Operation Status of the Mutual Aid Human Milk Bank for Preterm Infants and Data Analysis

Abstract

Hua Wang,1 Xiao-Li Hu,2 Qiu-Fang Li,3 Jie Zhou,1 Ming-Yuan Wu1 1Department of NICU, Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, People’s Republic of China; 2Department of Obstetrics, Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, People’s Republic of China; 3Department of Nursing, Women’s Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, People’s Republic of ChinaCorrespondence: Ming-Yuan Wu, Department of NICU, Women’s Hospital, Zhejiang University School of Medicine, No. 1 of Xueshi Road, Shangcheng District, Hangzhou, 310006, People’s Republic of China, Tel + 86 13958115502, Email [email protected]: This study aimed to investigate the matching degree between the donated supply and demand, clinical characteristics of both donors and recipients, along with the operation cost.Methods: From January 1, 2018 to December 31, 2021, the data on human milk donation and usage, the clinical characteristics of donors and recipients, and the cost of each operating center were collected from the Manual Donation Registration Form and Information Management System of the selected human milk bank.Results: During the four years that the human milk bank was in operation, the volume of donated milk was slightly greater than the volume of consumed milk. A total of 1364 donors donated 2434.63 liters of qualified human milk, for RMB 1,791,000 (USD 257, 202), ie, RMB 385.3 (USD 55.3)/L; 97.8% of the donors were preterm puerperae, and 59% of the donors donated between 1 week and 1 month after delivery. All recipients were preterm infants and received donated human milk for a duration of 9.4 days on average. During the four years of operation, the proportion of donors who had previously received donated milk among all donors showed an overall increasing trend, while the incidence of NEC in preterm infants gradually decreased.Conclusions: The increasingly optimized structure of donors, the more economical operation, and the fact that the use of donated milk may not affect breastfeeding of the recipients have made it a human milk bank operation mode worthy of promotion.Keywords: donated human milk, human milk bank, NEC, operating cost, preterm infants

Keywords

• donated human milk
• human milk bank
• nec
• operating cost
• preterm infants