PDF(Pubmed)
Abstract：
There is a growing recognition globally that care regarding lactation following a perinatal death needs to potentially offer the opportunity for maternal donation. This article discusses this experience and perspectives from a human milk bank (HMB) in Vietnam. This is a descriptive exploratory case study that has a long tradition in both the social and health sciences. Triangulated data collection involved a review of video data, interview data with the donor, and data review for the Da Nang HMB, a Center for Excellence in Breastfeeding. We found that although it is common for mothers in Vietnam to donate breastmilk to HMBs, it is less common for this to occur following perinatal loss. We offer a descriptive case study of the maternal loss of twins and a subsequent choice to donate for approximately 1 month to the Da Nang HMB, the first HMB in Vietnam. We discuss four reasons derived from this case regarding donation following perinatal loss. (1) A strong motivation to donate breastmilk when aware of the service, (2) donating breastmilk helped her deal with grief, (3) family members supported her through this tough time and supported her decision, and (4) health staff supported her decision. While human milk sharing (e.g., wet nursing) has been practiced in Vietnam, breastmilk donation from bereaved mothers has neither been discussed nor well-researched. Because maternal grief is complex and individual, deciding to donate breastmilk is a personal decision that needs to be supported, without creating guilt for those who do not wish to donate.
摘要：
全球越来越认识到，围产期死亡后有关泌乳的护理需要潜在地提供孕产妇捐赠的机会。本文讨论了越南人乳银行（HMB）的经验和观点。这是一个描述性的探索性案例研究，在社会科学和健康科学中都有悠久的传统。三角数据收集涉及视频数据的审查，与捐赠者的访谈数据，和数据审查，母乳喂养卓越中心。我们发现，尽管越南的母亲向HMB捐赠母乳很普遍，这种情况在围产期损失后较少见。我们提供了一个描述双胞胎母亲损失的案例研究，以及随后选择捐赠大约1个月给达港HMB，越南的第一个HMB。我们讨论了有关围产期损失后捐赠的四个原因。（1）意识到这项服务时捐赠母乳的强烈动机，（2）捐赠母乳帮助她处理悲伤，(3)家人支持她度过这段艰难时期，支持她的决定，和（4）卫生工作人员支持她的决定。而人乳共享(例如，湿护理)已经在越南实行，失去亲人的母亲的母乳捐赠既没有得到讨论，也没有得到充分研究。因为母亲的悲伤是复杂的和个人的，决定捐赠母乳是一个需要支持的个人决定，不会为那些不希望捐赠的人带来罪恶感。
