Tag Archive for: Anyatejgyűjtés

Pooled and Pasteurized Mother’s Milk Remains Sterile Beyond Current Guideline Times, If Properly Refrigerated: Presented at AAP

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ATLANTA, GA — October 10, 2006 — Holder-method pasteurized pooled human donor milk that has been processed according to Human Milk Banking Association of North America (HMBANA) guidelines may remain sterile after thawing for longer than 24 hours, if properly refrigerated, researchers reported here at the American Academy of Pediatrics (AAP) National Conference & Exhibition.

“If it is possible to keep bottles of this pasteurized milk around for longer than 24 hours and decrease wastage, it could significantly decrease costs and improve the cost/benefit ratio for premie babies whose moms don’t have enough milk to give them,” said lead investigator Ronald Cohen, MD, professor of pediatrics, Stanford University School of Medicine, Palo Alto, California.
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Effect of Environmental Conditions on Unpasteurized Donor Human Milk

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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.
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The Ethics of Donor Human Milk Banking

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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.

Methods and Results: Two different models of ethics and their direct impact on donor milk banking are examined: biomedical ethics and public health ethics. How these models and principles affect different aspects of donor human milk banking and the parties involved in the delivery of this service are elucidated. Interactions of parties with each other and how the quality and type of interaction affects the ethical delivery of donor milk banking services are described.
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Clinical Uses of Donor Milk

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1. Nutritional

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


2. Medical/Therapeutic

Treatment for infectious disease

  • intractable diarrhea
  • gastroenteritis
  • ulcerative colitis
  • infantile botulism
  • sepsis
  • pneumonia
  • haemorrhagic conjunctivitis

Post-surgical healing

  • omphalocele
  • gastroschisis
  • intestinal obstruction/bowel fistula
  • colostomy repair

Immunodeficiency diseases

  • patients undergoing immunosuppression therapy
  • allergies
  • IgA deficiencies

Inborn errors of metabolism

3. Preventive

  • AIDS
  • NEC
  • Crohn’s disease
  • Colitis
  • Allergies to artificially manufactured milks

4. Anecdotal/Potential Uses Adult diseases

  • cirrhosis of the liver
  • feeding the aged
  • preventing progression in autoimmune diseases e.g. Lupus, AIDS, arthritis
  • Eye surgery/diseases
  • Burns – as topical for epidermal growth factor
  • Crack/cocaine infants

Az INFACT Canada hírleveléből
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Donor Human Milk Essential Resource For High Needs Infants Human Milk

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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.

Banked human milk is a valuble nutritional and immunoligical resource for high needs infants. Proliferation of research documenting the importance of human milk for all infants has seen an increased interest in the development of human milk banks in many countries. In the US there are 7 dispensing and 1 research milk bank; the UK has 12, endorsed by the British Pediatric Association; France has 18 active milk banks and Australia is actively seeking to establish human milk banking.
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A Snapshot of Milk Banking in Other Countries

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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.
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