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Action 12. Identify and address obstacles to greater availability of safe banked donor milk for fragile infants

Table of Contents

denotes a USBC member organization listing

Implementation Strategies

    • Conduct a systematic review of the current evidence on the safety and efficacy of donor human milk
    • Establish evidence-based clinical guidelines for the use of banked donor milk
    • Convene a study on federal regulation and support of donor milk banks

      USBC Resources

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      National Activities

        American Academy of Pediatrics

      American Academy of Pediatrics

      Phone: 800-433-9016

      Email: lactation@aap.org

      Website: http://www.aap.org

      Action Activities: The American Academy of Pediatrics Breastfeeding and the "Donor Human Milk for the High-Risk Infant: Preparation, Safety, and Usage Options in the United States" policy statement identifies and addresses obstacles to availability of safe donor milk for infants. The statement also addresses the importance of health care providers counseling families considering milk sharing about the risks of bacterial or viral contamination of nonpasteurized human milk and about the possibilities of exposure to medications, drugs, or herbs in human milk.


      Supporting Link: https://pediatrics.aappublications.org/content/139/1/e20163440


        American Breastfeeding Institute

      American Breastfeeding Institute

      Phone: 508-888-9366

      Email: Lindaj@bflrc.com

      Website: http://

      Action Activities: The American Breastfeeding Institute continues to be active in the policy arena related to donor milk banking and is outspoken in favor of Federal and State regulation of donor human milk banks and against informal sharing except in emergency situations.


      Supporting Link:


        American Public Health Association

      American Public Health Association

      Phone: 202-777-2742

      Email: info@apha.org

      Website: http://www.apha.org

      Action Activities: 1. Host conference sessions to share best practices and science on donor milk.


      Supporting Link:


        Baby Café USA

      Baby Café USA

      Phone: 781-507-1980

      Email: lucia@babycafeusa.org

      Website: http://www.babycafeusa.org

      Action Activities: Baby Cafes encourage mothers with abundant supply to donate- there is a Baby cafe in the Colorado Milk Bank, and the Melrose Baby Cafe is also a milk depot.


      Supporting Link: http://babycafeusa.org http://www.babycafeusa.org/index.php?option=com_babycafe&task=view&ID=6


        Every Mother, Inc.

      Every Mother, Inc.

      Phone: 662-931-6368

      Email: info@everymother.org

      Website: http://www.everymother.org

      Action Activities: Serves as a member of the board of directors for the Mother's Milk Bank of Mississippi. Works to promote the milk bank with hospitals and communities across the State of Mississippi.

      Provides information about donor milk in many training programs provided.


      Supporting Link: http://www.msmilkbank.org/


        Human Milk Banking Association of North America

      Human Milk Banking Association of North America

      Phone: 817-810-9984

      Email: sybil@hmbana.org

      Website: http://www.hmbana.org

      Action Activities: HMBANA is a membership association of nonprofit human milk banks whose mission is to provide donor milk and support local mothers to breastfeed. HMBANA is working to promote donor milk access in multiple ways, including working with its members and partners to advocate for donor milk health insurance coverage.


      Supporting Link: https://www.hmbana.org/news/equity-keynote-milk-banking-symposium.html


        International Childbirth Education Association

      International Childbirth Education Association

      Phone: 919-863-9487

      Email: info@icea.org

      Website: http://www.icea.org

      Action Activities: ICEA provides breastfeeding information on the web site for resources for both parents and profession as well as a regularly updated facebook page and blog with current, evidence-based information


      Supporting Link: http://icea.org


        La Leche League USA

      La Leche League USA

      Phone: 877-452-5324

      Email: Council@lllusa.org

      Website: https://www.lllusa.org/

      Action Activities: Through the LLL USA social media platforms, LLL works to educate the public on the importance of donor milk. LLL USA has participated in Best for Babes' Miracle Milk programs annually. During 2018 LLL USA helped develop and launched a study for the University of Massachusetts on families' experiences as donors or recipients of expressed breast milk. Nearly 3,000 families responded to the survey. This will be presented as a poster presentation at the 2019 NBCC.


      Supporting Link:


        Mom2Mom Global

      Mom2Mom Global

      Phone: 910-401-3566

      Email: info@mom2momglobal.org

      Website: http://www.mom2momglobal.org

      Action Activities: Mom2Mom Global does not facilitate milksharing, but we recognize that peer to peer milksharing does occasionally happen among mothers in military communities. To that end, we provide guidance and evidence-based information about safe and informed peer to peer milksharing, including the HMBANA blood screen panel for donors.


      Supporting Link: http://www.mom2momglobal.org


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      State/Community Activities

        BreastfeedLA

      BreastfeedLA

      Phone: 3232108505

      Email: apalmer@breastfeedla.org

      Website: http://BreastfeedLA.org

      Action Activities: BreastfeedLA has created four milk depots throughout Los Angeles where individuals can drop off their excess breast milk and we will ship it to the HMBANA milk bank, Mothers Milk Bank of San Jose. Los Angeles uses 70% of the milk from the milk bank but was donating 30%. This has enabled more families to donate breast milk and also helped several hospital to start the impetus to use donor milk at their hospital.


      Supporting Link: http://breastfeedla.org/milkdepots/


      Connecticut Breastfeeding Coalition

      Connecticut Breastfeeding Coalition

      Action Activities: CBC works closely with the NE Milk Bank and CT has several milk depots.


      Supporting Link: http://a


        District of Columbia Breastfeeding Coalition

      District of Columbia Breastfeeding Coalition

      Phone: 202-470-2732

      Email: info@dcbfc.org

      Website: http://www.dcbfc.org

      Action Activities: The Medicaid Coverage to Promote Breastfeeding Policy (2014) provides outpatient coverage of donated human milk and is working on inpatient coverage of donor milk and human milk fortifier.


      Supporting Link:


      Florida Breastfeeding Coalition

      Florida Breastfeeding Coalition

      Action Activities: Support efforts of the Mothers' Milk Bank of Florida in becoming established and a viable milk bank.


      Supporting Link: http://flbreastfeeding.org/milkbank.htm


        Minnesota Breastfeeding Coalition

      Minnesota Breastfeeding Coalition

      Action Activities: The Minnesota Breastfeeding Coalition provided education on "Donor Milk Beyond the NICU" at its Pre-conference Workshop.


      Supporting Link: https://mnbfc.files.wordpress.com/2010/08/20140929_mbc_donor-milk_-north-memorial.pdf


      Missouri Breastfeeding Coalition

      Missouri Breastfeeding Coalition

      Action Activities: The coalition website lists the milk banks and depots in the state for families' information.
      The coalition shared on its Facebook page the study launched by LLL USA designed to identify obstacles to donating and receiving breast milk.


      Supporting Link: http://www.mobreastfeeding.org/milk-banks/


        New Hampshire Breastfeeding Task Force

      New Hampshire Breastfeeding Task Force

      Action Activities: The NH Breastfeeding Task Force promotes the use of Donor Milk on our website and has increased collaboration with the Mothers' Milk Bank of New England as an organizational member of the NH Breastfeeding Task Force.


      Supporting Link: http://nhbreastfeedingtaskforce.org/index.php


        New York Statewide Breastfeeding Coalition

      New York Statewide Breastfeeding Coalition

      Phone: 845-325-3382

      Email: nysbcinc@gmail.com

      Website: http://www.nysbreastfeeding.org

      Action Activities: We collaborated with the NY Milk Bank to advocate for Medicaid Reimbursement for human donor milk for preterm babies in NYS hospitals. The legislation passed.


      Supporting Link: https://www.nymilkbank.org/about/


        Ohio Breastfeeding Alliance

      Ohio Breastfeeding Alliance

      Action Activities: OBA supports the work of Ohio Health Mother's Milk bank and is available to assist in publicizing the need for donors, setting up "milk drop" sites, and promoting use of donated milk.


      Supporting Link:


      Prairie Band Potawatomi Nation Breastfeeding Coalition

      Prairie Band Potawatomi Nation Breastfeeding Coalition

      Phone: 7853050334

      Email: PBPNBreastfeedingCoa@pbpnation.org

      Website: http://

      Action Activities: •Our coalition will help mother in need of donor milk get access to donor milk


      Supporting Link:


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