Knowledge and attitude towards human milk banking in reproductive aged women living in Georgia

Nika Vashakidze, Elisabed Chikobava, Gvantsa Jatchvadze, Yash Sailesh Kumar, Ahmed Ullah, Karishma R. Salian, Elene Janukashvili
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Abstract

Background: Breast milk is suggested as the ideal and sole early nutrition source for infants from birth to at least six months of age and should be viewed as a public health concern rather than a personal preference. Human milk banks (HMBs) play a crucial role in providing life-saving breast milk to premature and ill infants when maternal milk is unavailable. Georgia has ongoing efforts to establish the first official HMB facility. Methods: We conducted a cross-sectional study employing a simple random sampling method to select a sample of 287 women of reproductive age and to assess their knowledge and attitude toward HMBs. Results: Despite a substantial knowledge gap (57% recognizing nutritional superiority, 51% acknowledging infection risk reduction), the main issue is low trust (30%) in future local milk banking facilities; if unable to produce milk, only 30% of women prefer donated human milk over formula. A statistically significant association has been recorded between personal neonatal intensive care unit admission history, higher educational status, and a more positive attitude toward HMBs. Conclusions: This study provides a foundational basis for future healthcare initiatives to enhance acceptance and knowledge of HMBs, facilitating the optimal functioning of these facilities within the population.  
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格鲁吉亚育龄妇女对母乳库的认识和态度
背景:母乳被认为是婴儿从出生到至少六个月大的理想和唯一的早期营养来源,应被视为公共卫生问题而非个人偏好。人乳库 (HMB) 在没有母乳的情况下为早产儿和患病婴儿提供挽救生命的母乳方面发挥着至关重要的作用。佐治亚州正在努力建立第一个官方母乳库设施:我们采用简单随机抽样方法进行了一项横断面研究,抽取了 287 名育龄妇女样本,评估她们对母乳喂养的认识和态度:尽管存在很大的知识差距(57%的人认识到营养上的优越性,51%的人认识到感染风险的降低),但主要问题是对未来当地母乳库设施的信任度较低(30%);如果无法生产母乳,只有 30% 的妇女更愿意选择捐赠的母乳而不是配方奶粉。新生儿重症监护室入院史、较高的教育程度和对母乳库更积极的态度之间存在统计学意义上的重大关联:这项研究为未来的医疗保健措施提供了一个基础,以提高人们对人奶的接受度和认知度,促进这些设施在人群中的优化运行。
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