1Community Health Nursing Student, Department of Community Health Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;
2Department of Community Health Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;
3Social Determinants of Health Research Center, Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran;
4Tabriz Health Service Management Research Center, Department of Community Health Nursing, Tabriz University of Medical Sciencess, Tabriz, Iran;
5University of Jordan Amman, Jordan, World Wide Nursing Service Network (WWNSN, PLLC), El Paso, Texas, USA;
6Department of Medical- Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciencess, Tabriz, Iran
چکیده
Background: Donated milk is the best choice for infants who cannot receive breast milk from their mothers. Researchers in this study evaluated the knowledge and attitude of healthcare providers regarding milk-donation and examined their socio-demographic predictors in Tabriz-Iran, 2021. Methods: In thiscross-sectional analytic study, the total sample size consisted of 535 healthcare providers including 272 nurses and midwives working at maternal hospitals and 263 healthcare providers working at healthcare-centers. Census-sampling method was used during October 2020 to February 2021, and data collection tools included socio-demographic, knowledge and attitude questionnaires. Pearson-correlation test, independent t-test, one-way analysis of variance, and adjusted general linear model were used to analyze the data using SPSS version 16. Results: The mean (SD) of the knowledge score was 12.04±4.30 (score range of 0-22) and that of the attitude score was 134.27±20.23 (score range of 42-210). Results of general linear model was adjusted for socio-demographic characteristics and showed that predictors of knowledge variable were associated with having prior experience of breastfeeding another infant (P=0.006) and encouraging others to breastfeed (P=0.008); also, the predictor of attitude variable was aligned with encouraging others to breastfeed (P<0.001). Conclusions: The findings of this study affirm that knowledge and attitude of healthcare providers were moderately influential for breast milk donation. Since they could play a responsible role in providing education, positive atmosphere for specialized training for the general public, the efforts to improve their knowledge and attitudes can contribute to acceptability of a milk-bank in the community and reduction of the rate of neonatal mortality in Iran.
Kaingade P, Somasundaram I, Nikam A, et al. Breast milk cell components and its beneficial effects on neonates: need for breast milk cell banking. Journal of Pediatric and Neonatal Individualized Medicine. 2017;6:e060115.
Valizadeh S, Hosseinzadeh M, Mohammadi E, et al. Coping mechanism against high levels of daily stress by working breastfeeding mothers in Iran. International Journal of Nursing Sciences. 2018;5:39-44.
Black RE, Allen LH, Bhutta ZA, et al. Maternal and child undernutrition: global and regional exposures and health consequences. The lancet. 2008;371:243-60.
World Health Organization. Infants exclusively breastfed for the first six months of life (%). Geneva: World Health Organization; 2021.
Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016;387:475-90.
Lamberti LM, Zakarija-Grković I, Walker CLF, et al. Breastfeeding for reducing the risk of pneumonia morbidity and mortality in children under two: a systematic literature review and meta-analysis. BMC Public Health. 2013;13:S18.
Eidelman AI, Schanler RJ, Johnston M, Landers S. Breastfeeding and the use of human milk. Pediatrics. 2012;129:e827-41.
Rosenbauer J, Herzig P, Giani G. Early infant feeding and risk of type 1 diabetes mellitus-a nationwide population‐based case-control study in pre‐school children. Diabetes/Metabolism Research and Reviews. 2008;24:211-22.
Moro GE, Arslanoglu S, Bertino E, et al. XII. Human milk in feeding premature infants: consensus statement. Journal of Pediatric Gastroenterology and Nutrition. 2015;61:S16-9.
World Health Organization. Implementing the Global Strategy for Infant and Young Child Feeding: Geneva, 3-5 February 2003: meeting report. Geneva: World Health Organization; 2003.
Quigley M, Embleton ND, McGuire W. Formula versus donor human milk for feeding preterm or low birth weight infants. Cochrane Database of Systematic Reviews. 2018;6:CD002971.
Pichiri G, Lanzano D, Piras M, et al. Human breast milk stem cells: a new challenge for perinatologists. Journal of Pediatric and Neonatal Individualized Medicine. 2016;5:e050120.
Haiden N, Ziegler EE. Human milk banking. Annals of Nutrition and Metabolism. 2016;69:7-15.
Tableau Public. Human milk bank global map. US: Tableau Public; 2022. [Cited 12 Jul 2022]. Available from: https://public.tableau.com/profile/human.milk.bank.global.map#!/vizhome/HumanMilkBankGlobalMap_0/HumanMilkBankGlobalMap
European Milk Bank Association. Iran opens first human milk bank. Italy: European Milk Bank Association; 2021.
Tabriz University of Medical Sciences. Promoting breastfeeding with a focus on breast milk bank. Tabriz: Tabriz University of Medical Sciences; 2019. [Cited 10 June 2022]. Available from:https://www.tbzmed.ac.ir/News/9667/. [In Persian]
Chagwena DT, Mugariri F, Sithole B, et al. Acceptability of donor human milk banking among health workers: a cross-sectional survey in Zimbabwean urban settings. International Breastfeeding Journal. 2020;15:37.
McCloskey RJ, Karandikar SA. A Liberation Health Approach to Examining Challenges and Facilitators of Peer-to-Peer Human Milk Sharing. Journal of Human Lactation. 2018;34:438-47.
DeMarchis A, Israel-Ballard K, Mansen KA, Engmann C. Establishing anintegrated human milk banking approach to strengthen newborn care. Journal of Perinatology. 2017;37:469-74.
Shoghi M, Nazarshodeh S, Borimnejad L. Knowledge and Attitude of Nurses Working in a Neonatal Intensive Care Unit on the Use of Human Donated milk. Journal of Client-Centered Nursing Care. 2020;6:55-64.
Leung JCY, Yau SY. Perceptions of breastfeeding mothers on breast milk donation and establishment of human breast milk bank in Hong Kong: a qualitative study. International Journal of Nursing. 2015;2:72-80.
Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Measurement and Evaluation in Counseling and Development. 2014;47:79-86.
Bhat AV. Knowledge and Attitude about Breast Milk Banking among Final Year B.Sc. Nursing Students. Internationa Journal of Nursing and Midwifery Research. 2017;4:34-9.
Kumari VP. Nurse’s knowledge regarding importance of human milk and milk banking. International Journal of Research in Medical Sciences. 2019;7:4715-22.
Hahn WH, Song JH, ParkS, et al. A survey on the awareness of human milk bank in Korean female health care providers. Perinatology. 2017;28:11-9.
Gelano TF, Bacha YD, Assefa N, et al. Acceptability of donor human milk banking, its use for feeding infants, and associated factors among mothers in eastern Ethiopia. International Breastfeeding Journal. 2018;13:1-10.
Lubbe W, Oosthuizen CS, Dolman RC, Covic N. Stakeholder attitudes towards donating and utilizing donated human breastmilk. International Journal of Environmental Research and Public Health. 2019;16:1838.
De Meneses TMX, De Oliveira MIC, Boccolini CS. Prevalence and factors associated with breast milk donation in banks that receive human milk in primary health care units. Jornal de Pediatria. 2017;93:382-8.
Pimenteira Thomaz AC, Maia Loureiro LV, da Silva Oliveira T, et al. The human milk donation experience: motives, influencing factors, and regular donation. Journal of Human Lactation. 2008;24:69-76.
Michael G, Antunes M, Shaik S, Turner J. Health practitioners knowledge, beliefs, and attitudes regarding the use of donor human milk in neonatal intensive care. Maternal and Pediatric Nutrition Journal. 2016;2:108.
Carroll K, Herrmann K. Introducing donor human milk to the NICU: lessons for Australia. Breastfeeding Review. 2012;20:19-26.
Kimani‐Murage EW, Wanjohi MN, Kamande EW, et al. Perceptions on donated human milk and human milk banking in Nairobi, Kenya. Maternal & Child Nutrition. 2019;15:e12842.
Wambach K, Bateson T, Matheny P, Easter-Brown K. A descriptive study of the attitudes, perceptions, and experiences of human milk donation. Advances in Neonatal Care. 2019;19:441-51.