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1.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48244

RESUMEN

Evento virtual permitiu conhecer as práticas em diversos países e evidenciou a importância dos Bancos de Leite Humano como Política de Saúde Pública. O Fórum Como o leite humano deve ser regulado?, organizado pela Associação do Reino Unido para Bancos de Leite (UKAMB). O evento contou com a participação do coordenador da Rede Brasileira de Bancos de Leite Humano (rBLH-BR), João Aprigio de Almeida; e profissionais de Austrália, Estados Unidos, Irlanda, Polônia e Reino Unido.


Asunto(s)
50328 , Bancos de Leche/normas , Leche Humana , 50207
2.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48169

RESUMEN

A Rede Global de Bancos de Leite Humano - rBLH, já deu início à organização das celebrações do Dia Mundial da Doação de Leite Humano - 19 de maio. O primeiro passo consiste na escolha do slogan para a mobilização social pela doação de leite humano 2021.


Asunto(s)
Promoción de la Salud , Bancos de Leche , Leche Humana
3.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48167

RESUMEN

A Câmara Técnica da Rede Brasileira de Bancos de Leite Humano (rBLH-BR) publica Recomendação Técnica 0121-090221 para, frente às dúvidas acerca da vacinação contra a Covid-19 e a continuidade da amamentação e da doação de leite materno nesse contexto; orientar mães, profissionais de saúde e a sociedade.


Asunto(s)
Bancos de Leche , Leche Humana , Lactancia Materna , Vacunación , Vacunación Masiva , Infecciones por Coronavirus/prevención & control , Betacoronavirus
4.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-48170

RESUMEN

O slogan para o Dia Mundial de Doação de Leite Humano - 19 de maio foi definido, “Doação de leite humano: a pandemia trouxe mudanças, a sua doação traz esperança”. O slogan será utilizado nas campanhas de mobilização social pela doação de leite humano em 2021. O processo de escolha foi um marco na história da Rede Global de Bancos de Leite Humano. Em tempos de distanciamento social, a rBLH reuniu 47 países, 298 slogans inscritos e 3.394 votos. Milhares de pessoas pensando a doação de leite humano e mostrando a força da solidariedade.


Asunto(s)
Promoción de la Salud , Leche Humana , Bancos de Leche , Infecciones por Coronavirus/prevención & control , Betacoronavirus
5.
Nutrients ; 13(4)2021 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-33800596

RESUMEN

BACKGROUND: Since 1979, the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) have recommended the use of pasteurized human milk from a human milk bank (HMB) to feed low birthweight (LBW) and preterm newborns as the 'first alternative' when mothers are unable to provide their own milk. However, they have not issued any guidelines for the safe establishment and operation of an HMB. This gap contributes to the demand for gathering experiences from HMB networks, especially those from lower-middle income countries. To fill this knowledge gap, this study examines the characteristics of donors, donation, pasteurization, and recipients during the first four years of operation in the first HMB in Vietnam. METHODS: Data about the donors, donation, pasteurization, and recipients were extracted from the web-based electronic monitoring system of the HMB from 1 February 2017 to 31 January 2021. RESULTS: In the first four years of operation there were 433 donors who donated 7642 L of milk (66% from the community) with an increased trend in the amount of donated milk, donation duration, and average amount of milk donated by a donor. Approximately 98% of the donated milk was pasteurized, and 82% passed both pre- and post-pasteurization tests. Although the pass rate tended to increase with time, a few dips occurred. Of 16,235 newborns who received pasteurized donor milk, two thirds were in the postnatal wards. The main reason for the prescription of pasteurized donor milk was insufficient mothers' own milk in the first few days after birth. There was a decreased trend in the amount and duration of using pasteurized donor milk in both postnatal wards and the neonatal unit. CONCLUSIONS: The HMB has operated efficiently in the previous four years, even during the COVID-19 pandemic, to serve vulnerable newborns. Ongoing evidence-based adjustments helped to improve the operation to recruit suitable donors, to increase the access to and quality of raw donor milk, to improve the pasteurization process, and to meet the need of more newborns.


Asunto(s)
Bancos de Leche , Adulto , Femenino , Humanos , Recién Nacido , Bancos de Leche/organización & administración , Bancos de Leche/estadística & datos numéricos , Leche Humana , Pasteurización , Donantes de Tejidos/estadística & datos numéricos , Vietnam
6.
Nutrients ; 13(4)2021 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-33920807

RESUMEN

A cross-sectional single-center study was designed to compare the fatty acids profile, particularly docosahexaenoic acid (DHA) levels, between milk banking samples of donor human milk and mother's own milk (MOM) for feeding preterm infants born before 32 weeks' gestation. MOM samples from 118 mothers included colostrum (1-7 days after delivery), transitional milk (9-14 days), and mature milk (15-28 days and ≥29 days). In the n-3 polyunsaturated fatty acids (PUFAs) group, the levels of α-linolenic acid (C18:3 n3) and DHA (C22:6 n3) showed opposite trends, whereas α-linolenic acid was higher in donor human milk as compared with MOM, with increasing levels as stages of lactation progressed, DHA levels were significantly lower in donor human milk than in MOM samples, which, in turn, showed decreasing levels along stages of lactation. DHA levels in donor human milk were 53% lower than in colostrum. Therefore, in preterm infants born before 32 weeks' gestation, the use of pasteurized donor human milk as exclusive feeding or combined with breastfeeding provides an inadequate supply of DHA. Nursing mothers should increase DHA intake through fish consumption or nutritional supplements with high-dose DHA while breastfeeding. Milk banking fortified with DHA would guarantee adequate DHA levels in donor human milk.


Asunto(s)
Ácidos Docosahexaenoicos/análisis , Ácidos Grasos/análisis , Bancos de Leche/estadística & datos numéricos , Leche Humana/química , Madres/estadística & datos numéricos , Adulto , Lactancia Materna , Estudios Transversales , Femenino , Edad Gestacional , Humanos , Recién Nacido , Recien Nacido Prematuro , Lactancia/metabolismo , Masculino
7.
Nutrients ; 13(4)2021 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-33807207

RESUMEN

BACKGROUND: Pasteurized donor milk (PDM) is typically prescribed to preterm or low birthweight newborns when their mother's own milk is unavailable. In surplus, PDM is prescribed to meet the nutritional needs of healthy newborns in the first few days of life. However, its overuse can undermine efforts to promote and support breastfeeding, waste resources, and reduce the availability of PDM for at-risk newborns. We conducted this study to examine factors associated with the prescription and prolonged use (>48 h) of privately purchased PDM to healthy newborns. METHODS: Prospective observational study of 2440 mothers of healthy, term, and normal birthweight newborns born at Da Nang Hospital for Women and Children between April and August 2019. In addition to the descriptive analysis, we performed multiple logistic regressions to examine factors associated with the prescription of PDM (n = 2440) and prolonged PDM use among those who used PDM (n = 566). RESULTS: Twenty-three percent (566/2440) of healthy, term, and birthweight ≥2500 g newborns received PDM and were included in the study. The prevalence of PDM use was higher for cesarean births (OR: 2.05; 95% CI: 1.66, 2.55) and among male newborns (OR: 1.33; 95% CI: 1.09, 1.62), but lower for farmers or workers (vs. other jobs; OR: 0.71; 95% CI: 0.54, 0.93), family income <10 million VND (vs. ≥10 million VND; OR: 0.67; 95% CI: 0.55, 0.82), and duration of skin-to-skin ≥90 min (vs. <90 min; OR: 0.54; 95% CI: 0.39, 0.76). Prolonged PDM use (12.4% of 566 newborns who used PDM) was associated with the mother having a higher socioeconomic status job (professional, small trader or homemaker; OR: 4.00; 95% CI: 1.39, 12.5), being a first-time mother (OR: 3.39; 95% CI: 1.92, 6.01) or having a cesarean birth (OR: 2.09; 95% CI: 1.02, 4.28). CONCLUSIONS: The prescription and prolonged use of privately purchased PDM was associated with non-medical factors unrelated to the ability to breastfeed effectively. The findings suggest the need for improved breastfeeding communication, counseling and support skills for health staff, development, and application of strict criteria on PDM use for healthy newborns and better routine monitoring of PDM use over time.


Asunto(s)
Bancos de Leche , Leche Humana , Adulto , Lactancia Materna , Femenino , Humanos , Fenómenos Fisiológicos Nutricionales del Lactante , Recién Nacido , Masculino , Pasteurización , Estudios Prospectivos , Vietnam
8.
Artículo en Inglés | MEDLINE | ID: mdl-33671763

RESUMEN

BACKGROUND: Human milk banks have a pivotal role in provide optimal food for those infants who are not fully breastfeed, by allowing human milk from donors to be collected, processed and appropriately distributed. Donor human milk (DHM) is usually preserved by Holder pasteurization, considered to be the gold standard to ensure the microbiology safety and nutritional value of milk. However, as stated by the European Milk Banking Association (EMBA) there is a need to implement the improvement of the operating procedure of human milk banks including preserving and storing techniques. AIM: The purpose of this study was to assess the effectiveness and safety of the selected new combination of methods for preserving donor human milk in comparison with thermal treatment (Holder pasteurization). METHODS: We assessed (1) the concentration of bioactive components (insulin, adiponectin, leptin, activity of pancreatic lipase, and hepatocyte growth factor) and (2) microbiological safety in raw and pasteurized, high-pressure processed and lyophilization human breast milk. RESULTS: The combination of two techniques, high-pressure processing and freeze-drying, showed the best potential for preserving the nutritional value of human milk and were evaluated for microbiological safety. Microbiological safety assessment excluded the possibility of using freeze-drying alone for human milk sample preservation. However, it can be used as a method for long-term storage of milk samples, which have previously been preserved via other processes. CONCLUSION: The results show that high-pressure treatment is the best method for preservation that ensures microbiological safety and biological activity but subsequent freeze-drying allowed long-term storage without loss of properties.


Asunto(s)
Bancos de Leche , Animales , Lactancia Materna , Femenino , Liofilización , Humanos , Lactante , Leche Humana , Pasteurización
9.
Int Breastfeed J ; 16(1): 29, 2021 03 29.
Artículo en Inglés | MEDLINE | ID: mdl-33781285

RESUMEN

BACKGROUND: The World Health Organization (WHO) recommendations on infant feeding in the context of COVID-19 uphold standing recommendations for breastfeeding, non-separation, and skin-to-skin contact, including the use of donor human milk when mother's own milk is not available. INSUFFICIENT GUIDANCE ON THE USE OF DONOR HUMAN MILK AND THE ROLE OF HUMAN MILK BANKS IN THE PANDEMIC RESPONSE: COVID-19 clinical management guidelines in seven countries in Southeast Asia are not aligned with WHO recommendations despite the lack of evidence of transmission through either breastmilk or breastfeeding. The use of safe donor human milk accessed through human milk banks is also insufficiently recommended, even in countries with an existing human milk bank, leading to a gap in evidence-based management of COVID-19. This highlights long-standing challenges as well as opportunities in the safe, equitable, and resilient implementation of human milk banks in the region. CONCLUSIONS: This statement reflects the expert opinion of the Regional Human Milk Bank Network for Southeast Asia and Beyond on the need to revisit national guidelines based on the best evidence for breastfeeding during the COVID-19 pandemic, to incorporate human milk bank services in national obstetric and newborn care guidelines for COVID-19 where possible, and to ensure that operations of human milk banks are adapted to meet the needs of the current pandemic and to sustain donor human milk supply in the long-term. The Network also recommends sustained engagement with the global human milk bank community.


Asunto(s)
Lactancia Materna , COVID-19/prevención & control , Guías como Asunto , Bancos de Leche/organización & administración , Bancos de Leche/normas , Leche Humana , Asia Sudoriental/epidemiología , Humanos , Organización Mundial de la Salud
12.
Cien Saude Colet ; 26(1): 309-318, 2021 Jan.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-33533852

RESUMEN

Aimed at strengthening breastfeeding policies, human milk banks (HMBs) play an important role in promoting, protecting and supporting this practice. The objective of this study was to undertake a systematic review to identify activities developed by HMBs that demonstrate their role in promoting maternal and infant health. Searches for relevant articles were performed in the following databases: PubMed, Virtual Health Library (BVS), and BVS Breastfeeding linked to the portal of the Brazilian Human Milk Bank Network. Eleven articles were included in the final sample. The main topics covered by the articles were: the characteristics of breast milk donors; the importance of information provided by HMB professionals on maintaining breastfeeding for hospitalized premature infants; weight gain in premature babies fed on donated milk; HMB breastfeeding support actions; and factors influencing human milk donation. The actions developed by HMBs have a positive impact on the promotion of maternal and infant health, representing an important strategy for promoting breastfeeding and supporting the feeding of babies who are not able to feed directly at the breast.


Asunto(s)
Bancos de Leche , Leche Humana , Brasil , Lactancia Materna , Femenino , Humanos , Lactante , Salud del Lactante , Recién Nacido
13.
J Dairy Sci ; 104(5): 5256-5264, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33516556

RESUMEN

The influence of milk-banking processes on nutrients in donor human milk (DHM) is largely unknown. Previous studies have measured nutrients between pools of DHM, but within-pool nutrient differences (between bottles from the same pool) have yet to be elucidated. The objective of this study was to gain a better understanding of the effect of different mixing characteristics on the distribution of fat, protein, IgA, and lysozyme in bottled, raw DHM. Pools of DHM were created in a laboratory setting according to published human milk-banking guidelines and assigned to a mixing treatment (mixing during bottling method, pooling container material, and refrigerated hold time). Four mixing protocols using glass pooling containers and a 1-h refrigerated hold time were tested: control (no mixing during bottling); manual-A (Man-A, hand swirl after pouring 3 bottles); manual-B (Man-B, hand swirl after pouring every bottle); and mechanical-G (Mech-G, continuous stirring with a magnet). As secondary objectives, we compared the effect of a glass and a plastic pooling container with mechanical mixing (mechanical-P, Mech-P), and compared refrigerated delays of 1 and 24 h before bottling with manual mixing (manual-A24, Man-A24). To control for differences in nutrient content, comparisons between treatments were made using absolute percent difference from the treatment-specific mean; and comparisons within a treatment were made using the ratio of fat content in a bottle to fat content in the first bottle of the same pool. We did not observe differences in nutrient distribution between Man-A, Man-B, and Mech-G in pools held for 1 h, but all were significantly different from the control for fat. There were no differences between glass or plastic pooling containers when mechanical mixing was used. Holding a pool in the refrigerator for 24 h before bottling created significantly greater fat distribution than holding a pool for 1 h. Outcomes were the result of controlled experiments. In summary, manual and mechanical mixing of 1,700-mL DHM pools produces similar fat and protein distributions when DHM is pooled and bottled after a 1-h hold time. When DHM is held for 24 h before bottling, more research is needed to determine the duration of initial mixing needed to reduce fat variability between bottles.


Asunto(s)
Bancos de Leche , Leche Humana , Animales , Humanos , Nutrientes , Refrigeración/veterinaria , Donantes de Tejidos
14.
Pediatrics ; 147(2)2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33483451

RESUMEN

Milk kinship is an Islamic belief that human milk creates a kinship between the breastfeeding woman and her nonbiological nursing infant (as well as the woman's biological nursing infants) prohibiting future marriages between "milk brothers and sisters." As such, Muslim families in the Western world may be reluctant to use donor human milk from human milk banks given the anonymity and multiplicity of donors. Health care providers for the mother-newborn dyad should be aware of this belief to have respectful, informed conversations with Muslim families and appropriately advocate for healthy newborn feeding. With this article, we outline the basis of milk kinship in Islamic beliefs, explore religious and bioethical interpretations of milk kinship, and provide information for physicians and other health care workers to become more knowledgeable about this practice.


Asunto(s)
Asistencia Sanitaria Culturalmente Competente , Conocimientos, Actitudes y Práctica en Salud , Islamismo , Bancos de Leche , Leche Humana , Religión y Medicina , Donantes de Tejidos , Humanos , Lactante , Recién Nacido , Islamismo/psicología , Donantes de Tejidos/ética , Donantes de Tejidos/psicología , Estados Unidos
16.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47992

RESUMEN

O coordenador da Rede de Bancos de Leite Humano João Aprígio Guerra de Almeida recebeu o prêmio Dr. Lee Jong-wook de Saúde Pública de 2020, durante a 73ª Assembleia Mundial de Saúde, da Organização Mundial de Saúde (OMS). A láurea - uma das mais importantes do campo da saúde pública - é um reconhecimento aos seus 22 anos de trabalho e dedicação à defesa do aleitamento materno, essencial para a redução da mortalidade infantil. Aprígio é pesquisador da Fiocruz, que coordena a rede.


Asunto(s)
Lactancia Materna , Bancos de Leche , Leche Humana , Promoción de la Salud
18.
Nutr. hosp ; 37(6): 1118-1122, nov.-dic. 2020. tab, graf
Artículo en Español | IBECS | ID: ibc-198301

RESUMEN

INTRODUCCIÓN: cuando no se dispone de leche materna propia, la leche materna donada es la mejor alternativa para asegurar los requerimientos nutricionales de los recién nacidos prematuros o enfermos. OBJETIVOS: conocer el contenido de macronutrientes de la leche materna donada y cómo varían estos en los distintos periodos de la lactancia. MATERIAL Y MÉTODOS: se analizó de forma retrospectiva la composición nutricional de 822,423 litros de leche materna donada, procedentes de 160 donantes del banco de leche materna de un hospital de tercer nivel entre el 1 de febrero de 2017 y el 31 de diciembre de 2019. RESULTADOS: el contenido en lípidos y carbohidratos se mantiene constante a lo largo de la lactancia; sin embargo, el contenido proteico disminuye inicialmente para luego volver a aumentar a partir del segundo año de lactancia. CONCLUSIONES: los bancos de leche materna deben conocer las variaciones del contenido en macronutrientes de la leche donada para optimizar la nutrición del recién nacido prematuro


INTRODUCTION: when own mother's breast milk is unavailable, donor human milk is the best option to guarantee the nutritional requirements of preterm or ill newborns. OBJECTIVES: to analyze the macronutrient composition of donor breast milk and its evolution over lactation periods. MATERIAL AND METHODS: we retrospectively analyzed the nutritional composition of 822.423 L of donor breast milk from 160 donors at the human milk bank of a third-level hospital between February 1, 2017 and December 31, 2019. RESULTS: lipid and carbohydrate composition remains constant throughout lactation. However, protein content decreases initially to increase again starting in the second year of lactation. CONCLUSIONS: donor human milk banks should be aware of the variations in macronutrient composition donor human milk shows in order to optimize nutrition for preterm newborns


Asunto(s)
Humanos , Leche Humana/química , Oligosacáridos/análisis , Lactancia Materna , Necesidades Nutricionales , Nutrientes/análisis , Bancos de Leche , Evaluación Nutricional , Estudios Retrospectivos , Espectroscopía Infrarroja Corta , Carbohidratos/análisis , Proteínas/análisis , Grasas/análisis
19.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47985

RESUMEN

O brasileiro João Aprígio Guerra de Almeida, coordenador da Rede Global de Bancos de Leite Humano (rBLH) do Brasil, recebeu nesta sexta-feira (13) o Prêmio Memorial Dr. Lee Jong-wook Memorial Prize for Public Health por seu trabalho de promoção do aleitamento materno no mundo.


Asunto(s)
Lactancia Materna , Promoción de la Salud , Bancos de Leche , Leche Humana
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