Szoptatás Portál ... naprakész információk a szoptatásról

Utrera Torres MI, Medina Lopez C, Vazquez Roman S, Alonso Diaz C, Cruz-Rojo J, Fernandez Cooke E, Pallas Alonso CR.
Int Breastfeed J. 2010 Mar 8;5(1):4.

Abstract

Background Donor human milk banks are much more than simple centers for collection, storage, processing, and distribution of donor human milk, as they cover other aspects and represent a real opportunity to promote and support breastfeeding. The aim of our study is to assess the impact that opening a human milk bank has had on the proportion of infants receiving exclusive breast milk at discharge and other aspects related to feeding children with birth weight < or = 1500 g or < 32 weeks gestation admitted to the neonatal unit.

Czank C, Prime DK, Hartmann B, Simmer K, Hartmann PE.
Pediatr Res. 2009 Oct;66(4):374-9.

Abstract

Pasteurizing donor human milk inactivates bacteria that may be of concern to the preterm infant. However, current practice for Holder Pasteurization (62.5 degrees C for 30 min) is detrimental to the bioactivity of human milk.

Fokke G. Terpstra, David J. Rechtman, Martin L. Lee, Klaske Van Hoeij, Hijlkeline Berg, Frank A.C. Van Engelenberg, Angelica B. Van't Wout
Breastfeeding Medicine. 2007, 2(1): 27-33.

Abstract

In the United States, concerns over the transmission of infectious diseases have led to donor human milk generally being subjected to pasteurization prior to distribution and use. The standard method used by North American milk banks is Holder pasteurization (63°C for 30 minutes). The authors undertook an experiment to validate the effects of a high-temperature short-time (HTST) pasteurization process (72°C for 16 seconds) on the bioburden of human milk. It was concluded that HTST is effective in the elimination of bacteria as well as of certain important pathogenic viruses.

Forrás

DAVID J. RECHTMAN, MARTIN L. LEE and H. BERG

Breastfeeding Medicine Mar 2006, Vol. 1, No. 1: 24-26.

ABSTRACT

As a result of concerns over the transmission of infectious diseases by donor milk, as well as the possible loss of nutritional value of donor milk through exposure to a variety of environmental conditions, the practice in the United States has been to discard unpasteurized donor milk that has thawed or sat for several hours at room temperature or in the refrigerator rather than (re)freezing it. We undertook an experiment to measure the effects of ambient temperature conditions and refreezing on the bioburden and nutritional content of human milk. We conclude that unpasteurized human milk is robust and can be used after storage under certain conditions.

LOIS D.W. ARNOLD

Breastfeeding Medicine Mar 2006, Vol. 1, No. 1: 3-13.

ABSTRACT

Background: This case study of donor human milk banking and the ethics that govern interested parties is the first time the ethics of donor milk banking has been explored.

1. Nutritional

• Prematurity
• Failure to thrive
• Malabsorption
• Renal failure
• Feeding intolerance
• Inborn errors of metabolism
• Post-surgical nutrition
• Burns

Donor human milk banking is a service which collects, screens processes and dispenses by prescription human milk that has been donated by nursing mothers who are not biologically related to the recipient infant. Because the milk is dispensed to an unrelated recipient, every precaution is taken to provide a safe product.

Editor's note: This list includes countries with official, national milk banking programs, countries with non-governmental associations of milk banking, and countries where milk banking is undertaken independently by hospitals. This list is partial at best.
LEAVEN, Vol. 36 No. 2, April-May 2000, pp. 22-23

A teljes cikk a La Leche League International oldalán olvasható.

Anne Eglash MD, FABM
The Academy of Breastfeeding Medicine Protocol Committee, March 23, 2004

STORAGE CONTAINERS

1. Hard-sided containers, such as hard plastic or glass, are the preferred containers for long-term human milk storage. These containers should have an airtight seal.
2. Plastic bags specifically designed for human milk storage can be used for short-term (less than 72 hours) milk storage. Use of plastic bags is not recommended for long-term storage as they may spill, leak, or become contaminated more easily than hard-sided containers, and some important milk components may adhere to the soft plastic and be lost.