The acceptability of a Breast Milk Bank and Donated Human Milk among mothers in Philadelphia Hospital in Sekhukhune District, Limpopo Province
Résumé
Abstract Background A human breast milk bank (HBMB) is a service that recruits breast milk donors, collects, pasteurizes, and stores donor milk, tests the milk for bacterial contamination, and distributes donor milk to recipient infants and families. When a mother’s milk is unavailable, alternative enteral nutrition for preterm or low birth weight is either donor human breast milk (DHBM) or artificial formula. This study aimed to understand the acceptance of the HBMB and DHBM among mothers. Methodology A qualitative phenomenological study was conducted at Philadelphia Hospital, Limpopo. The study used purposive sampling to select twenty-three mothers in postnatal and neonatal wards. Data collection was via in-depth structured interviews. Manual data analysis used an interpretative phenomenological analysis (IPA) framework to generate themes. Results Seven themes were generated: 1) Awareness of breast milk bank, 2) Passing of illness, 3) Bonding, 4) Lack of trust, 5) Positive impact of donor milk, 6) Making too much breast milk and 7) Assisting others. Participants were unaware of the HBMB and had some misconceptions about the use of DHBM. Participants had conditions about accepting DHBM due to fear of contracting HIV. Cultural beliefs were an influencing factor for use, while donation was driven by altruistic reasons such as preventing waste, helping others, and having previously benefited from DHBM. Conclusion Although participants were not aware of the existence of the bank before admission, they were willing to donate. Concerns regarding the safety of DHBM related to HIV affecting milk donation need to be anticipated and planned for in any HBMB programme.
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