Specialist Centres

Human Milk Bank

Human Milk Bank Processes:

Counseling of the donor ;Screening HIV, Hepatitis B&C, Syphilis; Milk Expression; Storage in the Freezer; Thawing ; Pooling;Pre-Pasteurization testing; Pasteurization; Post-Pasteurization; Storage in the freezer; Prescription;Then finally the recipients who are the vulnerable babies.

Who are the Recipients of the milk?

✓ Babies whose mothers’ are very sick and not able to breastfeed

✓ Abandoned babies

✓ Babies whose mothers’ died

✓ Mothers who are using drugs that are contra-Indicated to breastfeeding

Kangaroo Mother Care

It is a simple innovative method which is cheap without side effects. There are 2 types of kangaroo mother care;

1.Intermittent kangaroo mother care-A baby is put on the chest of the mother for 60-70 Minutes in order to complete a sleeping cycle. 2.Continuous kangaroo mother care -A baby is put on the mother’s chest for 18-21 hours.

The “Kangaroo Mother Care Unit” led to the establishment of a lactation support centre and human Milk Bank to support vulnerable babies.

Benefits of kangaroo to the Baby

➢ Bonding is improved

➢ Increased milk production

➢ Improved breathing pattern

➢ Exclusive breastfeeding

➢ Improves thermoregulation

➢ Baby adds weight

➢ Less infections

Benefits of kangaroo to the mother

• She becomes a role model

• She becomes a champion

• Strong bonding with the baby

• Increased milk production

• Mother feels confident Benefits of kangaroo to

Benefits of kangaroo to the institution

▪ Less use of incubators

▪ Reduces expenses

▪ Reduces neonatal mortality rate

Who can practice kangaroo?

Mother, Spouse,Aunt or anybody else so long as cleanliness is maintained to the highest standards.

Admission Criteria

❖ All pre-terms below 2500gms

❖ Stable pre-terms

❖ Mother’s confidentiality

Discharge Criteria

• Baby above 2500gms

• Baby refuses alone

NEWBORN UNIT SERVICES AT PUMWANI MATERNITY HOSPITAL

We offer comprehensive new-born care services to both well and sick new-borns.We receive an average of 10 – 15 unwell new-borns per day from within the hospital as well as referral from health centres within Nairobi county and surrounding counties.

Our range of services include:

  • Offering medical services for all the new-born conditions
  • Promoting encouraging and supporting exclusive breastfeeding an intervention that has been found to significantly reduce neonatal mortality
  • Serving as the teaching unit for students from Pumwani maternity school of midwifery and a practicum site for major medical training schools.
  • Contributing to generation of body of knowledge through research and participating as part of teams that generate new-born care guidelines use all over kentia for management of new-borns

The hospital boasts of being the host of the first human milk bank in East and Central Africa. The bank has a capacity of pasteurising a total of 9.4 litres per cycle. The hospital has a human milk storage capacity totalling to 148 litres

We also have a lactation centre adjacent to the milk bank for supporting the mothers and enabling staff express milk for their own babies.

The unit is also a regional Kangaroo Mother Care training hub. It has a 20 bed capacity KMC unit

We are a link to other auxiliary services necessary for a holistic new-born care

  • Nutritional management
  • Rehabilitative services
  • Occupational therapy physiotherapy and
  • Ophthalmological care for the premature babies
  • Prevention of mother to child transmission of HIV

We follow up all babies discharged from the unit for a period of up 1 year to ensure satisfactory growth and development and early detection of complications

Kangaroo Mother Care Unit led to the establishment of The Human Milk Bank which is the largest in Sub-Saharan Africa.