中国医学伦理学2025，Vol.38Issue(11)：1441-1446,6.DOI:10.12026/j.issn.1001-8565.2025.11.09
医院建立母乳库的伦理困境与应对策略分析
Analysis of ethical dilemmas and coping strategies for the establishment of human milk banks in hospitals
摘要
Abstract
Breast milk is the optimal natural food for newborns.However,some newborns cannot receive maternal breast milk due to reasons such as mother-infant separation or insufficient lactation.The establishment of human milk banks(HMB)can effectively address these issues,thereby increasing the breastfeeding rate among hospitalized newborns and improving their quality of survival.However,HMB in China is still in the development and improvement stage.Its implementation involves a series of ethical issues,such as informed consent,privacy protection,economic incentives,quality and safety,and fair resource distribution,which hinder HMB's widespread promotion.Therefore,discussing the ethical dilemmas faced by the widespread establishment of HMB in China's hospitals and analyzing coping strategies are crucial for improving the breastfeeding rate of newborns.This paper deeply analyzed and sorted out the ethical issues and challenges currently faced by HMB in China,and proposed corresponding strategies,including"ensuring informed consent and voluntary participation of both donors and recipients,""protecting the privacy of donors and recipients,""establishing an ethics-based moral incentive and social support system,""strictly controlling quality and safety issues",and"developing fair and rational policies,"aiming to provide a reference solution for addressing ethical concerns in the establishment and operation of HMB.关键词
母乳库/捐赠母乳/伦理困境Key words
human milk bank/donor human milk/ethical dilemma分类
医药卫生引用本文复制引用
金瑶,付贞艳,尚会祥,魏丽娟,黄驰,陈娟,权明桃..医院建立母乳库的伦理困境与应对策略分析[J].中国医学伦理学,2025,38(11):1441-1446,6.基金项目
2023年贵州省科技计划项目"不同剂量初乳口腔免疫疗法对极低出生体重儿相关结局影响研究"(黔科合支撑[2023]一般264) （黔科合支撑[2023]一般264）
2023年遵义市科技计划项目"基于整合性知识转化极低出生体重儿初乳口腔免疫疗法干预方案的构建与实证验证"(遵市科合HZ字<2023>294号) （遵市科合HZ字<2023>294号）
