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. 2023 Oct;19(4):e13526.
doi: 10.1111/mcn.13526. Epub 2023 Jul 3.

Understanding the current and future usage of donor human milk in hospitals: An online survey of UK neonatal units

Natalie S Shenker  1   2 , Samantha Griffin  1 , Jonathan Hamill-Keays  2 , Merran Thomson  3 , Judith Simpson  4 , Gillian Weaver  2
Affiliations

Understanding the current and future usage of donor human milk in hospitals: An online survey of UK neonatal units

Natalie S Shenker et al. Matern Child Nutr. 2023 Oct.

Abstract

The use of donor human milk (DHM) where there is a shortfall of maternal milk can benefit both infant and maternal outcomes but DHM supply is not always assured. This study aimed to understand current DHM usage in UK neonatal units and potential future demand to inform service planning. An online survey was disseminated to all UK neonatal units using Smart Survey or by telephone between February and April 2022 after development alongside neonatal unit teams. Surveys were completed by 55.4% of units (108/195) from all 13 Operational Delivery Networks. Only four units reported not using DHM, and another two units only if infants are transferred on DHM feeds. There was marked diversity in DHM implementation and usage and unit protocols varied greatly. Five of six units with their own milk bank had needed to source milk from an external milk bank in the last year. Ninety units (84.9%) considered DHM was sometimes (n = 35) or always (n = 55) supportive of maternal breastfeeding, and three units (2.9%) responded that DHM was rarely supportive of breastfeeding. Usage was predicted to increase by 37 units (34.9%), and this drive was principally a result of parental preference, clinical trials and improved evidence. These findings support the assumption that UK hospital DHM demand will increase after updated recommendations from the World Health Organization (WHO) and the British Association of Perinatal Medicine. These data will assist service delivery planning, underpinned by an ongoing programme of implementation science and training development, to ensure future equity of access to DHM nationally.

Keywords: donor human milk; equity; neonatal unit; operational planning; service planning.

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Conflict of interest statement

Gillian Weaver and Natalie S. Shenker are cofounders of the Human Milk Foundation, a charity dedicated to supporting donor milk provision and facilitating research in the sector.

References

    1. Adhisivam, B. , Vishnu Bhat, B. , Banupriya, N. , Poorna, R. , Plakkal, N. , & Palanivel, C. (2019). Impact of human milk banking on neonatal mortality, necrotizing enterocolitis, and exclusive breastfeeding—experience from a tertiary care teaching hospital, south India. The Journal of Maternal‐Fetal & Neonatal Medicine, 32, 902–905. 10.1080/14767058.2017.1395012 - DOI - PubMed
    1. BAPM . (2016). A framework for practice; the use of donor human expressed breast milk in newborns.Retrieved February 01, 2023, from https://www.bapm.org/resources/use-donor-human-expressed-breast-milk-new...
    1. BAPM . (2023). The Use of Donor Human Milk in Neonates, a Framework for Practice https://www.bapm.org/resources/the-use-of-donor-human-milk-in-neonates
    1. Battersby, C. , Marciano Alves Mousinho, R. , Longford, N. , & Modi, N. , UK Neonatal Collaborative Necrotising (UKNC‐NEC) Study Group . (2018). Use of pasteurised human donor milk across neonatal networks in England. Early Human Development, 118, 32–36. 10.1016/j.earlhumdev.2018.01.017 - DOI - PubMed
    1. Borski, R. J. , Hyde, G. N. , Fruchtman, S. , & Tsai, W. S. (2001). Cortisol suppresses prolactin release through a non‐genomic mechanism involving interactions with the plasma membrane. Comparative Biochemistry and Physiology Part B: Biochemistry and Molecular Biology, 129(2‐3), 533–541. 10.1016/s1096-4959(01)00358-x - DOI - PubMed

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