Evidence map›Paper›PMID 34866685›Full record

ArticleBulletin of the World Health Organization2021

Developing global guidance on human milk banking.

Mirriam Tyebally Fang, Efstratios Chatzixiros, Laurence Grummer-Strawn, Cyril Engmann, Kiersten Israel-Ballard, Kimberly Mansen, Deborah L O'Connor, Sharon Unger, Marisa Herson, Gillian Weaver and 1 more

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
–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

41 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

11 authors.

Mirriam Tyebally FangInstitute of Biomedical Ethics and History of Medicine, University of Zurich, Winterthurerstrasse 30, 8006 Zurich, Switzerland.
Efstratios ChatzixirosDepartment of Health Product Policy and Standards, World Health Organization, Geneva, Switzerland.
Laurence Grummer-StrawnDepartment of Nutrition and Food Safety, World Health Organization, Geneva, Switzerland.
Cyril EngmannPATH, Seattle, United States of America.
Kiersten Israel-BallardPATH, Seattle, United States of America.
Kimberly MansenPATH, Seattle, United States of America.
Deborah L O'ConnorDepartment of Nutritional Sciences, University of Toronto, Toronto, Canada.
Sharon UngerSinai Health, Toronto, Canada.
Marisa HersonSchool of Medicine, Deakin University, Geelong, Australia.
Gillian WeaverHuman Milk Foundation, Harpenden, England.
Nikola Biller-AndornoInstitute of Biomedical Ethics and History of Medicine, University of Zurich, Winterthurerstrasse 30, 8006 Zurich, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Donor human milk is recommended by the World Health Organization both for its advantageous nutritional and biological properties when mother's own milk is not available and for its recognized support for lactation and breastfeeding when used appropriately. An increasing number of human milk banks are being established around the world, especially in low- and middle-income countries, to facilitate the collection, processing and distribution of donor human milk. In contrast to other medical products of human origin, however, there are no minimum quality, safety and ethical standards for donor human milk and no coordinating global body to inform national policies. We present the key issues impeding progress in human milk banking, including the lack of clear definitions or registries of products; issues around regulation, quality and safety; and ethical concerns about commercialization and potential exploitation of women. Recognizing that progress in human milk banking is limited by a lack of comparable evidence, we recommend further research in this field to fill the knowledge gaps and provide evidence-based guidance. We also highlight the need for optimal support for mothers to provide their own breastmilk and establish breastfeeding as soon as and wherever possible after birth.

Indexed as

Milk BanksMilk, HumanBreast FeedingFemaleHumansMothersTissue Donors

Identifiers

PMID34866685
PMCPMC8640695

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.