Service of Neonatology, Hospital Universitario 12 de Octubre, Avenida de Córdoba s/n, 28041, Madrid, Spain.
Int Breastfeed J. 2010 Mar 8;5:4. doi: 10.1186/1746-4358-5-4.
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.
The study included babies of < or = 1500 g or < 32 weeks gestation. Fifty infants born from February to July in 2006, before the opening of the human milk bank, and 54 born from February to July in 2008, after its opening, met inclusive criteria. We collected data about days of hospital stay, hours of life when feeding was started, hours of life when full enteral feeding was attained, the type of milk received during admission, and the type of feeding on discharge.
Children born in 2008 commenced feeding 16 hours earlier than those born in 2006 (p = 0.00). The proportion of infants receiving exclusive breast milk at discharge was 54% in 2006 and 56% in 2008 (p = 0.87). The number of days they received their mother's own milk during the first 28 days of life was 24.2 days in 2006, compared to 23.7 days in 2008 (p = 0.70). In 2006, 60% of infants received infant formula at least once in the first 28 days of life, compared to 37% in 2008 (p = 0.01).
The opening of a donor human milk bank in a neonatal unit did not reduce the proportion of infants exclusively fed with breast milk at discharge, but did reduce the proportion of infants that received infant formula during the first four weeks of life. Also, having donor human milk available enables commencement of enteral feeding earlier.
人乳库不仅仅是收集、储存、处理和分发捐赠人乳的简单中心，因为它们还涵盖了其他方面，是促进和支持母乳喂养的真正机会。我们的研究目的是评估开设人乳库对出院时接受纯母乳喂养的婴儿比例以及其他与出生体重≤1500 克或胎龄<32 周的新生儿喂养相关方面的影响。
研究对象为出生体重≤1500 克或胎龄<32 周的婴儿。2006 年 2 月至 7 月期间，在人乳库开放前，符合纳入标准的 50 名婴儿出生；2008 年 2 月至 7 月期间，在人乳库开放后，符合纳入标准的 54 名婴儿出生。我们收集了住院天数、开始喂养的生命小时数、开始完全肠内喂养的生命小时数、住院期间接受的牛奶类型以及出院时的喂养类型等数据。
2008 年出生的婴儿开始喂养的时间比 2006 年早 16 小时（p=0.00）。2006 年出院时接受纯母乳喂养的婴儿比例为 54%，2008 年为 56%（p=0.87）。2006 年，婴儿在生命的头 28 天内接受母亲自己的牛奶的天数为 24.2 天，而 2008 年为 23.7 天（p=0.70）。2006 年，60%的婴儿在生命的头 28 天内至少接受过一次婴儿配方奶粉，而 2008 年为 37%（p=0.01）。
在新生儿病房开设人乳库并没有降低出院时纯母乳喂养婴儿的比例，但减少了婴儿在生命的头四周内接受婴儿配方奶粉的比例。此外，有捐赠人乳可供使用可以更早地开始肠内喂养。
