Evidence map›Paper›PMID 33800596›Full record

ArticleNutrients2021

Trends and Dynamics in the First Four Years of Operation of the First Human Milk Bank in Vietnam.

Hoang Thi Tran, Tuan Thanh Nguyen, Debbie Barnett, Gillian Weaver, Oanh Thi Xuan Nguyen, Quang Van Ngo, Huong Thi Thanh Le, Le Thi Huynh, Chung Thi Do, Roger Mathisen

Abstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

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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

10 authors.

Hoang Thi TranNeonatal Unit and Human Milk Bank, Da Nang Hospital for Women and Children, Da Nang 50506, Vietnam.ORCID 0000-0001-7729-6063
Tuan Thanh NguyenAlive & Thrive Southeast Asia, FHI 360, Hanoi 11022, Vietnam.ORCID 0000-0002-0737-430X
Debbie BarnettMilk Bank Scotland, Queen Elizabeth University Hospital, Glasgow G51 4TF, UK.
Gillian WeaverInternational Milk Banking Specialist and Consultant, Human Milk Foundation, Harpenden AL5 2JQ, UK.
Oanh Thi Xuan NguyenNeonatal Unit and Human Milk Bank, Da Nang Hospital for Women and Children, Da Nang 50506, Vietnam.
Quang Van NgoDepartment of Nutrition, Da Nang Center for Disease Control, Da Nang 50206, Vietnam.
Huong Thi Thanh LeNeonatal Unit and Human Milk Bank, Da Nang Hospital for Women and Children, Da Nang 50506, Vietnam.
Le Thi HuynhNeonatal Unit and Human Milk Bank, Da Nang Hospital for Women and Children, Da Nang 50506, Vietnam.
Chung Thi DoAlive & Thrive Southeast Asia, FHI 360, Hanoi 11022, Vietnam.
Roger MathisenAlive & Thrive Southeast Asia, FHI 360, Hanoi 11022, Vietnam.ORCID 0000-0002-4475-8716

Funding

Bill and Melinda Gates Foundation Grant Number OPP50838
6 · The paper itself

Abstract

backgroundSince 1979, the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) have recommended the use of pasteurized human milk from a human milk bank (HMB) to feed low birthweight (LBW) and preterm newborns as the 'first alternative' when mothers are unable to provide their own milk. However, they have not issued any guidelines for the safe establishment and operation of an HMB. This gap contributes to the demand for gathering experiences from HMB networks, especially those from lower-middle income countries. To fill this knowledge gap, this study examines the characteristics of donors, donation, pasteurization, and recipients during the first four years of operation in the first HMB in Vietnam.

methodsData about the donors, donation, pasteurization, and recipients were extracted from the web-based electronic monitoring system of the HMB from 1 February 2017 to 31 January 2021.

resultsIn the first four years of operation there were 433 donors who donated 7642 L of milk (66% from the community) with an increased trend in the amount of donated milk, donation duration, and average amount of milk donated by a donor. Approximately 98% of the donated milk was pasteurized, and 82% passed both pre- and post-pasteurization tests. Although the pass rate tended to increase with time, a few dips occurred. Of 16,235 newborns who received pasteurized donor milk, two thirds were in the postnatal wards. The main reason for the prescription of pasteurized donor milk was insufficient mothers' own milk in the first few days after birth. There was a decreased trend in the amount and duration of using pasteurized donor milk in both postnatal wards and the neonatal unit.

conclusionsThe HMB has operated efficiently in the previous four years, even during the COVID-19 pandemic, to serve vulnerable newborns. Ongoing evidence-based adjustments helped to improve the operation to recruit suitable donors, to increase the access to and quality of raw donor milk, to improve the pasteurization process, and to meet the need of more newborns.

Indexed as

Milk BanksAdultFemaleHumansInfant, NewbornMilk, HumanPasteurizationTissue DonorsVietnambreastfeedingCOVID-19donor milkearly essential newborn care (EENC)human milk banknewbornprelacteal feeding

Identifiers

PMID33800596
PMCPMC8067108

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Registered trials

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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.