Perron Rotary Express Milk Bank, Neonatology Clinical Care Unit, 1st Floor Block A, King Edward Memorial Hospital, Bagot Rd, Subiaco, Western Australia 6008, Australia; Centre for Neonatal Research and Education, The University of Western Australia (M550), 35 Stirling Highway Crawley, Perth, Western Australia 6009, Australia.
Semin Perinatol. 2019 Nov;43(7):151157. doi: 10.1053/j.semperi.2019.06.005. Epub 2019 Jun 22.
The use of donor human milk to provide therapeutic benefit to infants should only proceed where there is positive 'value'. This can be determined through an assessment of the benefit and the known risks. The emergence of new products derived from human milk requires new value assessments. The known hazards in human milk are modified by differences in the donor selection, processing methods and intended use and result in a unique risk assessment where any of these factors vary. The human source of the raw product requires high ethical standards in the design of these services with care taken to protect donors and recipients from harm. Any supplement to maternal milk should be provided cautiously to avoid displacement of maternal lactation.
使用捐赠的人乳为婴儿提供治疗益处，只有在存在积极的“价值”时才可行。这可以通过评估益处和已知风险来确定。从人乳中衍生出来的新产品的出现需要进行新的价值评估。人乳中的已知危害因供体选择、处理方法和预期用途的不同而有所改变，因此在这些因素发生变化时，需要进行独特的风险评估。由于原始产品的人源需要在这些服务的设计中遵循高标准的伦理准则，因此需要谨慎地为母乳提供补充，以避免取代产妇哺乳。
