Impact of the COVID-19 pandemic on the functioning of the human milk bank of a maternity hospital in the city of Rio de Janeiro, Brazil
Vigil Sanit Debate, Rio de Janeiro, 2023, v.11: e02128 | Published on: 03/10/2023
DOI:
https://doi.org/10.22239/2317-269x.02128Keywords:
Human Milk Bank, Breastfeeding, Quality of Health CareAbstract
Introduction: Human milk bank is a specialized service, linked to a maternal/or children’s hospital, responsible for actions to promote, protect and support breast milk and execution of collection, processing, quality control and distribution of human milk. Like most health services, this specialized service was impacted during the COVID-19 pandemic. Objective: To know the impact of the COVID-19 pandemic on the Human Milk Bank of Maternidade Leila Diniz, Rio de Janeiro, providing the necessary knowledge to managers to expand strategies for capturing human milk in addition to the protection and promotion of Breastfeeding. Also, to describe the strategies used to promote the uptake of human milk (HM) during the COVID-19 pandemic. Method: The individual indicators were the number of individual appointments, number of home visits, number of donors, number of recipients, volume of household collections, volume of microbiological milk, number of individuals examined for milk, number of household collections, Dornic and volume of pasteurized human milk. Data involved the period from February 2019 to March 2021, and was related to the services carried out by the HMB of the Leila Diniz Maternity Hospital, Rio de Janeiro. Indicators referring to the periods before and during the COVID-19 pandemic were compared. Results: It was observed that in the period during the pandemic, despite the reduction in the number of individualized visits at the HMB, there was a substantial increase in home visits, which promoted a greater volume of LH collected and distributed, and consequently a greater number of LH quality analyses (microbiological, crematocrit and Dornic acidity) were performed as well as a greater volume of LH was pasteurized. Conclusions: It is concluded that, even in a time of pandemic and social isolation, it was possible, safely and with quality, to care for newborns who are premature, or who have low birth weight in the Neonatal Unit.
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Ana Paula Abreu de Souza Moreira, Serviço de Nutrição, Hospital Municipal Lourenço Jorge, Maternidade Leila Diniz, Rio de Janeiro, RJ, Brasil / Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
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Aline Gomes de Mello de Oliveira , Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
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Thadia Turon Costa da Silva, Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
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Copyright (c) 2023 Ana Paula Abreu de Souza Moreira, Aline Gomes de Mello de Oliveira , Thadia Turon Costa da Silva (Autor)
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