| Volume 3, Issue No. 3
September 2016
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| Welcome! - Thank you for your continued support of non-profit milk banking in North America! The objective of this publication is to highlight the activities of our accredited and developing milk banks.
- Take a moment to forward it to a friend, colleague or someone else who you think might be interested.
- If you received this from someone else, please visit the HMBANA website to be added to our mailing list. www.hmbana.org.
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| Letter From the President By: Naomi Bar-Yam, PhD
Executive Director, Mothers' Milk Bank Northeast
President, Human Milk Banking Association of North America
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When I travel, I like to take in one or two local natural, historical or cultural attractions. In DC, I visited a number of the memorials near the National Mall, including my first visit to the Martin Luther King Jr. Memorial. Behind the imposing 30 foot high sculpture of King there is a wall etched with 16 quotes from King’s speeches and writings throughout his too short career. King spoke universal truths of justice and equity that apply to particulars in each of our lives.
Make a career of humanity. Commit yourself to the noble struggle for equal rights. You will make a better person of yourself, a greater nation of your country, and a finer world to live in. (April, 1959)
Breastfeeding is a civil right. Access to all forms of breastfeeding support, including medical, community, workplace and donor milk cannot depend on income, race, ethnicity, or zip code. Our work toward justice in this small area ripples out far beyond mothers, babies and breastfeeding. We are part of an interconnected whole.
Injustice anywhere is a threat to justice everywhere. We are caught in an inescapable network of mutuality… Whatever affects one directly, affects all indirectly. (April, 1963) But there is so much work to do that sometimes it feels daunting. I draw inspiration from my tradition as well:
Rabbi Tarfon (1st c CE) taught: "It is not your responsibility to finish the work [of perfecting the world], neither are you free to desist from it. (Pirkei Avot – Wisdom of the Ancestors 2:16)
We, who work to assure that mothers and babies have the milk and support they need, are a small, important part of social justice. Together with others who find other ways to perfect the world …
We shall overcome because the arc of the moral universe is long, but it bends toward justice. (March, 1968) King’s words deepened my experience of the thought provoking and energizing NBCC. They also inspire my term as president of HMBANA. It is an honor, a privilege and a responsibility. Thank you all for the work we will do together, inspired by King and by our own wisdom traditions, to bring justice and equity to our part of the world and beyond.
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Pictured above:
left: HMBANA representatives at USBC (Sarah Long, Pauline Sakamoto, Kim Updegrove and Naomi Bar-Yam)
right: Martin Luther King Jr. Memorial, Washington, DC
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| Celebrating Breastfeeding in Colorado
Mothers' Milk Bank, Arvada, Colorado, sponsored and participated in the Colorado Breastfeeding Coalition’s first annual Breastival which brought more than 300 moms, dads and children to Ruby Hill Park in Denver on Saturday July 30th. Thirty-five vendors,kids activities and prizes rounded out the day to kick-off World Breastfeeding Week.
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Adriana Tebbe, our pasteurization/donor technician and Lauren Duncan, donor mother coordinator, were passing out information and talking to people during a World Breastfeeding Week event at Riley Children’s Hospital in Indianapolis.
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| We partnered with Indiana Breastfeeding Coalition and Metro-Indy Lactation Coalition to help improve lactation stations at the fair. Our work was featured by Anne Kelly, a local television reporter who works on our ABC affiliate station..
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Lastly, we participated in two Latch On events, one in Noblesville and the other in Avon. The turnout was really great for each of the events. The picture shows the moms who latched and the other is one of our tables at the events.
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| By: Kim Updegrove, RN, CNM, MS, MPH,
Executive Director, Mother's Milk Bank at Austin
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Donor human milk continues to serve as the standard feeding protocol for very low birth weight infants in neonatal intensive care units around the world, and for other medically vulnerable infants as well. International standards require pasteurization, intended to eliminate risks of bacteria and viruses found in milk, despite knowledge that heat processing compromises some milk components. Numerous studies of individual components and their presence and bioavailability before and after Holder pasteurization have been performed; these researchers have conducted a meta-analysis of 44 prior studies and presented the result clearly. This first comprehensive review of the effects of Holder pasteurization on human milk components will serve milk banks, providers, and researchers well, although additional research is needed.
Review: The Effect of Holder Pasteurization on Nutrients and Biologically-Active Components in Donor Human Milk: A Review
Chiara Peila 1,*, Guido E. Moro 2 , Enrico Bertino 1 , Laura Cavallarin 3 , Marzia Giribaldi 3,4 , Francesca Giuliani 1 , Francesco Cresi 1 and Alessandra Coscia 1
Holder Pasteurization is a heat processing technique recommended internationally for human milks, requiring milk to be heated to 62.5°C for 30 minutes. Pasteurizing milk has been judged to be a sound compromise between microbiological safety and the nutritional and biological quality of donor milk. Searching MEDLINE, EMBASE, CINHAL and Cochrane Library databases, the researchers identified 44 studies eligible for comparison, with significant variation in the effect of Holder pasteurization on the biologically-active components of human milk. The articles spanned more than five decades, and test protocols and equipment changed over that period – a possible explanation for the variances reported. Overall, the studies found that several milk components are affected by Holder pasteurizing, yet it is impossible to quantify that effect.
Among components showing absolutely no compromise caused by pasteurization are:
Cytokines (specifically IL 2, 4,5, 13, 12 and 17)
Growth factors (specifically EGF, TGFβ1, TGFβ2, and MCP-1)
Amino acids (specifically free amino acids, taurine, methionine, cysteine, and glutamate)
Vitamins (specifically D,E, B2, B5, Biotin, B3, B12, and zinc)
Lipids (specifically polyunsaturated fatty acids N3 and N6, Monounsaturated fatty acids and Saturated fatty acids
Saccharides (specifically oligosaccharides, glycosaminoglycans, myoinositol, and lactose)
Oxidative stress markers (specifically malondialdehyde, ORAC and Hexanal)
Components affected significantly by Holder Pasteurization (predominantly proteins) include:
Immunoglobuins (IgG4)
Enzymes (specifically lipase, alkaline phosphatase, and amylase)
Cytokines (specifically IL7, MIP-1β, and MCAF/MCP-1)
Growth factors (specifically IGF1, IGF2, IGFBP2, IGFBP3, EOP, HB-EGF, HGF, and GM-CSF)
Hormones (insulin and adiponectin
Free amino acids (arginine, leucine, aspartate, glutamine)
Vitamins (Ascorbic +dehydroascorbic, ascorbic acid, B6)
Oxidative stress markers (glutathione, glutathione peroxidase activity, and Total antioxidant capacity, lactulose, and nucleotide monophosphate content)
Discordant results where more research is needed focused on Total protein content, Immunoglobulins IgA, sIga, IgM, IgG, lactoferrin, lysozyme, cytokines IL1beta, IL6, IL8, IL10, TNF alfa, and INF gamma, vitamins A, Folzcin, C, alfa- and gamma-Tocopherol and delta-Tocopherol, total fat content, and glucose.
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| Great Things Happening at CHOP
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Every year Children's Hospital of Philadelphia (CHOP) holds a week long World Breastfeeding Week celebration that includes a hospital wide poster competition. Over 20 departments and nursing units participate in this event.This year the CHOP Mothers' Milk Bank had the opportunity to participate.
below: are pictures of the 2 posters the CHOP MMB developed for the celebration.
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In addition to the poster competition, CHOP held a special Nursing Grand Rounds event; Breastfeeding a Key to Sustainable Development. The topic was What it means to be an HMBANA Milk Bank donor. The speaker was Laura Candelaria RN, MS, FNP.
Laura is one of Diane Spatz's PhD students (left), Diane Spatz is Director of CHOP's mothers' Milk Bank (right).
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Completing this year's World Breastfeeding Week, Friday, August 5th, 2016, CHOP’s Mothers’ Milk Bank Coordinator, Jill Vanderpool, attended the BIG Latch On Event at Franklin Square Park, hosted by the Maternity Care Coalition. The goal of the event was to normalize breastfeeding in public and raise awareness. Mothers were given information regarding CHOP’s donor milk program as well as resources available for breastfeeding support. There were 30 moms who simultaneously latched their babies at 10:30 am as well as 148 other guests attending the event. After the latch, guests were given the opportunity to participate in a panel discussion about breastfeeding issues and given time to visit with the vendors.
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NorthernStar Mothers Milk Bank (NMMB), located in Calgary, Alberta is the only community milk bank in Canada. Formerly known as Calgary Mothers’ Milk Bank, it became apparent early on that a name change would improve accessibility both to potential donors and recipients that were unaware the milk bank served a much wider geographical area than just Calgary. NorthernStar serves babies in Canada from coast-to-coast. Through the help of the Edmonton Community Foundation a successful rebranding campaign was launched in November 2015. NMMB was featured in their spring publication highlighting the success of this campaign and the importance of human milk. The inspiration for our name came from Calgary being the most northern milk bank in North America, and the Northern Star being a guiding light home for sick and fragile babies. For the full story please read:
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| Milk Drives in Califorina
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The Mothers' Milk Bank in San Jose celebrated Breastfeeding Month by hosting Milk Drives. We travelled to 12 cities in Southern California to celebrate breastfeeding. We met mothers who brought coolers of frozen milk with them to donate and get screened. The local Lactation consultants and educators brought food, goodies and prizes for the moms. Everyone went home with a prize. For Black Breastfeeding week, we travelled to Las Vegas for a wonderful family event celebrating breastfeeding moms. We want to thank the Urban League WIC, Nevada Maternal Health, Dignity Health Hospital and local agencies such as PBS, Babies R Us and Pearle Vision for helping to make the event fun. In Northern California, we participated in Delta Health's walk for families. The weather was sunny and many families came over to our booth to say "Hi." The first week of August, Marion Rice and Pauline Sakamoto went to Washington DC to represent HMBANA at the USBC meeting and Regional Reps Conference. Finally, we can report that we are settled in our new office and processing milk.
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| Board of Directors
President
Naomi Bar-Yam, PhD
Executive Director
Mothers' Milk Bank Northeast (Boston)
Secretary
Janice Sneider O'Rourke, MPA, RD
Executive Director
The Milk Bank (Indianapolis)
Treasurer
Amy Vickers, MS, RN, IBCLC
Executive Director
Mothers' Milk Bank of North Texas (Fort Worth)
Immediate Past President
Pauline Sakamoto MS, RN, PHN
Executive Director
Mothers' Milk Bank (San José)
Ashlynn Baker, BSN, RN, IBCLC
Milk Bank Manager
The King's Daughters Milk Bank (Norfolk)
Laraine Lockhart-Borman, IBCLC
Director of Outreach
Mothers' Milk Bank (Arvada, CO)
Rebecca Mannel, BS, IBCLC, FILCA
Executive Director
Oklahoma Mothers' Milk Bank (Oklahoma City)
Elizabeth Brooks, JD, IBCLC, FILCA
Chair, ILCA Nominations Committee
Secretary, Executive Committee, USBC
April Fogleman, PhD, RD, IBCLC
Professor
North Carolina State University (Raleigh)
David Newburg, PhD
DSN Medical Consulting (Boston)
Nancy Wight, MD
Neonatologist
Sharp Mary Birch Hospital (San Diego)
Maryanne Perrin, PhD, MBA
Assistant Professor
University of North Carolina Greensboro (Greensboro)
Sharon Unger, MD
Medical Director
Rogers Hixon Ontario Human Milk Bank (Toronto)
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