Perinatology.  2017 Jun;28(2):47. 10.14734/PN.2017.28.2.47.

A Web-based Health Information Survey for Korean Human Milk Bank and Current Issues

Affiliations
  • 1Department of Pediatrics, Soonchunhyang University College of Medicine, Seoul, Korea.
  • 2Department of Nursing, Konkuk University, Chungju, Korea. nmkang03@kku.ac.kr
  • 3Maeil Asia Human Milk Research Center, Maeil Dairies Co. Ltd, Seoul, Korea.
  • 4Department of Political Sciences, Faculty of Social Sciences, University of Antwerp, Antwerp, Belgium.
  • 5Department of Biostatistics, Soonchunhyang Medical Center, Seoul, Korea.
  • 6Department of Obstetrics & Gynecology, School of Medicine, Konkuk University, Chungju, Korea.

Abstract


OBJECTIVE
We evaluated the Korean mothers' level of awareness of human milk bank (HMB) in order to find out the issues in establishing HMB in Korea. These mothers had infants younger than 18 months old to find out the issues that would help establishment of HMB in Korea.
METHODS
The survey questionnaire was developed by a team composed by nurses, neonatologists, obstetricians, nutritionists, health care specialists and faculty members. The internet survey was performed by sending emails to mothers who are registered to M family members and have children younger than 18 months. In total, 864 questionnaire were gathered from 114,469 answers and the results were analyzed.
RESULTS
Fifty two point eight percent of the respondents had awareness of HMB. 79.4% of subjects agreed with the necessity of HMB. On the basis of multivariate logistic regression analysis, we found that the numbers of children, awareness of HMB, the concern on the HMB in Korea, and the expected problems in establishing HMB in Korea were significant factors when evaluating the necessity of HMB in Korea. The common factors associated with positive thinking of potential users, donors and recipients were the awareness of HMB, and the experience of feeding own breast milk to other's babies.
CONCLUSION
More than half of Korean women were found to agree with the necessity of HMB in Korea, even though they had concern on infection controls and management of HMB and the purpose and function of HMB was not widely educated. The establishment of HMB in Korea would be effective with public education and considering their demands.

Keyword

Breast milk; Milk banks; Health care surveys

MeSH Terms

Child
Delivery of Health Care
Education
Electronic Mail
Female
Health Care Surveys
Humans*
Infant
Infection Control
Internet
Korea
Logistic Models
Milk Banks
Milk, Human*
Mothers
Nutritionists
Specialization
Surveys and Questionnaires
Thinking
Tissue Donors

Figure

  • Fig. 1 Concern scores diagram of 864 Korean mothers reconstructed by five main aspects. They are subgrouped by their responses whether they think human milk bank is necessary (A) and whether they will use human milk bank (B).


Reference

1). Gomez-Gallego C., Garcia-Mantrana I., Salminen S., Collado MC. The human milk microbiome and factors influencing its composition and activity. Semin Fetal Neonatal Med. 2016. 21:400–5.
Article
2). Victora CG., Bahl R., Barros AJ., França GV., Horton S., Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016. 387:475–90.
Article
3). Stam J., Sauer PJ., Boehm G. Can we define an infant's need from the composition of human milk? Am J Clin Nutr. 2013. 98:521S–8.
Article
4). Das BK., Mishra RN., Mishra OP., Bhargava V., Prakash A. Comparative outcome of low birth weight babies. Indian Pediatr. 1993. 30:15–21.
5). Arslanoglu S., Moro GE., Bellù R., Turoli D., De Nisi G., Tonetto P, et al. Presence of human milk bank is associated with elevated rate of exclusive breastfeeding in VLBW infants. J Perinat Med. 2013. 41:129–31.
Article
6). Bharati P., Pal M., Bandyopadhyay M., Bhakta A., Chakraborty S., Bharati P. Prevalence and causes of low birth weight in India. Malays J Nutr. 2011. 17:301–13.
7). Cristofalo EA., Schanler RJ., Blanco CL., Sullivan S., Trawoeger R., Kiechl-Kohlendorfer U, et al. Randomized trial of exclusive human milk versus preterm formula diets in extremely premature infants. J Pediatr. 2013. 163:1592–5. .e1.
Article
8). De Nisi G., Berti M., De Nisi M., Bertino E. Early enteral feeding with human milk for VLBW infants. J Biol Regul Homeost Agents. 2012. 26(3 Suppl):69–73.
9). Israel-Ballard K., Donovan R., Chantry C., Coutsoudis A., Sheppard H., Sibeko L, et al. Flash-heat inactivation of HIV-1 in human milk: a potential method to reduce postnatal transmission in developing countries. J Acquir Immune Defic Syndr. 2007. 45:318–23.
10). Infant and Young Child Feeding Chapter, Indian Academy of Pediatrics. Bharadva K., Tiwari S., Mishra S., Mukhopadhyay K., Yadav B, et al. Human milk banking guidelines. Indian Pediatr. 2014. 51:469–74.
Article
11). Arslanoglu S., Bertino E., Tonetto P., De Nisi G., Ambruzzi AM, et al. Guidelines for the establishment and operation of a donor human milk bank. J Matern Fetal Neonatal Med. 2010. 23(Suppl 2):1–20.
Article
12). Song KH., Lee YM., Chang JY., Park EY., Park SA., Cho NK, et al. A report on operating a nationwide human milk bank in Korea. Korean J Pediatr. 2010. 53:488–94.
Article
13). DeMarchis A., Israel-Ballard K., Mansen KA., Engmann C. Establishing an integrated human milk banking approach to strengthen newborn care. J Perinatol. 2017. 37:469–74.
Article
14). Mizuno K., Sakurai M., Itabashi K. Necessity of human milk banking in Japan: questionnaire survey of neonatologists. Pediatr Int. 2015. 57:639–44.
Article
15). Karadag A., Ozdemir R., Ak M., Ozer A., Dogan DG., Elkiran O. Human milk banking and milk kinship: perspectives of mothers in a Muslim country. J Trop Pediatr. 2015. 61:188–96.
Article
16). Escuder-Vieco D., Garcia-Algar Ó., Pichini S., Pacifici R., García-Lara NR., Pallás-Alonso CR. Validation of a screening questionnaire for a human milk bank to determine the presence of illegal drugs, nicotine, and caffeine. J Pediatr. 2014. 164:811–4.
Article
17). Roggero P., Giannì ML., Orsi A., Amato O., Piemontese P., Liotto N, et al. Implementation of nutritional strategies decreases postnatal growth restriction in preterm infants. PLoS One. 2012. 7:e51166.
Article
18). Gribble KD. "I'm happy to be able to help: " why women donate milk to a peer via Internet-based milk sharing networks. Breastfeed Med. 2014. 9:251–6.
Full Text Links
  • PN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr