review therefore presents a summary of the present-day understanding of infection with SARS-CoV-2 and discusses the answers around the maternal transmission of COVID-19 and the potential threat of breastfeeding to babies born to infected pregnant mothers. In conclusion, intrauterine transmission of SARS-CoV-2 infection is less likely to occur during pregnancy. Most studies suggest that COVID-19 is not transmitted through breast milk. Correspondingly, COVID-19-infected neonates might acquire the infection via the respiratory route because of the postnatal contact with the mother rather than during the prenatal period. International organizations encourage breastfeeding regardless of the COVID-19 status of the mother or child as long as proper hygienic and safety measures are adhered to so as to minimize the chance of infant infection by droplets and direct contact with the infected mother. Pasteurized donor human milk or infant formula as supplemental feeding can be quite beneficial in the case of mother–infant separation till breastfeeding is safe.

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“…PDHM compared to formula milk reduces the risk of sepsis, necrotizing enterocolitis, diarrhea and feeding intolerance, and the length of stay in NICU [12]. Feeding supplementary PDHM is associated with increased exclusive breastfeeding at six months of life [13].…”

Section: Infant Feeding and Covid-19mentioning

confidence: 99%

Ensuring Exclusive Human Milk Diet for All Babies in COVID-19 Times

et al. 2020

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The coronavirus disease (COVID-19) pandemic has ramifications for the delivery of newborn nutrition and care services. World Health Organization recommends continuation of breastfeeding in these difficult times, with due precautions. If direct breastfeeding is not possible, milk expression should be explored. Pasteurized donor human milk from milk banks may be fed if mother's own milk is not available. To universalize access to human milk, the Indian government has proposed the establishment of comprehensive lactation management centers/milk banks, lactation management units, and lactation support units at all levels of the public health system. Due to COVID-19, these centers are encountering additional challenges cutting across interventions of rooming in, breastfeeding, milk expression, and provision of donor milk and kangaroo mother care. We discuss issues faced and alleviation measures taken by these centres in relation to provision of an exclusive human milk diet for infants during the pandemic.

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The impact on the exclusive breastfeeding rate at 6 months of life of introducing supplementary donor milk into the level 1 newborn nursery

Cited by 26 publications

References 23 publications

Human milk banks in the response to COVID-19: a statement of the regional human milk bank network for Southeast Asia and beyond

Human milk banks in the response to COVID-19: a statement of the regional human milk bank network for Southeast Asia and beyond

Maternal Transmission of SARS-CoV-2: Safety of Breastfeeding in Infants Born to Infected Mothers

Ensuring Exclusive Human Milk Diet for All Babies in COVID-19 Times

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