BREASTFEEDING IS THE FIRST LINE OF DEFENSE IN A DISASTER

ILCA UPDATED STATEMENT: January 28, 2010
BREASTFEEDING IS THE FIRST LINE OF DEFENSE IN A DISASTER

The Human Milk Banking Association of North America (HMBANA), United States Breastfeeding Committee (USBC), International Lactation Consultant Association/United States Lactation Consultant Association (ILCA/USLCA), and La Leche League International (LLLI) strongly affirm the importance of breastfeeding in emergency situations, and call on relief workers and health care providers serving victims of disasters to protect, promote, and support mothers to breastfeed their babies. During an emergency, breastfeeding mothers provide their infants with safe food and water and disease protection that maximize their chances of survival.

This week, the International Milk Bank Project and Quick International Courier coordinated a shipment of milk from the HMBANA member banks to supplement a mother’s own milk for the premature, medically fragile, and orphaned infants aboard the U.S. Navy ship Comfort stationed off the coast of Haiti. This milk will help this small group of infants. In this highly unusual circumstance the infrastructure associated with the Comfort’s resources allows U.S. sourced donor milk to help fragile Haitian babies.

Donor milk, however, is not a solution for the large number of infants and young children affected by the earthquake in Haiti. Members of the public who wish to promote the survival of mothers and babies in Haiti can donate money to the following organizations: UNICEF, Save the Children Alliance, World Vision, and Action Against Hunger. These organizations are using best practice to aid both breastfed and non-breastfed infants. Members of the public can be confident that donations to these organizations will support breastfeeding and help save the lives of babies.

Interventions to protect infants include supporting mothers to initiate and continue exclusive breastfeeding, relactation for mothers who have ceased breastfeeding, and finding wet nurses for motherless or separated babies. Every effort should be made to minimize the number of infants and young children who do not have access to breastfeeding. Artificially fed infants require intensive support from aid organizations including infant formula, clean water, soap, a stove, fuel, education, and medical support. This is not an easy endeavor. Formula feeding is extremely risky in emergency conditions and artificially fed infants are vulnerable to the biggest killers of children in emergencies: diarrhea and pneumonia.

As stated by UNICEF and WHO, no donations of infant formula or powdered milk should be sent to the Haiti emergency. Such donations are difficult to manage logistically, actively detract from the aid effort, and put infant’s lives at risk. Distribution of infant formula should only occur in a strictly controlled manner. Stress does not prevent women from making milk for their babies, and breastfeeding women should not be given any infant formula or powdered milk.

There are ongoing needs in the U.S. for human milk for premature and other extremely ill infants because of the protection it provides from diseases and infections. If a mother is unable to provide her own milk to her premature or sick infant, donor human milk is often requested from a human milk bank. American mothers can help their compatriots who find themselves in need of breast milk for their sick baby by donating to a milk bank that is a member of the Human Milk Banking Association of North America.

For more information about donating milk to a milk bank, contact HMBANA at www.hmbana.org. Additional information for relief workers and health care professionals can be provided from the United States Breastfeeding Committee at www.usbreastfeeding.org, ILCA/USLCA at www.ilca.org or www.uslca.org, or La Leche League International at www.llli.org. A list of regional milk banks is available on the HMBANA Web site at www.hmbana.org/index/locations.
Sincerely,
Angela Smith, President
ILCA Board of Directors

WHO's Infant and young child feeding model chapter for textbooks

Infant and young child feeding: Model Chapter for textbooks for medical students and allied health professionals

The Model Chapter on Infant and Young Child Feeding is intended for use in basic training of health professionals. It describes essential knowledge and basic skills that every health professional who works with mothers and young children should master. The Model Chapter can be used by teachers and students as a complement to textbooks or as a concise reference manual.

http://www.who.int/nutrition/publications/infantfeeding/9789241597494.pdf

http://www.youtube.com/watch?v=yzZJYYrUDwM
Beautiful breastfeeding video from LLL Bulgaria.

Feeding frenzy from The Guardian 27/8/08

Interesting article from the Guardian newspaper on the importance of human milk vs cow's milk formula. Should babies receive another mother's milk if they can't receive it from their own mother?

Why not?



Feeding Frenzy
Kate Garraway's revelation that she would feed her child another woman's breast milk has caused a furore - some people have called it repulsive. But given the health benefits, asks Joanna Moorhead, why all the fuss about wet-nursing?
Joanna Moorhead
Wednesday August 27 2008
The Guardian


At the weekend, GMTV presenter and mother of one Kate Garraway admitted that
she used to think that feeding other women's babies sounded pretty strange;
"a bit icky", was the way she would have described it. But making a Channel 4 documentary on the subject, and meeting women in the UK and US who had fed other women's offspring, she was prompted to rethink the entire debate. "Why are we happy about giving [our babies] something from a cow's breast, which is another species?" Garraway asked bullishly in a Guardian interview on Saturday. She continued to say that it was, in fact, "bonkers" to feel that letting your baby ingest another woman's
milk is beyond the pale, while being happy to let that same baby ingest cow's milk - "which is what formula milk is".

But many people still feel that babies receiving sustenance from any woman
other than their mother is deeply worrying and suspect. Among those who have
commented on the subject online over the past few days are a number of people
who have pronounced themselves "uncomfortable" at the notion. One mother I spoke to told me she felt "repulsed" at the idea of giving her milk to another baby, or having her baby fed with what is, after all, another woman's bodily fluid. Others feel that it could be psychologically undermining. "I think it would make me feel inadequate," says one friend. "There's so much pressure on you to breastfeed. If you find it
difficult, and ask another woman to do it for you, that would just reinforce the
inadequacy you're already feeling." I must admit that, the one time I tried swapping babies with a close friend, feeding her little boy felt weirdly intimate. The baby was hers, not mine: being in such close contact with him felt odd. His suck didn't feel anything like my baby's suck, and the whole experience made me feel a bit uncomfortable.

Alongside the detractors are those who find the idea perfectly normal.
"The words teacup and storm spring to mind," said a contributor to one
blog. Another pointed out that breastfeeding a child who wasn't your own was
once considered perfectly acceptable, with wet-nursing widespread just a few
hundred years ago. And while there's every reason to have been perturbed by
the class relationships that defined that practice in the west - working-class
women feeding the children of the upper classes - it could be argued that the
sharing of the breast milk itself wasn't actually such a problem. The reality is, kneejerk reactions apart, that research paper after research paper extols the health virtues of breast over formula milk. A baby who receives breast milk is less likely to suffer respiratory infections, gastroenteritis, urinary tract infections, ear infections or eczema. He or she is less likely to be overweight as a teenager and adult, is less likely to develop diabetes, and is likely to have a higher IQ. The list seems endless : so is the supplier really so important, provided the baby is receiving breast milk?

Among infant feeding professionals this current controversy is being met with a
guarded response. Many of those I spoke to had been approached by the makers of
Garraway's Channel 4 documentary but had declined to take part, fearing that - as happened with a similar documentary two years ago, focusing on mothers who breastfeed children as old as eight - the result would be a film that highlighted the crackpot and the batty, rather than the mainstream issues.

Alison Baum, of the breastfeeding charity Best Beginnings, expresses a typical
view. "There is value in making clear, as Garraway does, that formula is based on cow's milk - I think a lot of people don't realise that, and it does have mplications ... cow's milk is made to feed big baby calves, and we're giving it to tiny human infants. But there's a difference between acknowledging that there's an issue here, and seeing wet-nursing as the solution - I don't think that's the answer at all.

"What it's all about, for me, is shifting the pressures off individual women and on to society, so mothers themselves don't feel the weight of the debate so much. What I want to do is make it possible for mothers to go on breastfeeding for as long as they want to - because, at the moment, far too many women are stopping earlier than they would like."

Insiders say that some of Garraway's comments are misinformed, as well as naive. At one point in the Guardian interview, she says that despite her views having changed, she doesn't feel she'd be able to deal emotionally with another woman feeding her baby. So, she says, if the circumstances arose she'd simply buy human milk for her baby - from a milk bank.

What can she mean, asks Janet Fyle, professional policy advisor at the Royal College of Midwives. I suggest that maybe she's imagining that she'd call up one of the country's 17 milk banks, located at hospitals across Britain, credit card at the ready. Fyle snorts with laughter. "Is that what she means? Bless her!" she chuckles. Milk banks - which dwindled through the 1980s at the height of the Aids furore, but are now making a comeback - are specifically designed for the feeding of the tiniest premature babies in special-care baby units. These babies weigh as little as 2lbs, and have minute stomachs, so they need to be tube-fed a few millimetres of donated breast milk every few hours through a tube.

"It's a totally different ball-game from feeding a growing baby at term and beyond," explains Sally Inch, coordinator of the Oxford Human Milk Bank and infant feeding specialist for the Oxford Radcliffe Trust.

"A normal-size newborn would need something in the region of three-quarters to a litre a day of milk. It simply wouldn't be practical - and, more importantly, it's not what breast-milk banks exist to do."

What they are set up for, Inch explains, is to give premature babies the only milk they may be able to absorb - the gut of a pre-term infant is often too immature to tolerate any kind of formula. So do mothers of premature newborns ever get squeamish about their babies being given other mothers' milk - albeit after careful screening and pasteurisation? "That's certainly not a major problem," says Inch. "This milk can be life-saving - it's the best way of protecting against a condition called necrotising enterocolitis, which kills one in five premature babies who contract it. Who would mind their baby being given something that's going to save his or her
life?"

A much more common problem, she points out, is that milk banks don't have enough milk to meet demand, especially with premature birth on the increase. Women who donate milk have babies under six months old themselves - they usually collect a small amount of milk from each breast after each feed, and then freeze it to give to the milk bank later.

But what about modern-day, mouth-to-nipple wet-nursing - does it really go on,
behind closed doors? Fyle thinks it probably does. From time to time, she says,
the Royal College of Midwives gets an inquiry from someone who wants to know if
there are risks involved. (Since women are screened for conditions such as HIV
and hepatitis during pregnancy these days, there doesn't tend to be a huge health risk. If a woman is feeding her own baby, she's almost certainly no great risk to yours.) "There are probably situations in which women help one another out by feeding each other's babies," she says. "It happens all the time in Africa, and it happened all the time in the past in the west. But as far as the future is concerned, in the west, I don't think it's going to make a big impact - although I am a bit worried about the possibility of it happening for gain. I feel there are mothers out there who don't like the idea of using their own breasts for feeding, but feel for
health reasons they'd like their child to have breast milk. I wouldn't rule out a bit of a growth in wealthy women looking for women they could pay to feed their babies," she pauses. "I do find that disquieting."

The reality, though, is that while this may occasionally happen, the current furore says a lot more about the media interest in the extremes of human behaviour than it does about real issues around breastfeeding. Right now, only 2% of British babies are being exclusively breastfed to six months, as per official government advice. As far as I know, no one's making a documentary about that.

Copyright Guardian Newspapers Limited 2008

World Breastfeeding Week, 1-7 August 2008

This year’s theme established by the World Alliance for Breastfeeding Advocacy (WABA) is: “Mother Support: Going for the Gold.” ILCA has added the tag, “Every­one Wins When Babies Breastfeed” as a reminder that we ALL play a role in providing the support new mothers need to meet their breastfeeding goals.



In conjunction with the Olympics in August 2008, WBW 2008 calls for greater support for mothers in achieving the gold standard of infant feeding: breastfeeding exclusively for six months, and providing appropriate complementary foods with continued breastfeeding for up to two years or beyond. La Leche League International, a founding member and Core Partner of the World Alliance for Breastfeeding Action (WABA), is celebrating World Breastfeeding Week (WBW) through its La Leche League (LLL) Leaders and LLL Groups around the world. LLLI has a current presence in 68 countries.

See more at

Spend 30 seconds...

Please spend 30 seconds today to help the Mothers Milk Bank of New England.

There is an online competition at a site called IdeaBlob. The contest allows anyone to post a business or non-profit idea and compete for $10,000, given away each month.

Money is needed for the startup of the Mothers Milk Bank of New England.
The Milk Bank needs money for 1) processing and storage equipment, 2) a "Milk Money" fund to help families whose insurance won't cover processing fees, and 3) marketing materials to get the word out about the new bank.

So, here's our chance to make a big difference today. Here's what to do:

* Go to the
Milk Bank page on IdeaBlob, and vote for this project! You have to register first and confirm by email, which doesn't take long.
* Blog or post about this wherever you can to help bring in more votes.

European breastfeeding promotion

A trucking company in Italy has given breastfeeding (and La Leche League) some fabulous publicity!! The wife of the owner was helped by a volunteer LLL Leader after her baby was born, and this was her novel way to say thankyou!

Why not human milk?

Reposting my frustration.

Why do babies automatically receive commercially manufactured milks when they are in need of extra milk?

Why don't hospitals value more highly the milk produced by a baby's mother?

Why aren't commercial milks on prescription as medicinal products?

Why do hospitals send mothers home without proper instructions for feeding their baby?

Why do we so willingly accept non-human milk for human babies?

Why do we accept our breasts are not up to the job of fully nurturing our babies?