Lactation Management Center Guideline-2079

Lactation Management Center Guideline

2079

Purpose of the guideline 

1. Ensuring timely initiation of breastfeeding and promoting breastfeeding practices.
2. Providing guidance to establish:

• Comprehensive Lactation Management Centres (CLMCs) for donor human milk collection, storage, processing and dispensing for babies admitted in health facilities. 
• Lactation Management Units (LMUs) for collecting, storing and dispensing of mother’s breast milk, expressed and stored for consumption by her own baby. 
• Lactation Support Units (LSUs) for providing lactation support to mothers at all delivery points. 

Operationalizing evidence based and standardised technical protocols for donor screening and collection, processing, storage and dispensation of human milk.

Ensuring the quality and safety of donor human milk (DHM) is the ultimate aim of these guidelines and recommendations have been made to minimise the risk of DHM to recipients.

Guiding Principles for using Donor Human Milk in Nepal

1. The first and foremost choice for feeding a new-born is to be breastfed by his or her mother. Breastfeeding should be carried out frequently, as per demand and exclusively up to six months of age. This need to be promoted by providing support to the lactating mother.
2. In the second instance, when the baby is unable to suck the breast directly due to prematurity, weakness, sickness or any other reason, the mother’s own milk can be expressed, collected, stored and then fed to the baby as per requirement following appropriate precautionary measures.
3. In the third instance, due to inescapable circumstances, if the mother’s own milk (Mother’s own milk) is not available or available in less quantity as per requirement, only then Donor. Human Milk (DHM) is recommended to be used to meet the short-term and long-term needs of the new-born admitted in NICUs/SNCUs with the following conditions:
• Prematurity
• LBW
• Mal-absorption
• Feeding intolerance

Section 1: Operational Guidelines

1. Planning Comprehensive Lactation Management
2. Establishing Lactation Management Centres
3. Record keeping for Lactation Management Centres (CLMC and LMU)
4. Monitoring & Quality Assurance

Section 2 Technical  Guidelines

• Step 1. Screening of Donor Mothers
• Step 2. Milk Expression and Collection
• Step 3. Processing of Donor Human Milk
• Step 4. Post Pasteurization Testing of DHM
• Step 5. Post Pasteurization Storage of DHM
• Step 6. Dispensing of Processed Milk

Section 3 Appendices

• Appendix 1: Description of Individual Rooms in a CLMC
• Appendix 2: Scope of Work of CLMC & LMU Staff
• Appendix 3: Training Requirement
• Appendix 4: Ensuring Quality in Lactation Management Centre Operations
• Appendix 5: Equipment Specifications
• Appendix 6: Record Keeping Formats

Download: Nepali version
Download: English Version

References:

Government of Nepal-Ministry of Health and Population.Department of Health Services.Family Welfare Division.2079.Lactation Management Center Guideline-2079.