[Study of the effects of the implementation of a human milk donor bank in preterm newborns in Aragon].

Autor:	Larena Fernández I; Enfermero, Hospital Miguel Servet, Zaragoza, España. Electronic address: israellarena@hotmail.com., Vara Callau M; Pediatra, Hospital Barbastro, Barbastro, Huesca, España., Royo Pérez D; Pediatra, Hospital Miguel Servet, Zaragoza, España., López Bernués R; Enfermero, especialista en salud mental, Hospital San Jorge, Huesca, España., Cortés Sierra J; Enfermero, Hospital Royo Villanova, Zaragoza, España., Samper Villagrasa MP; Pediatra, Hospital Clínico Lozano Blesa, Zaragoza, España.
Jazyk:	Spanish; Castilian
Zdroj:	Enfermeria clinica [Enferm Clin] 2015 Mar-Apr; Vol. 25 (2), pp. 57-63. Date of Electronic Publication: 2014 Dec 29.
DOI:	10.1016/j.enfcli.2014.08.003
Abstrakt:	Introduction: Numerous obstacles may prevent a premature or sick neonate receiving their mother's milk. In these cases, pediatric scientific societies recommend feeding with donor human milk. In this article, it is explained what a milk bank is, how it works, the donors' selection method, and the benefits. We also describe the current situation in Aragon (Spain) is also described. Material and Methods: A retrospective and descriptive study was conducted on the perinatal sample characteristics, as well as an analytical observational study, comparing two sample groups: pre- and post-human milk bank. Finally, differences in the post-bank stage between those patients fed with own-mother's or donor human milk were determined. Results: The study included a total of 234 patients: 104 females and 130 males. Two groups: pre and post-bank, with 152 and 82 patients, respectively, which had similar characteristics at birth; length and head circumference were significantly higher in the post-bank group and a lower rate of necrotizing enterocolitis was also found. No statistically significant differences were found in other variables between subgroups fed with own-mother's milk and donor human milk. Discussion: The establishment of the human milk donor bank has a beneficial effect, as it reduces neonatal morbidity in cases of necrotizing enterocolitis. Human milk feeding could be a protective factor against neonatal sepsis due to improve immunity. Conclusions: The incidence of necrotizing enterocolitis is lower after the establishment of the milk bank. Studies with more patients may demonstrate differences in other variables. (Copyright © 2014 Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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