Recommendations for donating breastmilk to human milk banks considering the COVID-19 pandemic

Authors

DOI:

https://doi.org/10.33448/rsd-v10i8.17258

Keywords:

COVID-19; Breast-feeding; Human Milk; Human Milk Banks; Newborns.

Abstract

Objective: Discuss the recommendations for donating breastmilk to Human Milk Banks (HMB) considering the COVID-19 pandemic. Methodology: The research was carried out involving publications on HMB, donated human milk (DHM) and COVID-19 indexed in the electronic databases PubMed (US National Library of Medicine), Scientific Electronic Library Online Brazil (SciELO), Web of Science and Portal Capes. The descriptors that delimited the research were: breastfeeding, maternal breastfeeding, HMB, DHM, human milk, COVID-19, pandemic and Sars-CoV-2, in Portuguese and English. Results and discussion: As the COVID-19 virus is transmitted by respiratory droplets and the it survives for varying periods on inanimate surfaces, in this work, we observe the main measures to control the virus transmission through the DHM during the entire process of collecting, processing and distributing the human milk to the newborns in the Neonatal Intensive Care Units (NeoICU). Quality control with high hygienic and sanitary rigor of the DHM is essential, such as sterilization of materials that come into contact with breastmilk, cleaning of the environment where milking will be carried out, use of cap and mask, hand-washing with soap and water, and disposal of the first jets of milked milk. Conclusion: Donors of milked human milk must perform a screening at the HMB for evaluation and guidance before starting the human milk donation, in order to avoid the transmission of the COVID-19 virus during the entire process of collecting, processing and distributing human milk to the newborns in the NeoICU.

References

Almeida, J., Guimarães, V., & Novak, F. (2005). Normas técnicas Redeblh-Br para bancos de leite humano: Seleção e classificação. Rio de Janeiro: Fiocruz/IFF-BLH.

Borges, M. S., Oliveira, A. M. de M., Hattori, W. T., & Abdallah, V. O. S. (2018). Quality of human milk expressed in a human milk bank and at home. Jornal de Pediatria, 94(4), 399–403. https://doi.org/10.1016/j.jped.2017.07.004

Boyd, C. A., Quigley, M. A., & Brocklehurst, P. (2007). Donor breast milk versus infant formula for preterm infants: Systematic review and meta-analysis. Archives of Disease in Childhood - Fetal and Neonatal Edition, 92(3), F169–F175. https://doi.org/10.1136/adc.2005.089490

Brasil (2006). Agência Nacional de Vigilância Sanitária (ANVISA). Resolução da Diretoria Colegiada da ANVISA - RDC nº 171 de 04 setembro de 2006. Dispõe sobre o regulamento, a implantação e o funcionamento de Bancos de Leite Humano no território nacional. Diário Oficial da União. Brasília, DF: Ministério da Saúde; Seção 1. p. 33.

Chen, Z.-M., Fu, J.-F., Shu, Q., Chen, Y.-H., Hua, C.-Z., Li, F.-B., Lin, R., Tang, L.-F., Wang, T.-L., Wang, W., Wang, Y.-S., Xu, W.-Z., Yang, Z.-H., Ye, S., Yuan, T.-M., Zhang, C.-M., & Zhang, Y.-Y. (2020). Diagnosis and treatment recommendations for pediatric respiratory infection caused by the 2019 novel coronavirus. World Journal of Pediatrics, 16(3), 240–246. https://doi.org/10.1007/s12519-020-00345-5

Control, C. for D., Prevention, & others. (2020). Interim considerations for infection prevention and control of coronavirus Disease 2019 (COVID-19) in inpatient obstetric healthcare settings. Acessado em, 18(02).

Daniels, B., Schmidt, S., King, T., Israel-Ballard, K., Amundson Mansen, K., & Coutsoudis, A. (2017). The Effect of Simulated Flash-Heat Pasteurization on Immune Components of Human Milk. Nutrients, 9(2), 178. https://doi.org/10.3390/nu9020178

Dawod, B., & Marshall, J. S. (2019). Cytokines and Soluble Receptors in Breast Milk as Enhancers of Oral Tolerance Development. Frontiers in Immunology, 10, 16. https://doi.org/10.3389/fimmu.2019.00016

de Halleux, V., Pieltain, C., Senterre, T., & Rigo, J. (2017). Use of donor milk in the neonatal intensive care unit. Seminars in Fetal and Neonatal Medicine, 22(1), 23–29. https://doi.org/10.1016/j.siny.2016.08.003

European Milk Bank Association. (2020). COVID-19: EMBA position statement. https://europeanmilkbanking.com/covid-19-emba-position-statement/

Fang, M. T., Grummer-Strawn, L., Maryuningsih, Y., & Biller-Andorno, N. (2021). Human milk banks: A need for further evidence and guidance. The Lancet Global Health, 9(2), e104–e105. https://doi.org/10.1016/S2214-109X(20)30468-X

Gribble, K., Marinelli, K. A., Tomori, C., & Gross, M. S. (2020). Implications of the COVID-19 Pandemic Response for Breastfeeding, Maternal Caregiving Capacity and Infant Mental Health. Journal of Human Lactation, 36(4), 591–603. https://doi.org/10.1177/0890334420949514

Kim, J., Unger, S., Canadian Paediatric Society, & Nutrition and Gastroenterology Committee. (2010). Human milk banking. Paediatrics & Child Health, 15(9), 595–598. https://doi.org/10.1093/pch/15.9.595

Landers, S., & Updegrove, K. (2010). Bacteriological Screening of Donor Human Milk Before and After Holder Pasteurization. Breastfeeding Medicine, 5(3), 117–121. https://doi.org/10.1089/bfm.2009.0032

Liang, H., & Acharya, G. (2020). Novel corona virus disease (COVID‐19) in pregnancy: What clinical recommendations to follow? Acta Obstetricia et Gynecologica Scandinavica, 99(4), 439–442. https://doi.org/10.1111/aogs.13836

Marinelli, K. A. (2020). International Perspectives Concerning Donor Milk Banking During the SARS-CoV-2 (COVID-19) Pandemic. Journal of Human Lactation, 36(3), 492–497. https://doi.org/10.1177/0890334420917661

Marinelli, K. A., & Lawrence, R. M. (2020). Safe Handling of Containers of Expressed Human Milk in all Settings During the SARS-CoV-2 (COVID-19) Pandemic. Journal of Human Lactation, 36(3), 498–501. https://doi.org/10.1177/0890334420919083

Meneses, T. M. X. de, Oliveira, M. I. C. de, & Boccolini, C. S. (2017). Prevalence and factors associated with breast milk donation in banks that receive human milk in primary health care units. Jornal de Pediatria, 93(4), 382–388. https://doi.org/10.1016/j.jped.2016.09.004

Ministério da Saúde (2020) Secretaria de atenção primária à saúde. Nota técnica No 8/2020-COCAM/CGCIVI/DAPES/SAPS/MS p. 1–13. https://saude.es.gov.br/Media/sesa/coronavirus/Notas%20Técnicas/NOTA%20TÉCNICA%20COVID.19%20N.%2013.20%20Organização%20da%20Rede%20Assistencial%20Gestante.pdf

Moro, G. E., & Bertino, E. (2020). Breastfeeding, Human Milk Collection and Containers, and Human Milk Banking: Hot Topics During the COVID-19 Pandemic. Journal of Human Lactation, 36(4), 604–608. https://doi.org/10.1177/0890334420934391

Peng, S., Zhu, H., Yang, L., Cao, L., Huang, X., Dynes, M., Narayan, A., Xia, J., Chen, Y., Zhang, P., Liu, H., Li, H., & Xia, S. (2020). A study of breastfeeding practices, SARS-CoV-2 and its antibodies in the breast milk of mothers confirmed with COVID-19. The Lancet Regional Health - Western Pacific, 4, 100045. https://doi.org/10.1016/j.lanwpc.2020.100045

Picaud, J.-C., & Buffin, R. (2017). Human Milk—Treatment and Quality of Banked Human Milk. Clinics in Perinatology, 44(1), 95–119. https://doi.org/10.1016/j.clp.2016.11.003

Salvatori, G., De Rose, D. U., Amadio, P., Reposi, M. P., Piccioni, L., Concato, C., & Dotta, A. (2021). Universal Screening for SARS-CoV-2 of all Human Milk Bank Samples. Journal of Human Lactation, 37(1), 40–42. https://doi.org/10.1177/0890334420962074

World Health Organization. (2020). Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance. Pediatria i Medycyna Rodzinna, 16(1), 9–26. https://doi.org/10.15557/PiMR.2020.0003

Published

13/07/2021

How to Cite

NEIA, V. J. C. .; TAVARES, C. B. G. .; PONHOZI, I. B. .; TIYO, B. T. .; MANIN, L. P. .; SILVEIRA, R. da .; CHIAVELLI, L. U. R. .; FUYAMA, F. H. .; VISENTAINER, L. .; SANTOS, O. O. .; VISENTAINER, J. E. L. .; VISENTAINER, J. V. . Recommendations for donating breastmilk to human milk banks considering the COVID-19 pandemic. Research, Society and Development, [S. l.], v. 10, n. 8, p. e30210817258, 2021. DOI: 10.33448/rsd-v10i8.17258. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/17258. Acesso em: 2 aug. 2021.

Issue

Section

Review Article