vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v14i1.1274vsp-90Research ArticleВ ПОМОЩЬ ВРАЧУA DOCTOR’S AIDНЕОБХОДИМОСТЬ И ВОЗМОЖНОСТЬ СОЗДАНИЯ БАНКОВ ДОНОРСКОГО ГРУДНОГО МОЛОКА В РОССИИ: РЕЗУЛЬТАТЫ СОЦИОЛОГИЧЕСКОГО ОПРОСА В РАМКАХ ПИЛОТНОГО ПРОЕКТА БАНКА ДОНОРСКОГО МОЛОКА НА БАЗЕ ФГБНУ «НАУЧНЫЙ ЦЕНТР ЗДОРОВЬЯ ДЕТЕЙ»THE DEVELOPMENT OF DONATED BREAST MILK BANKS IN RUSSIA: NECESSITY AND POSSIBILITIES. SURVEY RESULTS WITHIN THE PILOT PROJECT OF A DONATED BREAST MILK BANK POWERED BY THE FEDERAL STATE BUDGETARY SCIENTIFIC INSTITUTION «SCIENTIFIC CENTRE OF CHILDREN’S HEALЛукояноваО. Л.LukoyanovaO. L.

кандидат медицинских наук, старший научный сотрудник отделения питания здорового и больного ребенка НЦЗД

anlouk@yandex.ruБоровикТ. Э.BorovikT. E.borovik@nczd.ruБеляеваИ. А.BelyaevaI. A.anlouk@yandex.ruНамазова-БарановаЛ. С.Namazova-BaranovaL. S.namazova@nczd.ruЯцыкГ. В.YatsykG. V.anlouk@yandex.ruБомбардироваЕ. П.BombardirovaE. P.anlouk@yandex.ruСкворцоваВ. А.SkvortsovaV. A.anlouk@yandex.ruЩепкинаЕ. В.ShchepkinaE. V.anlouk@yandex.ruНаучный центр здоровья детей, Москва, Российская ФедерацияРоссияScientific Centre of Children’s Health, Moscow, Russian FederationRussian FederationНаучный центр здоровья детей, Москва, Российская Федерация Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская ФедерацияРоссияScientific Centre of Children’s Health, Moscow, Russian Federation Sechenov First Moscow State Medical University, Russian FederationRussian FederationНаучный центр здоровья детей, Москва, Российская Федерация Первый Московский государственный медицинский университет им. И.М. Сеченова, Российская Федерация Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Москва, Российская ФедерацияРоссияScientific Centre of Children’s Health, Moscow, Russian Federation Sechenov First Moscow State Medical University, Russian Federation Pirogov Russian National Research Medical University, Moscow, Russian FederationRussian FederationООО «ДиректИнфо», Москва, Российская ФедерацияРоссияDirectInfo LLC, Moscow, Russian FederationRussian Federation201514022015141Вопросы современной педиатрии145154Copyright © Лукоянова О.Л., Боровик Т.Э., Беляева И.А., Намазова-Баранова Л.С., Яцык Г.В., Бомбардирова Е.П., Скворцова В.А., Щепкина Е.В., 20152015Лукоянова О.Л., Боровик Т.Э., Беляева И.А., Намазова-Баранова Л.С., Яцык Г.В., Бомбардирова Е.П., Скворцова В.А., Щепкина Е.В.Lukoyanova O.L., Borovik T.E., Belyaeva I.A., Namazova-Baranova L.S., Yatsyk G.V., Bombardirova E.P., Skvortsova V.A., Shchepkina E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/90

При невозможности обеспечения ребенка материнским молоком необходимо предоставление возможности получения им донорского молока. В резолюции Мировой ассоциации перинатальной медицины подчеркнуто, что создание банков донорского грудного молока является продолжением национального курса на поддержку и популяризацию грудного вскармливания. В статье представлены результаты опроса матерей, отцов и медицинских работников по вопросам необходимости и возможности создания банка донорского молока в России. Выявлена низкая осведомленность опрашиваемых о пользе и безопасности использования донорского грудного молока у детей при недостатке или отсутствии материнского молока. Полученные данные указывают на необходимость пропагандирования банков грудного молока с целью популяризации его использования, а также просвещения о необходимости грудного вскармливания.

 

A child should receive the donated breast milk when a mother cannot provide it. The United Association of Perinatal Care resolution underlines that the creation of donated breast milk banks pursuits the national policy for the support and popularization of breast feeding. The article presents the results of survey among mothers, fathers and medical workers regarding necessity and possibility of developing donated breast milk banks in Russia. The respondents showed low awareness of the benefits and safety of the donor breast milk for children with deficiency or lack of the mother's milk. Received data points out the necessity of promotion of donated breast milk banks in order to stimulate breast feeding as well as to raise the awareness of breast feeding necessity.

 

грудное молокодонорское молоконедоношенные детибанки донорского грудного молокаbreast milkdonated milkpremature infantsdonated breast milk banksReferencesSkvortsova V., Borovik T., Belyaeva I., Tarzyan E., Garankina T., Gribakin S. Nutritional status of premature infants fed by breast milk. J. Matern.-Fet. Neonat. Med. 2014;27(1):204.Skvortsova V., Borovik T., Belyaeva I., Tarzyan E., Garankina T., Gribakin S. Nutritional status of premature infants fed by breast milk. J. Matern.-Fet. Neonat. Med. 2014; 27 (1): 204.Yatsyk G.V., Akoev Yu.S., Antonova E.V., Antonov A.G., Belyaeva I.A., Bombardirova E.P., Borovik T.E., Gevorkyan A.K., Davydova I.V., Demchenko E.N., Zhirkova Yu.V., Zimina E.P., Il'in A.G., Katargina L.A., Konova O.M., Konova S.R., Lazurenko S.B., Lukoyanova O.L., Mamed''yarov A.M., Mitish M.D. Printsipy etapnogo vykhazhivaniya nedonoshennykh detei [Principles of Prematures’ Stage Nursing. Ed. by Namazova-Baranova L.S.]. Мoscow, 2013. p. 240.Yatsyk G.V., Akoev Yu.S., Antonova E.V., Antonov A.G., Belyaeva I.A., Bombardirova E.P., Borovik T.E., Gevorkyan A.K., Davydova I.V., Demchenko E.N., Zhirkova Yu.V., Zimina E.P., Il'in A.G., Katargina L.A., Konova O.M., Konova S.R., Lazurenko S.B., Lukoyanova O.L., Mamed''yarov A.M., Mitish M.D. Printsipy etapnogo vykhazhivaniya nedonoshennykh detey [Principles of Prematures’ Stage Nursing]. Ed. by Namazova-Baranova L.S. Мoscow, 2013. p. 240.American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatrics. 2012;29:827–841.American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatrics. 2012; 29: 827–841.Lukoyanova O.L. Stsezhennoe materinskoe moloko: za i protiv [Expressed Breast Milk: Pros and Cons]. Voprosy sovremennoi pediatrii = Current Pediatrics. 2010;9(2):70–73.Lukoyanova O.L. Stsezhennoe materinskoe moloko: za i protiv [Expressed Breast Milk: Pros and Cons]. Voprosy sovremennoi pediatrii = Current Pediatrics. 2010; 9 (2): 70–73.Baranov A.A., Namazova-Baranova L.S., Belyaeva I.A., Skvortsova V.A., Turti T.V., Tarzyan E.O. Otsenka nutritivnogo statusa nedonoshennykh detey metodom vozdushnoy pletizmografii: pervoe rossiyskoe prospektivnoe nablyudenie [Assessment of Prematures’ Nutritional Status by Air Plethysmography: First Russian Prospective Study]. Vestnik Rossiiskoi akademii meditsinskikh nauk = Annals of the Russian Academy of Medical Sciences. 2013;4:10–16.Baranov A.A., Namazova-Baranova L.S., Belyaeva I.A., Skvortsova V.A., Turti T.V., Tarzyan E.O. Otsenka nutritivnogo statusa nedonoshennykh detey metodom vozdushnoy pletizmografii: pervoe rossiyskoe prospektivnoe nablyudenie [Assessment of Prematures’ Nutritional Status by Air Plethysmography: First Russian Prospective Study]. Vestnik Rossiiskoi akademii meditsinskikh nauk = Annals of the Russian Academy of Medical Sciences. 2013; 4:10–16.Koletzko B., Brands B., Poston L., Godfrey K., Demmelmair H. Early Nutrition Project. Early nutrition programming of long-term health. Proc. Nutr. Soc. 2012;71:371–378.Koletzko B., Brands B., Poston L., Godfrey K., Demmelmair H. Early Nutrition Project. Early nutrition programming of long-term health. Proc. Nutr. Soc. 2012; 71, 371–378.Cutfield W. S., Hofman P. L., Mitchell M., Morison I. M. Could epigenetics play a role in the developmental origins of health and disease? Pediatr. Res. 2007;61:68–75.Cutfield W.S., Hofman P.L., Mitchell M., Morison I.M. Could epigenetics play a role in the developmental origins of health and disease? Pediatr. Res. 2007; 61: 68–75.Global'naya strategiya po kormleniyu detey grudnogo i rannego vozrasta [Global Strategy for Infant and Young Child Feeding] Transl. from Engl. Geneva, WHO, 2003. 34 p.Global'naya strategiya po kormleniyu detey grudnogo i rannego vozrasta [Global Strategy for Infant and Young Child Feeding] Transl. from Engl. Geneva, WHO, 2003. 34 p.Abol'yan L.V. Tekhnicheskoe soveshchanie VOZ/YuNISEF po pitaniyu mladentsev i detey rannego vozrasta. Kratkiy obzor materialov [WHO/UNICEF Technical Meeting on Nutrition of Infants and Young Children. Brief Review of the Material]. Profilaktika zabolevanii i ukreplenie zdorov’ya = Prevention of Disease and health promotion. 2000;5:47–48.Abol'yan L.V. Tekhnicheskoe soveshchanie VOZ/YuNISEF po pitaniyu mladentsev i detey rannego vozrasta. Kratkiy obzor materialov [WHO/UNICEF Technical Meeting on Nutrition of Infants and Young Children. Brief Review of the Material]. Profilaktika zabolevanii i ukreplenie zdorov’ya = Prevention of Disease and health promotion. 2000; 5: 47–48.Implementation of the Baby-friendly Hospital Initiative in industrialized countries. Summary of reports by country coordinators/ focal points. Geneva, WHO. 2008. 35 p.Implementation of the Baby-friendly Hospital Initiative in industr ialized countries. Summary of reports by country coordinators/focal points. Geneva: WHO. 2008. 35 p.Practical Approach to Paediatric Enteral Nutrition: A Comment by the ESPGHAN Committee on Nutrition. JPGN. 2010;51:110–122.Practical Approach to Paediatric Enteral Nutrition: A Comment by the ESPGHAN Committee on Nutrition. JPGN. 2010; 51: 110–122.Arslanoglu S., Ziegler E. E., Moro G. E. World Association of Perinatal Medicine (WAPM) Working Group on Nutrition. Recommendations for perinatal practice. Donor human milk in preterm infant feeding: evidence and recommendations. J. Perinatal. Med. 2010;38(4):347–351.Arslanoglu S., Ziegler E.E., Moro G.E. World Association of Perinatal Medicine (WAPM) Working Group on Nutrition. Recommendations for perinatal practice. Donor human milk in preterm infant feeding: evidence and recommendations. J. Perinatal. Med. 2010; 38 (4): 347–351.Czank C., Simmer K., Hartmann P. E. Simultaneous pasteurization and homogenization of human milk by combining heat and ultrasound: effect on milk quality. J. Dairy Res. 2010;7:1–7.Czank C., Simmer K., Hartmann P.E. Simultaneous pasteurization and homogenization of human milk by combining heat and ultrasound: effect on milk quality. J. Dairy Res. 2010; 7: 1–7.Israel-Ballard K. A., Chantry C. J., Dewey K. G., Donovan R. M., Sheppard H. W., Abrams B. F., Gohil J. R., Hartmann S. U., Berlin C. M., Howett M. K. Heat treating breast milk as an infant feeding option. J. Hum. Lact. 2006;22:267–268.Israel-Ballard K.A., Chantry C.J., Dewey K.G., Donovan R.M., Sheppard H.W., Abrams B.F., Gohil J.R., Hartmann S.U., Berlin C.M., Howett M.K. Heat treating breast milk as an infant feeding option. J. Hum. Lact. 2006; 22: 267–268.McGuire W., Anthony M. Y. Donor human milk versus formula for preventing necrotising enterocolitis in preterm infants: systematic review. Arch. Dis. Child. Fet. Neonat. Ed. 2003;88:11–14.McGuire W., Anthony M.Y. Donor human milk versus formula for preventing necrotising enterocolitis in preterm infants: systematic review. Arch. Dis. Child. Fet. Neonat. Ed. 2003; 88 11–14.Boyd C. A., Quigley M. A., Brocklehurst P. Donor breast milk versus infant formula for preterm infants: Systematic review and meta-analysis. Arch. Dis. Child. Fet. Neonat. Ed. 2007;92:169–175.Boyd C.A., Quigley M.A., Brocklehurst P. Donor breast milk versus infant formula for preterm infants: Systematic review and meta-analysis. Arch. Dis. Child. Fet. Neonat. Ed. 2007; 92: 169–175.Quigley M. A., Henderson G., Anthony M. Y., McGuire W. Formula milk versus donor breast milk for feeding preterm or low birth weight infants. Cochr. Database Syst. Rev. 2007;4:CD002971.Quigley M.A., Henderson G., Anthony M.Y., McGuire W. Formula milk versus donor breast milk for feeding preterm or low birth weight infants. Cochr. Database Syst. Rev. 2007; 4: CD002971.de Silva A., Jones P. W., Spencer S. A. Does human milk reduce infection rates in preterm infants? A systematic review. Arch. Dis. Child. Fet. Neonat. Ed. 2004;89:509–513.de Silva A., Jones P.W., Spencer S.A. Does human milk reduce infection rates in preterm infants? A systematic review. Arch. Dis. Child. Fet. Neonat. Ed. 2004; 89: 509–513.Ronnestad A., Abrahamsen T. G., Medbo S., Reigstad H., Lossius K., Kaaresen P. I., Engelund I. E., Irgens L. M., Markestad T. Late onset septicemia in a Norwegian national cohort of extremely premature infants receiving very early full human milk feeding. Pediatrics. 2005;115:269–276.Rønnestad A., Abrahamsen T.G., Medbø S., Reigstad H., Lossius K., Kaaresen P.I., Engelund I.E., Irgens L.M., Markestad T. Late onset septicemia in a Norwegian national cohort of extremely premature infants receiving very early full human milk feeding. Pediatrics. 2005; 115: 269–276.Schanler R. J., Lau C., Hurst N. M., Smith E. O. Randomized trial of donor human milk versus preterm formula as substitutes for mothers’ own milk in the feeding of extremely premature infants. Pediatrics. 2005;116:400–406.Schanler R.J., Lau C., Hurst N.M., Smith E.O. Randomized trial of donor human milk versus preterm formula as substitutes for mothers’ own milk in the feeding of extremely premature infants. Pediatrics. 2005; 116: 400–406.Rojahn A., Lindgren C. G. Enteral feeding in infants 51250 g starting within 24 h post-partum. Eur. J. Pediatr. 2001;160:629–632.Rojahn A., Lindgren C.G. Enteral feeding in infants 51250 g starting within 24 h post-partum. Eur. J. Pediatr. 2001; 160: 629–632.De Nisi G., Berti M., Malossi R., Pederzini F., Pedrotti A., Valente A. Comparison of neonatal intensive care: Trento area versus Vermont Oxford Network. Ital. J. Pediatr. 2009;14(35):5.De Nisi G., Berti M., Malossi R., Pederzini F., Pedrotti A., Valente A. Comparison of neonatal intensive care: Trento area versus Vermont Oxford Network. Ital. J. Pediatr. 2009; 14 (35): 5.Singhal A., Fewtrell M., Cole T. J., Lucas A. Low nutrient intake and early growth for later insulin resistance in adolescents born preterm. Lancet. 2003;361:1089–1097.Singhal A., Fewtrell M., Cole T.J., Lucas A. Low nutrient intake and early growth for later insulin resistance in adolescents born preterm. Lancet. 2003; 361: 1089–1097.Singhal A., Cole T. J., Fewtrell M., Lucas A. Breastmilk feeding and lipoprotein profile in adolescents born preterm: follow-up of a prospective randomised study. Lancet. 2004;363:1571–1578.Singhal A., Cole T.J., Fewtrell M., Lucas A. Breastmilk feeding and lipoprotein profile in adolescents born preterm: follow-up of a prospective randomised study. Lancet. 2004; 363: 1571–1578.Tully M. R., Lockhart-Borman L., Updegrove K. Stories of success: the use of donor milk is increasing in North America. J. Hum. Lact. 2004;20:75–77.Tully M.R., Lockhart-Borman L., Updegrove K. Stories of success: the use of donor milk is increasing in North America. J. Hum. Lact. 2004; 20: 75–77.Rough S. M., Sakamoto P., Fee C. H., Hollenbeck C. B. Qualitative analysis of cancer patients’ experiences using donated human milk. J. Hum. Lact. 2009;25:211–219.Rough S.M., Sakamoto P., Fee C.H., Hollenbeck C.B. Qualitative analysis of cancer patients’ experiences using donated human milk. J. Hum. Lact. 2009; 25: 211–219.Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol #3: hospital guidelines for the use of supplementary feedings in the healthy term breastfed neonate, revised 2009. Breastfeed. Med. 2009;4:175–182.Academy of Breastfeeding Medicine Protocol Committee. ABM clinical protocol #3: hospital guidelines for the use of supplementary feedings in the healthy term breastfed neonate, revised 2009. Breastfeed. Med. 2009; 4: 175–182.Simmer K., Hartmann B. The knowns and unknowns of human milk banking. Early Hum. Dev. 2009;85:701–704.Simmer K., Hartmann B. The knowns and unknowns of human milk banking. Early Hum. Dev. 2009; 85: 701–704.National Institute for Health and Clinical Excellence. Donor Breast Milk Banks: The peration of Donor Milk Bank Services. London: National Institute for Health and Clinical Excellence; 2010. Available at: www.nice.org/guidance/CG93 (accessed December 15, 2014).National Institute for Health and Clinical Excellence. Donor Breast Milk Banks: The peration of Donor Milk Bank Services. London: National Institute for Health and Clinical Excellence; 2010. Available from: www.nice.org/guidance/ CG93 (15.12.2014).Arrslanoglu S., Bertino E., Tonetto P., de Nisi G., Maria Amruzzi A., Blasini A., Profeti C. Guidelines for the establishment and operation of a donor human milk bank. Italian Association of Human Milk Banks. J. Matern.-Fet. Neonat. Med. 2010;23(2):1–20.Arrslanoglu S., Bertino E., Tonetto P., de Nisi G., Maria Amruzzi A., Blasini A., Profeti C., Guidelines for the establishment and operation of a donor human milk bank. Italian Association of Human Milk Banks. J. Matern.-Fet. Neonat. Med. 2010; 23 (2): 1–20.Belyaeva I.A., Bombardirova Ye.P. Mediko-organizatsionnye osnovy raboty banka grudnogo moloka [Medical and Organizational Basis of the Bank of Breast Milk]. Voprosy sovremennoi pediatrii = Current Pediatrics. 2012;11(3):75–78.Belyaeva I.A., Bombardirova Ye.P. Mediko-organizatsionnye osnovy raboty banka grudnogo moloka [Medical and Organizational Basis of the Bank of Breast Milk]. Voprosy sovremennoi pediatrii = Current Pediatrics. 2012; 11 (3): 75–78.Dronov E.V., Gil'mutdinov R.G., Zakharova I.V., Begun D.N. Kharakteristika osnovnykh problem razvitiya donorstva v Rossii [Characteristics of the Main Problems of the Donorship Development in Russia]. Fundamental'nye issledovaniya = Fundamental research. 2014;7–4:825–829.Dronov E.V., Gil'mutdinov R.G., Zakharova I.V., Begun D.N. Kharakteristika osnovnykh problem razvitiya donorstva v Rossii [Characteristics of the Main Problems of the Donorship Development in Russia]. Fundamental'nye issledovaniya = Fundamental research. 2014; 7–4: 825–829.

The authors declare that there are no conflicts of interest present.