Karleen Gribble (BRurSc, PhD) is an Adjunct Associate Professor in the School of Nursing and Midwifery at Western Sydney University.
Her interests include infant and young child feeding in emergencies, marketing of breastmilk substitutes, parenting and care of maltreated children, child-caregiver and caregiver-child attachment, adoption reform, and treatment of infants and young children within the child protection, immigration detention, and criminal justice systems.
She has published research on these subjects in peer-reviewed journals, provided media commentary, contributed to government enquiries, provided expert opinion for courts, and engaged in training of health professionals, social workers, and humanitarian workers on these subjects.
Karleen is an Australian Breastfeeding Association Community Educator and Breastfeeding Counsellor. Since 2010 she has been a member of the Infant and Young Child Feeding in Emergencies Core Group and has been at the forefront of the development of policy, training and research in the area of infant and young child feeding in emergencies.
The advent of Internet forums that facilitate peer-to-peer human milk sharing has resulted in health authorities stating that sharing human milk is dangerous. There are risks associated with all forms of infant feeding, including breastfeeding and the use of manufactured infant formulas. Part one of this presentation will compare the risks of milk sharing with the risks of using infant formula and include suggestions for risk mitigation.
The facilitation of peer-to-peer milk sharing via the Internet has proven challenging to many health professionals and organizations. Biomedical ethics can be used to explore medical dilemmas and find reasoned, consistent, and defensible solutions to moral problems. The principles of biomedical ethics--autonomy, veracity, beneficence, nonmaleficence, confidentiality, and justice--are applied to peer-to-peer milk sharing in the second part of this presentation. Application of these principles provides guidance to assist health workers to act ethically in their interactions with mothers and others around the peer sharing of milk
In any emergency, infants and young children are particularly vulnerable. Providing appropriate aid is vital to ensure that children have the best chance of surviving. This presentation will describe why infants and young children are at increased risk during times of crisis and outline how aid can support, or sometimes undermine the health of infants and young children. Detail on instruments to support appropriate infant and young child feeding in emergencies will be provided, along with information to assist participants in advocating for appropriate infant and young child feeding in emergencies in their context.
The COVID-19 pandemic has impacted the care of pregnant, birthing, and post-partum women and their infants all over the world.
Where women are suspected or confirmed as having COVID-19, hospital practices have ranged from isolating infants from their mothers and proscribing the provision of expressed breastmilk to supporting mothers to have skin-to-skin with their infants, early initiation of breastfeeding, direct breastfeeding, and rooming in day and night.
This presentation will briefly summarize the evidence base for breastfeeding and close mother-infant contact in the COVID-19 pandemic. It will also describe the variance in government and professional development guidance around the world, anomalies in guidance, which guidance documents have had the most influence internationally, and provide examples of good and poor practice in guidance development. Finally, this presentation will discuss the importance of emergency planning for infant and young child feeding and the need to learn from the mistakes of the COVID-19 pandemic.
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