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The Experience of Human Milk Banking for 8 Years: Korean Perspective

机译:韩国视角八年的母乳银行业务经验

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摘要

Human milk banks are a solution for mothers who cannot supply their own breast milk to their sick or hospitalized infants; premature infants, in particular, are unable to receive a full volume of breast milk for numerous reasons. As of December 2015, there was only one milk bank in a university hospital in Korea. We reviewed the basic characteristics of donors and recipients, and the amounts and contamination of breast milk donated at the Human Milk Bank in Kyung Hee University Hospital at Gangdong in Korea from 2008 to 2015. The donor pool consisted of 463 first-time donors and 452 repeat donors who made 1,724 donations. A total of 10,820 L of breast milk was collected, and 9,541.6 L were processed. Detectable bacteria grew in 12.6% after pasteurization and 52.5% had cytomegalovirus DNA before pasteurization in donated milk. There were 836 infant and 25 adult recipients; among new infant recipients, 48.5% were preterm; the groups received 8,009 and 165.7 L of donor milk, respectively. There was an increase in the percentage of preterm infants among new infant recipients in 2015 (93.1%) compared to 2008 (8.5%). Based on the number of premature infants in Korea, the number of potential recipients is not likely to diminish anytime soon, despite efforts to improve the breastfeeding rate. Sustainability and quality improvement of the milk bank need long-term financial support by health authorities and a nationwide network similar to blood banking will further contribute to the progress of milk banking.
机译:对于无法为自己生病或住院的婴儿提供母乳的母亲,母乳库是一种解决方案;尤其是早产儿,由于多种原因无法接受全部量的母乳。截至2015年12月,韩国一家大学医院只有一家牛奶银行。我们回顾了捐赠者和接受者的基本特征,以及2008年至2015年在韩国江东庆熙大学医院人乳库捐赠的母乳的数量和污染情况。捐赠者池包括463名初次捐赠者和452名初次捐赠者重复捐出1,724人的捐助者。总共收集了10,820升母乳,加工了9,541.6升。巴氏消毒后可检测到的细菌增长了12.6%,捐赠牛奶中巴氏消毒前有52.5%的细菌具有巨细胞病毒DNA。有836名婴儿和25名成人接收者;在新生婴儿中,早产的占48.5%;各组分别接受了8009和165.7升供体乳。与2008年(8.5%)相比,2015年新生婴儿中早产儿的百分比(93.1%)有所增加。根据韩国的早产婴儿数量,尽管努力提高母乳喂养率,但潜在接受者的数量不太可能在短期内减少。牛奶库的可持续性和质量改善需要卫生当局的长期财政支持,类似于血库的全国性网络将进一步促进牛奶库的发展。

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