MOTHER’S MILK IS PRECIOUS.
Review of human milk banking days that biological mother’s milk is precious to an infant’s survival with well nourished health prospects.Some mothers can themselves beneficually feed their babies with their own milk.
CHALLENGES TO NORMAL MILK BANKING.
Review of human milk banking days that some face challenges arising out of physical dusabilities.The accredited milk banks all over the world offer thoroughly screened and pasteurized donor milk.
REVIEW OF HUMAN MILK BANKING:WHY DONOR MILK.
Possibly arrangable donor milk has active healthy constituents and similarities in composition.Massive pool and formal collection from different mothers that is mechanical It is never as desirable as original mothers milk.Review of human milk banking reveal that requirement at different ages of children is different.athe Mothers of different lactating ages also vary remarkably.In hygienic screening and processing again donor milk loses much of its protective value.Still donor milk essentially caters premature or physically sick childern,children of ailing mothes,adopted children etc.In medical sciences significance of donor milk is enhancing along with passage of time.
REVIEW OF HUMAN MILK BANKING: ORGANIZATIONAL BACKGROUND.
International Milk Banking Initiative(IMBI) and International Human Milk Banking Association of North America (HMBANA)are key names in review of human milk banking .The World Health Organization recognized the consumptional necessities of donor milk as the best alternative to original mother’s milk under situational demands.The medical sectors order the authorised donors of Milk Banking Association to supply screened donor milk for children under their treatment who really need it.Accredited milk banking sectors encurages healthy lactating mothers who really wish to donate their milk. Women associations also accept financial grants in this regard.
REVIEW OF HUMAN MILK BANKING:CONCEPTUALIZATION.
Human milk banking is a service to collect,screen,process and dispense human milk(on medical prescription)donated by a nursing mother not biologically related to a child.Such a child might need to consume it due to some inability of himself or the lady who has given birth to him.He accepts such milk only after thorough hygienic pasteurization that destroys all recognizable bacteria.
REVIEW OF HUMAN MILK BANKING:WILLING DONORS.
A lady willing to donate is to at first go through an interview by the nonprofit milk bankers.She needs her personal physician’s authorisation whom she is to follow her subsequent days of donation.A detailed process to follow up requires 3 to 4 weeks.
An willing lady is to prove herself of HIV,HTIV,Syphilis ,Hepatitis negativity.Milk bankers disallow is any medical background of blood transfusion,tissue transplantatin or infectious diseases.
REVIEW OF HUMAN MILK BANKING:DONORS REQUIREMENTS.
The first consideration in selecting a lactating lady as a donor is whether she produces more in quantity that is required to milk her own child.
After submission and approval of a medical history survey form it us to be confirmed that she does neither smoke drink,consume drugs or is not subject to prolonged medication for chronic disirders.
REVIEW OF HUMAN MILK BANKING:DONOR ON PROCESS.
After clearing up all essential formalitues,a donating mother is trained how to collect her own milk and she is supplied with highly sanitized storage bags to help herself.
A single bottle of pasteurized and refrigerated human milk is to be thawed at a time very rapidly and might be allowed to be kept in the room temperature only upto the continual of the feeding schedule.The unconsumed portion is to be discarded to prevent bacterial growth.Though human milk can be refrigerated for a time span of 24 hours it cannot be refrozen.It is rather natural that frozen milk differs from fresh and contains flecks or flocculations.
REVIEW OF HUMAN MILK BANKING:FORMAL AND INFORMAL MILK SHARING.
Milk sharing is an connectivity that is urgent.Through it one mother’s baby consumes another mother’s donated milk.Formally,HMBANA accredits nonprofit milk-banking organizations. It allows voluntary donation of excess generated express milk.Nothing do they pay the donors.Communities carry on informal sharing is to develop sisterhood feelings among mothers.Purchase from websites websites without authorization and social media purchases might not be as safe as accredicated milkbank collections.Knowledge and awareness of the recipient families becomes essential in such cases.
REVIEW OF HUMAN MILK BANKING:CONSUMERS OF DONOR MILK.
Hospitals require Neonatal Intensive Care Unit supplemental milk for non-lactating or ill mothers or sick infants.The cases of pre mature birth,feeding intolerences,mothers with infectious diseases,double mastectomy, glandular issues require such milk.Some of such mechanically obtained milk is utilized for research purposes while rest is required for adult Cancer patients as well as metabolically disordered.
REVIEW OF HUMAN MILK BANKING:TEACING THE PAST.
Historically milk sharing can be traced to the days of wet nursing where a lady directly breastfed another woman’s child in cases of inabilities of actual mothers.The wet nyrsed children or milk siblings sought to develop some kind of milk kinship.The first record of regultions in such regards are found in the Babylonian Code Of Hammurabi(1800BC)which believed that an infants inherit their nurses’ traits in being milked by them.
REVIEW OF HUMAN MILK BANKING:SCHOLARS ON NUTRITION.
Scholars from The University of Vienna(Theodore Escherich etc.)
carried out investigations and researches on different sources of nutrition and their impacs on neonats.In 1909,they Theodore opened the first human milk bank.The first US .ilk bank was opened in the succeeding year in the Boston Floating Hospital.The 1960 s experienced a deine in milk banking as a result of advances in baby care formula and mass HIV possitivities.In 1980 s The World Health Organization and The United Nations Children s Fund held and maintained the proposition that donor milk is the best alternative when original mother’s milk cannot be put to nutritive use.
REVIEW OF HUMAN MILK BANKING:IN KOLKATA.
The honourable Chief Minister of West Bengal inagurated the first novel public sdctor milk bank in 2020 SSKM Hospital premises.The milk bank with high grade sophistication seeks to cater to the needs of new borns who do not enjoy the healthy facilty of consuming the milk of their actual mothers on inability grounds.While examining the bealth portfolio the honourable CM such a milk bank follows rigorous sanitization,utmost advancement technicalized modernized advancement.
The Jnstitute of Post Gdaduate Medical Education and Research declared that breast milk is collected from inhouse mothers to such banks.The inaguration of formal large scale milk bank at SSKM provides free human milk for those who cannot manage to get it normally.The bank is funded by The National Health Renewal Mission and proves beneficial for newliborns with malnutrition eradicating to a remarkable possible extent Necrotizing Enterocolitis causing low birth weight or prematurity related expiry cases.
REVIEW OF HUMAN MILK BANKING:ISSUES OF CONCERN.
The highly technicalized screening procedures and standardizational norms turned this viable alternative of original mother’s milk rather expensive.The availability of donor milk confirming essential standards of physical development and psychological traits and habits in the exact needful hour is also put to consideration.
Again,a milk bank might run out of milk as supply at a particular time depends on the number if donors and the speed of processing the milk availed.When the supply becomes low prioritization of recipients who are the feeblemost are taken resort to.
REVIEW OF HUMAN MILK BANKING:FOR PROFIT MILK BANKING.
Societies possess largely for profit human milk banks as well.The donor motbers actually in such cases are paid for provinding their own milk and thus they earn money.Such mothers are criticised as in such cases they might sell their milk instead of feeding the children they have given birth to.
REVIEW OF HUMAN MILK BANKING:HMBANA SPEAKS OF NON PROFIT MILK BANKING.
The guidelines of The Academy of Breastfeeding Medicine(ABM) and American Academy of Pediatrics(AAP)in doating milk to or receiving milk from a HMBANA nonprofit milk bank because of the reasonably stanandardized strictness and discipline in matters of donation and receipt.