Mumbai: Covid reduces breast milk donation at Sion hospital by almost half

Sion Hospital’s milk bank, which was started on November 27, 1989, usually gets 800 to 1,200 litres every year. Representation pic

Of all the things that have taken a hit due to the pandemic, donation of breast milk has been one of the major ones. The Human Breast Milk Bank of Sion Hospital, one of the oldest in Asia, saw a huge dip in donors since the beginning of 2020. As per data, while in 2018, 1,000 litres were donated, in 2020 the number went down to 526 litres. This year, till date, only 325 litres have been donated.

Sion Hospital's milk bank, which was started on November 27, 1989, usually gets 800 to 1,200 litres every year (about 3 to 4 litres each day). "The dip was predominantly seen at the peak of the first wave, especially because nobody wanted to visit the hospital," said Dr Swati Manerkar, neonatologist, who heads the milk bank at Sion Hospital.

The number of donors in 2018 and 2019 was 7,700 and 7,300, respectively. The number reduced to 6,600 in 2020 and is 3,500 till date this year.

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Two categories

"Our donors are divided in two segments. In the first category, we have those mothers who deliver at the hospital. They donate before being discharged. The other category includes the mothers who visit our OPD with their newborns for follow-ups or vaccinations," explained Dr Manerkar.

She further said, "We could not collect breast milk from Covid-positive mothers or anyone with symptoms of the infection. We still do not know whether the virus passes through breast milk. A substantial number of mothers who were delivering in our hospital were testing positive. The OPDs also suffered."

"There was a need to prioritise because donor milk is a scarce resource. For a brief period, we provided it to the smallest, sickest and most vulnerable babies instead of being liberal. There is always a buffer stock of 35-40 litres. We could just about tide over. By the time the stock reached a single-digit figure, things started getting better donation- wise," she added.

Shortage of manpower

Dr Manerkar said they also had to deal with shortage of manpower at the milk bank but they ensured that the available resources were optimally used.

"We had very strong counselling services. We had one counsellor visiting the Covid-19 maternity ward every day and asking mothers to breastfeed their babies. We tried to ensure that the mother provides her own milk to the baby and therefore the need for donor milk decreases. You need donor milk to tide over the period for which the mother cannot breastfeed. This was strongly advocated. And our counsellors also spoke to the family member who would be present with the mother just to transfer the milk in a container to the baby in the NICU," said Dr Manerkar.

She added that they are slowly returning to normalcy and the number of donors is improving.

"Things have started to show up. The number of Covid-positive mothers has gone down and we are closer to what we were in the pre-Covid days. We had 30-50 mothers donating milk every day before the pandemic, and slowly we are matching up to that number," she said.