Sunday, November 11, 2012

World Health Organization Sells Out to Nestlé - Guest Post, Marsha Walker

Updated Nov 20, 10 a.m. MDT - There is now a petition - please sign and share! Link here: http://www.thepetitionsite.com/569/157/115/urge-the-world-health-organization-to-cut-ties-with-nestle-our-mothers-and-babies-are-worth-it/


Updated, Nov 14, 2012, 8 a.m. MDT - see response from WHO below.
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This guest post by Marsha Walker, RN, IBCLC, Executive Director, National Alliance for Breastfeeding Advocacy, will also be on the NABA website and in the US Lactation Consultant Association monthly newsletter. 



World Health Organization Sells Out to Nestlé 

Nestlé has bought a seat at the policy-making table of the World Health Organization (WHO). 

WHO has accepted funding from Nestlé for WHO's obesity reduction initiative. A Reuters news article  reported that the Pan American Health Organization (PAHO), WHO's regional office for the Americas, accepted $150,000 from Nestlé to help reduce the very problem to which Nestlé products contribute. 
Cash-strapped WHO has started to rely on corporate offenders such as Nestlé and Coca-Cola to fund its health initiatives, placing itself in a massive conflict of interest, as policy is shaped by companies who stand to gain the most from the ill health their products promote. Disease promoting corporations have found that it is much more profitable to invest in a seat at the policy-making table to avoid sanctions, monitoring, and regulation than it is to cease producing the products that contribute to chronic diseases and conditions such as obesity. The wolf in sheep's clothing comes bearing money and is rewarded for its poor corporate behavior by aligning itself with the good name of respected health agencies. 


See Jennie Bever Babendure's post on
the Lactation Matters blog here. Jennie
also blogs at Breastfeeding Science.
Breastfeeding advocates who are staunch supporters of the International Code of Marketing of Breastmilk Substitutes (the Code) are aghast that WHO is violating its own Code. By abdicating its responsibility to infants and mothers, WHO is modeling the very behavior the Code was created to prevent. 

This blow to the Code may seem overwhelming to those who work so hard to support breastfeeding mothers. Even though we do not have the unlimited funding of large corporations we have our voices that can be raised together so that WHO might hear us. Consider joining Friends of the WHO Code Facebook group. We can harness social media to let WHO know how we feel. Post to WHO's Facebook page, tweet @WHO to let WHO know how damaging this conflict of interest is to the Code.  (Update: there is now a petition.

Of course, be ready for Nestlé's response. Nestlé has what they call their Digital Acceleration Team that monitors hot spots in the social media and jumps in quickly to apply damage control when Nestlé or its products are unfavorably mentioned. Let's use what we have at our fingertips to right an egregious wrong.

Marsha Walker, RN, IBCLC
Executive Director, National Alliance for Breastfeeding Advocacy


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Updated, Nov 14, 2012, 8 a.m. MDT - WHO has responded with this statement on its Facebook page, and with a series of Tweets.





Friday, November 02, 2012

What's up with that background image?

I get asked sometimes about the background image I use for this blog. It's a late Renaissance painting by Jacopo Tintoretto and it hangs in the National Gallery in London.

Wikipedia: "The Origin of the Milky Way is a painting by the Italian late Renaissancemaster Jacopo Tintoretto (1575-1580), in the National Gallery, London, formerly in the Orleans Collection."

I love it because:

• it portrays the Greek myth of the infant Heracles being brought by his half-sister Athena to her mother Hera, who nursed him out of pity. His suck caused her milk to spray across the heavens, forming the Milky Way. The divine milk gave Heracles his super powers. I love that story!

• UK resident Catherine Gulati, who was breastfeeding at the National Gallery of London and was asked to leave, told the BBC, "I thought it was ironic because in another room there was a picture of a bare breast with milk squirting out of it..."

• it portrays a breast with actual milk coming right out of it - something every one of us should see, both closeup at our mother's breast, but also as children, as teenagers, as adults, as health care professionals, as educators. Because, to paraphrase Emma Kwasnica, we need to SEE milk coming out of nipples if we want to normalize breastfeeding:
Quite simply, this is about normalizing breastfeeding. The more we hide it away, classify it as obscene, shame mothers into covering up while feeding, and encourage women to retire to "private" rooms in order to breastfeed the baby, the less we see of it in public, and the less and less people are comfortable with the very idea of nursing in public. This is the sad reality, in this pathologically hyper-sexualized (yet sexually repressed...) North American culture of ours. The solution, however, seems quite simple to me; breastfeeding (and/or images of breastfeeding) need to be seen every day, and I am convinced that SEEING more breastfeeding, wherever possible, is what will change our breastfeeding culture. Re-normalize it. Everywhere in North America (in all provinces in Canada, and in every state in the USA but two) women have the right to breastfeed in public, wherever they have the legal right to be. So women should do it. And they should feel completely free to do it. Lots of it. As much as possible. From Informed Parenting, which hosts Emma's entire essay, "Why seeing breastfeeding is important: my personal challenge to you"
• Sometimes when I'm feeling feisty I put details

of it up as my Facebook profile. Bam! Instant 30 day ban.

• it illustrates what my blog is about. This is not a breastfeeding blog. It is a blog about human milk. Which of course wouldn't happen without breastfeeding. But this blog is about what happens when human milk leaves a woman's body and doesn't go directly into her own baby's mouth.

Friday, October 26, 2012

Frankenstorm is coming, what about my freezer stash??

Do you have a story to tell about saving your freezer stash in the wake of Sandy? Please share in comments below. I'll be tweeting them out and posting them on the Human Milk News Facebook page.

What about the freezer stashes? That was my first thought this morning when I heard plans were being made on the East Coast to deal with power outages and possible evacuations as the so-called Frankenstorm approaches. Moms will be stressed and worried and will need help to protect their freezers full of expressed breastmilk. And the story of my friend Christine popped into my head.
Illustration via CBC.ca's Frankenstorm Coverage,Oct 26, 2012


See my blog post #FirstWorldProblems: Are we doing enough to protect infants in emergencies for a review of advice published by infant feeding in emergencies experts Karleen Gribble and Nina Berry, who urge emergency preparedness teams in countries like the US, Canada, and their native Australia to provide more specific advice to those caring for and feeding infants during emergencies - particularly those whose infants need infant formula, which is unsafe if prepared without clean equipment using hot, clean water.
As Tropical Storm Irene approached in August 2011, Christine realized she was in a mandatory evacuation zone. She began to make plans to travel with her husband and children inland. Christine discovered standard evacuation advice is short on information for the parents and caregivers of young infants. Traveling across state with a car full of kids and possessions is challenging enough - moms don't need to feel additional anguish over leaving behind or accidentally thawing their freezer stash of breastmilk. Here's her story:

In late August, 2011, Hurricane Irene was making her way up the eastern seaboard.  Being in metro NYC, where hurricanes don't generally strike, I didn't think much of the warnings, but Irene's path was aimed right for Manhattan.  Parts of the city and many suburbs were evacuated with the threat of severe flooding. My concern was the potential for a power outage.  With two small children, a bulldog who can't be without air conditioning for long, and a big stash of frozen breast milk that I had spent countless hours pumping, I didn't want to risk staying through the storm. 
What's a mother to do? Well she packs up her frozen milk and takes it along! Being a bit of a neat freak I have always frozen my milk flat, it makes storing many bags in a small space much easier. When I counted the 60+ bags out, I had around 300 ounces. I know that given good insulation, the best way to travel with frozen perishables is to pack the cooler tightly. I had frozen gallon-sized ziplock bags of water flat (see note below) . I packed my cooler with the flat, frozen bags of milk and makeshift ice packs, and stuffed newspaper in every crevice. My milk was to stay frozen for the near-three-hour drive to our safe haven.

We were fortunate to have immediate access to a freezer upon arrival at my dad's house during that storm. When I peeked in at my milk it was still safely frozen.
 
Now, just over one year later, we are being faced with Frankenstorm, and once again, there is the potential to be without the luxury of freezer capabilities. And with a bountiful frozen stash explicitly for donating to a very special baby girl, I don't dare take my chances with a power outage.
My preparations include having plenty of newspaper, my go-to soft insulated cooler, and a sign to keep the freezer closed. The power company is pretty good about telling how long an outage will last. And if  it’s more than a day we will move it somewhere there is a working freezer. 
 
A mom's freezer stash is critically important - it might be needed for when mom goes back to work, or perhaps it's being collected for a life-saving donation. And in an emergency, moms need clear instruction on how to keep their stash frozen if the power goes out to their freezer, or if they have transport their frozen breast milk. And those instructions need to be easy to print and refer to as they're making their evacuation or hunker-down plans.

Christine turned to her social networks and within a few minutes had most of the info she needed to make sure her frozen breastmilk was protected and safe* (See note below on why you should use gel packs instead of frozen water). The info Christine needed wasn't on any official government website. She was able to turn to trusted sources on the Internet because she still had electricity and a smart phone. Christine was able to keep her stash frozen and protected and later donated her milk to a baby in need. 


Jessica Martin-Weber, owner of the Facebook support page The Leaky B@@B, recounts her experience during Hurricane Ike in 2008:
You know what stands out most about that experience? Getting stressed about my frozen milk, washing diapers in the bath tub, drinking the ice cold Mexican Coke in the glass bottles someone brought us, the heat, and the FEMA centers running out of food, the giant daily block parties as we all pooled our resources for meals. I had a freezer full of milk when we were hit by Ike and then we were without power for 2 weeks. When I realized I couldn't save my milk I made a trip to an area with power and reached out to get my milk to homes STAT. My milk babies had evacuated so we needed new homes. I used the milk that defrosted in cooking. Still, it remained frozen for a good week. 
Click here for more info from Katy Linda.
Jessica's milk didn't go to waste, and your milk doesn't have to either.  IBCLC Katy Linda has pulled together this information on over on Stylin' Momma to help you protect your freezer stash.

And if you think you are going to need to transport frozen milk, here are some tips to help you plan.

Travelling with your breastmilk?


If you have to travel with your breastmilk – first consider your destination and make sure there is freezer space for your stash! Use or purchase a well-insulated cooler that will hold all your milk, but not so big that it allows lots of air space. Think about where it will fit in your vehicle – soft-sided may work better. If you have gel packs* or can pick some up and freeze them, they can help keep your milk frozen longer but they are not necessary.

1) Line the bottom of your cooler with newspaper.

2) Place the frozen breastmilk on top of the newspaper

3) Use crumpled newspaper to take up any extra air space – that is the key to keeping your milk frozen.

4) Place a layer of newspaper on top of the milk, and place frozen gel packs* on the top of the newspaper (remember, cold air travels down, so they’re better on top than on the bottom.)

5) Keep the cooler closed until you have reached your destination freezer! Consider sealing it duct tape to improve the seal.

You may have heard of using dry ice to ship breastmilk – it is not necessary and probably is hard to find during an emergency – it will keep milk frozen for several days. If you do have easy access to dry ice, be sure to keep the dry ice separate from the milk to keep it from ripping open the bags.

Here’s a list of items to add to your emergency preparedness shopping/checklist

__ cooler (not much larger than the amount of milk you need to transport)

__ gel packs

__ today’s newspaper

__ duct tape

Stay safe!

*Note, Christine used frozen water in her cooler, but while researching for this blog post we learned breastmilk freezes at a lower temperature due to its salt content, and gel packs are a better option than frozen water. Kittie Franz writes about this in a 2007 Mothering Magazine article on travelling with breastmilk. 

This blog post was originally posted without Christine's story and the information about gel packs vs frozen water. It was updated on Sunday, Oct 28, 2012.

Update, Oct 31, 2012: Dr. Karleen Gribble, co-author of "Emergency preparedness for those who care for infants in developed country contexts" writes:


"I've been thinking of the mothers and babies as well as those seeking to help mothers and babies in the areas affected by Sandy. I am sure that there are many doing amazing things.
I'd urge those there, if they can, to keep a record of what they see and hear. The more info we can collect from emergencies about infant and young child feeding issues, the better we can advocate for better planning and response in future emergencies in developed country contexts. And please, if you see or hear of anything! Tell me about it!"
I'd urge those there, if they can, to keep a record of what they see and hear. The more info we can collect from emergencies about infant and young child feeding issues, the better we can advocate for better planning and response in future emergencies in developed country contexts. And please, if you see or hear of anything! Tell me about it!"

Dr. Gribble can be reached here.

Update: Oct 31, 2012: Other blog posts on saving freezer stashes:

- KellyMom: My power went out and I have breast milk in the freezer - Help! - Oct 28, 2012

- CT Breastfeeding Coalition: URGENT: Hurricane Sandy and Emergency Preparation/ Information for: Mothers with Stored Human Milk and Pump Dependent Lactating Moms
- Oct. 28, 2012

- PumpEase: Pumpin' Mama in a Power Outage: Handling Frozen Milk (quick print tip card)  - Oct. 29, 2012 

San Diego Breastfeeding Centre What About my Freezer Stash of Breastmilk during a Power Outage? - Oct 29, 2012

Urgent Update October 31 - HMBANA issues call for milk donations, says disruption from Hurricane Sandy and looming holiday season will result in shortages - preemies in NICUs won't have donor human milk. - see here for news release: (will open as a PDF)


Update, November 1, 2012 An article appeared today in Time Magazine by Bonnie Rochman featuring the moms on the Human Milk 4 Human Babies page who reached out looking for freezers to save their milk stashes, or for recipients for milk that would otherwise go to waste. 


Do you have a story to tell about saving your freezer stash in the wake of Sandy? Please share in comments below. I'll be tweeting them out and posting them on the Human Milk News Facebook page.




Thursday, October 18, 2012

National Breastfeeding Conference, Toronto, Oct 18-19, 2012

I'm at the National Breastfeeding Conference in Toronto to learn, and to speak about social media and breastfeeding. The theme is Breastfeeding: A Public Health Imperative.

I'll be live-tweeting using the hashtag #nbc2012.  -- Jodine

Tuesday, October 09, 2012

Hospital keepsake for newborn babies is an effective marketing tool for infant formula companies

From "A Mother is Born" blog post
What Not to Say To A New Mother: Hospital Edition
by Meredith Fein Lichtenberg
 
It's important to see the lengths infant formula companies go to in order to market breastmilk substitutes.

Take a look at this bassinet card Meredith Fein Lichtenberg writes about in her recent post "What Not to Say To a Mother: Hospital Edition" and making the rounds on Facebook thanks to Unlatched.

These bassinet cards are printed up by the hundreds of thousands and given free of charge to hospitals because infant formula makers know it keeps hospitals from having to spend precious dollars to print out their own ID cards. The front of the card is the standard ID card for babies in bassinets - the one that has the baby's name, date and time of birth, and weight. The card is what most parents take home with them as the only keepsake they have with that information. I remember being warned about these cards when I was first in hospital 30 years ago, when the concept of rooming in was new and babies were routinely kept in the nursery overnight and fed formula by the night nurses so new moms could sleep. Breastfeeding moms were advised to take in a marker and write "breastfed baby only, no formula!" on the cards.

The cards are clearly an effective marketing tool if they are still being used all these years later.

The card above is designed to convince mothers to keep feeding their babies Similac if breastmilk happens to have been supplemented with infant formula. Brief supplementation after birth, if medically necessary, will be ordered by health care providers. If donor milk isn't available infant formula will be used. The infant formula used is usually the formula provided to the hospital through an exclusive contract with a formula maker - in this case the hospital is using Abbott's Similac. Those contracts are a gold mine for infant formula companies as parents typically continue to use the same brand of formula when they leave the hospital.

Abbott Nutrition, the maker of Similac, is undermining breastfeeding by using this bassinet card to convince parents that their health care provider knows best and they shouldn't try to change the feeding "orders."  The words on the back of the card:

"Deciding what to feed is an important decision, one that should be made by those who know your baby's nutritional needs best. Don't make any changes in the feeding that has been specified for your baby without talking with your baby's doctor, nurse or nutritionist. Provided as a keepsake from Abbott Nutrition, Makers of Similac." 

Some parents may interpret this to mean the health care provider, who ordered what was intended to be supplemental infant formula for a brief period, believes that infant formula is better than breastfeeding for their baby. Note the card suggests advice from a nutritionist?

This is what is on the back of a bassinet card
Edmonton mother Rebecca Cameron received from the
Royal Alexandra Hospital. A similar card is shown
in the Alberta Breastfeeding Committee/IBFAN brochure on
WHO Code violations in Alberta.
And who employs a team of nutritionists available night and day to help moms making infant feeding decisions? Why, Similac! Last year over on my other blog, Jodine's World, I wrote about how ads for Similac's 24/7 advice hotline showed up alongside Babble's breastfeeding advice for new moms.

And it's not just Similac's maker Abbott Nutrition using this aggressive marketing tactic. Mead Johnson, makers of Enfamil, also offers nutritional advice and a 1-800 line on their bassinet name tags - every baby born in a hospital with an Enfamil contract in Canada gets this keepsake card to take home with them. On the back:
"Infant Nutrition Questions? Our trusted team is here to help. Call our experts at 1-800-361-6323 weekdays 9AM to 6PM ET or visit enfamil.ca anytime."
Nothing like getting breastfeeding support from the people who have a vested interest in seeing your breastfeeding relationship fail!

After I wrote my blog post about Similac's 24/7 hotline, I heard from a mom who had phoned for advice (Babble.com's Similac hotline a big fat #fail.) She reported an immediate offer to ship free infant formula by overnight courier when she expressed concern her baby wasn't getting enough breastmilk (the number one concern of breastfeeding moms - and the solution is not to breastfeed less!) This mom was also told that after six months a quality infant formula would offer the same benefits as breastmilk.

These bassinet cards are a violation of the International Code of Marketing of Breast-milk Substitutes, commonly referred to as the WHO Code. Hospitals who are accredited under the Baby Friendly Initiative adhere to the WHO Code and do not allow this sort of aggressive marketing tactic.

Here in Canada the Canadian Pediatric Society and Health Canada have called for hospitals to become accredited through the Baby Friendly Initiative. In the US a growing number of hospitals are turning to the Baby Friendly designation as both the CDC and the US Surgeon General renew their push for implementation of these practices.

The US Centre for Disease Control actually has breastfeeding friendly bassinet card PDFs you can download (girl / boy). I've often thought community breastfeeding coalitions and organizations could produce their own cards with local support and help information - but of course that requires money and it seems only the infant formula companies have a marketing budget big enough to cover this cost  - hence the need for an International Code to govern their marketing practices!

Thanks to the many moms who shared their baby keepsake cards with me, thanks to Unlatched for sharing this image on Facebook and provoking me to blog on this issue, and to A Mother Is Born author Meredith Fein Lichtenberg for giving me permission to use it.

Monday, October 01, 2012

Over 6,000 ounces of donor milk distributed to Alberta babies so far this year

Calgary Mothers' Milk Bank director Jannette Festival
with Alberta Breastfeeding Committee conference
delegate Stephanie Harries
At the Alberta Breastfeeding Committee's (ABC) annual conference, held this year in both of Alberta's major cities, Calgary Mothers' Milk Bank director Jannette Festival provided an update on the status of donor human milk in the province.

When the Calgary Mothers' Milk Bank opened its doors this spring Festival forecast between 80 and 100 donors would provide milk in its first year of operation. The milk bank is on track to exceed that forecast with over half of 160 applicants already approved and dozens more on track for approval. The milk bank moved quickly after setting up operations - they pasteurized their first batch of milk on April 3, 2012 and made their first delivery to the Foothills Hospital on April 13, 2012. The average donation is 400 ounces and the bank had already logged 10,000 ounces by June, 2012. They are on track to process 22,000 ounces this year.

This interactive map shows the locations of the
milk bank, hospitals providing pasteurized
human donor milk, and collection depots in Alberta.
ABC Conference attendees in Edmonton were excited by the news that the Grey Nuns began officially using donor human milk on September 5th 2012, with the Royal Alex coming on board at the end of September, ending a brief period of bureaucratic delay that saw milk available in Edmonton only if families paid the milk bank processing fees directly.

Calgary hospitals have already used 3,600 ounces and Edmonton is close behind with 3,100 ounces. Another 2,000 ounces has been provided to Toronto, which is set to open its own donor milk bank later this fall. There is a small percentage of milk that shows a high bacterial count after processing and  it is not suitable to be used as donor milk in the NICU - that milk is used by researchers.

Donors come from across Alberta, and even as far away as Ontario. The milk bank is always looking for donors and is currently a little short of milk - there is a lag between when they first apply and when they make their first deposit.

A collection depot is set to open in Edmonton early October at the Grey Nuns. This will cut the time and expense of moving each individual Edmonton donor mom's milk down to Calgary. The Breastfeeding Action Committee of Edmonton raised funds for the depot earlier this summer.

Also overheard at the conference - exciting talk of moving to fill the need for collection depots in Grande Prairie, Red Deer, and Lethbridge.

Thursday, September 27, 2012

Dr. Karleen Gribble: Biomedical Ethics and Peer-to-Peer Milksharing

Biomedical Ethics and Peer-to-Peer Milksharing
Human Milk News is honoured to host this guest post by Dr. Karleen Gribble, adjunct research fellow in the School of Nursing and Midwifery at the University of Western Sydney. This post is an adaptation of a PowerPoint Presentation outlining Dr. Gribble's application of six ethical principles to health worker / patient interactions in the area of peer-to-peer milksharing. 

Photo: Bart Everson
Health authorities in Canada, the US and France have publicly warned parents not to feed their babies peer-shared milk. Many health workers are unsure about how to respond to mothers who are considering being involved in peer-to-peer sharing of milk. Applying the principles of biomedical ethics to the problem may assist in guiding action.

Biomedical ethics can be used to explore actual or anticipated dilemmas in medicine and find reasoned, consistent, and defensible solutions to moral problems.

Principle 1: Autonomy- individuals should be supported to make health care decisions free from deceit, duress, constraint and coercion.

Health Workers are obliged to provide individuals with the information they need to make informed decisions. Limiting of information for the “good of the patient” is paternalistic and interferes with autonomy. Information should only be withheld in very limited circumstances: if the health worker believes that the sharing of information might seriously harm the physical or mental health of the individual or if the individual states that they do not want the information.


Principle 2: Veracity- patients and health workers must be honest with each other.

When parents seek information about alternatives to a mother’s own milk, health workers must discuss all alternatives including infant formula, banked donor milk, peer-to-peer shared milk and wet nursing in an unbiased and non-judgmental way.

Parents must discuss consideration or actual involvement in milk sharing with their health workers.

Policies that prohibit discussing the option of peer-shared milk with mothers could be considered as breaching the ethical principles of autonomy and veracity. They are also dangerous.


Principle 3: Beneficence- minimization of harm and risk and promotion of good outcomes.

The interpretation of “good outcome” depends upon the specifics of a situation and the beliefs and values of the individual. Individuals seeking health care are those who define “good outcome.”

In peer-to-peer milk sharing, beneficence might involve health workers providing information or directing the patient toward information on the correct way of storing and dispensing expressed breast milk or on flash heating or on medications and milk. It might also involve facilitating the sharing of medical records between milk donor and recipient.


Principle 4: Nonmaleficence- active avoidance of harm to the patient.

A health worker who dismisses, mocks, berates or derides an individual seeking advice or information about milk sharing and so humiliates or belittles them could be considered as having breached the principle of nonmaleficence.

A health professional who withdraws care from a mother or child because they wish to be involved in the peer-sharing of milk and does not ensure that appropriate alternate care is available could be considered as having breached the principles of nonmaleficence and the principle of autonomy.


Principle 5: Confidentiality- health providers must not reveal private information without consent.

While sharing of medical records may assist in reducing the risks of peer-sharing of milk, donor records cannot be shared with a potential recipient without the consent of the donor.


Principle 6: Justice- individuals must be treated fairly.

Aspects of justice to consider in the distribution of resources include: distribution equally, or according to need, effort, contribution, merit or notwithstanding ability to pay.

The application of Justice to milk sharing has proven contentious in North America where donor milk banks are experiencing shortages of milk.

Milk banks distribute according to need but payment is required.

Peer-to-peer donors distribute for free and to those who do not qualify for banked milk.

Both groups are applying justice but neither application is unproblematic. Such conflict is not uncommon in biomedical ethics and indicates that further discussion between the players involved is necessary.



Health workers cannot ignore, dismiss, discount or demonize peer-sharing without acting unethically. What then should they do?


• Educate themselves about the various options for infant feeding including the benefits, risks and costs of each option and the ways in which the risks and costs might be managed, reduced or eliminated 
• Be open and honest with mothers about each option and refrain from using pejorative terminology in relation to any option 
• When speaking to the media ensure that information is provided in such a way that it cannot be used to portray breastmilk as inherently dirty and dangerous and that the risks associated with other alternatives to mothers' own milk are considered.

Dr. Karleen Gribble is an adjunct research fellow in the School of Nursing and Midwifery at the University of Western Sydney. Dr. Gribble's research interests include adoptive breastfeeding, long-term breastfeeding, the impact of culture on breastfeeding, non-nutritional aspects of breastfeeding and models of care for newly adopted post-institutionalised children. Karleen speaks and publishes widely on these subjects to lay and professional audiences. Karleen is also active in advocacy and teaching in the areas of infant feeding in emergencies and the marketing of infant formula. In 2011 Human MIlk News profiled Dr. Gribble's research on infant feeding in emergencies in the developed world in #FirstWorldProblems, Are We Doing Enough to Protect Infants in Emergencies? Dr. Gribble has co-authored several papers on milksharing:

Biomedical Ethics and Peer to Peer Milk Sharing Karleen D. Gribble, BRurSc, Ph.D., Clinical Lactation 20212


perspective?  
Karleen D. Gribble, Bernice L. Hausman,  Australasian Medical Journal, 2012

Milk sharing: from private practice to public pursuit James E Akre, Karleen D Gribble and Maureen Minchin International Breastfeeding Journal, 2011





The World Milksharing Week 2012 Blog Carnival is hosted by Milk Junkies blogger Trevor MacDonald.
Participants:
Milk-Sharing: Safe Infant Feeding and Being a Human - Sustainable Mothering - Jake Markus 
The Lorax and Other Milksharing stories - MatriciativismoenelsigloXXI Jesusa Ricoy-Olariaga
Winning the milk lottery - PhD in Parenting,  Diana West, BA, IBCLC
Scared Milk-less - Peaceful Parenting - Lisa Van den Hoven
Overcoming Difference Through Milksharing - Milk Junkies, Trevor MacDonald
Biomedical Ethics and Peer-to-Peer Milksharing - Human Milk News, Karleen Gribble 
A Story of Peace and Healing - Normal, like breathing, Diana Cassar-Uhl
Milksharing and La Leche League - Feed the Baby LLCLaura Spitzfaden
Supporting Families in Milksharing as an International Board Certified Lactation Consultant -  Nourish Breastfeeding Support, Amber Rhotan McCann 
"I wish I'd Known About Milksharing When..." - Complete Wellness Concept, Dinnae Galloway
Waiting for Milk Banks: A Matter of Life or Death Human Milk News, Jodine Chase 
Powerful Images: Supplementing with Donor Milk DoubleThink, Paa.la, Paala Anderson Secor
What is World Milksharing Week - Dinnae Galloway



  WMW Badge Image Map