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将人乳商业化的概念化:概念分析。

Conceptualizing the Commercialization of Human Milk: A Concept Analysis.

机构信息

Faculty of Nursing, University of Calgary, Calgary, AB, Canada.

Alberta Children's Hospital Research Institute, Calgary, AB, Canada.

出版信息

J Hum Lact. 2024 Aug;40(3):392-404. doi: 10.1177/08903344241254345. Epub 2024 Jun 10.

DOI:10.1177/08903344241254345
PMID:38855823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11340243/
Abstract

BACKGROUND

Donor human milk is recommended when infants are unable to be fed their mother's own milk or require supplementation. For-profit companies use technologies to create human milk products for infants in the neonatal intensive care setting without consistent guidelines and regulatory frameworks in place. This commercialization of human milk is inadequately conceptualized and ill-defined.

RESEARCH AIMS

The aim of this study is to conceptualize and define the commercialization of human milk and discuss the need for policy guidelines and regulations.

METHOD

Using a concept analysis framework, we reviewed the literature on the commercialization of human milk, analyzed the antecedents and potential consequences of the industry, and developed a conceptual definition. The literature review resulted in 13 relevant articles.

RESULTS

There has been a surge in the development and availability of human milk products for vulnerable infants developed by for-profit companies. Commercialized human milk can be defined as the packaging and sale of human milk and human milk components for financial gain. Factors contributing to the commercialization of human milk include an increased demand for human milk, and consequences include potential undermining of breastfeeding. The lack of guidelines and regulations raises concerns of equity, ethics, and safety.

CONCLUSION

The industry is rapidly growing, resulting in an urgent need for consistent guidelines and regulatory frameworks. If left unaddressed, there could be potential risks for donor milk banking, the future of breastfeeding, and infant and maternal health.

摘要

背景

当婴儿无法母乳喂养或需要补充喂养时,推荐使用捐赠人母乳。营利性公司利用技术在新生儿重症监护环境中为婴儿生产母乳产品,但目前缺乏一致的指导方针和监管框架。这种母乳的商业化概念理解不足且定义不明确。

研究目的

本研究旨在对母乳的商业化进行概念化和定义,并讨论制定政策指导方针和法规的必要性。

方法

我们使用概念分析框架,对母乳商业化的文献进行了回顾,分析了该行业的前因和潜在后果,并制定了一个概念定义。文献回顾产生了 13 篇相关文章。

结果

营利性公司开发和提供的脆弱婴儿用母乳产品数量激增。商业化的母乳可以定义为包装和销售母乳和母乳成分以获取经济利益。促进母乳商业化的因素包括对母乳的需求增加,其后果包括母乳喂养可能受到破坏。缺乏指导方针和法规引起了公平、道德和安全方面的担忧。

结论

该行业发展迅速,因此迫切需要制定一致的指导方针和监管框架。如果不加以解决,可能会对捐赠人母乳库、母乳喂养的未来以及婴儿和产妇健康产生潜在风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ea8/11340243/7e39f8c80284/10.1177_08903344241254345-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ea8/11340243/c43eb4191db0/10.1177_08903344241254345-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ea8/11340243/7e39f8c80284/10.1177_08903344241254345-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ea8/11340243/c43eb4191db0/10.1177_08903344241254345-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ea8/11340243/7e39f8c80284/10.1177_08903344241254345-fig2.jpg

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Matern Child Nutr. 2024 Jan;20(1):e13570. doi: 10.1111/mcn.13570. Epub 2023 Oct 13.
3
Comparing early life nutritional sources and human milk feeding practices: personalized and dynamic nutrition supports infant gut microbiome development and immune system maturation.
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Gut Microbes. 2023 Jan-Dec;15(1):2190305. doi: 10.1080/19490976.2023.2190305.
4
Marketing of commercial milk formula: a system to capture parents, communities, science, and policy.商业配方奶粉营销:俘获父母、社区、科学界和政策的体系。
Lancet. 2023 Feb 11;401(10375):486-502. doi: 10.1016/S0140-6736(22)01931-6. Epub 2023 Feb 7.
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The legislative framework of donor human milk and human milk banking in Europe.欧洲捐赠人母乳和母乳库的立法框架。
Matern Child Nutr. 2022 Apr;18(2):e13310. doi: 10.1111/mcn.13310. Epub 2021 Dec 22.
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Mining liquid gold: The lively, contested terrain of human milk valuations.挖掘液态黄金:人乳价值评估活跃且存在争议的领域。
Environ Plan A. 2021 Aug;53(5):958-976. doi: 10.1177/0308518X21993817. Epub 2021 Feb 16.
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Maintaining human milk bank services throughout the COVID-19 pandemic: A global response.在 COVID-19 大流行期间维持母乳库服务:全球应对措施。
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