[Setting up a donor milk bank within a neonatal unit]

Area of Science:

• Neonatology
• Human milk banking
• Public health

Context:

• Premature and ill infants often require donor human milk when maternal supply is inadequate.
• Human milk banking is globally established, providing a critical resource for vulnerable infants.
• The establishment of the second Spanish Milk Bank (BLHDO) in Madrid in December 2007 marked a significant advancement in infant nutrition support in Spain.

Purpose:

• To summarize the operational activities and outcomes of the Hospital 12 de Octubre Milk Bank (BLHDO) during its inaugural year.
• To outline the processing guidelines and safety protocols implemented by BLHDO, referencing international models and Spanish legislation.
• To present future projects and developmental plans for the BLHDO to enhance its services.

Summary:

• BLHDO, Spain's second milk bank, commenced operations in December 2007, prioritizing donor human milk safety and quality.
• Lacking specific national guidelines, BLHDO adopted the Brazilian model and complied with stringent Spanish laws on blood and tissue donation for processing and record-keeping.
• The initial year focused on establishing robust protocols, ensuring milk safety, and maintaining high-quality standards for donor breast milk.

Impact:

• The BLHDO's operational first year demonstrates a commitment to providing safe, high-quality donor breast milk for vulnerable infants in Spain.
• Adherence to strict safety regulations, inspired by blood and tissue donation laws, sets a precedent for human milk banking in Spain.
• The bank's development trajectory and future projects indicate a growing capacity to support neonatal intensive care units and improve infant health outcomes.