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https://www.readbyqxmd.com/read/28614672/composition-and-variation-of-macronutrients-immune-proteins-and-human-milk-oligosaccharides-in-human-milk-from-nonprofit-and-commercial-milk-banks
#1
Laura Meredith-Dennis, Gege Xu, Elisha Goonatilleke, Carlito B Lebrilla, Mark A Underwood, Jennifer T Smilowitz
BACKGROUND: When human milk is unavailable, banked milk is recommended for feeding premature infants. Milk banks use processes to eliminate pathogens; however, variability among methods exists. Research aim: The aim of this study was to compare the macronutrient (protein, carbohydrate, fat, energy), immune-protective protein, and human milk oligosaccharide (HMO) content of human milk from three independent milk banks that use pasteurization (Holder vs. vat techniques) or retort sterilization...
June 1, 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28602109/air-and-water-processes-do-not-produce-the-same-high-quality-pasteurization-of-donor-human-milk
#2
Rachel Buffin, Pierre Pradat, Jocelyne Trompette, Isabelle Ndiaye, Eliane Basson, Isabelle Jordan, Jean-Charles Picaud
BACKGROUND: Holder pasteurization is the most commonly used technique in milk banks worldwide, but higher temperatures and longer pasteurization time have been associated with damage to the immune components of human milk. Research aim: This study aimed to assess the detailed pattern of pasteurization temperature using two water pasteurizers (WP1 and WP2) and one air pasteurizer (AP). METHODS: The milk temperature during each phase of the pasteurization cycle was recorded using 6 to 9 probes, depending on the number of bottles, in the pasteurizers...
June 1, 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28586632/antibody-profile-of-colostrum-and-the-effect-of-processing-in-human-milk-banks-implications-in-immunoregulatory-properties
#3
Claudio Rodríguez-Camejo, Arturo Puyol, Laura Fazio, Analía Rodríguez, Emilia Villamil, Eliana Andina, Vanira Cordobez, Hernán Díaz, Mary Lemos, Gabriela Siré, Lilián Carroscia, Mara Castro, Luis Panizzolo, Ana Hernández
BACKGROUND: When feeding preterm infants, donor milk is preferred if the mother's own milk is unavailable. Pasteurization may have detrimental effects on bioactivity, but more information is needed about its effects on the immunological compounds. Research aim: This work has two main aims: evaluate the antibody profile of colostrum and study the quantitative variations in the antibodies' level and specific reactivity after undergoing Holder pasteurization. The authors focused on immunoregulatory components of colostrum (antidietary antibodies and TGF-β2) in the neonatal gut...
June 1, 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28570611/lipid-profile-of-different-infant-formulas-for-infants
#4
Marcio Antonio Mendonça, Wilma Maria Coelho Araújo, Luiz Antonio Borgo, Ernandes de Rodrigues Alencar
Situations including premature infants, or those in which there is a rejection to breastfeeding, require the use infant formulas for total or partial replacement of human milk. The objective of this study was to determine the lipid content and to identify the lipid profile of infant formulas. Samples were collected from ten different infant formulas, used as a substitute for breast milk at the Maternal and Child Hospital of Brasilia. The human milk sample consisted of a pool of samples from 10 mature milk donors at the milk bank of the University Hospital of Brasilia...
2017: PloS One
https://www.readbyqxmd.com/read/28538935/-educational-practices-in-accordance-with-the-ten-steps-to-successful-breastfeeding-in-a-human-milk-bank
#5
Cristianny Miranda E Silva, Ana Luiza Rodrigues Pellegrinelli, Simone Cardoso Lisboa Pereira, Ieda Ribeiro Passos, Luana Caroline Dos Santos
This article sought to evaluate educational practices in line with the "Ten Steps to Successful Breastfeeding" in a Human Milk Bank. It involved a retrospective study using sociodemographic data about the pregnancy and the baby, obtained from a nursing mothers care protocol (2009-2012). These data were associated to steps related to educational practices from the "Ten Steps." Descriptive analysis, chi-square test and Poisson regression were performed. 12,283 mothers, with a median of 29 (12-54) years old, were evaluated...
May 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28473474/unpasteurized-shared-human-milk-use-in-pediatric-inpatients-health-and-ethical-implications
#6
Kimberly H Barbas, Karen Sussman-Karten, Daniel Kamin, Susanna Y Huh
Growing evidence supporting the health benefits of human milk, particularly in the preterm population, has led to rising demand for donor human milk in NICUs and pediatric hospitals. There are no previous reports describing the use of unpasteurized shared human milk (USHM) in the hospital setting, but the use of USHM solicited from community donors through social networks appears to be common. Many pediatric hospitals permit inpatients to receive breast milk that has been screened and pasteurized by a human milk banking organization and will provide pasteurized donor human milk (PDHM) only to infants who are preterm or have specific medical conditions...
June 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28432863/prevalence-and-factors-associated-with-breast-milk-donation-in-banks-that-receive-human-milk-in-primary-health-care-units
#7
Tatiana Mota Xavier de Meneses, Maria Inês Couto de Oliveira, Cristiano Siqueira Boccolini
OBJECTIVE: To estimate the prevalence and to analyze factors associated with breast milk donation at primary health care units in order to increase the human milk bank reserves. METHODS: Cross-sectional study carried out in 2013 in Rio de Janeiro, Brazil. A representative sample of 695 mothers of children younger than 1 year attended to at the nine primary health care units with human milk donation services were interviewed. A hierarchical approach was used to obtain adjusted prevalence ratios (APR) by Poisson regression with robust variance...
April 19, 2017: Jornal de Pediatria
https://www.readbyqxmd.com/read/28335478/lactational-stage-of-pasteurized-human-donor-milk-contributes-to-nutrient-limitations-for-infants
#8
Christina J Valentine, Georgia Morrow, Amanda Reisinger, Kelly A Dingess, Ardythe L Morrow, Lynette K Rogers
BACKGROUND: Mother's own milk is the first choice for feeding preterm infants, but when not available, pasteurized human donor milk (PDM) is often used. Infants fed PDM have difficulties maintaining appropriate growth velocities. To assess the most basic elements of nutrition, we tested the hypotheses that fatty acid and amino acid composition of PDM is highly variable and standard pooling practices attenuate variability; however, total nutrients may be limiting without supplementation due to late lactational stage of the milk...
March 18, 2017: Nutrients
https://www.readbyqxmd.com/read/28262036/the-effect-of-simulated-flash-heating-pasteurisation-and-holder-pasteurisation-on-human-milk-oligosaccharides
#9
Brodie Daniels, Anna Coutsoudis, Chloe Autran, Kimberly Amundson Mansen, Kiersten Israel-Ballard, Lars Bode
BACKGROUND: Human milk oligosaccharides (HMOs) have important protective functions in human milk. A low-cost remote pasteurisation temperature-monitoring system has been designed using FoneAstra, a cell phone-based networked sensing system to monitor simulated flash heat pasteurisation. AIM: To compare the pasteurisation effect on HMOs of the FoneAstra FH method with the current Sterifeed Holder method used by human milk banks. METHODS: Donor human milk samples (n = 48) were obtained from a human milk bank and pasteurised using the two pasteurisation methods...
March 6, 2017: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/28241418/the-effect-of-simulated-flash-heat-pasteurization-on-immune-components-of-human-milk
#10
Brodie Daniels, Stefan Schmidt, Tracy King, Kiersten Israel-Ballard, Kimberly Amundson Mansen, Anna Coutsoudis
A pasteurization temperature monitoring system has been designed using FoneAstra, a cellphone-based networked sensing system, to monitor simulated flash-heat (FH) pasteurization. This study compared the effect of the FoneAstra FH (F-FH) method with the Sterifeed Holder method currently used by human milk banks on human milk immune components (immunoglobulin A (IgA), lactoferrin activity, lysozyme activity, interleukin (IL)-8 and IL-10). Donor milk samples (N = 50) were obtained from a human milk bank, and pasteurized...
February 22, 2017: Nutrients
https://www.readbyqxmd.com/read/28159212/human-milk-treatment-and-quality-of-banked-human-milk
#11
REVIEW
Jean-Charles Picaud, Rachel Buffin
The aim of human milk banks is to deliver safe and high quality donor human milk. Treatment of human milk has to destroy most microorganisms while preserving immunological and nutrient components, which is obtained when using low time low temperature pasteurization. However it destroys bile-simulated lipase, reduces lactoferrin, lysozyme, immunoglobulins, and bactericidal capacity of human milk. New methods are under investigation such as high temperature short time pasteurization, high pressure processing, or ultraviolet irradiation...
March 2017: Clinics in Perinatology
https://www.readbyqxmd.com/read/28159201/ensuring-safety-in-donor-human-milk-banking-in-neonatal-intensive-care
#12
REVIEW
Ben T Hartmann
The provision of donor human milk avoids the risks associated with early infant formula feeding only when maternal milk is unavailable. Donor human milk-banking services (DHMBS) should provide an effective clinical service that causes no harm to donors or recipients. This article aims to begin the process of defining the minimum acceptable standard required for safe donor human milk banking in the neonatal unit. An assessment process is established to consider the potential risks and benefits of milk banking to both recipients and donors...
March 2017: Clinics in Perinatology
https://www.readbyqxmd.com/read/28135766/high-temperature-short-time-pasteurisation-of-human-breastmilk-is-efficient-in-retaining-protein-and-reducing-the-bacterial-count
#13
Daniel Klotz, Mirjam Joellenbeck, Karl Winkler, Mirjam Kunze, Daniela Huzly, Roland Hentschel
AIM: Milk banks are advised to use Holder pasteurisation to inactivate the cytomegalovirus, but the process adversely affects the bioactive properties of human breastmilk. This study explored the antibacterial efficacy of an alternative high-temperature short-time (HTST) treatment of human breastmilk and its effect on marker proteins, compared with the Holder method. METHODS: Breastmilk samples were obtained from 27 mothers with infants in a German neonatal intensive care unit...
May 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28135118/ebola-virus-and-marburg-virus-in-human-milk-are-inactivated-by-holder-pasteurization
#14
Erin Hamilton Spence, Monica Huff, Karen Shattuck, Amy Vickers, Nadezda Yun, Slobodan Paessler
BACKGROUND: Potential donors of human milk are screened for Ebola virus (EBOV) using standard questions, but testing for EBOV and Marburg virus (MARV) is not part of routine serological testing performed by milk banks. Research aim: This study tested the hypothesis that EBOV would be inactivated in donor human milk (DHM) by standard pasteurization techniques (Holder) used in all North American nonprofit milk banks. METHODS: Milk samples were obtained from a nonprofit milk bank...
May 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28088062/a-retrospective-audit-of-bacterial-culture-results-of-donated-human-milk-in-perth-western-australia
#15
Yahya Almutawif, Benjamin Hartmann, Megan Lloyd, Wendy Erber, Donna Geddes
INTRODUCTION: The bacterial content of donated human milk is either endogenous or introduced via contamination. Defining milk bank bacterial content will allow researchers to devise appropriate tests for significant and commonly encountered organisms. OBJECTIVE: A retrospective audit was conducted on data recorded from the Perron Rotary Express Milk Bank, King Edward Memorial Hospital, Subiaco, Western Australia. This aimed to describe the incidence of bacterial species detected in donated human milk and to identify potentially pathogenic bacteria...
January 11, 2017: Early Human Development
https://www.readbyqxmd.com/read/28056181/an-adoptive-mother-who-became-a-human-milk-donor
#16
Beatriz Flores-Antón, Nadia Raquel García-Lara, Carmen Rosa Pallás-Alonso
Inducing lactation in the absence of pregnancy (nonpuerperal lactation) is not always successful and, in many cases, only partial breastfeeding is achieved. Different protocols have been described, but scientific evidence and research are lacking in this area. The authors describe the case of a woman with a history of a miscarriage, for whom the lactation induction process was so effective that she became a milk donor even before she received her adopted child. She had not previously used hormone treatment...
May 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28002856/-the-changing-value-of-mother-s-milk-feeding-premature-and-sick-newborns-since-the-late-19th-century
#17
A Sunder-Plaßmann
In the 1960s/early 70s there was a widespread conviction in West Germany that mother's milk was no longer essential even for premature infants given the availability of improved industrial milk products. But today the superiority of human milk is again undisputed, and progress in neonatology has created a growing target group of extremely premature infants who show clear benefits from being fed with human milk, particularly regarding improved outcomes. Currently there is a revival of donor milk banks (FMB)...
December 2016: Zeitschrift Für Geburtshilfe und Neonatologie
https://www.readbyqxmd.com/read/27994111/donor-human-milk-for-the-high-risk-infant-preparation-safety-and-usage-options-in-the-united-states
#18
(no author information available yet)
The use of donor human milk is increasing for high-risk infants, primarily for infants born weighing <1500 g or those who have severe intestinal disorders. Pasteurized donor milk may be considered in situations in which the supply of maternal milk is insufficient. The use of pasteurized donor milk is safe when appropriate measures are used to screen donors and collect, store, and pasteurize the milk and then distribute it through established human milk banks. The use of nonpasteurized donor milk and other forms of direct, Internet-based, or informal human milk sharing does not involve this level of safety and is not recommended...
January 2017: Pediatrics
https://www.readbyqxmd.com/read/27925493/the-effect-of-freeze-drying-on-the-nutrient-polyphenol-and-oxidant-levels-of-breast-milk
#19
Mariela Valentina Cortez, Elio Andrés Soria
OBJECTIVES: Human milk banks need to extend the suitability of milk for breastfeeding, and for this technological advances are required. Our aim was to establish the capacity of freeze-drying to conserve milk properties without further oxidative deterioration. METHODS: One hundred sixteen healthy women participated from the city of Cordoba (Argentina). Proteins, glucose, triglycerides, polyphenols, and markers (nitrites, superoxide anion, hydroperoxides, lipoperoxides, and γ-glutamyl transpeptidase) were measured in their fresh milk...
December 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/27831549/establishing-an-integrated-human-milk-banking-approach-to-strengthen-newborn-care
#20
A DeMarchis, K Israel-Ballard, Kimberly Amundson Mansen, C Engmann
The provision of donor human milk can significantly reduce morbidity and mortality among vulnerable infants and is recommended by the World Health Organization as the next best option when a mother's own milk is unavailable. Regulated human milk banks can meet this need, however, scale-up has been hindered by the absence of an appropriate model for resource-limited settings and a lack of policy support for human milk banks and for the operational procedures supporting them. To reduce infant mortality, human milk banking systems need to be scaled up and integrated with other components of newborn care...
May 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
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