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Determination of Acidity in Donor Milk.
J Hum Lact. 2016 Nov; 32(4):NP73-NP75.JH

Abstract

BACKGROUND

There is no uniformity among milk banks on milk acceptance criteria. The acidity obtained by the Dornic titration technique is a widely used quality control in donor milk. However, there are no comparative data with other acidity-measuring techniques, such as the pH meter.

OBJECTIVE

The objective of this study was to assess the correlation between the Dornic technique and the pH measure to determine the pH cutoff corresponding to the Dornic degree limit value used as a reference for donor milk quality control.

METHODS

Fifty-two human milk samples were obtained from 48 donors. Acidity was measured using the Dornic method and pH meter in triplicate. Statistical data analysis to estimate significant correlations between variables was carried out. The Dornic acidity value that led to rejecting donor milk was ≥ 8 Dornic degrees (°D).

RESULTS

In the evaluated sample size, Dornic acidity measure and pH values showed a statistically significant negative correlation (τ = -0.780; P = .000). A pH value of 6.57 corresponds to 8°D and of 7.12 to 4°D.

CONCLUSION

Donor milk with a pH over 6.57 may be accepted for subsequent processing in the milk bank. Moreover, the pH measurement seems to be more useful due to certain advantages over the Dornic method, such as objectivity, accuracy, standardization, the lack of chemical reagents required, and the fact that it does not destroy the milk sample.

Authors+Show Affiliations

1 Department of Neonatology, Hospital 12 de Octubre, Madrid, Spain. 2 SAMID Network (Spanish Collaborative Maternal and Child Health Research Network), RD12/0026/0007, Spain.1 Department of Neonatology, Hospital 12 de Octubre, Madrid, Spain.3 Environmental Science Degree, Universidad Autónoma de Madrid, Madrid, Spain.1 Department of Neonatology, Hospital 12 de Octubre, Madrid, Spain.1 Department of Neonatology, Hospital 12 de Octubre, Madrid, Spain.1 Department of Neonatology, Hospital 12 de Octubre, Madrid, Spain. 2 SAMID Network (Spanish Collaborative Maternal and Child Health Research Network), RD12/0026/0007, Spain.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26116636

Citation

Escuder-Vieco, Diana, et al. "Determination of Acidity in Donor Milk." Journal of Human Lactation : Official Journal of International Lactation Consultant Association, vol. 32, no. 4, 2016, pp. NP73-NP75.
Escuder-Vieco D, Vázquez-Román S, Sánchez-Pallás J, et al. Determination of Acidity in Donor Milk. J Hum Lact. 2016;32(4):NP73-NP75.
Escuder-Vieco, D., Vázquez-Román, S., Sánchez-Pallás, J., Ureta-Velasco, N., Mosqueda-Peña, R., & Pallás-Alonso, C. R. (2016). Determination of Acidity in Donor Milk. Journal of Human Lactation : Official Journal of International Lactation Consultant Association, 32(4), NP73-NP75. https://doi.org/10.1177/0890334415591338
Escuder-Vieco D, et al. Determination of Acidity in Donor Milk. J Hum Lact. 2016;32(4):NP73-NP75. PubMed PMID: 26116636.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determination of Acidity in Donor Milk. AU - Escuder-Vieco,Diana, AU - Vázquez-Román,Sara, AU - Sánchez-Pallás,Juan, AU - Ureta-Velasco,Noelia, AU - Mosqueda-Peña,Rocío, AU - Pallás-Alonso,Carmen Rosa, Y1 - 2016/07/11/ PY - 2015/6/28/pubmed PY - 2017/9/13/medline PY - 2015/6/28/entrez KW - acidity KW - breastfeeding KW - donor milk KW - human milk banking KW - quality control SP - NP73 EP - NP75 JF - Journal of human lactation : official journal of International Lactation Consultant Association JO - J Hum Lact VL - 32 IS - 4 N2 - BACKGROUND: There is no uniformity among milk banks on milk acceptance criteria. The acidity obtained by the Dornic titration technique is a widely used quality control in donor milk. However, there are no comparative data with other acidity-measuring techniques, such as the pH meter. OBJECTIVE: The objective of this study was to assess the correlation between the Dornic technique and the pH measure to determine the pH cutoff corresponding to the Dornic degree limit value used as a reference for donor milk quality control. METHODS: Fifty-two human milk samples were obtained from 48 donors. Acidity was measured using the Dornic method and pH meter in triplicate. Statistical data analysis to estimate significant correlations between variables was carried out. The Dornic acidity value that led to rejecting donor milk was ≥ 8 Dornic degrees (°D). RESULTS: In the evaluated sample size, Dornic acidity measure and pH values showed a statistically significant negative correlation (τ = -0.780; P = .000). A pH value of 6.57 corresponds to 8°D and of 7.12 to 4°D. CONCLUSION: Donor milk with a pH over 6.57 may be accepted for subsequent processing in the milk bank. Moreover, the pH measurement seems to be more useful due to certain advantages over the Dornic method, such as objectivity, accuracy, standardization, the lack of chemical reagents required, and the fact that it does not destroy the milk sample. SN - 1552-5732 UR - https://www.unboundmedicine.com/medline/citation/26116636/Determination_of_Acidity_in_Donor_Milk_ DB - PRIME DP - Unbound Medicine ER -