Evidence map›Paper›PMID 33403779›Full record

ArticleMaternal & child nutrition2021

Maintaining human milk bank services throughout the COVID-19 pandemic: A global response.

Natalie Shenker, Marta Staff, Amy Vickers, Joao Aprigio, Satish Tiwari, Sushma Nangia, Ruchika Chugh Sachdeva, Vanessa Clifford, Anna Coutsoudis, Penny Reimers and 10 more

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. A Framework for Evaluation of New Processing Technologies in Human Milk Banking.Comprehensive reviews in food science and food safety · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Conceptualizing the Commercialization of Human Milk: A Concept Analysis.Journal of human lactation : official journal of International Lactation Consultant Association · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. The global status of human milk banking.Maternal & child nutrition · 2024
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 15 institutions in 11 countries.

Natalie ShenkerDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID 0000-0002-8067-1079
Marta StaffThe Centre for Simulation, Analytics and Modelling (CSAM), University of Exeter Business School, Exeter, UK.
Amy VickersMothers' Milk Bank of North Texas; Human Milk Bank Association of North America, Fort Worth, Texas, USA.
Joao AprigioIbero-American Human Milk Bank Program, National Milk Bank Service of Brazil, Fernandes Figueira Institute, Oswaldo Cruz Foundation - FIOCRUZ, Ministry of Health - Brazil, Brasília, Brazil.
Satish TiwariHuman Milk Banking Association of India, Dr Punjabrao Deshmukh Memorial Medical College, Amravati, India.
Sushma NangiaNational Human Milk Bank, Department of Neonatology, Lady Hardinge Medical College & Kalawati Saran Children's Hospital, New Delhi, India.ORCID 0000-0002-7664-2259
Ruchika Chugh SachdevaMaternal Newborn Child Health and Nutrition, PATH India, New Delhi, India.
Vanessa CliffordAustralian Red Cross Lifeblood Milk, West Melbourne, Victoria, Australia.
Anna CoutsoudisHMBASA (Human Milk Banking Association of South Africa), South Africa.
Penny ReimersHMBASA, iThembu Lethu Community Milk Bank, Rossburgh, South Africa.
Kiersten Israel-BallardHMBASA, iThembu Lethu Community Milk Bank, Rossburgh, South Africa.
Kimberly MansenMaternal, Newborn, Child Health and Nutrition, PATH, Seattle, Washington, USA.ORCID 0000-0002-2015-2066
Radmila Mileusnic-MilenovicFirst Serbian Human Milk Bank, Institute of Neonatology, Belgrade, Serbia.
Aleksandra WesolowskaLaboratory of Human Milk and Lactation Research, Regional Human Milk Bank in Holy Family Hospital, Department of Medical Biology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-7270-5910
Johannes B van GoudoeverDutch National Human Milk Bank, Amsterdam UMC, University of Amsterdam, Emma Children's Hospital, Amsterdam, The Netherlands.
Mohammadbagher HosseiniDepartment of Neonatology, Tabriz University of Medical Sciences, Neonatal and Perinatal Department, Alzahra Teaching Hospital, Tabriz, Iran.
Daniel KlotzCenter for Pediatrics, Division of Neonatology and Pediatric Intensive Care Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Anne Hagen GrøvslienMilk Bank Manager, Norwegian Accredited Breastfeeding Consultant, Multi-cultural Healthcare Consultant, Department of Pediatrics, Oslo University Hospital, Oslo, Norway.
Gillian WeaverHuman Milk Foundation, Rothamsted Institute, Hertfordshire, UK.
Virtual Collaborative Network of Milk Banks and Associations
Australian Red Cross Lifeblood · AUDr. Panjabrao Deshmukh Memorial Medical College · INEmma Kinderziekenhuis · NLImperial College London · GBLady Hardinge Medical College · INMedical University of Warsaw · PLMinistério da Saúde · BRMothers’ Milk Bank · USOslo University Hospital · NOProgram for Appropriate Technology in Health · INProgram for Appropriate Technology in Health · USTabriz University of Medical Sciences · IRUniversity of Exeter · GBUniversity of Freiburg · DEUniversity of KwaZulu-Natal · ZA

Funding

Medical Research Council MR/S017437/1
6 · The paper itself

Abstract

If maternal milk is unavailable, the World Health Organization recommends that the first alternative should be pasteurised donor human milk (DHM). Human milk banks (HMBs) screen and recruit milk donors, and DHM principally feeds very low birth weight babies, reducing the risk of complications and supporting maternal breastfeeding where used alongside optimal lactation support. The COVID-19 pandemic has presented a range of challenges to HMBs worldwide. This study aimed to understand the impacts of the pandemic on HMB services and develop initial guidance regarding risk limitation. A Virtual Collaborative Network (VCN) comprising over 80 HMB leaders from 36 countries was formed in March 2020 and included academics and nongovernmental organisations. Individual milk banks, national networks and regional associations submitted data regarding the number of HMBs, volume of DHM produced and number of recipients in each global region. Estimates were calculated in the context of missing or incomplete data. Through open-ended questioning, the experiences of milk banks from each country in the first 2 months of the pandemic were collected and major themes identified. According to data collected from 446 individual HMBs, more than 800,000 infants receive DHM worldwide each year. Seven pandemic-related specific vulnerabilities to service provision were identified, including sufficient donors, prescreening disruption, DHM availability, logistics, communication, safe handling and contingency planning, which were highly context-dependent. The VCN now plans a formal consensus approach to the optimal response of HMBs to new pathogens using crowdsourced data, enabling the benchmarking of future strategies to support DHM access and neonatal health in future emergencies.

Indexed as

Breast FeedingCOVID-19Milk BanksFemaleHumansInfantInfant, NewbornMilk, HumanPandemicsSARS-CoV-2breastfeedingCOVID-19donor human milkinfant feedingmilk banknutritionpandemicprematurity

Identifiers

PMID33403779
PMCPMC7883204
OpenAlexW3118537421

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.