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MINNEN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Remus en romulus ,[object Object],[object Object]
VOEDSTER PRINSES WILHELMINA ,[object Object]
Donormelk 1950 ,[object Object],[object Object]
VRIESDROGEN   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nederlandse rode kruis moedermelkcentrale o.l.v. groen, wit-geel, oranje-groene kruis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DONORMELK ,[object Object],[object Object],[object Object]
aanbeveling ,[object Object],[object Object],[object Object],[object Object]
wanneer? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDICATIES ,[object Object],[object Object],[object Object],[object Object]
Teveel of te weinig melk? ,[object Object],[object Object],[object Object],[object Object]
Rol van het netwerk ,[object Object],[object Object]
Rol van het netwerk ,[object Object],[object Object],[object Object]
Rol van de Lactatiekundige? ,[object Object],[object Object],[object Object],[object Object]
screening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANAMNESE  DONOR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
screening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
serologie ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
ANAMNESE VRAAGMOEDER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
werkwijze ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
schriftelijke instructies   v00r donor en gebruiker ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thuis bewaren DONOR ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vervoer dm ,[object Object],[object Object],[object Object]
Thuis bewaren gebruiker ,[object Object],[object Object],[object Object]
Pretoria pasteurisatie ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Effect hitte behandeling of bewaring op antimicrobiele factoren 15 seconden 30 minuten Koelen 7dgn Vriezen 3 mnd 72°C  Flash 62.5°C &quot;Holding” 56°C 4°C -15°C SIgA 85 70 85 100 100 IgM 0 verminderd IgG 70 95 verminderd Lacto ferrine 100 40 75 100 Complement C3 0 0 90 Melk Cellen 0 0 0 10 Lysozyme 100 75 100 90 Vitamine A 100 100 100 Lipase 3 0 75 50 Oligosaccaride etc. 100 100 100 100 100 Bacterio statische activ. enige < enige < geen < < maand 3 mnd 66% CMV nil nil enig discutabel discutabel Huidbact. 99% nil nil enig verminderd
Effect hitte behandeling of bewaring op antimicrobiele factoren 15 seconden 30 minuten Koelen 7dgn Vriezen 3 mnd 72°C  Flash 62.5°C &quot;Holding” 56°C 4°C -15°C Lysozyme 100 75 100 90 Vitamine A 100 100 100 Lipase 3 0 75 50 Oligosaccaride etc. 100 100 100 100 100 Bacterio statische activ. enige < enige < geen < < maand 3 mnd 66% CMV nil nil enig discutabel discutabel Huidbact. 99% nil nil enig verminderd
toedieningsvormen
Verschillen MmN en Moedermelkbank ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIOLOGISCHE GRENSWAARDEN ,[object Object],[object Object],[object Object]
BACTERIOLOGISCHE GRENSWAARDEN ,[object Object],[object Object],[object Object],[object Object]
MOEDERMELKTYPES 1 T/M 4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
SAMENWERKINGs VERBAnD MOEDERMELKBANKEN? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
145 liter
 
 
Moedermelk netwerk ,[object Object],[object Object]
DANK U VOOR UW AANDACHT

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Moedermelk Netwerk

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  • 29. Effect hitte behandeling of bewaring op antimicrobiele factoren 15 seconden 30 minuten Koelen 7dgn Vriezen 3 mnd 72°C Flash 62.5°C &quot;Holding” 56°C 4°C -15°C SIgA 85 70 85 100 100 IgM 0 verminderd IgG 70 95 verminderd Lacto ferrine 100 40 75 100 Complement C3 0 0 90 Melk Cellen 0 0 0 10 Lysozyme 100 75 100 90 Vitamine A 100 100 100 Lipase 3 0 75 50 Oligosaccaride etc. 100 100 100 100 100 Bacterio statische activ. enige < enige < geen < < maand 3 mnd 66% CMV nil nil enig discutabel discutabel Huidbact. 99% nil nil enig verminderd
  • 30. Effect hitte behandeling of bewaring op antimicrobiele factoren 15 seconden 30 minuten Koelen 7dgn Vriezen 3 mnd 72°C Flash 62.5°C &quot;Holding” 56°C 4°C -15°C Lysozyme 100 75 100 90 Vitamine A 100 100 100 Lipase 3 0 75 50 Oligosaccaride etc. 100 100 100 100 100 Bacterio statische activ. enige < enige < geen < < maand 3 mnd 66% CMV nil nil enig discutabel discutabel Huidbact. 99% nil nil enig verminderd
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  • 42. DANK U VOOR UW AANDACHT

Editor's Notes

  1. .
  2. * Medicatie die niet samengaat met de borstvoeding ( Dr. Thomas Hale ). * Te weinig klierweefsel heeft voor volledige voeding (aangeboren). * Een borstoperatie heeft ondergaan. * Onder invloed van stress de borstvoeding niet goed op gang komt en bijvoeding noodzakelijk is. * Zij HIV/AIDS heeft. * Adoptie kind
  3. Prematuriteit AIDS Failure to thrive: groeiachterstanden NEC Malabsorption: onvermogen opname bep. voedingsstoffen Ziekte van Crohn Renal failure: uitvallen vd nieren Colitis Feeding intolerance: voedsel intolerantie Allergieen Inborn errors of metabolism: aangeboren afwijkingen metabolisme Post surgical nutrition: post chirurgische voeding Burns: brandwonden Gastro-enteritis: onsteking vd maag en ingewanden Omphalocele: open buikje Ulceratieve colitis: ontstekingen dikke darm en rectum Gastroschisis: open buikje Infantile botulism: infantiel botulisme Intestinal obstruction: obstructie van de darm Sepsis: bloedvergiftiging (bacterieel) Fistula: fistels Pneumonia: longontsteking Colostomy repair: bijv. na NEC of aangeboren afwijkingen
  4. Informal Milksharing Wat zijn de gevolgen hiervan?
  5. IgM: eerste gespecialiseerde afweerstof in de verdediging tegen een infectie. IgG geheugen afweerstof. Na laatste medicamentendosis&gt; 48 uur Na vaccinatie met levende entstof&gt; 4 weken
  6. -Ben je in de afgelopen 12 maanden in het Caribische gebied (waaronder Suriname of de Antillen), Midden- en Zuid Amerika, het Verre Oosten, Afrika of Japan geweest? Ben je eventueel daar geboren? HTLV = T-cell Lymphotropic Virus ( Oncogenisch retrovirus, RNA wordt omgeschreven naar DNA) T-cell = lymphocyten aangemaakt in het beenmerg die rijp worden in de thymus) - Heb je wel eens een bloedtransfusie of orgaantransplantatie ondergaan? - Heb je tussen 1980 en 1996 in het Verenigd Koninkrijk gewoond? -Ben je voor 1985 behandeld met groeihormoon en schildklierstimulerend hormoon van menselijke oorsprong? (Jacob-Creutzfeld, incubatietijd tussen 4 en 20 jaar, overdracht via bloed of bloedproducten is nog niet uit te sluiten. Advies Jacob-Creutzfeld en bloedtransfusie 2001 Gezondheidsraad Nederland -Werk je met drugsverslaafden? Ben je verpleegkundige of arts?. Heb je wel eens een ‘prikaccident’ of een ‘bijtaccident’ meegemaakt? HBV, HCV en HIV
  7. Verhoogde transaminasen kan ook bij mirena-spiraal en tijdens zwangerschap= opnieuw prikken Hier gaat ook HTLV bij komen
  8. HACCP &gt; H azard A nalysis and C ritical C ontrol P oints, is een risico -inventarisatie voor voedingsmiddelen . Geen tastbare handleiding met voorschriften, maar een systeem dat op 7 principes gebaseerd is. **** = -20 graden
  9. * Protocol voor donormoeders en melkvragenden
  10. Bij verhoogde vetontbinding vooraf pasteuriseren
  11. Human Milkbanking Association North America / United Kingdom Assocation for Milk Banking
  12. Representatives from 11 countries of Latin America and the Caribbean pledged to create a new Latin American Network of Breast Milk Banks to promote the benefits of breastfeeding for child health, during the 2nd International Congress of Breast Milk Banks in Brasilia in May. The call came in the congress&apos;s final document, the Brazil Charter, which noted the importance of breastfeeding to the achievement of the Millennium Development Goals because of the critical role breast milk banks can play in preventing infant deaths. The document was signed by delegates from Argentina, Bolivia, Colombia, Costa Rica, Cuba, Ecuador, Guatemala, Nicaragua, Paraguay, Uruguay, and Venezuela the minister of health of Brazil and representatives of the Pan American Health Organization (PAHO), the United Nations Children&apos;s Fund (UNICEF), the World Alliance for Breastfeeding Action, the International Baby Food Action network, and other organizations.