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The project aims at the creation of a Human Milk Bank (BLH) at the Neonatal Center of the Children's Institute of the Hospital das Clínicas of the Medical School of the University of São Paulo (ICr-HCFMUSP). The BLH will aim to encourage and maintain lactation of the mothers of the newborn (RN) at risk (preterm and sick) hospitalized, as well as preferentially offer breast milk from mother to child. The project will also benefit the mother-child binomials of Joint Accommodation, encouraging the maintenance of breastfeeding.
It is scientifically proven the importance of breast milk for the physical, mental and emotional development of all newborns, especially premature infants and other groups with diseases at high risk for death.
However, it has been observed in the last decades that the practice of breastfeeding has been decreasing progressively, despite the numerous incentive campaigns that have been carried out. Several reasons are pointed out: modifications of social structures; the advertising impact of industrialized dairy products, the lack of information from health professionals and the lack of interest in breastfeeding. In addition to the campaigns to encourage breastfeeding, some measures have been adopted to modify the current structure, emphasizing: the humanization of childbirth, the provision of joint housing and the awareness of the teams that deal with the puerpera, these being some of the 10 steps of the Baby-Friendly Hospital Initiative project, considered a worldwide campaign that emphasizes the importance of health facilities (hospitals and maternities) in the triad: protection, promotion and support to breastfeeding. According to the Ministry of Health, the implantation of the Human Milk Banks (BLH) in Brazil should be considered as one of the main measures adopted to promote and prolong breastfeeding time.
The Children's Institute (ICr) is a Brazilian reference center in the treatment of diseases in Pediatrics. The Milk Bank will be part of the ICr-HCFMUSP Neonatal Center, which serves 48 newborns from the Neonatal Intensive Care Center-1 (CTIN-1) and 15 newborns from the Joint Housing. In CTIN-1, 30% are preterm newborns and 8 to 10% are born with very low weight, necessitating primarily human milk for their nutrition. In view of the organic immaturity of these newborns, particularly from an immunological point of view, human milk is of great importance not only for its nutrition but also for the prevention of infectious diseases, especially neonatal sepsis and necrotizing enterocolitis.
Social problem that aims to combat
Lack of breast milk to meet the physiological needs of at-risk newborns, especially preterm infants. The region where the ICr - HCFMUSP is located does not have any Human Milk Bank service.
The BLH will give direct and internal support to the unit's newborns. It is expected to serve up to 150 newborns/month and their mothers, with a total of up to 1800 binomials/year.
The Human Milk Bank of the Neonatal Center of the Children's Institute of the Hospital das Clínicas of the Medical School of the University of São Paulo, aims to:
Promote, protect and support breastfeeding;
Optimize the surplus of the lactic production of donor mothers in an optimized way;
Perform the operations of collection, selection and classification, processing, clinical control, quality control and distribution of Human Milk Milk (LHO); in accordance with the legal provisions in force;
To seek certification of the quality of products and processes under their responsibility;
Enable and guarantee access to breast milk to 100% of the unit's newborns;
Reduce the number of deaths of preterm infants;
Reduce the hospital stay of premature newborns;
Develop educational actions with the mothers;
Develop research on the impact of breast milk on the full development of the newborn;
Develop multiprofessional actions aimed at the study and research in the BLH;
Implement assistance actions based on the philosophy of humanization, aiming mainly at the binomial mother and child and their preparation for discharge;
Integrate the BLH with national and international Human Milk Bank Networks;
Enable conditions to be a Baby-Friendly Hospital (UNICEF).
The estimated cost for the implementation of the project is briefly defined in the table below:
Equipment and Materials - Annex I US$ 92.835
Training and Disclosure US$ 6.914
Total US$ 99750
Note: The expenses of the physical structure, human resources and maintenance of the project will be in charge of the Children's Institute of HCFMUSP.
Extension of theoretical and practical teaching activities, in undergraduate and postgraduate courses, in the sectors related to breastfeeding, with the development of monographs, master's dissertations, doctoral theses and other scientific works;
Creation of a group of multiprofessional studies (Obstetrics and Neonatology);
Nursing awareness for human milk donation;
Lactation management education;
Elaboration of educational material for undergraduates, post-graduates and professionals who provide targeted assistance to the target population;
Participation in other themes from the community linked to the milk bank.
NΊ Activity Duration
1. Acquisition and delivery of equipment 06 months
2. Preparation of equipment installation sites 01 month
3. Equipment operational training 02 months
4. Put the whole procedure into operation 03 months
Decreased neonatal morbidity and mortality;
Decrease in hospital infection rates;
Decreased hospital stay;
Decrease in the use of milk formulas and consequent reduction of expenses;
Increase in the quality of health of the newborn;
Increase in the possibility of continuity of breastfeeding after hospital discharge;
Improvement in the neuro-sensorial-cognitive development of the newborn;
Implantation of breastfeeding incentive policy;
Possibility to become a Baby Friendly Hospital accredited by the World Health Organization and UNICEF;
To be a reference for breastfeeding in the region where it is located;
To be a national reference for the training and training of health professionals.
This project is sustainable because it focuses on breast milk, which has been shown to have a protective effect in relation to infant mortality and morbidity, as well as its importance in the mother-child relationship, ensuring its survival with future quality of life. In view of the organic immaturity of newborns, particularly from an immunological point of view, human milk is of great importance not only for its nutrition, but also for the prevention of infectious diseases, especially neonatal sepsis and necrotizing enterocolitis. In addition, it will be possible to decrease the frequency of food allergy and contribute to a better neurological, psychomotor and sensory development.
The reduction of the use of milk formulas will allow the optimization of funds for investments in infrastructure in the care of the newborn. This is expected to reduce the length of hospital stay, making it possible to care for a greater number of children.
In addition to the assistance actions will be promoted teaching and research actions, fundamental for the training of health professionals. Therefore, they are capillary and confluent actions, always focusing on improving the life of children and, consequently, their families, as well as being a teacher and multiplier of professionals in the health area, specifically neonatology.
The project will be financially supported by the resources of the Children's Institute of the Hospital das Clínicas of FMUSP.
Prof. Dr. Werther Brunow de Carvalho - Professor of Neonatology/Intensive Care, Department of Pediatrics of FMUSP
Prof.ͺ Dra. Vera Lúcia Jornada Krebs - Head of the ICr- HCFMUSP
Dra. Valdenise Martins Laurindo Tuma Calil - Coordinator of the BLH of the Neonatal Center of the ICr HCFMUSP
Dra. Mariana Nutti de Almeida Cordon - Executive Director of ICr- HCFMUSP
Nutricionista Ana Paula Alves da Silva - Chief Nutritionist of the ICr Nutrition Service ICr - HCFMUSP
Nutricionista Analisa Gabriela Zuchi Leite - Supervisory Nutritionist of the BLH of the Neonatal Center of the ICr - HCFMUSP
Enf.ͺ Carla Regina Tragante - Chief Nurse at the ICr Neonatal Center - HCFMUSP
Enf.ͺ Thais Ricoy Leite Silva - Nurse Supervisor of the HCH of the Neonatal Center of the ICr - HCFMUSP
Children's Institute of Hospital das Clínicas - FMUSP
Dra. Valdenise Martins Laurindo Tuma Calil
+55 11 99276-9876
+55 11 2661-8950
Nutritionist Analyzes Gabriela Zuchi Leite
+55 11 98903-7014
+55 11 94704-1848
+55 11 2661-8558
+55 11 2661-8946.
Nurse Thais Ricoy Leite Silva
+55 11 99917-7757
+55 11 2661-8950
Rotary Club of São Paulo-Butantã
Reinaldo Franco - President 2018-19
+55 11 98707-4125
+55 11 3732-5500
Darcy Garcia - The Rotary Club Foundation Committee
+55 11 99246-1029
+55 11 3758-2004
Lorraine Dias - Secretary of the Club
+55 11 99962-5273
+55 11 3732-5500