NCT's Big Weekend 2010
Human Milk Banking in the care of the Premature Infant
Presented by Lynda Coulter, Human Milk Bank Manager, Countess of Chester Hospital
18. Donor breast milk banks Currently Implementing NICE guidance & Working towards National Standards 2010 NICE clinical guideline 93
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24. GLOBAL PERSPECTIVE: USA “ Breast Milk Banks fill need” “ I think it must be similar to what people who receive donated blood must feel, This kind of gift is so personal and can be monumental for those who receive it” says Shaw Trevor Hughes USA TODAY
27. Donor Breast Milk Conference 2010 Donor breast milk in the care of the neonate The rationale for human milk feeding in the very preterm Infant Dr Colin Morgan, Consultant Neonatologist , Liverpool Women’s Hospital, Liverpool Current immunology research: Human breast milk: a rich and novel source of regulators of microbial recognition by Toll-like receptors Dr Mario O Labéta, Senior Lecturer, Medical Biochemistry Henry Wellcome Research Unit, Cardiff University School of Medicine Lactoengineering: manipulating the protein content of human milk Dr Antoni Gaya, Consultant Immunologist Human Tissue & Milk Bank, Majorca, Spain Donor breast milk in neonatal care Professor Neena Modi, Professor of Neonatology Chelsea & Westminster Hospital, London Using donor breast milk: an opportunity to change attitudes to all neonatal feeding on a neonatal unit Dr Camilla Kingdon, Consultant Neonatologist St Thomas’s Hospital, London Debate Should we use donor breast milk in the care of the neonate? Case for: Dr Colin Morgan Response: Professor Neena Modi
NOTES FOR PRESENTERS: Key point to raise: No payment for the donated milk is given. Additional information: The following are also defined in the ‘key to terms’: Donor milk depot: any place where donor milk can be stored before transfer to the milk bank. The depot can be run by the milk bank (for example, when donors are from wide geographic areas) or by volunteers. Drip milk: milk that is passively collected from one breast while the baby feeds at the other. Please ask your audience to refer to the ‘key to terms ’ on page 4 of the quick reference guide for a full list of definitions.
NOTES FOR PRESENTERS: ABOUT THIS PRESENTATION: This presentation has been written to help you raise awareness of the NICE clinical guideline on Donor breast milk banks : the operation of donor breast milk bank services . This guideline has been written for donor breast milk bank staff, healthcare professionals who care for babies who receive donor breast milk. The guideline makes recommendations on the safe and effective operation of donor milk services. These recommendations could also be used by organisations who are considering starting a donor breast milk bank. The guideline is available in a number of formats, including a quick reference guide. NICE recommends that you use the quick reference guide during your presentation so that your audience can refer to it. See the end of the presentation for ordering details. You can add your own organisation’s logo alongside the NICE logo. We have included notes for presenters, broken down into ‘key points to raise’, which you can highlight in your presentation, and ‘additional information’ that you may want to draw on, such as a rationale or an explanation of the evidence for a recommendation. Where necessary, the recommendation will be given in full. DISCLAIMER This slide set is an implementation tool and should be used alongside the published guidance. This information does not supersede or replace the guidance itself. PROMOTING EQUALITY Implementation of this guidance is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement the guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity. Nothing in this guidance should be interpreted in a way which would be inconsistent with compliance with those duties.
NOTES FOR PRESENTERS: Key points to raise: The last two bullet points on this slide are drawn from a Health Technology Assessment (HTA) report published in 2009, entitled ‘Breastfeeding promotion for infants in neonatal units: a systematic review and economic analysis’. This report concluded that if mechanisms by which donor milk is provided were improved, donor milk would become cost effective compared with using formula. This was based on a significant improvement in the operation of milk banking, and suggested models include setting up a national donor milk banking system similar to that for blood (Renfrew et al. 2009). Additional information: Women are recommended to breastfeed their baby exclusively for 6 months and continue to breastfeed after 6 months as part of a balanced diet (see www.dh.gov.uk for the latest Department of Health guidance on breastfeeding). In the UK, donor milk banks have been following guidance issued by various bodies. This includes a report on the collection and storage of human milk (Committee on Medical Aspects of Food Policy 1981) and, more recently, guidelines issued in 2003 by the UK Association for Milk Banking.