Knowledge and attitude towards human milk banking in reproductive aged women living in Georgia
DOI:
https://doi.org/10.18203/2349-3291.ijcp20242006Keywords:
HMB, Donated human milk, Infant nutrition, BreastfeedingAbstract
Background: Breast milk is suggested as the ideal and sole early nutrition source for infants from birth to at least six months of age and should be viewed as a public health concern rather than a personal preference. Human milk banks (HMBs) play a crucial role in providing life-saving breast milk to premature and ill infants when maternal milk is unavailable. Georgia has ongoing efforts to establish the first official HMB facility.
Methods: We conducted a cross-sectional study employing a simple random sampling method to select a sample of 287 women of reproductive age and to assess their knowledge and attitude toward HMBs.
Results: Despite a substantial knowledge gap (57% recognizing nutritional superiority, 51% acknowledging infection risk reduction), the main issue is low trust (30%) in future local milk banking facilities; if unable to produce milk, only 30% of women prefer donated human milk over formula. A statistically significant association has been recorded between personal neonatal intensive care unit admission history, higher educational status, and a more positive attitude toward HMBs.
Conclusions: This study provides a foundational basis for future healthcare initiatives to enhance acceptance and knowledge of HMBs, facilitating the optimal functioning of these facilities within the population.
References
The Importance of Breastfeeding. The Surgeon General’s Call to Action to Support Breastfeeding. Washington, DC: U.S. Department of Health and Human Services, Office of the Surgeon General. 2011;1-6.
Eidelman AI, Schanler RJ, Johnston M, Landers S, Noble L, Szucs K, et al. Breastfeeding and the Use of Human Milk. Pediatrics. 2012;129(3):827-41.
Shamir R. The Benefits of Breast Feeding. In: Jatinder Bhatia, Raanan Shamir, Yvan Vandenplas, eds. Protein in Neonatal and Infant Nutrition: Recent Updates. Vol. 86. Beijing: Nestlé Nutrition Institute Workshop Series. 2016;67-76.
Bachrach VRG, Schwarz E, Bachrach LR. Breastfeeding and the risk of hospitalization for respiratory disease in infancy: a meta-analysis. Arch Pediatr Adolesc Med. 2003;157(3):237-43.
Ip S, Mei C, Gowri R, Priscilla C, Nombulelo M, Deirdre D, et al. Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess. 2007;(153):1-186.
Owen CG, Martin RM, Whincup PH, Smith GD, Cook DG. Does breastfeeding influence risk of type 2 diabetes in later life? A quantitative analysis of published evidence. Am J Clin Nutr. 2006;84(5):1043-54.
Arenz S, Rückerl R, Koletzko B, Von Kries R. Breast-feeding and childhood obesity-A systematic review. Int J Obes Relat Metab Disord J Int Assoc Study Obes. 2004;28(10):1247-56.
Liu J, Leung P, Yang A. Breastfeeding and Active Bonding Protects against Children’s Internalizing Behavior Problems. Nutrients. 2014;6(1):76-89.
Varer AC, Mandiracioglu A, Ozvurmaz S, Adana F, Koc N, Kurt F. Attitudes towards human milk banking among native turkish and refugee women residing in a rural region of Turkey: a mixed-methods approach. Int Breastfeed J. 2022;17(1):74.
Hosseinzadeh M, Mirghafourvand M, Mohammadhassan S, Parvaneh A, Vicki LD, Sima G. Donor Breast Milk Banking: Knowledge and Attitudes of Iranian Mothers. J Transcult Nurs. 2023;34(1):47-58.
Güngör D, Perrine N, Carol D, Concetta LP, Nancy T, Yat PW, et al. Never Versus Ever Feeding Human Milk and Food Allergies, Allergic Rhinitis, Atopic Dermatitis, and Asthma: A Systematic Review. USDA Nutrition Evidence Systematic Review. 2019:35536924.
Blackshaw K, Peter V, Nooshin K, Nina B, Aaron S, Fariba D, et al. The risk of infectious pathogens in breast-feeding, donated human milk and breast milk substitutes. Public Health Nutr. 2021;24(7):1725-40.
Arieh Riskin. Immunomodulatory Constituents of Human Donor Milk. Breastfeed Med. 2020;15(9):563-7.