Cross-breastfeeding and milk donation in Brazil

The objective of this study was to describe the frequency of cross-breastfeeding, human milk donation to human milk banks and reception of human milk from human milk banks, and to investigate the intersection between cross-breastfeeding and breast milk donation practices. This study used data from t...

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Bibliographic Details
Authors: Siqueira Boccolini, Cristiano, Bertoni dos Reis, Neilane, Rodrigues Farias, Dayana, Lelis Berti, Talita, Maria de Aquino Lacerda, Elisa, Rugani Ribeiro de Castro, Inês, Kac, Gilberto, on Child Nutrition, Brazilian Consortium
Format: article
Status:Published version
Publication Date:2023
Country:Brasil
Institution:Fundação Oswaldo Cruz (FIOCRUZ)
Repository:Cadernos de Saúde Pública
Language:English
OAI Identifier:oai:ojs.teste-cadernos.ensp.fiocruz.br:article/8369
Online Access:https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8369
Access Level:Open access
Keyword:Aleitamento Materno; Bancos de Leite Humano; Nutrição; Saúde Materna
Lactancia Materna; Bancos de Leche Humana; Nutrición; Salud Materna
Breastfeeding; Milk Banks; Nutrition; Maternal Health
Description
Summary:The objective of this study was to describe the frequency of cross-breastfeeding, human milk donation to human milk banks and reception of human milk from human milk banks, and to investigate the intersection between cross-breastfeeding and breast milk donation practices. This study used data from the national household-based survey Brazilian National Survey on Child Nutrition (ENANI-2019), which collected information from 14,558 children < 5 years old between February 2019 and March 2020. The present study included data from 5,831 biological mothers who reported having breastfed their child < 2 years old at least once and replied questions about cross-breastfeeding, donation and recaption of human milk to human milk banks. Prevalence and 95% confidence intervals (95%CI) were estimated for each stratifier, considering the study complex sample design. Among mothers of children < 2 years old who breastfed their child at least once, 21.1% practiced cross-breastfeeding; breastfeeding another child was more frequent (15.6%) than allowing a child to be breastfed by another woman (11.2%). Among this population, 4.8% of women donated human milk to a human milk bank, and 3.6% reported that their children had received donated human milk. The donation of human milk is a practice recommended by the Brazilian Ministry of Health and has the potential to save thousands of newborns throughout Brazil. In contrast, cross-breastfeeding is contraindicated due to the potential risk of transmitting HIV. There is a need for a broad debate on these practices in Brazil and worldwide.