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Article ; Online: Ensuring Exclusive Human Milk Diet for All Babies in COVID-19 Times.

Sachdeva, Ruchika Chugh / Jain, Suksham / Mukherjee, Suchandra / Singh, Jai

2020 Volume 57, Issue 8, Page(s) 730–733

Abstract: The coronavirus disease (COVID-19) pandemic has ramifications for the delivery of newborn nutrition and care services. World Health Organization recommends continuation of breastfeeding in these difficult times, with due precautions. If direct ... ...

Abstract	The coronavirus disease (COVID-19) pandemic has ramifications for the delivery of newborn nutrition and care services. World Health Organization recommends continuation of breastfeeding in these difficult times, with due precautions. If direct breastfeeding is not possible, milk expression should be explored. Pasteurized donor human milk from milk banks may be fed if mother's own milk is not available. To universalize access to human milk, the Indian government has proposed the establishment of comprehensive lactation management centers/milk banks, lactation management units, and lactation support units at all levels of the public health system. Due to COVID-19, these centers are encountering additional challenges cutting across interventions of rooming in, breastfeeding, milk expression, and provision of donor milk and kangaroo mother care. We discuss issues faced and alleviation measures taken by these centres in relation to provision of an exclusive human milk diet for infants during the pandemic.
MeSH term(s)	Betacoronavirus ; Breast Feeding ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Female ; Humans ; India ; Infant, Newborn ; Kangaroo-Mother Care Method ; Milk Banks ; Milk, Human ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-06-09
Publishing country	India
Document type	Journal Article
ZDB-ID	402594-5
ISSN	0974-7559 ; 0019-6061
ISSN (online)	0974-7559
ISSN	0019-6061
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Ensuring Exclusive Human Milk Diet for All Babies in COVID-19 Times

Sachdeva, Ruchika Chugh / Jain, Suksham / Mukherjee, Suchandra / Singh, Jai

Indian Pediatrics

2020 Volume 57, Issue 8, Page(s) 730–733

Keywords	Pediatrics, Perinatology, and Child Health ; covid19
Language	English
Publisher	Springer Science and Business Media LLC
Publishing country	us
Document type	Article ; Online
ZDB-ID	402594-5
ISSN	0019-6061
ISSN	0019-6061
DOI	10.1007/s13312-020-1917-4
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Ensuring Exclusive Human Milk Diet for All Babies in COVID-19 Times

Sachdeva, Ruchika Chugh / Jain, Suksham / Mukherjee, Suchandra / Singh, Jai

Indian pediatr

Abstract	The coronavirus disease (COVID-19) pandemic has ramifications for the delivery of newborn nutrition and care services. World Health Organization recommends continuation of breastfeeding in these difficult times, with due precautions. If direct breastfeeding is not possible, milk expression should be explored. Pasteurized donor human milk from milk banks may be fed if mother's own milk is not available. To universalize access to human milk, the Indian government has proposed the establishment of comprehensive lactation management centers/milk banks, lactation management units, and lactation support units at all levels of the public health system. Due to COVID-19, these centers are encountering additional challenges cutting across interventions of rooming in, breastfeeding, milk expression, and provision of donor milk and kangaroo mother care. We discuss issues faced and alleviation measures taken by these centres in relation to provision of an exclusive human milk diet for infants during the pandemic.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32525496
Database	COVID19

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Article ; Online: A Landscape Analysis of Human Milk Banks in India.

Sachdeva, Ruchika Chugh / Mondkar, Jayashree / Shanbhag, Sunita / Sinha, Minu Manuhar / Khan, Aisha / Dasgupta, Rajib

Indian pediatrics

2019 Volume 56, Issue 8, Page(s) 663–668

Abstract: Objectives: To evaluate the existing status of human milk banks in India with reference to infrastructure, human resources, funding mechanisms, operating procedures and quality assurance.: Methods: A pretested questionnaire was administered to 16 out ...

Abstract	Objectives: To evaluate the existing status of human milk banks in India with reference to infrastructure, human resources, funding mechanisms, operating procedures and quality assurance. Methods: A pretested questionnaire was administered to 16 out of 22 human milk banks across India, operational for more than one year prior to commencing the study. Results: 11 (69%) milk banks were in government or charitable hospitals; only 2 (12.5%) were established with government funding. 8 (50%) had a dedicated technician and only 1(6%) had more than five lactation counsellors. Milk was collected predominantly from mothers of sick babies and in postnatal care wards followed by pediatric outpatient departments, camps, satellite centers, and homes. 10 (63%) reported gaps between donor milk demand and supply. 12 (75%) used shaker water bath pasteurizer and cooled the milk manually without monitoring temperature, and 4 (25%) pooled milk under the laminar airflow. 10 (63%) tracked donor to recipient and almost all did not collect data on early initiation, exclusive breastfeeding or human milk feeding. Conclusions: Our study reports the gaps of milk banking practices in India, which need to be addressed for strengthening them. Gaps include suboptimal financial support from the government, shortage of key human resources, processes and data gaps, and demand supply gap of donor human milk.
MeSH term(s)	Cross-Sectional Studies ; Financing, Government/statistics & numerical data ; Health Care Surveys ; Health Services Accessibility/organization & administration ; Health Services Accessibility/statistics & numerical data ; Humans ; India ; Milk Banks/organization & administration ; Milk Banks/statistics & numerical data ; Quality Assurance, Health Care/organization & administration ; Quality Assurance, Health Care/statistics & numerical data
Language	English
Publishing date	2019-08-30
Publishing country	India
Document type	Journal Article
ZDB-ID	402594-5
ISSN	0974-7559 ; 0019-6061
ISSN (online)	0974-7559
ISSN	0019-6061
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A Qualitative Analysis of the Barriers and Facilitators for Breastfeeding and Kangaroo Mother Care Among Service Providers, Mothers and Influencers of Neonates Admitted in Two Urban Hospitals in India.

Chugh Sachdeva, Ruchika / Mondkar, Jayashree / Shanbhag, Sunita / Manuhar, Minu / Khan, Aisha / Dasgupta, Rajib / Israel-Ballard, Kiersten

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

2019 Volume 14, Issue 2, Page(s) 108–114

Abstract: Background: Known interventions like breastfeeding and kangaroo mother care (KMC) can avert a large share of infant deaths. Mother Baby Friendly Initiative Plus (MBFI+) is an integrated approach to ensure exclusive human milk diet through promotion of ... ...

Abstract	Background: Known interventions like breastfeeding and kangaroo mother care (KMC) can avert a large share of infant deaths. Mother Baby Friendly Initiative Plus (MBFI+) is an integrated approach to ensure exclusive human milk diet through promotion of breastfeeding, KMC, and provision of donor human milk (DHM) to vulnerable neonates lacking mothers' own milk. Materials and methods: Qualitative research was conducted among 56 service recipients including mothers and key influencers and 9 service providers to understand their knowledge, perceptions, and practices on breastfeeding, KMC, DHM, and human milk banks (HMBs) in 2 facilities in India, one with and another without an operational HMB. This article presents the findings on breastfeeding and KMC. Results: Nearly all mothers mentioned that antenatal visits lacked information on breastfeeding. Most were unaware of the recommended duration of exclusive breastfeeding. Most parents knew about the benefits of breast milk and colostrum. Limited staff and privacy in facilities resulted in inadequate breastfeeding and milk expression support to mothers, who found feeding of preterm and low-birth-weight babies challenging. Mothers shared challenges in breastfeeding at home, such as low family support and privacy and burden of household chores. Only those mothers who practiced KMC were aware of its benefits. Few service providers and recipients were comfortable with the practice of wet nursing in the absence of breastfeeding. Conclusions: MBFI+ is a promising approach to strengthen breastfeeding and KMC. Quality counseling on breastfeeding and milk expression from antenatal period, increasing awareness and training on KMC for mothers, improving infrastructure, addressing staff shortage, and building capacities of hospital staff on MBFI+ are needed.
MeSH term(s)	Breast Feeding ; Female ; Health Knowledge, Attitudes, Practice ; Health Promotion/methods ; Hospitals, Urban ; Humans ; India ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Kangaroo-Mother Care Method ; Milk Banks ; Mothers ; Pregnancy ; Qualitative Research
Language	English
Publishing date	2019-01-24
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2234680-6
ISSN	1556-8342 ; 1556-8253
ISSN (online)	1556-8342
ISSN	1556-8253
DOI	10.1089/bfm.2018.0177
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Impact of mother-baby friendly initiative plus approach on improving human milk feeding for neonates in hospital: a quality improvement before-and-after uncontrolled study.

Mondkar, Jayashree / Chawla, Deepak / Sachdeva, Ruchika Chugh / Manerkar, Swati / Shanbhag, Sunita / Khan, Aisha / Manuhar, Minu / Wankhede, Maya Ganesh / Thakur, Vidya / Israel-Ballard, Kiersten

European journal of pediatrics

2021 Volume 181, Issue 1, Page(s) 107–116

Abstract: Breastfeeding, use of pasteurised donor human milk when mother's own milk is unavailable and kangaroo mother care have independently proven benefits in improving survival of vulnerable sick babies. A triangulated approach called the Mother Baby Friendly ... ...

Abstract	Breastfeeding, use of pasteurised donor human milk when mother's own milk is unavailable and kangaroo mother care have independently proven benefits in improving survival of vulnerable sick babies. A triangulated approach called the Mother Baby Friendly Initiative Plus (MBFI+) model, bringing together the combined benefits of these proven interventions, was used to improve exclusive human milk feeding at health facilities through quality improvement and system strengthening approach. This quality improvement before-and-after uncontrolled study enrolled 5343 term and 278 very low birth weight (VLBW) mother-infant dyads. Pre- and post-intervention data were compared to evaluate effect on feeding-related healthcare processes and outcomes. Primary outcome which was incidence of exclusive human milk feeding during hospital stay, improved from 44 to 64.8% (RR 1.47, 95% CI: 1.40-1.55) among term and from 60.5 to 80.7% (RR: 1.33; 95% CI: 1.12-1.59) among VLBW neonates. Neonates receiving extended KMC improved from 43 to 71.1% (RR: 1.65; 95% CI: 1.30-2.10).Conclusion: MBFI+ approach improved exclusive human milk feeding among term and preterm VLBW neonates. What is Known: • Breastfeeding has immense health benefits to sick preterm neonates admitted in NICU. What is New: • Quality improvement approach can lead to system strengthening and can help overcome hindrances to achieve increased breastfeeding rates.
MeSH term(s)	Breast Feeding ; Child ; Female ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Kangaroo-Mother Care Method ; Milk, Human ; Mothers ; Quality Improvement
Language	English
Publishing date	2021-07-03
Publishing country	Germany
Document type	Journal Article
ZDB-ID	194196-3
ISSN	1432-1076 ; 0340-6199 ; 0943-9676
ISSN (online)	1432-1076
ISSN	0340-6199 ; 0943-9676
DOI	10.1007/s00431-021-04141-9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Understanding Barriers and Facilitators for Human Milk Banking Among Service Providers, Mothers, and Influencers of Preterm and Sick Neonates Admitted at Two Health Facilities in a Metropolitan City in India.

Mondkar, Jayashree / Chugh Sachdeva, Ruchika / Shanbhag, Sunita / Khan, Aisha / Manuhar Sinha, Minu / Dasgupta, Rajib / Israel-Ballard, Kiersten / Sabharwal, Vandana

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

2018 Volume 13, Issue 10, Page(s) 694–701

Abstract: Background: Scaling-up human milk banks (HMBs) is a promising solution for saving vulnerable newborns. Exploring perceptions and practices on donor human milk (DHM) and HMBs is essential to strengthen and scale-up an integrated HMB system resting on a ... ...

Abstract	Background: Scaling-up human milk banks (HMBs) is a promising solution for saving vulnerable newborns. Exploring perceptions and practices on donor human milk (DHM) and HMBs is essential to strengthen and scale-up an integrated HMB system resting on a model called the "Mother Baby Friendly Initiative Plus" (MBFI+), which includes promoting breastfeeding, encouraging kangaroo mother care, and providing safe DHM to vulnerable babies without access to mother's own milk. Materials and methods: A qualitative research was conducted among 56 service recipients including mothers and key influencers and 9 service providers to understand their perceptions and practices on DHM and HMBs. Results: Service providers opined that DHM is safe and lifesaving for vulnerable babies. Challenges shared were limited supply of DHM because of low awareness on milk donation, shortage of trained staff, and risk of milk contamination. They stated that although most mothers were comfortable in donating milk, few were reluctant to donate milk as they feared shortage of milk for their own babies, or milk expression may cause weakness. Recipient mothers accepted use of DHM as per facility norms but had concerns about donor mothers' health and hygiene and measures for ensuring milk safety. Most grandmothers were resistant toward donating or receiving DHM for their grandchildren. Many fathers were comfortable with donating once they knew it is lifesaving and did not compromise supply for their babies. Service providers shared opportunities for scale-up, like improving awareness and infrastructure, lactation counseling by skilled personnel, supportive hospital environment, and establishing HMBs in every city and district. Conclusions: Human milk banking should be strengthened as part of the MBFI+ model. For this, behavior change communication targeted at mothers and influencers about breastfeeding and HMB from the antenatal period, capacity-building among service providers, and government ownership is necessary.
MeSH term(s)	Female ; Health Knowledge, Attitudes, Practice ; Humans ; India ; Infant, Newborn ; Infant, Premature ; Intensive Care Units, Neonatal ; Milk Banks ; Milk, Human ; Mother-Child Relations ; Mothers/education ; Mothers/psychology ; Pregnancy ; Qualitative Research ; Social Perception ; World Health Organization
Language	English
Publishing date	2018-10-31
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ZDB-ID	2234680-6
ISSN	1556-8342 ; 1556-8253
ISSN (online)	1556-8342
ISSN	1556-8253
DOI	10.1089/bfm.2018.0103
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Maintaining human milk bank services throughout the COVID-19 pandemic: A global response.

Shenker, Natalie / Staff, Marta / Vickers, Amy / Aprigio, Joao / Tiwari, Satish / Nangia, Sushma / Sachdeva, Ruchika Chugh / Clifford, Vanessa / Coutsoudis, Anna / Reimers, Penny / Israel-Ballard, Kiersten / Mansen, Kimberly / Mileusnic-Milenovic, Radmila / Wesolowska, Aleksandra / Goudoever, Johannes B van / Hosseini, Mohammadbagher / Klotz, Daniel / Grøvslien, Anne Hagen / Weaver, Gillian

Maternal & child nutrition

2021 Volume 17, Issue 3, Page(s) e13131

Abstract: If maternal milk is unavailable, the World Health Organization recommends that the first alternative should be pasteurised donor human milk (DHM). Human milk banks (HMBs) screen and recruit milk donors, and DHM principally feeds very low birth weight ... ...

Abstract	If maternal milk is unavailable, the World Health Organization recommends that the first alternative should be pasteurised donor human milk (DHM). Human milk banks (HMBs) screen and recruit milk donors, and DHM principally feeds very low birth weight babies, reducing the risk of complications and supporting maternal breastfeeding where used alongside optimal lactation support. The COVID-19 pandemic has presented a range of challenges to HMBs worldwide. This study aimed to understand the impacts of the pandemic on HMB services and develop initial guidance regarding risk limitation. A Virtual Collaborative Network (VCN) comprising over 80 HMB leaders from 36 countries was formed in March 2020 and included academics and nongovernmental organisations. Individual milk banks, national networks and regional associations submitted data regarding the number of HMBs, volume of DHM produced and number of recipients in each global region. Estimates were calculated in the context of missing or incomplete data. Through open-ended questioning, the experiences of milk banks from each country in the first 2 months of the pandemic were collected and major themes identified. According to data collected from 446 individual HMBs, more than 800,000 infants receive DHM worldwide each year. Seven pandemic-related specific vulnerabilities to service provision were identified, including sufficient donors, prescreening disruption, DHM availability, logistics, communication, safe handling and contingency planning, which were highly context-dependent. The VCN now plans a formal consensus approach to the optimal response of HMBs to new pathogens using crowdsourced data, enabling the benchmarking of future strategies to support DHM access and neonatal health in future emergencies.
MeSH term(s)	Breast Feeding ; COVID-19 ; Female ; Humans ; Infant ; Infant, Newborn ; Milk Banks ; Milk, Human ; Pandemics/prevention & control ; SARS-CoV-2
Language	English
Publishing date	2021-01-06
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175105-5
ISSN	1740-8709 ; 1740-8695
ISSN (online)	1740-8709
ISSN	1740-8695
DOI	10.1111/mcn.13131
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Maintaining safety and service provision in human milk banking

Shenker, Natalie / Aprigio, Joao / Arslanoglu, Sertac / Aye, Nant San San / Bærug, Anne / Bar Yam, Naomi / Barnett, Debbie / Bellad, Roopa / Bertino, Enrico / Bethou, Adhisivam / Bharadva, Ketan / Olin, Anne Bille / Billeaud, Claude / Buffin, Rachel / Cassidy, Tanya / Chugh Sachdeva, Ruchika / Clifford, Vanessa / Coutsoudis, Anna / Deb, Sila /

Domjan, Andreja / Fang, Li-Jung / Festival, Janette / Franks, Anthea / Garcia-Lara, Nadia / Gaya, Antoni / Golubiú-Úepuliú, Branka / Groff, Lindsay / Grøvslien, Anne H / Hamilton Spence, Erin / Heidarzadeh, Mohammad / Hosseini, Mohammadbagher / Hughes, Jackie / Israel-Ballard, Kiersten / Jain, Kajal / Jain, Suksham / Jayaraman, Selvaraj / Jones, Frances / Kale, Pratibha / Kasar, Jayendra / Kithua, Angela / Klein, Laura / Klotz, Daniel / Lin, Yungchieh / Liu, Xihong / Lockhart Borman, Laraine / Lundstrom, Josefin / Malzacher, Andreas / Mansen, Kimberly / Mathisen, Roger / Mileusnic-Milenovic, Radmila / Moe, Zaw Win / Moro, Guido / Mukherjee, Suchandra / Myint, San San / Nangia, Sushma / Ngerncham, Sopapan / Njeru, Faith / Olonan-Jusi, Estrella J / Opie, Gillian / Palmquist, Aunchalee / Reimers, Penny / Saboute, Maryam / Sakamoto, Pauline / Sanchez, Sybil / Shenker, Natalie S / Singh, Himabindu / Singh, Jai / Singh, Poonam / Staff, Marta / Sulfaro, Christine / Thi Hoang, Tran / Tiit-Vesingi, Annika / Tiwari, Satish / van Goudoever, Johannes B / Vickers, Amy / Waiyego, Mary / Weaver, Gillian / Wesolowska, Aleksandra / Wright, Jenny

The Lancet Child & Adolescent Health

a call to action in response to the COVID-19 pandemic

2020 Volume 4, Issue 7, Page(s) 484–485

Keywords	covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ISSN	2352-4642
DOI	10.1016/s2352-4642(20)30134-6
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Maintaining safety and service provision in human milk banking: a call to action in response to the COVID-19 pandemic

The Lancet Child & Adolescent Health

Keywords	covid19
Publisher	Elsevier
Document type	Article ; Online
DOI	10.1016/s2352-4642(20)30134-6
Database	COVID19

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