Speaker Type: GOLD Lactation 2016, Human Milk Banking and Sharing Lecture Pack 2017, Breastfeeding in the NICU Lecture Pack 2018, GOLD Neonatal 2020
Country: United States
Biography:
Naomi Bar-Yam, PhD, ACSW, has been working in maternal and child health for over 30 years as an educator, researcher, advocate, and writer. She is the immediate past president of the Human Milk Banking Association of North America (HMBANA) and the founding director of Mothers’ Milk Bank Northeast, which provides safe donor milk to hospitals and families throughout the northeastern US. An expert on access to perinatal health care and policies that support breastfeeding, she has been a consultant to the Centers for Disease Control (on a panel that created “The CDC Guide to Breastfeeding Interventions”), to the United States Breastfeeding Committee (developing an issue paper addressed to CEOs and legislators on breastfeeding and the workplace), and to the March of Dimes (developing educational material for women and families who are medically and socially vulnerable to high-risk pregnancy). She also developed a curriculum for hospital personnel about combining breastfeeding with their work. She reviews articles submitted to the Journal of Human Lactation, Breastfeeding Medicine, and other publications related to breastfeeding, milk banking, and access to perinatal child care. As Executive Director of Mothers’ Milk Bank Northeast, she is thoroughly versed in the technical, procedural, and ethical aspects of milk banking. She often speaks at professional conferences, hospital staff trainings, and grand rounds about milk banking and breastfeeding policies.
Today, there are multiple forms of human milk exchange: non profit milk banks; for profit companies selling human milk products; private milk sales; private milk donation. Milk exchange in all its forms raises numerous ethical concerns that we as a society must begin to address: assuring safety of milk for those receiving it; protection of mothers and babies supplying milk; allocating a scarce resource, making this resource less scarce.
Successful infant feeding is crucial to the survival of babies and the human race. Throughout history and across the world, societies have had to address alternatives to maternal breastfeeding. We will present an overview of the history of infant feeding, including the forces involved in the decline of breastfeeding and wet nursing and the rise of “scientific” infant feeding, commercial infant formulas and milk banking. We will also define and discuss milk kinship practiced in Islam and throughout the Far East and Middle East. We will cover as well the forces and organizations involved in the rise of breastfeeding, milk sharing, and milk banking over the last 2-3 decades, and the social, economic and commercial forces impacting infant feeding today. We will conclude with a discussion of how history can help us understand and influence future trends.
As the research on the importance of human milk increases, the use of donor human milk for premature, fragile babies is likewise increasing, New milk banks are being established all over the world. This development raises many practical, research and ethical questions. This talk covers: i) current research on the benefits, challenges and appropriate uses of donor human milk; ii) safety of pasteurized donor human milk; and iii) practical aspects of using banked human milk in NICUs and other hospital units.
This talk uses research literature and hospital policies and programs to explore ways for families of babies in the NICU to be meaningful and active members of the NICU care team. We will look at a global snapshot of prematurity; define what a team is and who is on the NICU care team; and discuss the short- and long-term goals of the NICU care team, as well as many tools and strategies that team members and the team as a whole have at their disposal to reach those goals. Can be adapted for US or global audiences.
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