It looks like Facebook is again restricting accounts that share breastfeeding images. A few days ago I shared out a letter from my Human Milk News Page, calling on the Canadian government to implement measures to protect infant food security in the event of tariffs. Today I received this email:
The offending content? So "sensitive" it warranted being blurred! It's a post that points to my cover and profile pics. Both have the same image and both have been flagged as "unsafe" and harming my "good standing." Ironically, the post that is blurred is a link to my blog post explaining why I use this image and why I like it so much! It's a 16th century painting called "The Origin of the Milky Way" and the original hangs in the National Gallery in London.
See the fullpost here: https://bfnews.blogspot.com/2012/11/whats-up-with-that-background-image.html
The only option I was given was to upload new images. So I did.
Kenyan government has put strong scaffolding for breastfeeding in place in recent years – it scores second in the World Breastfeeding Trends Initiative (WBTi) global index for all of Africa (after Malawi) – and yet access to donor milk has been a gap.
This new project is part of a joint project between the African Population and Health
Research Center, a Kenya-based nonprofit research
organization, and Seattle-based PATH*, a non-profit that works to expand capacity for donor human milk banks around the globe. According to a PATH briefing document, the Kenyan government has adopted WHO's guidance to recommend donor human milk as the next best option to breastmilk from the birthing parent, but in order to implement this, they need a supply of donor human milk. Recent enhancements to the Baby-Friendly Hospital Initiative, a key tool for breastfeeding success in Kenya, also underscore the importance of prioritizing donor human milk when a supplement is needed.
The African Population and Health Research Centre says the initiative will be part of a larger project that integrates donor milk, Kangaroo Mother Care, and breastfeeding promotion. They will be researching the effectiveness of this integrated model, which PATH says is adapted from its existing Mother Baby Friendly Initiative Plus (MBFI+) model.
"MBFI+ is an integrated human
milk banking platform. It focuses on aligning HMBs
within other key aspects of newborn care: combining
banking, breastfeeding promotion, and Kangaroo
Mother Care (an effective method for infant survival
that involves providing skin-to-skin contact to
low-birthweight infants)."
It will be interesting to see the outcomes of research into the integration of a milk bank with Kangaroo Mother Care and strong breastfeeding promotion. If the result is higher breastfeeding rates, there will actually be less of a need for supplementation with large volumes of donor milk, and as well, there will be a greater number of lactating people with milk to spare for newborns in need, which could make this milk bank highly sustainable. In many parts of the western world where milk banking is now well established, infants are still left alone for long periods in incubators while their mothers pump breastmilk nearby or even remotely. In places without good parental leave laws, it is not uncommon for someone who births prematurely to have to return to work before their infant is discharged from hospital. And even when there is access to donor milk and breastmilk expression is well supported, many infants are discharged not breastfeeding, but rather breastmilk feeding - a time and resource-intensive practice that usually relies on expensive electric double breast pumps.
PATH hopes this Kenyan milk bank initiative can establish the country as "as a center
of excellence for human milk banking in the region,
promoting and providing access to human milk for all
infants to survive and thrive."
It will be good to see a donor milk banking "centre of excellence" that truly promotes breast*feeding* taking hold on the African continent, rather than the importation of western ways that risk further eroding breastfeeding rates. Recently researchers in Nigeria published a study exploring attitudes towards donor milk in Nigeria, and concluded: "the prospect of acceptability is high among mothers surveyed in south-east Nigeria." That country is the focus of an intensive effort to improve its breastfeeding rates through structural supports such as increasing maternity leave to six months, strengthening laws that prohibit predatory marketing that leads to breastfeeding failure, and developing strong community supports for families to ensure breastfeeding success.
Could Nigeria be the next country in the region to embrace donor milk banking?
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*Editors Note: PATH has achieved some successes through partnerships with non-profits in the donor human milk banking world in other countries, notably South Africa, India and Vietnam. The organization also partners with corporations, and this has the potential to create sticky situations for these non-profit partnerships. In 2017, PATH was the recipient of a Family Larsson Rosenquist Foundation (FLRF), the foundation created by the makers of Medela, a global breast pump and bottle and teat manufacturer. There is of course an inherent conflict in accepting funding from a breast pump maker that stands to profit from donor milk banking. The company has also run afoul of the International Code of Marketing of Breast Milk Substitutes (the Code) since it launched its heavily marketed Calma bottle and teat. It looks like this project funding was not renewed, which is good news for non-profit donor milk banking around the world. Participants in PATH projects will want to encourage the organization to vet their corporate relationships carefully to ensure the good work they are doing isn't undermined by their funders.
Prolacta, the oldest commercial human milk product maker and seller in the world, is now operating out of Australia. They've rebranded their product line as "Humavant" for Europe, Great Britain, and now Asia. They've opened an office in Adelaide, although it is not clear if the office is a base to sell to other Asian countries or if they have been granted a license to sell in Australia. Their expansion into Europe is run out of an office in Belgium. In 2017 India's NeoLacta Lifesciences received permission to sell human milk in Australia but it's not clear if they are actually operating.
It's also not clear where all Prolacta's milk is coming from.
Does Prolacta source milk from the same country where it is selling, or is it sourcing milk in one country and shipping it to somewhere else? Without transparency and regulation, it is hard to tell. It's only been 2 years since the Cambodia government banned U.S. firm Ambrosia from purchasing milk in that country and shipping it to the U.S. for sale. It's also not clear where the milk is being processed - is Prolacta's California facility shipping milk all over the world now?
Certainly, Prolacta's legal challenges don't seem to have stopped its global growth plans. Earlier this year, U.S. competitor, Ni-Q, won a patent challenge against the firm, but Prolacta has been busy filing patents all around the world and holds them now in Australia, Austria, Belgium, Canada, China, Denmark, Finland, France, Germany, Hong Kong, Ireland, Italy, Japan, Netherlands, Poland, Portugal, Spain, Sweden, Switzerland, Turkey, and the UK, as well as in the US.
Prolacta, the oldest commercial human milk product maker and seller in the world, is now operating out of Australia. They've rebranded their product line as "Humavant" for Europe, Great Britain, and now Asia. They've opened an office in Adelaide, although it's not clear if that's a base to sell to other Asian countries or if they've been granted a license to sell in Australia. Their expansion into Europe is run out of an office in Belgium. In 2017 India's NeoLacta Lifesciences received permission to sell human milk in the country but it's not clear if they are actually operating.'
It's also not clear where all the milk is coming from. Does Prolacta source milk from the same country it's selling, or is it sourcing milk in one country and shipping it to somewhere else? Without transparency and regulation, it's not clear. It's only been 2 years since the Cambodia government banned U.S. firm Ambrosia from purchasing milk in that country and shipping it to the U.S. for sale. It's also not clear where the milk is being processed - is its California facility shipping milk all over the world now?
Certainly, Prolacta's legal challenges don't seem to have stopped its global growth plans. Earlier this year, U.S. competitor, Ni-Q, won a patent challenge against the firm, but Prolacta has been busy filing patents all around the world and holds them now in Australia, Austria, Belgium, Canada, China, Denmark, Finland, France, Germany, Hong Kong, Ireland, Italy, Japan, Netherlands, Poland, Portugal, Spain, Sweden, Switzerland, Turkey, and the UK, as well as in the US.
Prolacta, the oldest commercial human milk product maker and seller in the world, is now operating out of Australia. They've rebranded their product line as "Humavant" for Europe, Great Britain, and now Asia. They've opened an office in Adelaide, although it's not clear if that's a base to sell to other Asian countries or if they've been granted a license to sell in Australia. Their expansion into Europe is run out of an office in Belgium. In 2017 India's NeoLacta Lifesciences received permission to sell human milk in the country but it's not clear if they are actually operating.'
It's also not clear where all the milk is coming from. Does Prolacta source milk from the same country it's selling, or is it sourcing milk in one country and shipping it to somewhere else? Without transparency and regulation, it's not clear. It's only been 2 years since the Cambodia government banned U.S. firm Ambrosia from purchasing milk in that country and shipping it to the U.S. for sale. It's also not clear where the milk is being processed - is its California facility shipping milk all over the world now?
Certainly, Prolacta's legal challenges don't seem to have stopped its global growth plans. Earlier this year, U.S. competitor, Ni-Q, won a patent challenge against the firm, but Prolacta has been busy filing patents all around the world and holds them now in Australia, Austria, Belgium, Canada, China, Denmark, Finland, France, Germany, Hong Kong, Ireland, Italy, Japan, Netherlands, Poland, Portugal, Spain, Sweden, Switzerland, Turkey, and the UK, as well as in the US.
What a sad day. This editorial, its author, the publication, and the entity that publishes it has shown in recent months that they cannot even uphold the most basic of standards regarding conflicts of interest. The Academy of Breastfeeding Medicine accepts industry funding for advertising and sponsorship, it promotes industry-funded speakers at its conferences and it allows industry-funded folks to populate its leadership team. Clearly it is unable to opine with any credibility on an initiative that is built on the foundational principle of insulating infants, their families and their caregivers from industry influence. Without this credibility, at best this editorial reads as arrogant and out of touch. At worst It provides fodder for industry-fuelled skepticism. Whatever happened to, “first, do no harm?”
Our television and social media feeds are filled with warnings of a "bomb cyclone" stretching from Florida and into Canada. Or as CNN puts it, 1,500 miles of winter storm warnings.
A 'bomb cyclone' — a powerful low-pressure system that rapidly intensifies — is forming off the
East Coast threatening to bring strong winds and potential tidal flooding to U.S. coastal locations.
There's snow in Tallahassee for the first time in 28 years, and states of emergency are rapidly being declared up and down the Eastern Seaboard. Canadians in the Maritimes are gearing up for what we call a Nor'Easter.
There are few things more stressful than the thought that you might have to wait out the storm with a tiny baby, perhaps without electricity or heat, during a winter storm with frigid temperatures and impassable roads. The good news is .... if you lose power you probably don't have to worry about your frozen milk stash. The bad news is, if you lose heat you'll be busy trying to stay warm!
So what steps can you take if you're at home with a new baby?
Outside looked like a glistering winter wonderland, everything was covered in a thick layer of ice. The older boys had just come in from playing outside. Their hands and bodies were cold and it was time for a warm bath. Then the lights went out. It seemed the electricity was out everywhere, we all cuddled together to keep warm. It was January 4, 1998 and is known today as the Great North American Ice Storm. I had 4 young boys including a 2 week old.
Carole spoke recently at a SafelyFed Canada presentation on safe infant feeding in emergencies in Montreal, recalling how public health nurses scheduled to do home visits had to cancel them because the storm kept them from getting into the city. Carole gathered up her two-week-old in a front-carrier, bundled a coat over the both of them, and walked to the homes of the families in her neighbourhood who had just birthed.
Babies continue to be born and one of the simplest ways to keep them safe, fed, and warm is breastfeeding and skin-to-skin. It is well known that skin-to-skin regulates an infant’s heart and respiratory rate, increases body temperature, regulates blood sugar, increases immunity, decreases stress hormones, and feels amazing. In cold weather skin-to-skin also has the advantage of warming more than one person. Skin-to-skin is not only for newborn babies. Toddlers, children, and adults can all do skin-to-skin which is known to have saved lives when cars have broken down in winter storms. This simple and very effective survival technique is essential should you encounter a winter weather emergency. Remember skin-to-skin means skin on skin and blankets around everyone not between.
Carole was able to dress warmly, navigate icy streets, and ensure her baby was snug and warm in a carrier beneath her coat because she lives in Montreal, a winter city, where people must master the art of keeping babies warm in the winter months. Montreal is also where McCord Museum curator Guislaine Lemay helps maintain a permanent exhibit of Indigenous traditional clothing including the amauti, or women's parka, with its amaut, or baby pouch, described by Lemay in a recent UpHere magazine article as "the ideal clothing to take care of your child, to carry it, to protect it, to do your daily activities knowing your baby is going to be just fine and toasty warm." Traditionally the amauti allowed mothers to keep their babies skin-to-skin inside the winter parka, resting on their backs, held snug by the garment's design, and shifted around to the front for breastfeeding.
Emily Attutuvaa, Baker Lake, Nunavut, where the temperature ranges from -15C to -40C in winter.
If it works in the Arctic, it's gotta be a good approach.
As Liz says, skin-to-skin contact is the way babies have survived and thrived in Arctic conditions, and families caught without heat in a winter storm can use skin-to-skin to keep their babies safe and warm.
No electricity or heat?
After the storm is over, reassess, and arrange for rescue to shelter if necessary. Carole writes:
We were among the lucky ones and only lost electricity for less than a day. Other families were without electricity for over a month. Families had to be moved to relatives, friends or shelters with food and heating facilities.
This CTV news story from the midst of the storm includes
footage of an evacuated family with a tiny infant
taking shelter on a train.
Baby's faces must never be covered by fabric:
If you must go outside with your infant, or if you are inside and it is very cold, you won't have a traditional amauti specially designed for to allow oxygen flow to the infant, to keep out cold air, and to release warm and moist air from the body. You will need to make sure your baby's face is not covered and that your baby has a clear airway. Arie Brentnall of the Canadian Babywearing School says:
Winter baby-wearing - Visible & Kissable!
Baby carrying should be Visible & Kissable. Winter baby carrying is a wonderful tool to help caregivers get through a Canadian winter and all it has to offer. Baby's faces must never be covered by fabric, even in extreme weather. If you must be outdoors in an extreme event, your body warmth can be protective for your baby. By keeping them at a kissable height on your chest & maintaining visibility by keeping their noses and mouths exposed, you will be able to monitor your baby's airway & ensure their safety.
This advice about covering baby's face also applies to babies in strollers and car seats.
Follow emergency authority advice:
Your local emergency authority has the best advice for conditions in your area. If you're still a day or two away from the storm, double-check your emergency kit and prepare for power outages with extra supplies, blankets, diapers and medication. Put an emergency storm kit in your vehicle - including a lighter, and a candle.
Shelter in place/wait out the storm:
If the storm has already hit, the advice is likely to stay off the roads, stay home, shelter in place.
Feeding:
Don't let last-minute storm preparations delay feeds.
A breastfed baby is in a food secure situation during an emergency.
A formula-feeding family is an insecure food situation and needs more resources to keep their child safely fed.
Do not start formula feeding and do not wean your baby during an emergency.
Even if you were weaning, or have a new baby but didn't plan to continue breastfeeding, keep breastfeeding through the storm, and until the danger has passed.
If you are combo feeding, it's best to give your baby more access to the breast and discontinue formula feeding until the emergency is over.
If you are exclusively feeding formula, this is a good guide to help you safely feed until the emergency is over. If your supplies are low or you need help, contact your local emergency authority.
Do you have a story about surviving a winter storm with a baby? Share your tips in the comments section below.
--------------
* If you have to evacuate and you want to take your frozen milk with you, see our article "Evacuating with your frozen milk", September 2017.
These are some of the questions the esteemed Dr. Naomi Baumslag is asking. Along with colleagues Elisabeth Sterken and Glynnis Mileikowsky, Baumslag has released a brief report on the results of her survey on the sale of human milk in 33 countries, with data collected at the World Breastfeeding Conference in Johannesburg in December 2016.
Among the findings:
"... a pervasive lack of knowledge of the many issues around breastfeeding, Human Breast Milk (HBM) donation and commodification, and identified areas for education.
less informed respondents requested more information and saw the benefits of being involved in the education of women so that they are not exploited and can better understand the need to help infants in need of donated HBM for their survival.
most of the respondents felt that it was important to pay donor women if their milk was being sold at a profit by someone else, rather than donated.
some respondents expressed the need to keep milk available for babies rather than for commercial purposes.
cultural differences in attitudes to mothers selling HBM, but some field workers and researchers indicated that lactating women could use the cash for transport and to feed their families.
many respondents felt that women undervalue their breastmilk and that HBM should not be sold. ..."
Baumslag has a call for comments open - please visit her website to read the full results of the survey and for information on how to comment: Should human breast milk be for sale?
In March 2017, the Cambodia government banned the sale and export of breastmilk after the success of the Utah-based company Ambrosia, (see Human Milk News: Milk mongers sell mix of fear and doubt.)
Ambrosia, co-founded by Utah-based Bronszon Woods, harvested the milk from Cambodia and sold it in the U.S. at a substantial markup. Woods, who first came to Cambodia as a Mormon missionary, paid his Cambodian milk providers to come into a clinic where they expressed milk and received a stipend of about $7-10/day according to media reports. Ambrosia said the payments provided a good and secure living for these families and insisted they only allowed pumping after six months of breastfeeding and restricted it to twice a day so there would still be milk for the family's own infant.
Ambrosia's human milk product was offered for sale in the U.S. at a substantial mark-up -- $45 for a 450 ml (15 oz) -- to everyone from body builders to U.S. families in need. Ambrosia claimed they were providing Cambodian families a safe way to earn a good living, but UNICEF urged the ban after concerns from the Cambodian health ministry that families were selling breastmilk and feeding formula to their own infants. UNICEF Cambodia's spokesperson Iman Morook said via an emailed statement that the practice was exploitive and that excess milk should remain in Cambodia for the many infants in that country who don't have access to adequate nutrition.
"UNICEF believes that breast milk banks should never be operated by exploiting vulnerable and poor women for profit and commercial purposes. Breast milk could be considered as human tissue, the same as blood, and as such its commercialization should be banned.”
The clampdown came in the midst of a controversy over a growing surrogacy market in the country, with reports of brokers approaching poor pregnant people with offers of $7-10,000 to buy their babies. One freelance reporter asked Ambrosia if they planned to tap into this surrogacy market, purchasing the milk from women who no longer had a baby to feed it to, and Ambrosia co-founder Ryan Newall told her "yes, we want to do that, the surrogacy market is booming," although he went on to note the government's plans to clamp down would allow his company to offer an alternative income stream where families could keep their children.
In condemning the export of this valuable resource, UNICEF Cambodia called for breast milk banks to provide adequate nutrition for Cambodia's own premature or orphaned infants. In February of 2017, the first milk bank in Southeast Asia to operate under international standards opened in Vietnam. A workshop was held to exchange knowledge about the possibility of opening milk banks in other ASEAN countries like Myanmar, Cambodia, the Philippines and Thailand.
Alive and Thrive, in a project funded by the Bill and Melinda Gates Foundation as well as the governments of Canada and Ireland, has been working on a three-pronged approach to improve breastfeeding rates in Vietnam and has seen remarkable success. The country introduced new laws including adequate maternity leave, launched additional supports for families who are breastfeeding, banned predatory infant formula marketing and replaced it with messaging about the importance of exclusive breastfeeding, and the result was a remarkable turnaround, with exclusive breastfeeding rates up from 10 per cent in 2010 to 58 per cent in 2014. The program is scaling up to other countries in Southeast Asia including Cambodia. Milk banks are an important component of any program to improve the nutritional status of a nation and including them as part of the national policy environment to support breastfeeding is an important step.
Human Milk News periodically receives tips behind the scenes about new commercial entities entering the human milk trade, and even before Ambrosia's operations in Cambodia were shut down, we heard about several other startups planning to emulate the model, but so far nothing has materialized.* However, one copycat to watch is the startup LacNation, which is quietly trying to convince the Myanmar government and health authorities to let them set up a similar operation. In a listing on the Startup Compete website, LacNation describes its startup plan to to:
"Collect donor breast milk in Burma and sell it to American NICUs for a fraction of the price they currently pay. Use FDA approved processing and HMBANA donor screening standards to ensure donor milk quality is up to par with American standards. Pay our donors in Burma for their milk to improve their lives. Use portion of company profits to provide basic maternal and infant healthcare to donors."
The cost of not breastfeeding in Myanmar is high, and the country moved to improve its breastfeeding rates with a new law adopting the International Code of Marketing of Breast Milk Substitutes in 2014, and has extended maternity leave in the public sector. A report from UNICEF and Alive and Thrive in 2015 explored the economic toll of suboptimal breastfeeding rates, noting policies and programs to save lives will provide a high return on investment for the country.
Hopefully Myanmar health authorities can learned from the experience of Cambodia and Vietnam and turn away from dubious, commercially exploitative milk bank schemes, and instead towards proven programs to support breastfeeding and improve health and wellbeing.
*Edited to add: I am remiss in not mentioning the tireless efforts of Marion Rice, who keeps tabs on new entrants into this field. She speaks about on the subject of "Biological Integrity, Ethics and Control over Human Milk." You can hear Marion interviewed by Gold Lactation's Fiona Lang Sharpe as part of their milk banking add-on lecture package aired earlier this year.
The World Health Organization has opened a short comment period on the draft of a 2017 update to the Baby-Friendly Hospital Initiative. In the section on supplementation when the infant's own milk is not available, the document recommends the use of donor human milk - but only for low-birth weight infants.If followed, this could change policies in place today in a number of facilities that make donor human milk available for healthy term and near term infants who have a medical need for supplementation. The comment period closes TODAY, October 24th, 2017 has apparently been extended. More details coming, but if you didn't sign because it's tomorrow where you are, please do sign now, it's not too late!! If you would like to tell the WHO that the Baby-Friendly Hospital Initiative should support donor milk, when available, for all babies with a medical need to be supplemented, please read the following letter and then use the form at the bottom to sign. Note, your signature will be appended to this document for public viewing.
Please note, if you signed prior to the update date/time below and your signature does not appear here, email Jodine Chase as jchase at mediaworkswest dot com. Likely the signature form didn't completely capture your signature (there are a number with first names only.)
Update, Signatures added to 8:00 a.m. MDT Next update noon . Oct 25, MDT
Department of Nutrition for Health and Development (NHD) World Health Organization
Avenue Appia 20
1211 Geneva 27, SwitzerlandOctober, 2017 Re: Public consultation on the draft of the document: Protection, Promotion, and Support of Breastfeeding in Facilities Providing Maternity and Newborn Services: The Revised Baby-friendly Hospital Initiative 2017
Thank you for the opportunity to comment the revised Baby-friendly Hospital Initiative (BFHI 2017).
Including donor human milk explicitly in the BFHI 2017 is an important revision that further aligns the BFHI with global breastfeeding policy framework and responds to the call at the World Breastfeeding Conference 2012 in Delhi to adopt a human rights approach to the protection, promotion, and support of infant and young child feeding at all levels. Specifically, the WHO/UNICEF Global Strategyon Infant and Young Child Feeding (2003) states:
“For those few health situations where infants cannot, or should not, be breastfed, the choice of the best alternative – expressed breast milk from an infant’s own mother, breast milk from a healthy wet-nurse or a human-milk bank, or a breast-milk substitute fed with a cup, which is a safer method than a feeding bottle and teat – depends on individual circumstances.”
and the Convention of the Rights of the Child, Article 24 refers to the rights of all children:
"to the enjoyment of the highest attainable standard of health…”
In the draft BFHI 2017, the specific reference to donor human milk in Section 2.1.4 Supplementation needs to be broadened to be fully aligned with the Global Strategy, the CRC, and other instruments and policies that support the right of the child to adequate nutrition. By referencing donor milk as being appropriate for low-birth-weight infants only, the BFHI 2017 could erode other important guidance and policies where donor milk, when available, is recommended as an option for all infants in need. Numerous policies and guidances position donor human milk as the next best option for infants, ahead of infant formula (Academy of Breastfeeding Medicine (2017), Canadian Pediatric Society (2010), Health Canada (2012), (PATH (2013).) For example, the Emergency Nutrition Network Infant Feeding in Emergencies Core Group’s new Operational Guidance on Infant and Young Child Feeding in Emergencies Version 3.0 (2017) states:
“Where an infant is not breastfed by his/her mother, quickly explore, in priority order, the viability of relactation, wet nursing and donor human milk, informed by cultural context, current acceptability to mothers and service availability.
The undersigned request that the first sentence in Section 2.1.4, Paragraph 5 be amended to read:
“Infants, especially those with very low birth weight, who cannot be fed their own milk should be fed donor human milk (50, 51)....”
Thank you for this opportunity to provide comment the draft BFHI 2017. Sincerely,
Jodine Chase
Human Milk News
Sarah E. DeYoung
SafelyFed USA
Sarah Smith Natalie Barnes
Breastfeeding Matters, South Vancouver Island Krystina Langston President, Breastfeeding Action Committee of Edmonton Layla Mairleitner Martha Paynter Jill DeLorenzo Kirsten Goa
Melissa Bartick MD
Cambridge Health Alliance and Harvard Medical School Dr. Angie Bond Arizona State University Ilse Padilla Jen Peddlesden Judith Dyck
Jennifer Iwata La Leche League Canada - Director on the Board Karen Bishop Magdalena Whoolery La Leche League Katherine Teske Leader, La Leche League Helen Gray Kerri Grummett Canadian citizen Elizabeth C Brooks JD IBCLC FILCA private practice IBCLC, lactation educator, public health advocate Hong Le Betibuti Juanita Jauer Steichen Dr. Zarya Rubin MD Director, Latched On MD Lauren Wong Senior neonatal sister, NHS Renae Haynes Warrnambool breastfeeding centre
Naomi Hambleton IBCLC
A2Z Lactation Dr. Stefanie Rosin www.stillberatung-rosin.de Eric Braul
Jenna Richards The Family Centre Perth Susan E Burger PhD MHS IBCLC Sole Proprietor, Lactescence, NYC
Susan Howard RN MSN IBCLC Owner Arlington Lactation Stephanie Sosnowski IBCLC Birth and Breastfeeding Education and Support Elida Silva IBCLC Orla Olivieri Ashley Heatherly CLC Whole Mothering Center Julia Mio La Leche League Canada, Leader Mari Manger, Independent Nutritionist, PhD Camilla Aviss RN IBCLC Adele McHenry-Koenen LLL Caroline Smith Cone Health Michele Karver Meghin Hynson CLC Della Dennis The human family AJ Cecil-Starlin CLC North Omaha Breastfeeding Advisory Team Danielle Saxon Colleen Emary Independent, Public Health Nutritionist Jaimie Zaki Molly Frizzell Samantha King Australian Breastfeeding Information Hub Associate Professor Karleen Gribble Samantha Soh Pam Martin Justine Hirsch La Leche League leader Peter Martin Jared Martin Jennifer Martin MaryAnn Joseph RN IBCLC Rilla Marshall Lynnette Hudgens La Leche League of Pensacola Kathleen Rolfe' Sondra Aresty Postpartum Doula, Gentle Hands Doula Demi Lucas Mother Kaitlynn Antonenko Margaret Bennet-Alder George Kent University of Hawaii (Emeritus) Natalie Millar Senior Clinical Dietitian, Regina General Hospital, Regina Qu’Appelle Health Region Laura Watt La Leche League Canada (Kingston ON) Melanie MacDonald Ruth McAllister La Leche League Kellie Gearlds RN IBCLC Beth Paynter Stefanie Kalmakoff
Sabrina Miller
Hardin Memorial Hospital IBCLC
Moon Afrykayn Aku
Breastfeeding Mothers Unite
Donna Basaldua
Marion Public Health
Kim Moss-Allen
Jennifer Welch
International Board Certified Lactation Consultant
Lindsey Schiessler
Noelle Polack
Pinay Doulas Collective
andrea schlueter
Breastfeeding Peer Helper
Linda Anderegg
Nurse Clinician/IBCLC, Elmhurst Hospital Laura Graham, M.S.
Kathleen Anderson Rachelle Lesteshen Breastfeeding USA Counselor Erin Fair Director of the Volunteer Doula Program Sharon Tsui Natural Parenting Network Carlee Robbins Katie McNiven Gladman, Registered Midwife IBCLC Liz Langthorn Beth Lichy Sarah King
Lindsey LaForte LLL Leader
Shelley Halloran Breastfeeding USA Erin Dillon Maureen La Leche League Leader Amanda Yohn Leader, La Leche League-USA; Birth Doula-Independent practice
Christine Staricka IBCLC Baby Cafe Bakersfield Sarah Boutin Sarah Murnane Australian Breastfeeding Project Melanie Myers IBCLC Carol Kelley Breastfeeding USA Counselor
Cassadee Scollon Mother of 3 and 3 x milk donor to healthy full term babies whose mother wanted my milk not formula Emily Wright Tova Ovits IBCLC Jessica Ceniceros Rachael Stratton CLC Norma Escobar Lactation Consultant Melanie Bast Olivia Valentine, RN Elyssa Darke Denise Ives, Breastfeeding Counsellor (DipHE) The Breast Room Lauren Barlow Kay Whitby, RN Rebecca Guy Kristy Newnham Milc Melbourne Aileen Uy
Breastfeeding Pinays
Pamela Hendrix Schayne George Alice Giltrow Tanya Smith Serenity Breastfeeding Support LLC, Owner/IBCLC, private practice Rachel Thomson, Registered Nurse Rachel Leitman Nisa Briggs-Kelly Lucy Friars Penny Reimers Human Milk Banking Association, South Africa Belinda Delardes Jennifer Gorton, Sonographer Katie Miran
Carole Dobrich Laura Delmonico
Nationwide Nurse-In
Julie Audette
Mother Rebekah Sullivan Ruth Brodbeck RM IBCLC LLL Celeste Vieira-Miller Nicole LaForge Kathleen Kelly RN RM Helga Wandel Ellen Kamman IBCLC Audrey Trenholme Eve O'Shea Rosie Macdonald Evelina Fisher Caroline Mugavin Anna Saxman RN IBCLC
Regina KeoghOur Lady's Children's Hospital, Crumlin, Dublin
Camilla Winter-Moore, Doula Lisa Casson Birth Roots
Claire Hirsch
Dr. Naomi Park
Joanne Allan Australian Breastfeeding Association
Anna Shelton
Kalindi Black NCT Breastfeeding Counsellor and DUK Postnatal Doula Donna McParland Mother, parent educator, doula, baby carrying consultant and breastfeeding peer supporter
Loraine Hamm Speech Language Therapist/IBCLC
Roger Godfrey Parent
Sharon Knorr Rosie Greenwood NHS Derbyshire
Lucy Leonard Becky Young Lucy Leonard Bridget Muir Wendy Green
Amy Barron Smolinski Executive Director, Mom2Mom Global Kelly JonesMother Claire Davies
Gonneke van Veldhuizen-Staas Eurolac Lactatiekunde, owner, lactation consultant
Ria de Boer IBCLC lactatiekundige Kraamzorg de Waarden
Megan Stephenson Breastfeeding Counsellor, NCT
Rebeca Schütz
Leata Davoine Zoë Stijnen Daniela Spanos
Caoimhe Whelan Lisa Parsons Steve Coe Jude Soames
Cecilia Tomori, PhD
Justine Railton Karen Peters Anne Sleven Laura SwannThe Holistic Doula Floor Kulker Alice Gardiner Mel Kelly Lenshina Hines
Secretary, Y Cwtch Llaeth - Newcastle Emlyn Breastfeeding Support Group Maureen Minchin, Author Milk Matters: infant feeding and immune disorder Milk Matters, PTY Ltd Jenny YamagataWomen`s Oasis for Maternal Wellness and Birth Marage Liliane Sally Light Nina BerryAustralian Breastfeeding Association; University of Sydney
Dr Jo Dagustun, UK
Aurora Legge
Charlotte Dent
Susan D NiedzielskiMohawk Valley Breastfeeding Network
Andrea DeLarm Breastfeeding USA Counselor
Marie Robinson
Paola ban der staak As shifaa - independent midwife Kelli Betters
Joy Schloemer
Jennifer Kaczynski IBCLC Julie Larose
Carolyn Siobhan Wilson La Leche League Canada Leader Lenore Goldfarb Health e-Learning-IIHL/Step 2 Education Helen Johnson Antenatal Educator Sarah Bowman Dawn Lamuth-Higgins Ligonier La Leche League Fran Rolfe Olive Edwards Olive Branch Therapies Nicole Lord Fenda Louisaire RN IBCLC Corinne Hurndell Cristel van Prooijen Laurel WilsonChildbirth and Postpartum Professionals Association, Senior Advisor Ann Davison Northampton General Hospital Nikki MatherDoula and Breastfeeding counsellor
Sophie Brayley Jeretha McKinley Christina Feminella
Lisette Pothoven
Sigrid van Hamburg
Leigh Anne O'Connor Selma Alves Anne-Marie Jude Dania DeLoneMilkworks
Dana Patti
Jennifer ReinhardtLa Leche League USA
Rebekka HenriksenLa Leche League Leader Regina Independent Consultant Ginny Kooyman Heidi Akkers Julia Irvine Elizabeth Davis Amy Laskey, Registered Dietician Emma Woockman Kyla Milne
Rowan Smith
Laraine Lockhart BormanMothers Milk Bank, Colorado
Nicole Shirazee Hope JenkinsonLa Leche League Leader Mary Lou Moramarco IBCLC Sarah Allison Kendra Owen Barbara Hardin RN IBCLCThe Mother's Milk Company Sara Shepherd LLL Leader and IBCLC Deirdre Wells Robyn P University of Saskatchewan Nutrition Student Avital Kline Shaniee R Green Coalition of Oklahoma Breastfeeding Advocates - Treasurer
Linda Good IBCLC Lynn Jurgens Dralle
Jen Kosakowski
E. Kalkman-Zwart
Darlene ArchibaldLa Leche League Canada Leader
Sandra Wesley
Rosa Villalpando Becky DrevetsIntegris Health Edmond Lactation Consultant
Allison Haye Allison Hayek Birth Services
-->Anna Le Grange IBCLC
-->Olivia Mayer RD CSP IBCLC
-->Ariel Patrick
-->Brenda Walsh
-->Jessica Kratzer
-->Lexi Hopkins
-->Virginia McClary CLD LE -->Redeemed Birth Services
-->Taylor Scarborough
-->Kimela Budlong
-->Ani Pendergast
-->Philippa Howard
-->Katie Marsh
-->Claire Barnett
-->Breastfeeding Counselor, Breastfeeding USA; and mother who supplemented with donor milk Gloria Thai, Lactation Specialist
-->Megan Bifulco
-->La Leche League Vineland NJ
-->Kymberly Norrick -->FlourishConnect and La Leche League
-->Lana Lonseth -->IBCLC, La Leche League Leader
-->Christy Vergara IBCLC
-->Wendy Bell
-->Snugabell Mom & Baby Gear, Founder & CEO
-->Norma Ritter IBCLC RLC -->Breastfeeding Matters in the Capital Region (NY)
-->-->--> -->Patty Jacobs
-->Breastfeeding USA Counselor
-->Jennifer Warrick
-->Anna Mroczek
-->Upstate University Hospital
-->Susan Jacoby, IBCLCWIC
-->Olga Horsman
-->MamaMelk
-->Ceit Blue
-->Lissette Minges
-->Dragonfly Village, Founder/Owner
-->Michelle Reetz
-->Marianne Vakiener
-->La Leche League
-->Avni Trivedi
-->Lena Ostroff
-->Heather Owen
-->BC, Breastfeeding USA
-->Kimberly Daniels
-->LLLC Leader
-->Alexis Adams
-->Kasandra Raux
-->Parent Partner, Southside Hospital, Northwell Health
-->Jennifer Kugler
-->Abaigeal Pilling, RN
-->Debbie BuckinghamMother
-->Donna Brooks
-->Vidant Medical Center IBCLC
-->Sarah Blunkosky
-->LLL USA Leader, LLL Common Wealth
-->Hilary Johnston
-->Hilary Johnston, Leader, La Leche League Canada Ottawa South East
-->Trish Toompuu
-->Latch Lactation Consulting
-->Jacqueline Kirkland
-->Iona Macnab BA(Hons) LLB IBCLC
-->iLactation Ltd
-->Kait Prendergast
-->Rebecca Welcome
-->Marjorie VeraIBCLC, La Leche League Leader Marion Rice References
Arnold, L. D. (2006). Global health policies that support the use of banked donor human milk: a human rights issue. International Breastfeeding Journal, 1, 26. http://doi.org/10.1186/1746-4358-1-26
Brady, M. (October, 2012). Breastfeeding is a human right. What does that mean?, Baby Milk Action Archive Site, Retrieved from http://info.babymilkaction.org/news/campaignblog111212, JH Kim, S Unger; (2016). Canadian Paediatric Society, Nutrition and Gastroenterology Committee, Position statement on human milk banking, Paediatr Child Health 2010;15(9):595-8 Retrieved from: https://www.cps.ca/en/documents/position/human-milk-banking
Health Canada, (2012) Nutrition for Healthy Term Infants: Recommendations from Birth to Six Months, A joint statement of Health Canada, Canadian Paediatric Society, Dietitians of Canada, and Breastfeeding Committee for Canada, Retrieved from: https://www.canada.ca/en/health-canada/services/food-nutrition/healthy-eating/infant-feeding/nutrition-healthy-term-infants-recommendations-birth-six-months.html
IFE Core Group - Operational Guidance on Infant & Young Child Feeding in Emergencies - V3
Kellems, A., Harrel, C., Omage, S., Gregory, C., Rosen-Carole, C., Academy of Breastfeeding Medicine (2017) ABM clinical protocol #3: Supplementary feedings in the healthy term breastfed neonate, revised 2017, Breastfeeding Medicine, 1-3, DOI: 10.1089/bfm.2017.29038.ajk
Kent, G. (2006). Child feeding and human rights. International Breastfeeding Journal, 1, 27. http://doi.org/10.1186/1746-4358-1-27 PATH. Strengthening Human Milk Banking: A Global Implementation Framework. Version 1.1. Seattle, Washington, USA: Bill & Melinda Gates Foundation Grand Challenges initiative, PATH; 2013. Retrieved from: https://www.path.org/publications/files/MCHN_strengthen_hmb_frame_Jan2016.pdf Taylor, E.C., Labbok, M. H., (2014.) (Donor human milk access and use in the United States: Findings and recommendations, Carolina Global Breastfeeding Institute, Retrieved from: http://breastfeeding.sph.unc.edu/files/2014/11/DHM_I_Report_May-15-cost-truncated.pdf
