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Human milk banking services: An umbrella review protocol.

Roisin O'Donovan1, Aoife Long1, Elaine Lehane1

  • 1University College Cork School of Nursing and Midwifery, Cork, County Cork, Ireland.

HRB Open Research
|January 12, 2026
PubMed
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This review examines human milk banking, focusing on its development, implementation, and sustainability in middle- and high-income nations. It aims to inform a national network for donor human milk (DHM) services.

Area of Science:

  • Public Health
  • Evidence Synthesis
  • Health Services Research

Background:

  • Donor Human Milk (DHM) is recommended by the WHO for preterm and low birthweight infants.
  • Human milk banks (HMBs) need operational sustainability for consistent DHM supply.
  • This review informs the development of a national HMB resource network.

Purpose of the Study:

  • To review the state-of-the-art in human milk banking.
  • To examine DHM service development and implementation in middle- and high-income countries.
  • To identify delivery models and stakeholder roles for HMB sustainability.

Main Methods:

  • Systematic umbrella review of studies on HMB development, implementation, and sustainability.
  • Searches of multiple databases (CINAHL, MEDLINE, PsycINFO, Embase) and grey literature.
Keywords:
Human milk banking; Umbrella Review

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  • Screening and data extraction by two independent reviewers, following JBI guidelines.

    • Main Results:

    • Evidence on HMB development and implementation in diverse settings.
    • Analysis of various DHM delivery models.
    • Identification of key stakeholder roles in HMB support and sustainability.

    Conclusions:

    • Findings will guide the co-design of an evidence framework for a national HMB resource network.
    • Recommendations for enhancing the sustainability and equity of DHM services.
    • Contribution to improving access to DHM for vulnerable infants.