Klotz Daniel, Berns Monika, Fusch Christoph, Schlößer Rolf Lambert, Pöschinger Markus, Wellmann Sven, Lange Anja Erika, Ascherl Rudolf Georg, Naust Barbara, Rauch Janaina, Karger-Seider Judith, Gebauer Corinna
Sektion Neonatologie und Pädiatrische Intensivmedizin, Zentrum für Kinder und Jugendmedizin, Universitätsklinikum Freiburg, Freiburg, Germany.
Klinik für Neonatologie, Charité Universitätsmedizin Berlin, Berlin, Germany.
Z Geburtshilfe Neonatol. 2023 Oct;227(5):329-335. doi: 10.1055/a-2125-1076. Epub 2023 Aug 3.
Donor human milk is the recommended alternative for feeding preterm infants if mother's own milk is unavailable. Human milk banks collect, screen, store and distribute donated human milk according to pre-specified standard operating procedures to premature infants without mothers own milk.
Herein we characterize current operating models and the structural organisation of German milk bank institutions. The analysis of current and future opportunities and challenges may support the development of a comprehensive donor milk service within Germany.
Summary of the panel discussion entitled "Operating models and organizational structures: opportunities and risks for donor human milk bank in Germany" during the 3rd Scientific Symposium of the German Human Milk Bank Initiative (FMBI), November 25th to 26th 2022, in Nuremberg, Germany.
Differing operator models may facilitate the use of donor human milk by incorporating unique site-specific factors, pre-existing infrastructure, and individual needs. In addition to the establishment of milk banks serving single neonatal units, high-capacity milk banks should be enabled to provide donor human milk using several hub-and-spoke systems. This may create a nationwide network for a sustainable human milk supply for preterm infants that is based on qualified breastfeeding and lactation support.
如果无法获得母亲自己的母乳，捐赠的母乳是喂养早产儿的推荐替代品。母乳库根据预先指定的标准操作程序收集、筛选、储存并将捐赠的母乳分发给没有母亲母乳的早产儿。
在此，我们描述德国母乳库机构当前的运营模式和组织结构。对当前及未来机遇与挑战的分析可能有助于德国全面捐赠母乳服务的发展。
2022年11月25日至26日在德国纽伦堡举行的德国母乳库倡议（FMBI）第三届科学研讨会上题为“运营模式和组织结构：德国捐赠母乳库的机遇与风险”的小组讨论总结。
不同的运营模式可以通过纳入独特的特定地点因素、现有基础设施和个体需求来促进捐赠母乳的使用。除了建立为单个新生儿病房服务的母乳库外，还应使高容量母乳库能够使用多个中心辐射系统提供捐赠母乳。这可能会创建一个基于合格母乳喂养和泌乳支持的全国性早产儿可持续母乳供应网络。
