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Subject:
From:
Kristin Kauppi <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 7 Nov 2006 17:56:14 -0500
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My name is Kristin and I am a UND nursing student. I have been researching 
human milk banks and how they benefit infants, mothers and families in 
need of this resource. 

Wilson-Clay, Barbara (2006) discusses the benefits of milk banking. 
According to this study, it is far more beneficial than the preterm infant 
formula otherwise used. Decreasing risk of necrotizing enterocolitis, 
chronic lung disease and hospital time. 

In contrast, Schanler, R. J., Lau, C., Hurst, N. M., and O'Brian (2005), 
conducted a study that compared mothers milk, donated milk and preterm 
formula. It concluded that the donor milk group received more milk volume 
and more nutritional supplements than the formula group, but gained weight 
more slowly. It concluded that donated milk had little advantage over 
preterm formula fed milk.

In the McGuire. and Anthony M. Y., (2003) study, donor milk was compared 
to formula. It was found that babies fed donor milk were three times less 
likely to develop necrotizing enterocolitis and four times less likely to 
have confirmed necrotizing enterocolitis than infants who received formula 
milk. This study suggested the need for further larger trials to compare 
growth, development and incidence of adverse outcomes. 

Questions that I am still wondering about include; the long term effects 
for the infants (doner milk vs mothers milk vs formula fed), long term 
effects for mothers donating the milk, the need for further trials since 
data is conflicting, if lactating women will be paid for milk production, 
and if the cost and effort of donor milk is worth the benefits to the 
baby. 

McGuire. and Anthony M. Y., (2003). Donor human milk versus formula for 
preventing necrotising enterocolitis in preterm infants: systematic 
review. Archives of Disease in Childhood Fetal and Neonatal 
Edition.Retrieved from http://fn.bmjjournals.com/cgi/ content/ 
full/88/1/F11 on October 20th , 2006 

Schanler, R. J. MD, Lau, C., PhD, Hurst, N. M., MSN and O'Brian Smith, E., 
PhD.(2005) Randomized trial of donor human milk versus preterm formula as 
substitutes for mothers' own milk in the feeding of extremely premature 
infants. Official Journal of the American Academy of Pediatrics. Retrieved 
on October 18 from 
http://pediatrics.aappublications.org /cgi/content/full/116/2/400

Wilson-Clay, Barbara (2006).The milk of human kindness: the story of the 
mothers milk bank at Austin. International Breastfeeding Journal Retrieved 
on October 20th, 2006

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