Human Milk Banking: An Indian Experience

Neoreviews(2018)

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摘要
As part of integrated newborn care, human milk banks can reduce death and illness as well as lower health-care costs for infants born prematurely, especially with birthweights less than 1,500 g, and for infants born in resource-limited settings without access to their mother’s milk. Promotion of human milk banks is of special significance in India which has the highest burden of such infants. About 50 milk banks are insufficient to meet the needs of vulnerable infants. The government of India has acknowledged the role that human milk banking can play in reducing neonatal mortality and morbidity, and launched the “National Guidelines on Lactation Management Centers in Public Health Facilities” in 2017 with a vision to make breast milk universally available for all infants. The government is now working on an implementation strategy to scale up the lactation management center model (promotion of breastfeeding, kangaroo mother care, and donor human milk) for all newborn care units and delivery centers in the country. However, for effective expansion, it will be important to ensure improved government ownership, mandate availability of standard operating procedures at all facilities, stringent systems of quality control, standardized accreditation, and a robust monitoring system. Local evidence on the effectiveness of the comprehensive lactation management center (CLMC) model and knowledge, practices, and perceptions of human milk banking are limited. There is a need for rigorous implementation, process research, and technology innovation, along with a robust regulatory framework to prevent commercialization. In addition, attitude changes of mothers, maternal influencers, and health-care providers are all essential to successfully expand the CLMC model.
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milk
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