47
IRUS Total
Downloads

Maintaining human milk bank services throughout the COVID-19 pandemic: A global response

File Description SizeFormat 
mcn.13131.pdfPublished version1.09 MBAdobe PDFView/Open
Title: Maintaining human milk bank services throughout the COVID-19 pandemic: A global response
Authors: Shenker, N
Staff, M
Vickers, A
Aprigio, J
Tiwari, S
Nangia, S
Sachdeva, RC
Clifford, V
Coutsoudis, A
Reimers, P
Israel-Ballard, K
Mansen, K
Mileusnic-Milenovic, R
Wesolowska, A
Goudoever, JBV
Hosseini, M
Klotz, D
Grøvslien, AH
Weaver, G
Virtual Collaborative Network of Milk Banks and Associations
Item Type: Journal Article
Abstract: If maternal milk is unavailable, the World Health Organization recommends that the first alternative should be pasteurised donor human milk (DHM). Human milk banks (HMBs) screen and recruit milk donors, and DHM principally feeds very low birth weight babies, reducing the risk of complications and supporting maternal breastfeeding where used alongside optimal lactation support. The COVID-19 pandemic has presented a range of challenges to HMBs worldwide. This study aimed to understand the impacts of the pandemic on HMB services and develop initial guidance regarding risk limitation. A Virtual Collaborative Network (VCN) comprising over 80 HMB leaders from 36 countries was formed in March 2020 and included academics and nongovernmental organisations. Individual milk banks, national networks and regional associations submitted data regarding the number of HMBs, volume of DHM produced and number of recipients in each global region. Estimates were calculated in the context of missing or incomplete data. Through open-ended questioning, the experiences of milk banks from each country in the first 2 months of the pandemic were collected and major themes identified. According to data collected from 446 individual HMBs, more than 800,000 infants receive DHM worldwide each year. Seven pandemic-related specific vulnerabilities to service provision were identified, including sufficient donors, prescreening disruption, DHM availability, logistics, communication, safe handling and contingency planning, which were highly context-dependent. The VCN now plans a formal consensus approach to the optimal response of HMBs to new pathogens using crowdsourced data, enabling the benchmarking of future strategies to support DHM access and neonatal health in future emergencies.
Issue Date: Jul-2021
Date of Acceptance: 4-Dec-2020
URI: http://hdl.handle.net/10044/1/85492
DOI: 10.1111/mcn.13131
ISSN: 1740-8695
Publisher: Wiley Open Access
Start Page: 1
End Page: 13
Journal / Book Title: Maternal and Child Nutrition
Volume: 17
Issue: 3
Copyright Statement: © 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Sponsor/Funder: Medical Research Council (MRC)
Funder's Grant Number: MR/S017437/1
Keywords: Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Pediatrics
breastfeeding
COVID-19
donor human milk
infant feeding
milk bank
nutrition
pandemic
prematurity
RESPIRATORY SYNDROME CORONAVIRUS
DONOR HUMAN-MILK
BREAST-MILK
INACTIVATION
STABILITY
COVID-19
breastfeeding
donor human milk
infant feeding
milk bank
nutrition
pandemic
prematurity
Virtual Collaborative Network of Milk Banks and Associations
COVID-19
breastfeeding
donor human milk
infant feeding
milk bank
nutrition
pandemic
prematurity
Nutrition & Dietetics
1111 Nutrition and Dietetics
Publication Status: Published
Conference Place: England
Online Publication Date: 2021-01-06
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine
Imperial College London COVID-19



This item is licensed under a Creative Commons License Creative Commons