Using Donor Breast Milk for Preemies

 

Contaminated donor breast milk linked to premature babies’ infections

Video taken from the channel: ABC News


 

Resuming ‘Breast Milk Donation’ Program for NICU Premature Babies

Video taken from the channel: Anupama Pregnancy Talks


 

Donor milk to help premature babies

Video taken from the channel: Cleveland Clinic Martin Health


 

How donor breast milk helps preemies in the NICU | What It’s Like

Video taken from the channel: Today’s Parent


 

Providing Donor Milk to Premature Babies

Video taken from the channel: UR Medicine


 

The Power of Breast Milk in the NICU (Full)

Video taken from the channel: Medela USA


 

Breast Milk and Preemies

Video taken from the channel: WomansHospitalBR


A mother’s milk changes as a baby ages. On average, moms who donate breast milk are five to six months postpartum. The milk of a preemie mom is very different from the milk of a full-term mom whose baby is now five months old. Preterm babies’ moms have milk that is more nutritionally dense, but it still may not be enough. From the milk bank.

Mothers’ Milk doesn’t have pumping requirements for women who want donor breast milk for their babies. The milk bank also has less stringent medical need requirements than most hospitals. Babies with medical need can receive donor milk either fully covered by insurance or on a sliding fee scale. Kim is also pumping breast milk for Joshua, but using donor milk has reduced the stress on her to produce enough milk for him. advertisement October 21, 1:53 p.m.: Down the hall from Kim and Joshua, Crystal, of San Francisco, sits between her twins in the NICU.

RELATED: 3 Big Rules for Using Donated Breast Milk While donated milk is becoming more mainstream, there is not currently enough donated milk to meet the need for premature infants. When the preemie has achieved sufficient breast milk feeds, your doctor may prescribe adding of human milk fortifiers (HMF) to your expressed breast milk in order to ensure that your preemie receives the optimal nutrition needed to ‘catch up’ on growth. But while experts consider breast milk the best nutrition for infants – including very preterm babies – it hasn’t been clear whether using donor milk in the NICU benefits preemies. Lee’s team found.

Sourced from Brisbane, the pasteurised donor human milk is safe to use with strict donor screening and pre and post pasteurisation testing of milk. New mothers of premature babies are grateful to have access to the program and for the benefits it brings their baby. Although a mother’s own milk is always preferred, donor human milk may be used for high-risk infants when the mother’s milk is not available or the mother cannot provide milk.

Priority should be given to providing donor human milk to infants <1500 g birth weight. The researchers characterized the temporal dynamics of microbial communities in 490 breast milk samples from 86 mothers of preterm infants (born <1,250g) over the first eight weeks postpartum. There are significant challenges in providing donor milk for premature infants; therefore, specific clinical guidelines for human milk banks and donor milk use in the neonatal intensive care unit should be applied and research should focus on innovative solutions to process human milk while preserving its immunological and nutritional components.

List of related literature:

If the mother is CMV seropositive, all maternal breastmilk should be frozen for at least 24 hours before feeding until the infant is greater than 32 weeks corrected age or feeding directly at the breast (California Perinatal Quality Care Collaborative, 2008).

“Breastfeeding Management for the Clinician: Using the Evidence” by Marsha Walker
from Breastfeeding Management for the Clinician: Using the Evidence
by Marsha Walker
Jones & Bartlett Learning, 2010

If the mother is unable to supply breast milk, donor breast milk may be ordered, or a special preterm breast milk substitute can be used.

“Leifer's Introduction to Maternity & Pediatric Nursing in Canada E-Book” by Gloria Leifer, Lisa Keenan-Lindsay
from Leifer’s Introduction to Maternity & Pediatric Nursing in Canada E-Book
by Gloria Leifer, Lisa Keenan-Lindsay
Elsevier Health Sciences, 2019

• Encourage alternate methods for providing expressed breast milk if maternal health status is compromised (use of expressed breast milk) and assist mother with collection of breast milk via use of breast pump or hand expression.

“Mosby's Guide to Nursing Diagnosis E-Book” by Gail B. Ladwig, Betty J. Ackley
from Mosby’s Guide to Nursing Diagnosis E-Book
by Gail B. Ladwig, Betty J. Ackley
Elsevier Health Sciences, 2013

• Encourage alternate methods for providing expressed breast milk if maternal health status is compromised, and assist mother with collection of breast milk via use of breast pump or hand expression.

“Mosby's Guide to Nursing Diagnosis E-Book” by Gail B. Ladwig, Betty J. Ackley, Mary Beth Makic
from Mosby’s Guide to Nursing Diagnosis E-Book
by Gail B. Ladwig, Betty J. Ackley, Mary Beth Makic
Elsevier Health Sciences, 2019

Donor breast milk is increasingly available for preterm infants to supplement maternal milk.

“Neonatology at a Glance” by Tom Lissauer, Avroy A. Fanaroff, Lawrence Miall, Jonathan Fanaroff
from Neonatology at a Glance
by Tom Lissauer, Avroy A. Fanaroff, et. al.
Wiley, 2020

The cost of using donor human milk in the NICU to achieve exclusively human milk feeding through 32 weeks of postmenstrual age.

“Breastfeeding and Human Lactation” by Karen Wambach, Becky Spencer
from Breastfeeding and Human Lactation
by Karen Wambach, Becky Spencer
Jones & Bartlett Learning, 2019

If the infant is unable to feed at the breast, is unable to transfer enough colostrum or milk at feedings, is in the earliest gestation range of late preterm infants (34 weeks), or is separated from the mother, written pumping instructions should be provided.

“Breastfeeding Management for the Clinician” by Marsha Walker
from Breastfeeding Management for the Clinician
by Marsha Walker
Jones & Bartlett Learning, 2016

Given the extensive benefits of human milk, the AAP (2012) indicated all preterm infants should receive human milk, ideally the mother’s own milk; if mother’s milk is not available, pasteurized donor milk can substitute.

“AWHONN's Perinatal Nursing” by Kathleen R. Simpson
from AWHONN’s Perinatal Nursing
by Kathleen R. Simpson
Wolters Kluwer Health, 2013

The benefits seen with mother’s own milk (MOM) are not clearly demonstrated when infants are given donor human milk (DHM).

“Holcomb and Ashcraft's Pediatric Surgery E-Book” by George W. Holcomb, J. Patrick Murphy, Shawn D. St Peter
from Holcomb and Ashcraft’s Pediatric Surgery E-Book
by George W. Holcomb, J. Patrick Murphy, Shawn D. St Peter
Elsevier Health Sciences, 2019

Also included are infants who are stabilized with mechanical ventilation and infants who, although too weak to nurse, are placed at the breast during gavage feedings, a method that facilitates lactation.

“Encyclopedia of Nursing Research” by Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, Meredith Kazer, PhD, APRN, A/GNP-BC, Joyce J. Fitzpatrick, PhD, RN, FAAN
from Encyclopedia of Nursing Research
by Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, Meredith Kazer, PhD, APRN, A/GNP-BC, Joyce J. Fitzpatrick, PhD, RN, FAAN
Springer Publishing Company, 2011

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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5 comments

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  • My precious boy Thomas qas on fonor milk. I had him so early that i didnt really make enough milk for him abd it broke my heart, but i cannot thank the donors enough for they have done for my son. He got the nutrients he needed to grow♡.

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  • This is why so disappointed that I know of at the hospital that they shouldn’t take care of their Babies R Us over to have to be responsibility and even of equipment because the volunteers of women old ladies get rid of they donated for their breast milk to the baby but before that they use the hospital got it equipment of the machine but they never clean it and that sound of a sub that to you on it and 3 baby just die already somewhere in Pennsylvania so I always have to say this to everyone sometimes out of Pennsylvania have well I cannot say this but I could say this that it is just like a red state but not of a blue state it’s going to be like difficult and sometimes that I have a whose responsibility and who’s not responsibility it’s your choice you might you can make your own decision to make because this is very seriously like everyone needs to have a responsibility to take care of those mini younger ones donate and other things that make sure that everyone do their job the right way it is on Pennsylvania and specially for the hospital because those are not responsibility like I said they’re working well it is unity and what about the other one of the United anyway what’s going on with that anyway because there is two choices already Unity their own kind of people United is always about to have a good listening carefully in a great responsibility that is right there for the future but however it’s already too little too late for those three baby lost already because the youngest and the smallest one cannot be lost all for the past right now at the keep movie onto growth over to have something for the younger ones to have a better future for Generations and one more thing whoever we just come at don’t copy my own wise don’t say anything because some of you that you could be well copycat is and some of you that are you just don’t understand just what you’re not listening a very good what I’m saying because I am to language any cat and this is going to be like well of a big of a where I had to say this under the truth and the positive way for all of your dad some of you people or kids that who you are is always about like wanted to have very seriously to be responsibility of United is always responsibility the future of United States of America to the people citizens different people and different language is always about like to be well responsibility and no one we’re not going to be left behind and all ways to have a better chest

  • Hey ABC it would have been nice if you guys had mentioned the name for the bacteria. Not even the Latin one. Just something for us, the public, to go off of.

    Edit: Also some symptoms, incubation period/length, and maybe other info considering it did kill infants.

  • Your report was shorter than George’s talking ad! One was not approiate for the other!
    Families lost their babies! I’m not interested in your f**king cheerful ad!