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
- 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
- Key Website Features: News Room, Advocacy HQ, and Coalitions Directory
- Learning Community: Donor Milk Learning Community
- Webinar & Conference Archives: Donor Milk
- Position Statement: Safe Use of Donor Human Milk
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
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.
Action Activities: 1. Host conference sessions to share best practices and science on donor milk.
Action Activities: Baby Cafes encourage mothers with abundant supply to donate- there are Baby Cafes in 7 U.S. Milk Banks, and the Melrose Baby Cafe is also a milk depot.
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/
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.
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
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.
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
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/
Action Activities: CBC works closely with the NE Milk Bank and CT has several milk depots.
Supporting Link: http://a
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.
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
Action Activities: The Milk Bank (HMBANA - Indiana) is the fiscal agent for IBC.
IBC collaborates with the milk bank on many projects and initiatives.
Action Activities: N/A
Action Activities: The Minnesota Breastfeeding Coalition provided education on "Donor Milk Beyond the NICU" at its Pre-conference Workshop.
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/
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
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/
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.
Action Activities: •Our coalition will help mother in need of donor milk get access to donor milk