Wet-Nurse and Breast Milk Bank
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Guidelines for the Use of Human Milk and Milk Handling in Sweden
Guidelines for the use of human milk and milk handling in Sweden 2016-04-01 Milknet, version 3.0 Translations to English: Version 2.0/2011 was translated 2013 by Margot Lundqvist, and version 3.0/2016 was translated 2017 by the authorial group (responsible S Polberger). The authors of these guidelines are the following representatives of neonatal caregivers in Sweden: Ulla Cederholm and Caroline Hjort, dietitians, Falun Uwe Ewald, neonatologist, and Agnes Pal, dietitian, Uppsala Dagny Nilsson, assistent nurse, Linköping Staffan Polberger, neonatologist, Lund, main editor for the document Lennart Stigson, neonatologist, Gothenburg Mireille Vanpée, neonatologist, Stockholm Inger Öhlund, dietitian, Umeå Affiliated: Göran Hedin, microbiologist, Falun Table of contents Page Term definitions 2 Background 2 Donor milk 3 Target groups for use of donor milk 3 Prerequisites 3 Recruitment of donors 3 Health declaration 4 Serological screening 4 Bacteriological testing 4 Pooling of milk 5 Pasteurisation (heat treatment) 5 Unpasteurised donor milk 6 Labeling/coding 6 Transportation between hospitals 6 Financial compensation 6 Milk kitchen/Human milk bank procedures 6 Nutritional assessment of donor milk 7 Mother’s own expressed milk 7 Nutritional assessment of mother's own milk 8 Practical handling of breast milk 9 Freezing 9 Storage 9 Defrosting 10 Warming 10 Pumping/nursing room 10 Hygiene rules 11 Fortification of breast milk 11 References 13 Appendix 1. List of human milk banks in Sweden, 2014 18 Appendix 2. Health declaration of breast milk donor (example) 20 Appendix 3. Pasteurisation of donor milk (example) 22 Term definitions • Donor milk = breast milk from a woman who is not the biological mother of the recipient of the milk. -
Breastfeeding Support News Fall 2016
Breastfeeding Support News Fall 2016 Davis Classes and Groups Questions for your Health Care Providers Preparing for Breastfeeding: December Breastfeeding is a process that takes time and practice to 15, 12:00-1:00 Room E SCC master. A number of health professionals can provide Continuing to Breastfeed When you assistance, support and information about breastfeeding. How Return to Work/School: November 10, do families know which health professional can help with 12:00-1:00 Room E SCC which challenge? How do families know what questions they should be asking to get the help they need? Support Group Meetings: October 21, November 18, December 16, 12:00-1:00, Prenatal breastfeeding classes provide information about how SCC Room C lactation works, how to manage the process of breastfeeding, how to avoid or confront some common breastfeeding UCDHS Classes and Groups challenges, and how to care for mother’s breasts. Obstetricians should discuss breast injuries/surgeries with Continuing to Breastfeed When you mothers, provide maternal postpartum care, address a Return to Work: Nov 17 11:30-1:00 Ticon III 3B mother’s general health, and treat infections (such as Mastitis) with medications that are compatible with breastfeeding. Introducing Solids: October 20 12:00- 1:00 7106 Glassrock Family Physicians, and Certified Nurse-Midwives may have the skills and training to assess mother and child and may Breastfeeding Clinic and Community advocate breastfeeding, but, may not have the time within Support Group Thursdays 10:00 – 11:00, Glassrock Building Room 7106 their schedule to observe a breastfeeding session and establish a feeding plan that coordinates a mother’s milk supply with Mother-to-Mother Support Group, 11:30- her baby’s growth. -
South Canterbury Breastfeeding Handbook
SOUTH CANTERBURY BREASTFEEDING HANDBOOK South Canterbury Breastfeeding Handbook 1 Version 5 Updated May 2019 South Canterbury Breastfeeding Handbook 2 Best Practice for Maternity Units 5 Attachment / Bonding 6 Definitions 7 The Importance of Skin-To-Skin Contact 8 The Importance of Rooming In 8 Sleeping Safely At Home 9 Baby-Led / Cue Based Breastfeeding 9 Early Feeding Cues 10 Baby’s Stomach Size 11 The Composition of Breast Milk 12 When Your Milk ‘Comes In’ 13 Baby’s Output 14 How Does Using A Dummy / Pacifier Or A Bottle Affect 15 Breastfeeding Latching Your Baby On Well 16 Breastfeeding Positions 18 Breastfeeding Tips If You Have A Caesarean Birth 20 Expressing and Storing Breast Milk 21 Returning to work 24 Solutions For Common Breastfeeding Challenges 25 Tiredness 25 Sleepy Baby 25 Painful Shallow Latch and Nipple Pain 25 Unsettled Hungry Baby 25 South Canterbury Breastfeeding Handbook 3 (continued) Engorgement 26 Mastitis 26 Low Milk Supply 26 Supplementation 27 Reflux 27 Teething 27 Inverted Nipples 27 Alcohol and Other Drugs 28 Covid-19 Breastfeeding advice for Women & Babies 29 Red Flags 30 Preparing Yourself for Breastfeeding Before Your Baby is Born 31 How Your Family and Friends Can Support You 32 Introducing Solids 33 Where to go for Breastfeeding Support in South Canterbury 34 La Leche League 35 “BreastfeedingWorks!” 36 Plunket - Well Child Provider 40 Arowhenua Whanau Services 41 Breastfeeding Friendly Places Around South Canterbury 42 My Breastfeeding Diary 43 South Canterbury Breastfeeding Handbook 4 New Zealand is working towards restoring breastfeeding as the cultural norm. A Baby Friendly Hospital protects supports and promotes breastfeeding by following these 10 Steps: 1. -
A History of Infant Feeding
A History of Infant Feeding Emily E. Stevens, RN, FNP, WHNP, PhD Thelma E. Patrick, RN, PhD Rita Pickler, RN, PNP, PhD ABSTRACT The historical evolution of infant feeding includes wet nursing, the feeding bottle, and formula use. Before the invention of bottles and formula, wet nursing was the safest and most common alternative to the natural mother’s breastmilk. Society’s negative view of wet nursing, combined with improve- ments of the feeding bottle, the availability of animal’s milk, and advances in formula development, gradually led to the substitution of artificial feeding for wet nursing. In addition, the advertising and safety of formula products increased their popularity and use among society. Currently, infant formula-feeding is widely practiced in the United States and appears to contribute to the development of several common childhood illnesses, including atopy, diabetes mellitus, and childhood obesity. The Journal of Perinatal Education, 18(2), 32–39, doi: 10.1624/105812409X426314 Keywords: infant, breastfeeding, wet nurse, feeding bottle, infant formula The historical evolution of feeding practices for practice before the introduction of the feeding bottle a full-term infant immediately after birth includes and formula. Wet nursing began as early as 2000 BC wet nursing, the feeding bottle, and formula use. and extended until the 20th century. Throughout this The purpose of this article is to explore each compo- time period, wet nursing evolved from an alternative nent and their combined impact on current infant- of need (2000 BC) to an alternative of choice (950 BC feeding trends and child health. We provide a review to 1800 AD). -
A Descriptive Study of the Attitude and Experiences of Donor Mothers in a Human Milk Bank
Jebmh.com Original Research Article A Descriptive Study of the Attitude and Experiences of Donor Mothers in a Human Milk Bank Srenivas A.1, Kumaravel K. S.2, Anurekha V.3, Prathibha K.4, Gobinathan S.5, Sampathkumar P.6 1Assistant Professor, Department of Paediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamilnadu, India. 2Professor, Department of Paediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamilnadu, India. 3Assistant Professor, Department of Paediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamilnadu, India. 4Junior Resident, Department of Paediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamilnadu, India. 5Associate Professor, Department of Paediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamilnadu, India. 6Professor, Department of Paediatrics, Government Mohan Kumaramangalam Medical College, Salem, Tamilnadu, India. ABSTRACT BACKGROUND Human milk donation depends on biological factors that are associated with milk Corresponding Author: production and social factors including donor’s age, literacy, culture and economic Dr. Gobinathan S., status. Understanding donors’ experiences and their attitudes towards donation is Department of Paediatrics, Government Mohan Kumaramangalam important as it will help improve milk donation and motivate potential donors. The Medical College Hospital, aim of this study was to describe the attitude and experiences of the donor Salem - 636001, Tamilnadu, India. mothers in the Human Milk Bank (HMB). E-mail: [email protected] METHODS DOI: 10.18410/jebmh/2020/417 This was a descriptive study conducted in the Human Milk Bank (HMB) attached to this hospital with a time bound sample of 50 mothers who have donated their How to Cite This Article: milk at least once. A questionnaire with 14 questions based on the concepts of the Srenivas A, Kumaravel KS, Anurekha V, et al. -
Faqs: Breastfeeding and COVID-19 for Health Care Workers
FREQUENTLY ASKED QUESTIONS: Breastfeeding and COVID-19 For health care workers (12 May 2020) Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: Interim guidance V 1.2. Preface Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. This FAQ complements the WHO interim guidance: Clinical management of severe acute respiratory Interim guidance 13 March 2020 This is the second edition (version 1.2) of this document for the novel coronavirus SARS-CoV-2, causing COVID-19 disease. It was originally adapted from the publication Clinical management of severe acute respiratory infection when infection (SARI) when COVID-19 disease is suspected MERS-CoV infection is suspected (WHO, 2019). This document is intended for clinicians involved in the care of adult, pregnant and paediatric patients with or at risk for severe acute respiratory infection (SARI) when a SARS-CoV-2 infection is suspected. Considerations for paediatric patients and pregnant women are highlighted throughout the text. It is not meant to replace clinical judgment or specialist consultation but rather to strengthen clinical management of these patients and to provide up-to-date guidance. Best practices for infection prevention and control (IPC), triage and optimized supportive care are included. This document is organized into the following sections: 1. Background 2. Screening and triage: early recognition of patients with SARI associated with COVID-19 (13 March 2020 - www.who.int/publications-detail/clinical-management-of-severe-acute- 3. Immediate implementation of appropriate infection prevention and control (IPC) measures 4. Collection of specimens for laboratory diagnosis 5. -
Pregnancy, Birthing, Breastfeeding and Mothering: Hindu Perspectives from Scriptures and Practices
Open Theology 2020; 6: 104–116 Motherhood(s) in Religions: The Religionification of Motherhood and Mothers’ Appropriation of Religion Sucharita Sarkar* Pregnancy, Birthing, Breastfeeding and Mothering: Hindu Perspectives from Scriptures and Practices https://doi.org/10.1515/opth-2020-0010 Received October 13, 2019; accepted December 18, 2019 Abstract: This article looks at the regulations of pregnancy, birthing, breastfeeding in Ayurvedic treatises, and at representations of mothering in Vedic and Puranic texts related to childrearing. Ayurvedic garbha sanskar (educating the mind of the foetus) regulates the pregnancy of women to ensure the safe birthing of superior babies. Breastfeeding is both glorified and strictly regulated in Ayurvedic texts. Several Vedic texts describe a range of rituals to benefit a caste Hindu child’s life from before birth to the beginning of manhood. These rituals are formally conducted by the father, whereas the mother’s role is marginalized. Although these texts scrutinize and discipline maternal bodies, yet there are several interstices where female and/or maternal agency can be performed. Ayurvedic obstetric practices often incorporate the indigenous knowledges of midwives (dais). The scripturally- mandated practice of wet-nursing shifts and complicates biological motherhood roles. The domestic tradition of performing vratas to secure the offspring’s longevity allows mothers to have a more central role in childrearing rituals. I will compare the regulatory texts and the potentially resistant practices from -
Making the Case for Using Donor Human Milk in Vulnerable Infants Taryn M
Beyond the Basics Ksenia Zukowsky, PhD, APRN, NNP-BC ❍ Section Editor 2.3 HOURS Continuing Education Making the Case for Using Donor Human Milk in Vulnerable Infants Taryn M. Edwards, MSN, CRNP, NNP-BC; Diane L. Spatz, PhD, RN-BC, FAAN ABSTRACT Vulnerable infants are at an increased risk for feeding intolerance due to immaturity or dysfunction (ie, congenital anomaly or obstruction) of the gastrointestinal system and/or hemodynamic instability. Symptoms of feeding intolerance include vomiting, water-loss stools, increased abdominal girth, and increased gastric residuals. It has been well documented that human milk provides optimal nutrition for infants and decreases the incidence of feeding intolerance. Donor human milk can be used for these at-risk infants to supplement the mother’s own milk supply if insufficient or if the mother has decided not to or is unable to provide human milk for her infant. Establishing a donor human milk program within your institution will allow an opportunity for all vulnerable infants to receive an exclusive human milk diet. Key Words: enteral nutrition, human milk, intensive care, milk banks, neonatal ne in 10 infants born in the United States is BENEFITS OF HUMAN MILK admitted to the neonatal intensive care unit O(NICU), and human milk offers these infants A brief overview of the immunological, nutritional, specific benefits that will improve their health out- and developmental factors of human milk is pro- comes.1 Human milk decreases the incidence and sever- vided. Immunological components of human milk, -
WHO Guidance on Breastfeeding and Newborn Care in the Context of COVID-19
WHO Guidance on breastfeeding and newborn care in the context of COVID-19 Dr Ornella Lincetto, WHO 7 July 2020 Background: breastfeeding and prevention of illness • Breastfeeding protects against child morbidity and death, especially against infectious diseases • Non-breastfed children incur morbidities that place them at higher risk of lifelong ill- health including from non-communicable diseases • For mothers, breastfeeding protects against breast cancer and improves birth spacing, and may protect against ovarian cancer and type 2 diabetes HEALTH EMERGENCIES programme Benefits of breastfeeding outweigh potential risks of Covid-19 • Uncertainty on possible increased risk of negative maternal or neonatal outcomes, with some cases of pre-labour rupture of membranes, foetal distress and preterm birth reported. • No definitive evidence of vertical transmission of Covid-19. • Infants are at low risk of infection and the few confirmed newborns with COVID-19 to date have experienced only mild or asymptomatic illness. • Active particles of the COVID-19 virus has not been detected in the breastmilk of any mother with confirmed and suspected COVID-19 and there is no evidence so far that the virus is transmitted through breastfeeding. https://www.who.int/emergencies/diseases/novel- coronavirus-2019 HEALTH EMERGENCIES programme Mother and infant contact at birth regardless of COVID-19 status • Mothers should not be separated from their infants unless the mother is too sick to care for her baby. • If the mother is unable to care for the infant, another competent family caregiver should be identified. • Mothers and infants should be enabled to: – practice early and uninterrupted skin-to-skin contact, including kangaroo mother care, as soon as possible after birth. -
Slavery, Wet-Nursing, and Black and White Women in the Antebellum South
Mothers’ milk: slavery, wet-nursing, and black and white women in the Antebellum South Article Published Version West, E. and Knight, R. J. (2017) Mothers’ milk: slavery, wet- nursing, and black and white women in the Antebellum South. Journal of Southern History, 83 (1). pp. 37-68. ISSN 0022- 4642 doi: https://doi.org/10.1353/soh.2017.0001 Available at http://centaur.reading.ac.uk/66788/ It is advisable to refer to the publisher’s version if you intend to cite from the work. See Guidance on citing . To link to this article DOI: http://dx.doi.org/10.1353/soh.2017.0001 Publisher: Southern Historical Association All outputs in CentAUR are protected by Intellectual Property Rights law, including copyright law. Copyright and IPR is retained by the creators or other copyright holders. Terms and conditions for use of this material are defined in the End User Agreement . www.reading.ac.uk/centaur CentAUR Central Archive at the University of Reading Reading’s research outputs online Mothers’ Milk: Slavery, Wet-Nursing, and Black and White Women in the Antebellum South By EMILY WEST with R. J. KNIGHT WET-NURSING IS A UNIQUELY GENDERED KIND OF EXPLOITATION, AND under slavery it represented the point at which the exploitation of enslaved women as workers and as reproducers literally intersected. Feeding another woman’s child with one’s own milk constituted a form of labor, but it was work that could only be undertaken by lactat- ing women who had borne their own children. As a form of exploita- tion specific to slave mothers, enforced wet-nursing constituted a distinct aspect of enslaved women’s commodification. -
Soy Baby Formula, Healthy Alternative Or Unnecessary Harm?
Toxic Love: Soy Baby Formula, Healthy Alternative or Unnecessary Harm? Babies all over the world who are being fed soy-based infant formula are taking a part in a huge experiment with the potential for highly dangerous outcomes, according to many scientists. Former director of the Food and Drug Administration’s Centre for Toxicological Research Dr Daniel Sheehan called feeding soy formula “a large, uncontrolled and basically unmonitored human infant experiment”. Scientific evidence is growing that parents who buy the formula to feed their babies each day might unknowingly be preparing a potentially toxic concoction which could irreversibly damage the long-term health of their children. New Zealand toxicologist Dr Mike Fitzpatrick says parents have the right to know that soy-based formula contains potentially harmful compounds. Many other internationally renowned scientists have joined Dr Fitzpatrick, one of the first to sound the alarm, and expressed their growing concern about the potential for health complications that could result from giving phytoestrogen-rich soy formula to babies. Phytoestrogens are plant-derived compounds that have the ability to mimic the actions of the female hormone oestrogen. The group of phytoestrogens in question called isoflavones, are genistein and genistin, and their oestrogen mimicking behaviour has been the subject of many international studies. In a 2010 study, scientists from the University of Illinois, working in conjunction with the US Food and Drug Administration’s Division of Biochemical Toxicology 32 (FDA) and the Department of Food Science and Human Nutrition (DFSHN) estimated that an infant consuming soy formula receives several hundred times higher amounts of this plant-based oestrogens than adults consuming normal Western diets. -
Helping Every Baby Receive Human Milk
MATERNAL, NEWBORN, AND CHILD HEALTH AND NUTRITION Helping every baby receive human milk In India, PATH and local leaders are collaborating to scale up integrated human milk banking systems— giving more babies access to lifesaving health and nutrition. PRIORITIZING HUMAN MILK TO SAVE LIVES Despite progress, India loses more children under five each year than any other country in the world.1 Country-wide, more than half of these deaths occur in the neonatal period, most often because babies are born prematurely, suffer from birth asphyxia, or have neonatal infections.1,2 Of the 27 million babies born in India annually, approximately 13 percent (3.5 million) are born preterm and 28 percent (7.6 million) with low-birthweight, increasing their risk of dying in the neonatal period.3,4 Worldwide, feasible and cost-effective interventions exist that can save a staggering 71 percent of premature babies. Of these, human milk has the greatest potential impact on child survival.2 It provides the unique nutrition and immune support babies need to survive and thrive. Early exclusive breastfeeding has the potential to prevent 13 Furtwangler PATH/Tom percent of under-five deaths globally each year.5,6 Yet not every newborn is able to benefit from his or her mother’s milk, often because of maternal illness, death or infections. Human milk improves survival abandonment, leaving them more vulnerable, especially rates and reduces hospital stays—making when they are born preterm, with low-birthweight, sick or are severely malnourished. human milk banks a lifesaving and cost- effective intervention.” HUMAN MILK BANKING —Dr.