Department of Pediatrics, Duchess of Kent Hospital, Sandakan, Sabah, Malaysia.
Breastfeed Med. 2012 Apr;7(2):118-22. doi: 10.1089/bfm.2011.0006. Epub 2011 Oct 19.
Human milk bank is a source of human milk supply in many neonatal intensive care units. However, there are some hospitals without this facility because of financial or religious impediments, such as the Muslim community.
We introduced human milk donation as an alternative to human milk banking based on Islamic principles. The suitable donor is a healthy rooming-in mother whose expressed breastmilk is in excess of her baby's demand. The milk is used after 72 hours of freezing at -20°C. The donor must fulfill the criteria for selection of donors and be nonreactive to human immunodeficiency virus and syphilis. Once the recipient's family and the donor state their desire for the human milk donation, a meeting with both parties is made. Unpasteurized frozen-thawed donor's milk will be provided to the recipient after written consents are obtained from both parties.
This study was carried out in the Duchess of Kent Hospital (Sandakan, Sabah, Malaysia) between January 2009 and December 2010. A total of 48 babies received donated breastmilk. Forty-two infants were from the special care nursery, and the remaining six were from the pediatric ward. Eighty-eight percent of the donors and 77% of the recipients were Muslims. Sixty percent of the infants who received donated human milk were premature. Two infants died because of the underlying nature of their disease.
Human milk donation is an option for hospitals without a human milk bank or in the Muslim community.
母乳库是许多新生儿重症监护病房提供人乳供应的来源。然而，由于财务或宗教障碍，如穆斯林社区，一些医院没有这种设施。
我们根据伊斯兰教原则，引入人乳捐赠作为母乳库的替代方法。合适的捐赠者是健康的母婴同室母亲，其挤出的母乳超过婴儿的需求。母乳在-20°C 下冷冻 72 小时后使用。捐赠者必须符合捐赠者选择标准，并且对人类免疫缺陷病毒和梅毒无反应。一旦接受者的家庭和捐赠者表示希望进行人乳捐赠，就会安排双方会面。在双方都书面同意后，将向接受者提供未经巴氏消毒的冷冻解冻后的捐赠者母乳。
这项研究于 2009 年 1 月至 2010 年 12 月在马来西亚沙巴州山打根的肯特公爵夫人医院进行。共有 48 名婴儿接受了捐赠的母乳。42 名婴儿来自特护病房，其余 6 名来自儿科病房。88%的捐赠者和 77%的接受者是穆斯林。接受捐赠人乳的婴儿中，60%是早产儿。两名婴儿因疾病的根本性质而死亡。
在没有母乳库或在穆斯林社区的医院中，人乳捐赠是一种选择。
