DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20183368

Sociodemographic and clinical profile of human milk donors and their infants in a model human milk bank: a descriptive cross-sectional study

Anitha M. Balachandran, Kamalarathnam C. N., Mangala Bharathi S.

Abstract


Background: Human milk banking depends on donations and characterization of donors seems important. We aimed to determine prevalence of human milk donors and profile of regular donors and their infants.

Methods: Cross-sectional study done on human milk donors in model HMB in tertiary NICU for six months.  Donors who had donated for more than 30% of their hospital stay considered as regular donors. Their sociodemographic and clinical profile along with their infant status recorded from history, examination and health records.

Results: Prevalence of Human milk donors in our HMB was 71.3% and that of regular donors was 27.08%. 616 eligible to donate. 234 regular donors included separating 382 defaulters. Excluding 17, 217 regular donors enrolled. Religious beliefs did not deter donation. 65.43% had school education. 90% donors belonged to middle socioeconomic class. Three fourths already had 2 living children. Majority delivered vaginally (62.67%) in health facility offering level II neonatal NICU care (42.86%). Regular donors stayed in hospital with their sick infants for mean (SD) period of 13 (4.21) days. Mean (SD) Post-natal age of commencement of milk donation among regular donors was 9 (3.47) days. Breast-feeding rate was 87.09%. Regular donors had delivered very low birth weight (42.86%), SGA (53.46%) infants who stayed in hospital for mean (SD) duration 18 (6.86) days.

Conclusions: The prevalence of Human milk donors in our HMB was 71.3%. Only one third of them were regular donors. No religious barriers for donation observed. Educated socioeconomically secure multiparous donors made sustained donations. Health status and length of Postnatal stay in hospital of mothers and infants seemed to have a bearing on sustained donation.

 


Keywords


Clinical, Donors’ infants, Human milk banking, Milk donors, Regular donation, Sociodemographic

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References


Nangia S, Sachdeva RC, Sabharwal V. Human Milk Banking: An Indian Experience. Neoreveiws. 2018;19(4):e201-10.

Bharadva K, Tiwari S, Mishra S, Mukhopadhyay K, Yadav B, Agarwal RK et al. Infant and young child feeding chapter. Indian Acad Pediat Indian Pediatr. 2014;51:469-74.

Osbaldiston R, Mingle LA. Characterization of Human Milk. Donors J Hum Lact. 2007 23(4):350-7

Thomaz PAC, Loureiro MLV, da Silva Oliveira T, de Mendonca Furtado Montenegro NC, Dantas Almeida Junior E, Fernando Rodrigues Soriano C et al. The Human Milk Donation Experience: Motives, Influencing Factors, and Regular Donation. Hum Lact. 2008;24:69-76.

Azema E, Callahan S. Breast milk donors in France: a portrait of the typical donor and the utility of milk banking in the French breastfeeding context. J Hum Lact. 2003;19:199-202.

Senol DK, Aslan E. Women’s opinions about human milk donation and human milk banking. Biomed Res. 2017;28(15):6866-71.

Mackenzie C, Javanparast S, Newman L. Mother’s knowledge of and Attitudes toward Human Milk banking in south Australia: A qualitative Study Hum Lact. 2013;29(2):222-9.

Martínez-Sabater A, Siles-González J, Escrivá-Aparisi MV, Ballestar-Tarín ML Review of the Characteristics of Mothers Donor Milk Banks Amer J Nurs Res. 2014;2(6):1-6.

Sierra-Colomina G, García-Lara NR, Escuder-Vieco D, Alonso-Díaz C, Esteban EM, Pallás-Alonso CR. Donor milk volume and characteristics of donors and their children. Early Human Develop. 2014;90(5):209-12.

Stevens J, Keim SA. How research on charitable giving can inform strategies to promote human milk donations to milk banks. J Human Lactat. 2015;31(3):344-7.

Zakirhussain Shaikh, Rambha Pathak. Revised Kuppusamy and B G Prasad socio- economic scales for 2016.Int J Community Med Public Health. 2017;4(4):997-9.

Arnold LDW. Borman LL. What are the characteristics of the Ideal human milk donor? J Hum Lact.1996;12:143-5.

Alnakshabandi K, Fiester A. Creating religiously compliant milk banks in the Muslim world: a commentatory. Kholoud Alnakshabandi, Autumn Fiester. Paediat Int Child Health. 2016;36(1):4-6.