But did you know?
Some babies in this world don't have breastmilk from their moms, and ta face more than just the problem of hungry tummies, ta face life-threatening situations, and these babies are either sick or too weak, and breastmilk is a life-saving medicine for ta.
November 23rd news report "In 2013, the first breast milk bank in China was established in Guangzhou Women and Children's Medical Center, as of November 22nd, in the past 3 years, 730 people donated 1.19 million ml of breast milk in the breast milk bank, and these breast milk rescued 254 preterm babies."
I was shocked to see this news, it refreshed my understanding of breast milk donation. Weakly I thought that the main purpose of breastmilk donated by breastmilk banks is to provide normal babies who don't have enough breastmilk to drink, so that mothers with a lot of milk don't have to pour out their precious breastmilk. It turns out that donated breastmilk is a life-saver for premature or low-birth-weight babies and others who don't have the means to absorb and metabolize formula.
Below are some of the children who have been successfully rescued by the first breastmilk bank, the Breastmilk Bank of Guangzhou Women's and Children's Medical Center.
In 2013, 10-month-old Xiao Jiang was sentenced to death by his local doctor after his weight dropped from the original 9kg to 5.5kg in 2 months because of an intestinal fistula caused by a wound that could not heal after intestinal surgery. Xiaojiang's parents brought him to Guangzhou to seek medical treatment, and he was fed with breast milk provided by the breast milk bank. Twenty days later, Xiaojiang's body miraculously recovered, and he became the first beneficiary of the breast milk bank in Guangzhou.
"Little Mirror" congenital intestinal atresia, the field of multiple inaccessible, immediately after the birth of ten days after surgery to remove the intestinal atresia part. Soon after her parents suddenly disappeared, little mirror was abandoned in the hospital. Little Mirror had no way to absorb any nutrients, her intestines could not digest or absorb formula and she had to rely on breast milk from the breast milk bank to survive. When the breastmilk bank ran out of stock, the media sent out a plea for breastmilk, and many caring moms rushed over to donate breastmilk, and Little Mirror eventually recovered.
Kaikai has been hospitalized since shortly after his birth, and stayed in the hospital for more than 5 months for 3 intestinal surgeries, the third surgery is still incomplete intestinal obstruction, the amount of gastric fluids need to be fasted after the surgery, the breast milk bank has been to provide breast milk for Kaikai, from the initial 2-3 ml to the later 15-20 ml at a time, and finally for the first time in 3 months to grow a few taels, it's so hard for Kaikai.
Dot was born at a gestational age of only 27 weeks, with a birth weight of only 1.34 kg. She was not breathing after birth, and only gradually recovered to normal under the doctor's emergency cardiopulmonary resuscitation (CPR). Because of the mother's weak milk, only half an hour to squeeze out more than 30 ml of milk, so little Dot Dot Dot from the beginning of the use of breast milk from the breast milk bank, the ventilator was used only 7 days, hospitalized for 1 month without feeding intolerance and infections.
Breastmilk is the most natural, safest and complete natural food, which provides all the nutrients and antibodies needed by newborns and is easily absorbed by babies. For preterm babies, the organs and systems are still immature, and the mother of preterm babies, due to physiological often not ready for lactation, it leads to the phenomenon of preterm babies who are extremely in need of breastmilk, but do not have breastmilk to drink. In addition, for sick children, especially children with intestinal problems, the mother may not have breastmilk or too little breastmilk, after the operation, during the treatment is very much in need of breastmilk as a natural and precious zero-burden food to provide nutrients.
Because of the scarcity, the breast milk bank currently does not provide to normal babies who do not have enough milk to drink, but gives priority to the following babies and children in need of special care, because for ta, breast milk is not only food, but also medicine:
Our country's preterm birth rate of 7 to 8%, about 1.1 million per year, ranking second in the world. One third of the newborn premature babies can not drink breast milk, like the Guangxi Autonomous Region Maternal and Child Health Hospital each year about 5,000 newborns are hospitalized, of which 1/3 for premature babies, of which 1/3 of the premature babies lack of breast milk and have to drink difficult to absorb and digest the formula milk.
So the breast milk bank is too important for these babies and children.
It was only today that I learned that there are now 13 formal breast milk banks in major hospitals in China.
Many people are concerned about the safety of donated breastmilk, so here are the names of the places and breastmilk banks that refer to specific hospitals (see the table above).
Guangzhou, Nanjing, Guangxi, Chongqing's breast milk bank to donate breast milk volunteer medicine blood screening and other health aspects of the examination to ensure that there is no infectious disease, in addition to the requirements of the donor has no bad habits (do not smoke, do not drink, do not take drugs, do not stay up all night), and the requirements of no long-term history of medication, and in addition to the need to be in the postnatal period within 10 months. The Fourth People's Hospital of Shanxi Province, on the other hand, requires that donors need to show proof of physical examination in the last three months, and if not, blood tests are required. Nanjing Maternal and Child Health Hospital of every mother who donates breast milk to do serum tests.
The hospital sterilizes the breastmilk, tests its composition, and stores it according to strict requirements.
Beijing, Guangxi, Shanghai breast milk bank only use on-site collection of breast milk, donors must go to the designated hospital to donate breast milk.
Nanjing Maternal and Child Health Hospital in order to attract more mothers to spontaneously donate milk, the hospital and an international shopping center (Golden Eagle) cooperation, the establishment of the first domestic shopping malls within the breast milk donation point, and set the 20th bit of the month to donate the day, the city's 16 stores set up a mother and baby room to facilitate mothers to breastfeed outside.
Other hospitals accept off-site donations for the convenience of breastmilk-donating moms and to increase inventory. The way like Chongqing breast milk bank accepts off-site donations but have gone through a strict health check. The Guangzhou Breastmilk Bank provides two service centers for donors in addition to the hospital's designated on-site collection, and also provides door-to-door milk collection service. The Shaanxi Breastmilk Bank used to provide door-to-door collection services for mothers who signed up to donate milk in communities and monthly clubs when there was a shortage of breastmilk. The Shanxi Breastmilk Bank also has the practice of going out to collect milk.
The breastmilk bank was originally set up to help premature and critically ill babies, but it has faced many difficulties in its operation.
Most of the breastmilk banks face a shortage of breastmilk. Many of them have to send out distress signals to the public through the media, such as the Shaanxi Breastfeeding Bank, which has been operating for three months and has benefited nearly a hundred critically ill babies for free, but is running out of breastmilk, and has sent out a plea to the public through the media.
Another big difficulty is that the breast milk popularization rate is not high enough, and the proportion of mothers who have more milk is even lower, which is why the number of independent breast milk donations is far from enough to meet the demand. The Guangzhou Breastfeeding Bank has done a survey and found that among the 318 breastfeeding mothers, about 60% of them fed to more than 1 year old, and less than 1% of their children within 1 year old due to medical treatment.
Donate breast milk in fact, many mothers are willing, but in view of some of the breast milk bank are required to mother to the scene of donation, the implementation of a certain degree of difficulty, especially mothers have to take care of the baby's case, go out is a more difficult thing. Therefore, some hospitals will first mobilize mothers who are attending the hospital to donate breastmilk. Some breast milk banks will go out to collect breast milk to ease the low inventory.
In the U.S., there is a "free donation, paid use" of donated breast milk. Unlike the U.S. breast milk banks, all breast milk banks in China now belong to the public welfare organizations, that is, "free donation, free use", but some breast milk banks do not have enough funds to take "paid donations, free use", "paid donations, paid use" of the no-payment, "paid donations, paid use", "paid donations, paid use" of the no-payment, "paid donations, paid use". However, some breastmilk banks do not have enough funds, so they adopt the "paid donation, unpaid use" or "paid donation, paid use" measures. Donors who do not have a blood report need to pay out of their own pockets for the examination fee, in addition to the use of the party may have to charge a disposable bottle fee.
The daily expenses of the breastmilk bank include the training and salary of full-time staff, the daily operation and maintenance of equipment and infrastructure, donor blood screening, microbiological testing equipment and costs, breastmilk storage containers and transportation facilities, and the updating and maintenance of cleaning angle facilities. Therefore, the operating funds of breastmilk banks mainly come from charitable organizations and the government. A medium-sized breast milk bank costs about 300,000 to 400,000 yuan a year to run.
The Guangzhou Breastmilk Bank has an annual running cost of 500,000 yuan, with an income of 0. This does not include the cost of hardware and software equipment used on a daily basis, and according to the experience of the Breastmilk Bank, the management cost of a milliliter of breastmilk is close to 2 yuan. The current running costs are borne by the "Breastmilk Love" Foundation and the hospital.
The Shanghai Breastmilk Bank was undertaken by the Public **** Health Three-Year Action Plan Program, and the subsequent operating and management costs will require the support of charitable foundations, etc. Similarly, the Nanjing Breastmilk Bank was constructed in the early stages of the project. Similarly, the Nanjing Breastfeeding Bank invested 100,000 yuan in the construction of the first donated by caring people, donated breast milk mother's examination costs at least 200 to 300 yuan, this is a lot of expenses need to be borne by the Breastfeeding Bank. Shaanxi Breastmilk Bank of all inspection costs borne by the hospital.
Southwest Hospital prefers to accept breastmilk donated by mothers who have given birth in the hospital, because if a mother from outside the hospital has to provide a complete pregnancy test report, otherwise the donor will have to pay about 800 yuan on her own. And mothers who take breastmilk may also have to bear the cost of bottles. The Breastmilk Bank is looking for a public service development model.
In October 2008, Ningbo Breastfeeding Association in Zhejiang Province, the first breastmilk bank project in the mainland, was forced to terminate because the start-up funds were not in place, in addition to the immaturity of the social environment is also one of the major factors.
Reflecting on this situation, I think the main reason is because our country's breast milk bank and foreign breast milk bank in the use of the concept of not the same, like the U.S. private breast milk bank of breast milk can be given to ordinary lack of breast milk mothers to buy, they pay to bear the cost of running breast milk bank, will be shared below. Our domestic breastmilk banks are currently used for medical purposes for sick children in hospitals, and there is no standardized pricing for breastmilk charges, so families generally do not need to bear any costs, and breastmilk banks are not allowed to pass on the costs to donors, which is illogical. So the domestic breast milk bank generally appear to lack of money situation, can only rely on the state and charitable organizations to support.
During the preparatory stage of the first breast milk bank, Guangzhou Women's and Children's Medical Center had done a questionnaire of more than 300, and the result was that only 25.1% of the people said that they were willing to donate their own breast milk, and only 8% were willing to let their children eat other people's breast milk. The level of social acceptance was very low at the very beginning. In order to save critically ill newborns, breast milk banks were still established under pressure. More and more breastmilk banks have been established, and the level of social acceptance and support has gradually increased. Even so, the stock of breastmilk banks often cannot meet the demand.
In fact, more than 100 years ago, in 1909, the first "breast milk bank" appeared in Vienna, so far there are 37 countries in the world have breast milk bank, the United States (basically every state), France (36), Britain (15), Italy (27), Sweden (17), Finland ( 17), Canada, Australia, Peru, Brazil, Argentina, and the Philippines all have breast milk banks.
France's breastmilk bank conducts health tests on donors, and once qualified, specialists come to collect donated breastmilk, which is then tested and transported, and then delivered to those who need it. The Australian breast milk bank is similar to our blood bank, and at a certain time of the year, voluntary donor mothers will drive to the breast milk bank to offer breast milk.
Breastmilk banks in the United States are primarily private organizations, but they are members of the North American Breastmilk Banking Association, and strictly adhere to the Association's standards for collection, sterilization, and supply. The standards for collection, sterilization, and supply are specified by multiple parties and were developed by Breastmilk Banking Association of North America, the U.S. Food and Drug Administration (FDA), and the U.S. Centers for Disease Control and Prevention (CDC)***.
Breastmilk from these banks is "free to donate and paid for". A breastmilk bank costs more than $300,000 a year, so using breastmilk from a breastmilk bank is expensive, usually costing $4 per ounce (30 ml per month).
Lack of breastmilk, lack of money, lack of social support, we can - "have breastmilk out of breastmilk, money out of money, mobilize breastmilk friends" to contribute. The more you express your breast milk, the more you will have, so you don't have to worry about expressing your milk and donating it to your own family, and you can mobilize your friends to donate their breast milk, which is also a contribution. If you're willing to donate extra breast milk, you can contact the hospital that has set up the breast milk bank directly.
In fact, there is a lot of information on the sale of breast milk on the Internet, such as milk aunt network, 58 Tongcheng, Taobao, etc., the purchase of these breast milk mothers need to be careful, because from the operation of the breast milk bank can be seen above, the physical condition of breast milk donors, the collection of breast milk, disinfection, preservation, transportation and other aspects of the strict health and safety requirements, the private sector private transactions are often not up to these requirements. And before the breast milk bank was established, some mothers donated their excess breast milk to welfare institutions that were willing to accept it.
There are many moms around who store a lot of cold milk, but their babies don't accept bottles or cold milk, so they have no choice but to pour it out, and there's no good way to donate the breast milk except for a pity, so I hope you'll take a look at what we've shared today, and tell your friends around you that:
Precious breastmilk can be used to its fullest potential!