Barin Jacqueline, Touati Jeremy, Martin Agathe, Fletgen Richard Carole, Jox Ralf J, Fontana Stefano, Legardeur Hélène, Amiguet Nathalie, Henriot Isabelle, Kaech Christelle, Belat Aurélia, Tolsa Jean-François, Prudent Michel, Fischer Fumeaux Céline J
Clinic of Neonatology, Department of Mother-Woman-Child, Lausanne University Hospital, University of Lausanne, 1011 Lausanne, Switzerland.
Interdisciplinary Perinatal Unit for Breastfeeding Support and Infant Nutrition, Department of Mother-Woman-Child, Lausanne University Hospital, University of Lausanne, 1011 Lausanne, Switzerland.
Nutrients. 2025 May 23;17(11):1765. doi: 10.3390/nu17111765.
Mother's own milk (MOM) offers the highest protection for preterm and low birth weight infants. However, breastfeeding can be challenging during neonatal hospitalization. When MOM is unavailable, donor human milk (DHM) is the recommended alternative for feeding vulnerable neonates. Human milk banks (HMBs) collect, process, and deliver DHM, playing a key role in lactation support and promoting MOM availability. Although HMBs are expanding globally, scale-up remains hindered, restricting equitable DHM access. In Switzerland, despite the existence of eight HMBs, the western region lacked such a facility until 2022. To address this gap, an interdisciplinary team from the Lausanne University Hospital (CHUV) and the Swiss Red Cross Interregional Blood Transfusion Centre (TIR) collaborated to establish a regional HMB. This partnership leveraged both institutions' available expertise, infrastructure, and resources. After two years of preparation, the launched in 2022 with the support of the Department of Health and Social Action (DSAS) of the Canton of Vaud. This novel model is fully integrated into the hospital's neonatal care, nutrition, and breastfeeding programs, operating under a strict quality and coordination system. Since its implementation, the HMB has met 100% of DHM needs, with an 80% breastfeeding bridging rate. It has had a positive impact on neonatal care, family engagement, professional interest, and community awareness of human milk. This case study illustrates how synergistic collaboration can help bridge gaps in establishing a safe, efficient, and equitable HMB model. It also offers a scalable framework adaptable to other settings.
母乳对早产和低出生体重婴儿提供了最高程度的保护。然而，在新生儿住院期间进行母乳喂养可能具有挑战性。当无法获得母乳时，捐赠人乳是喂养脆弱新生儿的推荐替代品。母乳库收集、处理和提供捐赠人乳，在泌乳支持和促进母乳供应方面发挥着关键作用。尽管母乳库在全球范围内不断扩大，但扩大规模仍然受到阻碍，限制了捐赠人乳的公平获取。在瑞士，尽管有八个母乳库，但直到2022年西部地区仍缺乏这样的设施。为了填补这一空白，洛桑大学医院（CHUV）和瑞士红十字会跨地区输血中心（TIR）的一个跨学科团队合作建立了一个地区性母乳库。这种伙伴关系利用了两个机构现有的专业知识、基础设施和资源。经过两年的筹备，该母乳库于2022年在沃州卫生和社会行动部（DSAS）的支持下启动。这种新颖的模式完全融入了医院的新生儿护理、营养和母乳喂养项目，在严格的质量和协调系统下运作。自实施以来，该母乳库满足了100%的捐赠人乳需求，母乳喂养衔接率达到80%。它对新生儿护理、家庭参与、专业兴趣以及社区对人乳的认识产生了积极影响。本案例研究说明了协同合作如何有助于填补建立安全、高效和公平的母乳库模式方面的差距。它还提供了一个可扩展的框架，适用于其他环境。
