Human milk banking: One year experience from a tertiary care centre

Abstract

Introduction: A human milk bank (HMB) systematically collects, screens, processes, and dispenses excess milk donated by healthy nursing mothers. First HMB of Asia was established in the year 1989 in Mumbai, but there are still insufficient milk banks in India. Objective: This study aimed to provide our experience in the past 1 year. Methods: This retrospective descriptive study was conducted in the HMB of a tertiary care institution. The data were collected from donor forms and other milk bank records in the milk bank. All the demographic details and bacteriological data were collected. Results: There were 1168 donors with no extramural donors. Of these, 882 donors had term babies and 286 had preterm babies. The mean age of the donor population was 23.53±3.27 years. On the analysis of the volume of milk donated, the mean volume was 77.62±51.26 ml. A total of 90,660 ml of human milk was collected during the study period of 1 year. The bacteriological culture of the donor milk showed growth in 42 (3.6%) samples and was discarded. Klebsiella (2.39%) was the most common organism followed by Escherichia coli (0.44%) and Staphylococcus (0.35%). There were 1424 recipients and about 74% of them, were preterm babies. There were no extramural recipients. Conclusion: For a large number of preterm babies and the neonates without breast milk in India, pasteurized donor human milk will be the best source of nutrition. Hence, number of HMBs will improve the neonatal survival and reduce the morbidity.