The Value of Human Milk
Transcription
The Value of Human Milk
Issue 04.12 • Spring 2 0 1 2 messenger News for Professionals The Value of Human Milk Medela Introduces Award Winning Calma® in the United States > A Message from the President > Introducing Calma > Stem Cells Found in Breastmilk > 7th International Breastfeeding & Lactation Symposium > Lactation Innovation Series in the US > Innovating Practice Series > N ot Alone in the NICU-Persistent Mom Achieves Breastfeeding Success in Intensive Care > WIC Works Partners in Promoting Breastfeeding > Donor Milk-Documentary Film Promotes the Value of Human Milk Product News BabyWeigh™ II Scale Waterless Milk Warmer™ What’s New? Medela.com Baby-Friendly Hospital Initiative Congratulations Alameda County Medical Center A Message from the President Supporting You in Emphasizing the Value of Human Milk Breastfeeding is one of the most important nutritional goals a mother can set for her baby. The value of human milk has been confirmed time and time again, demonstrating medicinal-like qualities for baby. Dramatic health benefits have been proven to pass from mother to child through breastmilk; from antibodies that protect an infant at birth to exclusive nutrients in mother’s milk that have been shown to prevent a number of childhood diseases. At Medela, we play a unique role in supporting you, by providing products and services to encourage better-quality infant nutrition and enable ever-improving rates of breastfeeding initiation and duration. We offer comprehensive solutions for healthy babies as well as for special needs babies. Our commitment, however, goes beyond delivering the latest in breastpumping and breastfeeding products. Medela is committed to supporting, promoting and providing the latest evidence-based research and products on human lactation and breastfeeding support. We strive to support the longterm success of breastfeeding moms through our partnerships with professionals and customers that support a mom’s breastfeeding journey. I hope you enjoy this edition of the Messenger. We have articles on how a persistent breastfeeding mom turned challenge into success in the NICU; our researched-based feeding solution, Calma®; the latest in education offerings from researchers around the world; as well as product updates and announcements. Thank you, again, for your support of breastfeeding moms and babies. Be well, Carolin Archibald 2 uu Medela Introduces Award Winning Calma® in the United States Innovative research-based breastmilk feeding solution supports mothers committed to breastfeeding “ Calma is the latest advancement in breastfeeding science that is the result of many years of research and development with leading lactation consultants. ” For more information on Calma Click here Carolin Archibald, President of Medela Medela is proud to announce the U.S. launch of Calma, a product designed exclusively for breastfed babies to support mothers in their breastfeeding journey. Calma is a research-based nipple used with a BPA-free breastmilk bottle designed to help babies to maintain their natural feeding behavior and transition from bottle back to breast with ease — a revolution for breastfeeding mothers. “Medela is always working to find new solutions for moms and babies by investing in researchbased breastfeeding innovations,” said Carolin Archibald, president of Medela. “Calma is the latest advancement in breastfeeding science that is the result of many years of research and development with leading lactation consultants.” qClick below to view the Calma videoq Calma is the first breastmilk feeding solution based on new breastfeeding science of milk removal from the breast. Research published in the journal, Early Human Development, by world-renowned scientists and lactation researchers from the University of Western Australia, demonstrated that babies create a vacuum when extracting milk from the breast, which is a method different than the wave-like movement that was previously understood. (cont’d) tt uu 3 Calma® Calma was developed through the work of lead researcher Dr. Donna Geddes, assistant professor, School of Biomedical, Biomolecular and Chemical Sciences at the University of Western Australia, with Medela’s support. With Calma, breastmilk flows when babies create a vacuum so they can feed, pause and breathe — which mimics their feeding behavior at the breast. As a result, Calma’s unique vacuum technology allows mothers to provide pumped breastmilk to their babies, and easily transition babies back to feeding at the breast. The vacuum technology in the Calma nipple is vastly different from a conventional bottle nipple, which may disrupt normal feeding behavior and contribute to a difficult transition from bottle to breast. Milk flows freely from a standard bottle nipple even if the baby is not actively sucking — a feature unlike that of the breast. Calma’s technology allows babies to continue their natural feeding behavior as if they were at the breast, making it easier for babies to transition back to breastfeeding. especially during transitions such as returning to work,” said Archibald. “Calma was developed to enable mothers to succeed during these transitions, prolong breastfeeding duration, and provide the health benefits of their own breastmilk to their babies.” Calma is a part of Medela’s complete breastfeeding support system of pump, store and feed products. Calma’s one size/shape nipple is used for all stages of breastmilk feeding and also helps to reduce gassiness. Breastfeeding should be well established before introducing Calma. “ These new research findings led Medela to incorporate unique features into a teat so that infants use vacuum and tongue action similar to breastfeeding to remove the expressed milk from a bottle. ” “Our research on how babies breastfeed showed that tongue movement is different than previously described and that vacuum is important for milk removal,” said Dr. Geddes. “These new research findings led Medela to incorporate unique features into a teat so that infants use vacuum and tongue action similar to breastfeeding to remove the expressed milk from a bottle.” Calma has been available in Europe and Canada since 2010. Calma recently won the prestigious Innovation Award in the category of World of Baby Care at Kind + Jugend, the world’s leading international nursery fair. “For more than 50 years, Medela has recognized that breastmilk is the best nutrition for babies. It helps improve the health of both mom and baby. Breast is always best, yet we’ve heard from many moms who struggle to continue breastfeeding, 4 tt uu Valuable Stem Cells Found in Breastmilk – Theory Becomes Reality In 2007, scientists from UWA theorized that stem cells could be harvested from breastmilk. Today, UWA Ph.D. candidate Foteini Hassitou has demonstrated that obtaining stem cells from breastmilk is more than a theory – it’s a potentially game-changing reality. This finding not only UWA PhD Candidate has implications for the Foteini Hassitou growth and development of breastfed babies, but could also be the answer to ethically and easily obtaining stem cells in a non-invasive manner. The Group has been working on the subject of stem cells for over five years. “It is great to see the biology of breastmilk stem cells unfold and to be able to demonstrate new findings that take our knowledge a step further. Through the financial support of Medela it has been possible for me to conduct this research, which shows for yet another reason why breastmilk is so much more than nutrition for the baby,“ said Hassiotou. “In addition, it is becoming clear that breastmilk can serve as an ethical, non-invasive and plentiful source for human stem cells— but a lot of questions still remain unanswered, especially about the function of these cells in the breastfed baby. I feel proud to be part of this exciting journey of discovery, and I plan to continue this research at The University of Western Australia.” Following Hassiotou‘s recent win of the 2011 AusBiotech-GSK Student Excellence Award for her research into breastmilk stem cells (Oct.17, 2011), Medela is proud to announce Hassiotou’s first presentation of her findings of stem cells in breastmilk in 2012. She will share her findings during Medela’s 7th International Breastfeeding and Lactation Symposium to be held in Vienna, Austria from April 20-21, 2012. This discovery by Hassiotou, who is part of the Human Lactation Research Group under the direction of Professor Peter Hartmann at the University of Western Australia, may well be the answer to ethically and easily obtaining stem cells in a non-invasive manner. The value in harvesting stem cells from breastmilk lies in their incredible potential to develop into many different cell types in the body during early life and growth. They have the ability to act as a type of “internal repair system”. With both types of stem cells (embryonic and adult), however, well-documented hurdles exist both from an ethical as well as from a practical harvesting perspective. Medela has been working with the Hartmann Human Lactation Research Group since the mid-1990s resulting in numerous scientific breakthroughs including overturning a 160-year old anatomical model of the lactating human breast, and a unique insight into the sucking, swallowing and breathing mechanism that babies must master to feed properly. Through her research, Hassitou has proven that stem cells from breastmilk can be directed to become other body cell types, including bone, fat, liver and brain cells. “We are proud that Medela can support scientists in their work to uncover the power and promise of human milk,“ said Renate Schreiber, CEO of Medela. “The existence of stem cells in human milk is very exciting and we are curious to better understand the contribution that these cells can make to the health of the baby.” tt uu 5 Medela Plans 7th International Breastfeeding & Lactation Symposium Medela’s 7th International Breastfeeding and Lactation Symposium will be held in Vienna, Austria from April 20-21, 2012 and will focus on the value of human milk in neonatal intensive care units (NICUs), the unique components of human milk, as well as latest recommendations for research-based practice. University of Western Australia Ph.D. candidate Foteini Hassiotou will be joined by several international experts who will share their latest findings on a number of related topics including the presence of oligosaccharides in human milk, the value of donor milk in the NICU, and medication in mother’s milk. This annual event is attended by pediatricians, neonatologists, midwives and lactation consultants, all of whom have a special interest in learning more about breastmilk composition. Hassiotou and colleagues working under the guidance of Professor Peter Hartmann, who directs the Human Lactation Research Group at the University of Western Australia, will also be coming to the US in April to present their latest research in a course called Lactation Innovation. (See Below) They will be presenting at two locations: St. David’s Hospital in Austin, Texas on April 26; and at John Muir Medical Center in Walnut Creek, California on April 27. For more information on the symposium, please visit www.medela.com. Presentations and post-conference coverage will also be available after the event. Lactation Innovation in the US The latest research from renowned international experts Presented by: P eter Hartmann PhD, Ben Hartmann PhD, Jacqueline Kent PhD and Foteini Hassiotou PhD. Date: April 26, 2012 Time: 8:15 AM - 4:15 PM Location: St. David’s Hospital 1060 East 30th Street Austin, TX 78705 Contact Info: T ony Torr (800) 435-8316 x5540 tony.torr@medela.com 6 Date: April 27, 2012 Time: 8:15 AM - 4:15 PM Location: John Muir Medical Center Walnut Creek Ball Auditorium 1601 Ygnacio Valley Road Walnut Creek, CA 94598 Contact Info: S am Bohman (650) 793-9368 sam.bohman@medela.com tt uu Medela Education Programs Medela is committed to supporting, promoting and providing the latest evidence-based research on human lactation through comprehensive education courses. We offer different ways for you to meet your education goals. Our live and online education programs feature the world’s foremost experts and our own team of educators. Check out the Medela website professionals page for more information for online courses. Breastfeeding & Evidence Based Practice Bringing Your Knowledge to the Bedside RSVP: www.MedelaEducation.com Credits: 6.5 RN Contact Hours Click on the word live (second paragraph) 6.5 Dietitian CPE Click April 27, 2012 date Click on Add to Cart & Register This course raises the consciousness of clinicians caring for breastfeeding families about the unique benefits of human milk. The benefits human milk provides to mothers, infants and society are discussed. A history of the commercialization of breastmilk substitutes in the United States is presented along with identifying barriers to breastfeeding. The ethical responsibility of health care providers to promote breastfeeding is also presented. Contact Info: K elly Murray (847) 975-9548 kelly.murray@medela.com Date: May 14, 2012 Time: 8:30 AM - 2:45 PM Location: Elmhurst Memorial Healthcare Oak Room – East Entrance, Lower Level 155 E. Brush Hill Rd. Elmhurst, IL 60126 Presented by: Diana Chisholm Estep RN, BSN, IBCLC RSVP: Credits: Presented by: Jean Rhodes CNM, PhD, IBCLC • • • • Improving NICU Outcomes with Human Milk Evidence for Improving Practice www.MedelaEducation.com Symphony® Preemie+™ Select Education Package Date: April 27, 2012 Time: 7:30 AM - 4:30 PM Location: Northwestern Memorial Hospital Prentice Women’s Hospital 250 E. Superior Conference Room L South Chicago, IL 60611 Improving NICU Outcomes with Human Milk .0 Dietician CPE 4 4.0 Nursing Contact Hours 0.4 ACNM CEUs • Click on the word live (second paragraph) • Click May 14, 2012 date • Click on Add to Cart & Register This half day program is comprised of three talks detailing the scientific evidence for the use of human milk for vulnerable infants and mechanisms to ensure its delivery: Evidence for the Use of Human Milk in the NICU, Protecting Milk Volume in the Breast Pump Dependent Mother of the NICU Infant, and Incorporating Lactation Technology Into Complicated Case Scenarios. Contact Info: R ebecca Cazzato (331) 221-0574 rcazzato@emhc.org Recent Course Attendees Said: -A bsolutely incredible! I have never been to such an informative conference. Thank you. -A fter 18 years of practice I don’t often hear new information at breastfeeding seminars. This time I learned so much more! Thank you! -W onderful! I have a list of changes and work to be done at my hospital! Click here For a complete list of Medela Education courses tt uu 7 Innovating Practice Series: The Value of Human Milk Innovating Practice, our series geared toward our accounts and professional audiences shares the latest research to improve your practice and impact the outcomes of your patients. Each installation in the series focuses on a specific clinical practice theme, featuring articles related to the topic. The most recent title in the series, “The Value of Human Milk” is now available. The essay, “The Value of Human Milk” explores 3 research studies related to the use of human milk in the neonatal intensive care of preterm infants. The first article for review is a study of the effects of human milk on immature gut permeability. Commentary following a summary of the article focuses on factors in human milk that facilitate maturation of the gastrointestinal system. The second article investigates the role of human milk in reducing the risk of necrotizing enterocolitis (NEC) and death. In the subsequent commentary, we will examine the anti-inflammatory and immunomodulary aspects of human milk in relation not just to NEC but also to other diseases common in preterm infants. The third article compares the incidence of NEC in preterm infants receiving a human milk-based human milk fortifier to those receiving a standard bovinebased human milk fortifier. Commentary relates study outcomes to the physiology of NEC and the effects of a non species-specific diet. The first installation, issued early in 2011, is “Collection and Storage of Human Milk.” The second title, released in the first quarter of 2012, is “Cytomegalovirus (CMV) Transmission and Breastmilk.” The next articles in the series will be released next quarter and communicated to you via the Messenger. New Documentary Film Promotes the Value of Human Milk and Its Life Saving Benefits for NICU Babies 8 tt uu Not Alone In The NICU Persistent Mom Achieves Breastfeeding Success in Intensive Care Supporting Your Efforts in the NICU Medela understands the importance of human milk in the NICU. We know that the content of human milk can substantially improve outcomes for critically compromised and premature infants. We are committed to you and the work you do each day because we share the same goals – improving outcomes and improving the overall health of your patients. When infants are born under duress, moms, family and health professionals can be focused on the critical situation at hand-the baby’s health. The medicinal-like qualities of breastmilk play an equally important role in getting NICU infants on the path to stability, health and wellness. Read one mother’s story about the premature birth of her son, Walker, and her belief in the value of human milk. Today’s moms are doing their homework when it comes to their health and the health of their families. Expectant moms are making plans for their hospital or home delivery and developing goals for breastfeeding; they are learning as much as they can in preparation for their new baby to arrive. But unless identified as high-risk, most expectant mothers don’t prepare for the NICU and are unfamiliar with feeding protocols, especially if their intentions are to exclusively breastfeed. That was exactly the case for Brittany Jacoby of Chicago, who gave birth to her son Walker at 34 weeks. A tiny 3 pounds, 10 ounces, Walker was whisked off to the NICU shortly after birth. “I remember thinking, what happens now? How do I feed him? All I saw was purple, he seemed to be purple because all I saw was his umbilical cord wrapped around his tiny neck,” Brittany recalls. “I was so worried. They put him on my chest for a few seconds and then took him to the NICU.” The Jacoby family shortly after Walker’s birth. Unprepared for NICU Experience Brittany was admittedly unprepared for an experience in the NICU. Her pregnancy was not high risk. But at 34 weeks as she was getting ready for her baby shower, her water broke. Her family happened to be there and looking back, Brittany is especially grateful that her sister, who works in healthcare, was by her side. Feeling apprehensive and scared, Brittany was admitted and remained in the hospital for 24 hours before Walker was born. During that time, she was visited by staff who spoke to her about the NICU. This was her formal introduction to the place that Walker would call home for the first weeks of his life. “I knew the situation wasn’t ideal and I was hoping there wouldn’t be any big issues,” she recalls. But she realized the severity of the situation and all of the complications that could potentially arise due to Walker’s premature birth; from needing a respirator to being very susceptible to infection. “ I was so worried. They put him on my chest for a few seconds and then took him to the NICU. ” tt (cont’d) uu 9 NICU Most importantly, Brittany planned to breastfeed Walker, but at no time after giving birth was she approached about breastfeeding. It was Brittany’s sister who had to go outside of the hospital to borrow a special Symphony® Preemie+™ breastpump and had Brittany pumping immediately after her delivery. Brittany remembers giving her first container of colostrum to a nurse and asking that it be fed to Walker. At 7 hours post-partum, she was visited by a family friend and lactation consultant who gave some additional advice on getting her supply established. “The staff in the NICU is wonderful,” Brittany says, “and they took great care and consideration for the health of my baby, but I wanted to breastfeed and that did not seem to be their priority.” Regretfully, a few of Walker’s feedings were supplemented with formula, but ultimately, the NICU staff worked within Brittany’s requests to exclusively feed breastmilk to her son. Determined to be Successful Brittany continued to pump during her separation from Walker. At birth, the umbilical cord was wrapped six times around his neck, causing him to be in distress. In the NICU though, he was “leading the pack” and doing extremely well, with no other complications. His lungs were well developed; he didn’t need to be on a respirator. “He was strong enough to latch on successfully, but had a feeding tube in the NICU,” Brittany says. “After the first 36 hours, I had a HUGE supply [of milk], but I never knew how much he was getting. I remember hearing other moms talking about not having enough supply and one mom shared that no one ever talked to her about pumping at all. It’s amazing because it’s so wellknown how good breastmilk is for baby! I am convinced Walker’s successful weight gain and growth while in the NICU was due to breastmilk. But it also scares me that if I didn’t have an advocate, I bet I wouldn’t have been able to breastfeed at all.” At the time, Brittany’s concern was to get Walker out of the NICU. “He had to be able to eat by mouth for 24 hours before he could leave the NICU. And they left it to me to decide how to feed Walker, bottle or breast, so I bottle fed him the breastmilk. I wanted to get him out of there and bring him home.” Tips for Moms in the NICU The NICU is a stressful place for both babies and their parents. Here are some feeding tips you can provide to mothers with babies in the NICU. • Relax: Spending time in the NICU can be stressful. Establishing a relaxing ritual will train your milk to “let down” when it is time to pump. •Start pumping early: As soon as you are able to pump, do it. Using a hospital grade breastpump that works best for you will make the process easier. • “Empty” your breasts: The hindmilk, or the last drops of milk when you empty your breast, are filled with fat calories important to your premature baby. To ensure you get every last drop, pump for a couple minutes after your milk flow stops, or comes out in slow drips. • Be persistent: There will be ups and downs in your milk flow—but don’t give up. To increase your milk flow, try getting more rest, pumping more frequently and drinking more water. (cont’d) 10 tt uu NICU Walker is now 4½ months old and weighs nearly 11 pounds. He is still breastfeeding well and Brittany is just about ready to return to work. She plans to achieve her goal of 6 months of exclusive breastfeeding and pumping during working hours. A sales professional, she doesn’t work in an office. “I know it will be tough,” she says,” but it’s doable. There’s always a way. Similar to our NICU experience, people do understand that you will do whatever you can for your child.” Human Milk in the NICU Walker Jacoby at 4½ months The practices that you promote today have life-long implications that extend far and 11 lbs. beyond discharge. As you well know, and Brittany’s experience demonstrates, moms can be unprepared for the NICU and need an advocate to help them achieve their breastfeeding goals. We are here to help because by promoting and providing human milk to babies in the NICU, we know that research demonstrates: •L ength of stay was reduced from an average of 88 days to 73 days for babies fed more than 50 mL/ kg day of breastmilk versus preterm formula. • Days of oxygen therapy was significantly reduced from 33 days for infants fed preterm formula to only 19 days for infants fed fortified human milk. • Late onset sepsis was reduced from 22% for infants fed preterm formula to only 19% for infants fed fortified human milk.* Breastfeeding Reduces Risk Necrotizing Enterocolitis Ear Infections Serious respiratory tract infections Gastroenteritis 50% Re-admission of infant 50% 60% 72% 86% Research also shows that the lack of human milk may have serious consequences. Literature states that infants who are exclusively fed human milk are 6 to 7 times less likely to develop necrotizing enterocolitis (NEC - a condition associated with a high mortality rate in the NICU). Studies also indicate that infants who are partially fed human milk and given formula supplementation are 3 times less likely to develop NEC than babies exclusively fed formula. This translates into a 66% reduction in the risk of developing NEC. Our Commitment Medela is committed to helping NICU professionals help their patients achieve these critical health benefits through the latest in research and education as well as a portfolio of products including diagnostic equipment to assist in weight and nutrition management. Medela’s products support mother and baby from birth to discharge and beyond. Our commitment to your patients, their families and you is why the majority of NICUs across the country have chosen Medela products to meet their needs. *Schanler, R.J., et.al.;”Feeding Strategies for Premature Infants: Beneficial Outcomes of Feeding Fortified Human Milk Versus Preterm Formula.” Pediatrics. Vol. 103, No.6 June 1999. tt uu 11 Product News Waterless Milk Warmer™ For Human Milk Preparation Safe – Consistent – Convenient •Warms milk to temperatures consistent with expressed human milk.* •Affordable bedside unit circulates dry heat. •Eliminates contamination risk of warming milk with tap water. •Safely thaws milk to refrigerated temperature in less than 33 minutes for storage up to 24 hours. •Accommodates most human milk containers and 1 mL - 60 mL syringes used in NICUs. •Easy-to-use, easy-to-clean. *Temperatures may vary depending on actual container used. Device is optimized for syringes and Medela sterile 80 mL breastmilk storage containers. BabyWeigh™ II Scale – Trade-In Promotion Improved technology provides simple, reliable & accurate test weight results to support your efforts in establishing breastfeeding success. Trade-In One (1) owned BabyWeigh Scale and receive $150.00 credit* towards the purchase of a BabyWeigh II Scale. Contact your Medela Sales Consultant or Customer Service for processing. (While supplies last.) *Credit subject to approval. Simple – 1-2-3 push-button weight measurement and easy-to-read LCD display. Reliable – Compensates for moving baby. Simple as 1-2-3 Accurate – Displays weight in 2 gram increments. 12 tt uu What’s New? Medela.com Medela.com has a new look and feel. Professionals and Accounts now have a dedicated navigational tab located at the top rightside column and also on the footer of Medela.com. Once on the Professionals landing page, one simple click on “Make this my Medela home” will return you to this portion of the site every time you visit. Information for lactation professionals and childbirth educators is now consolidated under Lactation Professional Information. There are also additional links to NICU Information, Education & Research and Products on the main Professional page. Any questions or feedback, please let us know here. Alameda County Medical Center Achieves Baby-Friendly Status In the U.S., thousands of infants suffer from ailments caused by suboptimal feeding practices, such as diarrhea, respiratory and ear infections, and even allergic skin disorders. And treatment for these ailments adds up: for diarrhea alone, the U.S. spends nearly a half billion dollars every year to hospitalize children, most of them infants. Many of these ailments—and the steep costs—could be prevented through breastfeeding. To address this challenge, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) teamed up to form the Baby-Friendly Hospital Initiative (BFHI). BFHI is a global program that celebrates hospitals and birth centers that have put in place policies and practices to enable parents to make informed choices about how they feed and care for their babies. As a long-time champion for breastfeeding and a company dedicated to the well-being of mothers and babies, Medela strongly supports this important initiative. Like the BFHI, Medela believes breastmilk is the optimal nutrition for the growth, development and health of babies—and the encouragement and support of breastfeeding is our sole focus. As such, we would like to offer our congratulations for our accounts that have received the BabyFriendly hospital designation. Alameda County Medical Center the latest hospital to receive this honor, bringing the total number of Baby-Friendly hospitals and birth centers in the U.S. to 140! Medela applauds For a complete list of Alameda County Medical Center for this accomplishment, Baby-Friendly Hospitals and Birth Centers as well as the other Baby-Friendly hospitals in the U.S. Click here. tt uu 13 Partners in Promoting Breastfeeding: WIC Works Advocates Rally in Washington to Garner Support for WIC As a Business Council Partner in the National WIC Association (NWA), Medela representatives attended NWA’s 22nd Annual Leadership Conference in Washington, DC and ascended onto Capitol Hill to engage support for continued government funding for the WIC program. A bi-partisan funded program, WIC is the Special Supplemental Nutrition Program for Women Infants and Children and has improved at-risk children’s health, growth and development and prevented nutrition-related and other health problems for more than 35 years. WIC serves over 9 million mothers and young children, over half of all American’s infants and one-quarter of its children 1-5 years of age. Medela supports WIC in its efforts to promote breastfeeding education and tools to the US population of women, infants and children who are in need of assistance. In Washington, roughly 150 NWA WIC Advocates heard from several speakers about WIC priorities, current USDA research projects, and from NWA’s own Dr. Shannon Whaley, Director of Research and Evaluation at PHFE WIC, on recent studies related to the WIC food packages and breastfeeding. Because WIC serves more than 50 percent of all infants born in the US, it is able to provide valuable data on this large population of low-income families. WIC has begun to explore ways to link its data collection efforts across states to examine rates of breastfeeding, nutrition health and obesity throughout the nation. WIC Works At the meeting, Dr. Whaley highlighted the success of the California WIC program in promoting breastfeeding. In Los Angeles County WIC serves over 600,000 individuals per month in more than 90 WIC centers. WIC also serves 91% of the eligible infants and 69% of all infants born in Los Angeles County. Through a statewide Healthy Habits Campaign, and changes in WIC policy on when formula is introduced to expecting and new moms, breastfeeding was promoted to WIC participants as a crucial first step in protecting the health of mothers and infants. Data shows that breastfeeding initiation and duration rates in California have increased significantly and other states have begun to use California as a best practice example of using policy changes to positively impact intervention. Clearly practice changes that emphasize breastfeeding education and support as an essential part of high-quality maternity care proved extremely successful. Shannon Whaley PhD. The PHFE WIC agency, the largest local agency WIC program in the country, has also developed a Peer Counseling Database, which helped it achieve efficiencies in peer counselor follow-up for improved breastfeeding success. The California WIC program has been able to further develop this system, and PHFE WIC is now hosting the Peer Counseling Database for five CA agencies and King County WA. CA WIC has also led collaborations with hospitals, Durable Medical Equipment providers, Managed Care Organizations and pediatric offices to facilitate breastfeeding services, including breastfeeding pump delivery. Using local market and payer knowledge, these collaborations are able to determine the optimum delivery pathway and determine where MediCal versus WIC funds can be utilized most efficiently. As supporters of breastfeeding, maintain an awareness of your local WIC agency and the patients that you see who may benefit from WIC services. More information on the NWA Leadership Conference can be found on the NWA website http://www.nwica.org. 14 tt uu Donor Milk New Documentary Film Promotes the Value of Human Milk and Its Life Saving Benefits for NICU Babies “Donor Milk: The Documentary” debuted in March 2012, but tells a tale that begins more than 100 years earlier. The selfless act of human milk donation from one mother to another in need is not new; and the facilitation of these donations via a collection and distribution entity to provide safe and healthy breastmilk to infants in need has been in existence for generations. The first milk bank was established in Europe in 1909. West coped with the loss by writing and directing a short film based on their experiences, co-produced by Jarred King. He later went on to work with producer Jarred King to create the full-length film, Donor Milk: The Documentary. The film was released on March 1 and can be seen in cities across the country. Please visit www.facebook.com/donormilk to find a showing near you. The understanding that human milk is a precious commodity, and that milk banks are critically important to the survival of NICU babies is clearly at the heart of the film, but Donor Milk, takes a step further and chronicles the healing power drawn from donating human milk for moms who have experienced the loss of their own infant. Today, 1 in 8 infants are born who require care in the NICU; Donor Milk highlights the heroine women whose donated human milk has helped to make sure their hold on life is a little bit stronger. Screenwriter and filmmaker Kevin West, recounted that he and his wife were touched by the tragedy of losing their own baby, late in term. His wife was able to cope with the loss by donating her breastmilk to sick and preterm babies in need. Every baby’s life is lived for a unique purpose. Overcome by her loss, a mother survives by sharing her baby’s gift of life. Every baby deserves human breast milk and every grieving mother deserves to heal. tt uu 15 Medela, Inc., 1101 Corporate Drive, McHenry, IL 60050 Phone: (800) 435-8316 or (815) 363-1166 Fax: (815) 363-1246 Email: customer.service@medela.com www.medela.com Medela, Symphony and Calma are registered trademarks of Medela Holding AG. Preemie+, BabyWeigh and Waterless Milk Warmer are trademarks of Medela, Inc.. 1547767 A 0412 16 © 2012 Medela, Inc. tt uu