Barbarska Olga, Zielińska Monika, Pawlus Beata, Wesołowska Aleksandra
Laboratory of Human Milk and Lactation Research, Regional Human Milk Bank in Holy Family Hospital, Department of Neonatology, Medical University of Warsaw, Poland
Department of Medical Biology, Medical University of Warsaw, Poland
Rocz Panstw Zakl Hig. 2017;68(4):395-400.
In case of shortage of breast milk despite proper lactation care or the poor state of the mother’s health, breast milk from human milk bank is recommended for feeding preterm infants
This study retrospectively evaluated the first year of the operation of the Regional Human Milk Bank
Data concerning donors was collected in the human milk bank during the cooperation. The clinical characteristics of the recipients was made on the basis of medical documentation from the Holy Family Hospital in Warsaw, Poland. Analysis of nutritional value was performed with the human milk analyzer (MIRIS AB)
In the first year of activity, 45 voluntary donors established cooperation, donating from 650 to 32030 ml of human milk. The content of nutrients in milk provided by donors was variable - protein 0.4-1.5 g / 100 ml, fat 1.1-7.4 g / 100 ml, carbohydrates 6.3-7.9 g / 100 ml. The average length of using donated human milk was 4 days and the average volume of milk for one infant was 282 ml
The donor profiles have a significant impact on the milk composition form HMB. The nutritional value can be improved by recruitment donors from mothers that gave birth prematurely and by beginning donation at earlier stages of lactation as soon as lactation is stabilized. In case of shortage of mothers own milk the immediate implementation of donors milk as a short-term support can significantly reduce the food intolerance incidence in the group of prematurely born infants
尽管提供了适当的泌乳护理，但如果母乳不足或母亲健康状况不佳，建议使用母乳库的母乳喂养早产儿。
本研究回顾性评估了地区母乳库运营的第一年情况。
在合作期间收集了母乳库中捐赠者的数据。根据波兰华沙圣家族医院的医疗记录确定了接受者的临床特征。使用母乳分析仪（MIRIS AB）进行营养价值分析。
在活动的第一年，45名自愿捐赠者建立了合作关系，捐赠的母乳量为650至32030毫升。捐赠者提供的母乳中营养成分含量各不相同——蛋白质0.4 - 1.5克/100毫升，脂肪1.1 - 7.4克/100毫升，碳水化合物6.3 - 7.9克/100毫升。使用捐赠母乳的平均时长为4天，每名婴儿的平均母乳摄入量为282毫升。
捐赠者情况对母乳库母乳的成分有重大影响。通过招募早产母亲作为捐赠者，并在泌乳稳定后尽早开始捐赠，可以提高营养价值。在母亲自身母乳不足的情况下，立即采用捐赠母乳作为短期支持可显著降低早产婴儿群体中的食物不耐受发生率。
