Nangia Sushma, Ramaswamy Viraraghavan Vadakkencherry, Bhasin Maheshwar
Department of Neonatology, Lady Hardinge Medical College and Kalawati Saran Children's Hospital, New Delhi, India.
Department of Neonatology, Nori Multi Speciality Hospital, Vijayawada, India.
Breastfeed Med. 2020 Mar;15(3):135-139. doi: 10.1089/bfm.2019.0212. Epub 2020 Jan 29.
Donor human milk plays a vital part in the care of sick neonates. There is paucity of literature on the profile of human milk donors of low- and middle-income countries (LMICs). This retrospective observational study evaluated the demographic profile of 1,553 donors of a human milk bank of a tertiary care center from a LMIC over a period of 21 months. The mean age of the donors was 21.6 ± 2.7 years. Around 63% of the donors were from the postnatal care wards and 53.3% had given birth to a premature infant. The total volume of human milk donated was 413 L and the mean volume of milk per donor was 268 ± 386 mL. The mean amount of milk donated by the neonatal intensive care unit (NICU) mothers was significantly higher when compared to that donated by the postnatal care ward mothers ( = 0.0001). Two-thirds (65.5%) of the donated milk was from mothers who gave birth to a preterm infant and 20.8% was from mothers of preterm neonates of <32 weeks of gestation. There was no statistical difference between the mean amount of milk donated by a mother who had delivered extremely preterm neonates when compared to those who had delivered very preterm neonates ( = 0.18). The predominant donors of a human milk bank from a LMIC are of a younger age group, are more likely to have delivered a premature or a low birth weight baby, and are mostly the ones whose neonates require NICU admission or from postnatal care wards.
捐赠的母乳在患病新生儿的护理中起着至关重要的作用。关于低收入和中等收入国家（LMICs）母乳捐赠者情况的文献较少。这项回顾性观察研究评估了来自一个LMIC的三级护理中心母乳库的1553名捐赠者在21个月期间的人口统计学特征。捐赠者的平均年龄为21.6±2.7岁。约63%的捐赠者来自产后护理病房，53.3%生育过早产儿。捐赠的母乳总量为413升，每位捐赠者的平均母乳量为268±386毫升。与产后护理病房的母亲相比，新生儿重症监护病房（NICU）母亲捐赠的母乳平均量显著更高（=0.0001）。三分之二（65.5%）的捐赠母乳来自生育早产婴儿的母亲，20.8%来自孕周<32周的早产新生儿的母亲。与分娩极早早产儿的母亲相比，分娩非常早产新生儿的母亲捐赠的母乳平均量之间没有统计学差异（=0.18）。来自LMIC的母乳库的主要捐赠者年龄较小，更有可能生育过早产儿或低体重儿，并且大多是其新生儿需要入住NICU或来自产后护理病房的母亲。
