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Matthaeus, V.; Haiden, N.; Abou-Dakn, M.; Berns, M.; Eglin, K.; Flemmer, A.; Gebauer, C.; Glanzmann, R.; Graf-Rohrmeister, K.; Grunert, J.; Hattinger-Jürgenssen, E.; Herber-Jonat, S.; Hofstaetter, E.; Klotz, D.; Kujawa, M.; Liegl, Y.; Malzacher, A.; Peter, C.; Radke, M.; Sams, E.; Mader, S. (2018): Empfehlungen zur Förderung von Frauenmilchbanken in Deutschland, Österreich und der Schweiz (D-A-CH-Raum). In: Monatsschrift Kinderheilkunde, Vol. 166, No. 8: pp. 720-728
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Background. Breast milk is the best and first choice for the nutrition of newborns and especially preterm and ill newborn infants. When mother's own milk is not or only insufficiently available, quality controlled donor milk is the second-best option. For this purpose, milk banks fulfill a key role to ensure safe donor milk for infants in need. Goal. The goal of this position paper is to strengthen the awareness regarding breast and donor milk and to support clinical centers in Germany, Switzerland and Austria in the set-up and operation of milk banks on a national level. Furthermore, the position paper provides suggestions for the development of national guidelines in the respective countries. Material and methods. An interdisciplinary project scientific advisory board has compared and summarized current guidelines from several European countries. Based on their work and experiences, they have developed recommendations for the support of milk banks in Germany, Austria, and Switzerland. These recommendations reflect the current scientific consensus and take feasibility into account. Results and discussion. Currently, there are no general recommendations or guidelines for the set-up and organization of milk banks in Germany, Austria, and Switzerland;however, there is an increased emphasis on developing uniform recommendations and on raising awareness for the need of milk banks and milk donors. To ensure optimal feeding for infants and to provide safe donor milk to all infants in need, milk banks should be supported through the national health systems.