摘要
The COVID-19 pandemic has had a significant impact on the operation of donor human milk banks in various countries such as China, Italy and India. It is understandable that this impact on operations of donor human milk might hamper the capability of these milk banks to provide sufficient pasteurized donor milk to neonates who need it. Contrary to developed world, predominant donors in developing nations are mothers of hospitalised neonates who have a relatively long period of hospital stay. This longer maternal hospital stay enhances the feasibility of milk donation by providing mothers with access to breast pumps to express their milk. Any excess milk a mother expresses which is above the needs of their own infant can be voluntarily donated. This physical proximity of milk banks to donors may help continuation of human milk donation in developing nations during the pandemic. Nevertheless, protocols need to be implemented to i) ensure the microbiological quality of the milk collected and ii) consider steps to mitigate potential consequences related to the possibility of the donor being an asymptomatic carrier of COVID-19. We present the procedural modifications implemented at the Comprehensive Lactation Management Centre at Lady Hardinge Medical College in India to promote breastfeeding and human milk donation during the pandemic which comply with International and National guidelines. This commentary provides a perspective from a milk bank in India which might differ from the perspective of the international donor human milk banking societies.
摘要译文
COVID-19大流行对中国，意大利和印度等多个国家的捐赠人奶库的运作产生了重大影响。可以理解，这种对供体人乳运作的影响可能会妨碍这些奶库向需要其的新生儿提供足够的巴氏灭菌的供体乳的能力。与发达国家相反，发展中国家的主要捐助者是住院时间较长的新生儿的母亲。较长的产妇住院时间使母亲可以使用吸乳器来表达自己的牛奶，从而增加了捐赠牛奶的可行性。母亲表达的超出其婴儿需求的任何过量牛奶都可以自愿捐赠。牛奶库与捐助者之间的这种物理距离可能有助于在大流行期间继续在发展中国家提供母乳。尽管如此，仍需要执行以下方案：i）确保所收集牛奶的微生物质量，ii）考虑采取措施减轻与潜在捐赠者成为COVID-19无症状携带者的可能性有关的潜在后果。我们介绍在印度Lady Hardinge医学院的综合泌乳管理中心实施的程序修改，以促进大流行期间符合国际和国家准则的母乳喂养和母乳捐赠。该评论提供了印度牛奶银行的观点，该观点可能与国际捐助者的牛奶银行社会的观点有所不同。
Maheshwar Bhasin[1];Sushma Nangia[1];Srishti Goel[2]. Role of human milk banks amid COVID 19: perspective from a milk bank in India[J]. International Breastfeeding Journal, 2020,15(1)