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Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam

Background: Since 1979, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) have recommended the use of pasteurized human milk from a human milk bank (HMB) to feed low birthweight (LBW) and preterm newborns as the ‘first alternative’ when mothers are unable to provide...

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Autores principales: Tran, Hoang Thi, Nguyen, Tuan Thanh, Barnett, Debbie, Weaver, Gillian, Nguyen, Oanh Thi Xuan, Van Ngo, Quang, Le, Huong Thi Thanh, Huynh, Le Thi, Do, Chung Thi, Mathisen, Roger
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067108/
https://www.ncbi.nlm.nih.gov/pubmed/33800596
http://dx.doi.org/10.3390/nu13041107
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author Tran, Hoang Thi
Nguyen, Tuan Thanh
Barnett, Debbie
Weaver, Gillian
Nguyen, Oanh Thi Xuan
Van Ngo, Quang
Le, Huong Thi Thanh
Huynh, Le Thi
Do, Chung Thi
Mathisen, Roger
author_facet Tran, Hoang Thi
Nguyen, Tuan Thanh
Barnett, Debbie
Weaver, Gillian
Nguyen, Oanh Thi Xuan
Van Ngo, Quang
Le, Huong Thi Thanh
Huynh, Le Thi
Do, Chung Thi
Mathisen, Roger
author_sort Tran, Hoang Thi
collection PubMed
description Background: Since 1979, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) have recommended the use of pasteurized human milk from a human milk bank (HMB) to feed low birthweight (LBW) and preterm newborns as the ‘first alternative’ when mothers are unable to provide their own milk. However, they have not issued any guidelines for the safe establishment and operation of an HMB. This gap contributes to the demand for gathering experiences from HMB networks, especially those from lower-middle income countries. To fill this knowledge gap, this study examines the characteristics of donors, donation, pasteurization, and recipients during the first four years of operation in the first HMB in Vietnam. Methods: Data about the donors, donation, pasteurization, and recipients were extracted from the web-based electronic monitoring system of the HMB from 1 February 2017 to 31 January 2021. Results: In the first four years of operation there were 433 donors who donated 7642 L of milk (66% from the community) with an increased trend in the amount of donated milk, donation duration, and average amount of milk donated by a donor. Approximately 98% of the donated milk was pasteurized, and 82% passed both pre- and post-pasteurization tests. Although the pass rate tended to increase with time, a few dips occurred. Of 16,235 newborns who received pasteurized donor milk, two thirds were in the postnatal wards. The main reason for the prescription of pasteurized donor milk was insufficient mothers’ own milk in the first few days after birth. There was a decreased trend in the amount and duration of using pasteurized donor milk in both postnatal wards and the neonatal unit. Conclusions: The HMB has operated efficiently in the previous four years, even during the COVID-19 pandemic, to serve vulnerable newborns. Ongoing evidence-based adjustments helped to improve the operation to recruit suitable donors, to increase the access to and quality of raw donor milk, to improve the pasteurization process, and to meet the need of more newborns.
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spelling pubmed-80671082021-04-25 Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam Tran, Hoang Thi Nguyen, Tuan Thanh Barnett, Debbie Weaver, Gillian Nguyen, Oanh Thi Xuan Van Ngo, Quang Le, Huong Thi Thanh Huynh, Le Thi Do, Chung Thi Mathisen, Roger Nutrients Article Background: Since 1979, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) have recommended the use of pasteurized human milk from a human milk bank (HMB) to feed low birthweight (LBW) and preterm newborns as the ‘first alternative’ when mothers are unable to provide their own milk. However, they have not issued any guidelines for the safe establishment and operation of an HMB. This gap contributes to the demand for gathering experiences from HMB networks, especially those from lower-middle income countries. To fill this knowledge gap, this study examines the characteristics of donors, donation, pasteurization, and recipients during the first four years of operation in the first HMB in Vietnam. Methods: Data about the donors, donation, pasteurization, and recipients were extracted from the web-based electronic monitoring system of the HMB from 1 February 2017 to 31 January 2021. Results: In the first four years of operation there were 433 donors who donated 7642 L of milk (66% from the community) with an increased trend in the amount of donated milk, donation duration, and average amount of milk donated by a donor. Approximately 98% of the donated milk was pasteurized, and 82% passed both pre- and post-pasteurization tests. Although the pass rate tended to increase with time, a few dips occurred. Of 16,235 newborns who received pasteurized donor milk, two thirds were in the postnatal wards. The main reason for the prescription of pasteurized donor milk was insufficient mothers’ own milk in the first few days after birth. There was a decreased trend in the amount and duration of using pasteurized donor milk in both postnatal wards and the neonatal unit. Conclusions: The HMB has operated efficiently in the previous four years, even during the COVID-19 pandemic, to serve vulnerable newborns. Ongoing evidence-based adjustments helped to improve the operation to recruit suitable donors, to increase the access to and quality of raw donor milk, to improve the pasteurization process, and to meet the need of more newborns. MDPI 2021-03-28 /pmc/articles/PMC8067108/ /pubmed/33800596 http://dx.doi.org/10.3390/nu13041107 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Tran, Hoang Thi
Nguyen, Tuan Thanh
Barnett, Debbie
Weaver, Gillian
Nguyen, Oanh Thi Xuan
Van Ngo, Quang
Le, Huong Thi Thanh
Huynh, Le Thi
Do, Chung Thi
Mathisen, Roger
Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam
title Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam
title_full Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam
title_fullStr Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam
title_full_unstemmed Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam
title_short Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam
title_sort trends and dynamics in the first four years of operation of the first human milk bank in vietnam
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067108/
https://www.ncbi.nlm.nih.gov/pubmed/33800596
http://dx.doi.org/10.3390/nu13041107
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