Support the NEC Society with Goodsearch

A free and easy way to support the NEC Society!

goodsearchPlease support the NEC Society by using Goodsearch! Sign up here to search the Internet with their Yahoo!-powered search engine (just like you’d search on any other search engine), and they will donate a penny for nearly all searches to the NEC Society. It adds up fast! Since 2005, Goodsearch has helped organizations like ours raise over $11 million. 

Your account will also allow you to support us with their sister site, Goodshop. When you shop at your favorite stores through the Goodshop portal, the NEC Society will receive a portion of the purchase price! Goodshop also works with 5,000+ stores to provide great coupons.

We need funds to operate. Your Goodshop/Goodsearch dollars will allow us to:

  • Educate families who are, or may be, impacted by NEC.
  • Advocate for NICUs to use the NEC prevention strategies that data shows us are best.
  • Encourage hospitals to develop donor milk programs. Not all moms can produce enough milk for their baby, and we know that a human milk diet (not formula) can protect fragile infants from NEC.

Please sign up for Goodsearch today. Thank you!!

-The NEC Society Team

Clifford’s Story

The NEC Society frequently shares stories of babies impacted by NEC; Clifford’s story is one.

Clifford and his mom

Clifford and his mom

We went into our 19 week ultrasound hoping to learn if our first child would be a boy or a girl, and we came out having learned that we may never meet our son. Despite a healthy pregnancy and no risk-factors, our son had a birth defect. He was diagnosed with an extremely rare abdominal lymphatic leak called congenital chylous ascites. Only a few prior cases in the world had ever been documented. His condition progressed to severe non-immune hydrops. Frequent in-utero interventions, including percutaneous fetal surgery, allowed us to maintain our pregnancy (despite pre-term labor) until 32 weeks.

When Clifford was born by emergency cesarean section, he needed immediate resuscitation, intubation, and surgical procedures. We began a very long Neonatal Intensive Care Unit (NICU) journey. He had a lot of surgeries, several life-threatening infections, countless blood transfusions, constant ventilation, and months with no food. For the first few months of his life, we were uncertain if we would ever take him home. Because his condition was so rare, there was no clear course for how to treat him. The neonatologists and pediatric surgeons at C.S. Mott Children’s Hospital began their research even before he was born. And while Clifford fought for his life in the NICU, his medical team kept brainstorming and trying different ways to help him.

Clifford’s lymphatic leak was eventually healed through a combination of surgery and medications. One drug, Octreotide, was heavily debated amongst his physicians. Its documented success in healing chyle leaks was inconsistent, and also posed the risk factor of developing necrotizing enterocolitis. It was eventually decided that Octreotide would be administered. It was one component, of many, that aided in Clifford’s chyle leaks eventually healing and finally being extubated at 3 months. However, as his medical team had cautioned, he developed necrotizing enterocolitis.

Clifford as an infant

Clifford as an infant

We were changing his diaper and noticed a small fleck of blood. We brought it to the attention of our nurse, who sent it to the lab, and paged the doctors. Our neonatologist ordered an abdominal X-ray, which confirmed her suspicion that he had necrotizing enterocolitis. Octreotide was pulled and all feeds were stopped. The necrotizing enterocolitis was caught so early that they were able to fully treat it with antibiotics and withholding food. Clifford was over 1 month gestational age when he developed necrotizing enterocolitis. The Octreotide was a necessary evil for him, and we fortunately had a medical team who acted very quickly when he presented with a symptom.

Clifford today

Clifford today

After 127 days in the NICU, Clifford finally came home. Over 3 months of pumping and freezing breastmilk while Clifford could not eat, combined with a lot of Kangaroo Care, allowed us to bring him home as an exclusively breastfed baby. We are forever thankful that extraordinary measures were taken to save Clifford’s life. He has grown into an incredibly healthy, happy, and bright boy.

A video of Clifford’s story can be viewed here.

You can read other babies’ stories on our NEC Stories page.

Non-Profit Launches to Protect Babies from Leading Cause of Infant Death

October is Infant Loss Awareness Month

Ann Arbor, MI – With October being Infant Loss Awareness month, parents, clinicians, and researchers are launching the NEC Society, a non-profit dedicated to protecting babies from necrotizing enterocolitis (NEC). NEC is a leading cause of infant death, claiming the lives of about 500 babies every year in the U.S.

Jenn with Micah

Jennifer Canvasser with her son Micah

Two mothers who recently lost their babies to NEC spearhead the NEC Society. NEC is a life-threatening neonatal condition that causes the inflammation and death of intestinal tissue. Once diagnosed, many babies only live for a few hours or days, and survivors can have lifelong neurological and nutritional complications. Infant death due to NEC is more common than infant death due to influenza, allergies, car accidents, choking, and drop-side crib accidents combined. Yet, NEC rarely receives media attention and has never benefited from a compelling prevention campaign. Typically, families learn about NEC for the first time when their baby is already critically ill with the disease.

Jennifer Canvasser, founder of the NEC Society, explains, “My son Micah was critically ill when I first heard about NEC. In a matter of hours, Micah went from being a beautiful five-pound baby, to being critically ill and intubated, with cords, wires and tubes on each of his extremities. It happened so fast. During Micah’s downward spiral, I searched for resources related to NEC, but there was no organization committed to protecting infants from this disease.”

In addition to the approximately 500 infant deaths annually in the U.S., thousands more infants are impacted by NEC that results in extensive surgeries, lengthy hospitalizations and life-long complications. Despite medical advancements, the NEC mortality rate has not improved in over thirty years. The NEC Society believes the status quo is unacceptable. Research has shown that there are ways to help prevent this devastating disease, but lack of prioritization, funding and awareness have hindered meaningful progress.

The NEC Society seeks to close the gap between best practices and what is actually happening in neonatal intensive care units (NICUs) across the country. The NEC Society wants to see hospitals, policymakers, and the public prioritize this common, costly, and deadly neonatal disease.

The NEC Society will not stop fighting until fragile infants are best protected from necrotizing enterocolitis.

Erin Umberger with her daughter Sarah

Erin Umberger with her daughter Sarah

Erin Umberger, a member of the NEC Society’s Board of Directors, describes her experience, “NEC stole my daughter’s life. The loss of a child is tragic and devastating. It is a lifelong loss. A piece of yourself dies along with your child. When I lost Sarah, I had to relearn how to breathe, eat, sleep and live without her in my arms. We must come together to stop this terrible disease.”

Members of the NEC Society’s Scientific Advisory Council are among the most experienced NEC clinicians and researchers in the world. Dr. Alexander Penn, a member of the NEC Society’s Scientific Advisory Board states, “The mechanisms underlying NEC are still incompletely understood. NEC is related to the immaturity of the intestinal tract and formula feeding significantly increases the risk of developing NEC in premature infants. Our own laboratory has shown that digested formula, but not digested fresh breast milk, is highly toxic to intestinal cells lacking the protection of a mucin barrier present in mature intestines. This only reinforces the existing literature stressing the importance of an exclusive human milk diet for premature infants.”

The NEC Society is bringing together internationally recognized NEC researchers and clinicians, mobilizing NEC activists around the world, and striving to empower families of fragile infants who are at risk of being impacted by NEC. Already, the NEC Society has launched a groundbreaking international survey of families impacted by NEC to identify gaps in knowledge and communication about the disease. The NEC Society is also embarking on a campaign that will urge NICUs to ensure that all fragile infants have access to breast milk, as breast milk protects fragile infants from NEC.

While we cannot eliminate the risk of NEC, we absolutely can – and must – reduce the risks by implementing a range of preventative and protective measures. Hundreds of U.S. families lose their babies to NEC every year. The NEC Society will not stop fighting until fragile infants are best protected from necrotizing enterocolitis.

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Download this article in Word format here.

Contact: Jennifer Canvasser, MicahBabySmiles@gmail.com 408-264-4984

Big Data in the NICU

Dr. Spitzer presents "Big Data in the NICU".

Dr. Spitzer presents “Big Data in the NICU”.

The NEC Society is at the Preemie Parent Alliance Summit in Phoenix, Arizona this weekend. We just heard a great talk from Dr. Alan Spitzer with MEDNAX/Pediatrix Medical Group on “Big Data in the NICU”. Their network of NICUs cares for over 20% of the nation’s NICU patients. By maintaining and analyzing the nation’s largest database of information on patient treatments and outcomes, they have developed toolkits and protocols for treating various conditions. Since implementing these protocols, they have seen dramatic improvements in outcomes. For example, they have reduced the incidence of NEC in their network NICUs by over 40%! They also make their database available to researchers and clinicians for further study. Go big data!

 

The NEC Society’s Vision: together we can protect preemies from necrotizing enterocolitis

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The NEC Society is non-profit, 501c3 organization dedicated to reducing the incidence of necrotizing enterocolitis (NEC) by bringing together NEC families, researchers, and clinicians, with community stakeholders, legislators, as well as other individuals and businesses, concerned about infant health. Behind the NEC Society are thousands of families from … Continue reading

10 Things All Parents of Preemies Need to Know

Published on the Huffington Post here.

No one plans to become a parent of a fragile infant. When a baby is born prematurely, most parents are woefully unprepared for the journey through the Neonatal Intensive Care Unit (NICU). Infants in the NICU are often so fragile that they cannot be held, fed, dressed or bathed. Parents often feel disempowered and helpless.

Throughout my pregnancy, I took excellent care of myself and did everything right, but suddenly found myself in preterm labor. When my twin boys, Micah and Zachary, were born three months prematurely, I didn’t know how to be their mommy. We were often physically separated from each other. During my time with them, I was terrified of hurting their tiny bodies. I didn’t understand the NICU language. I didn’t understand the wires, machines, alarms or numbers. I had to stand back and let others take care of my newborn twins. I could not protect them from the pokes, prods and emotional distress they endured. Needless to say, I was a mess.

Zachary was hospitalized for 91 days. Micah developed necrotizing enterocolitis (NEC), a life-threatening intestinal disease, and remained hospitalized for 299 days. By the time both of my twins were at home, I knew things that I only wish I had known from day one in the NICU.
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1. You are an integral part of your preemie’s care team. Your thoughts, feelings and observations are critically important. Speak up, respectfully. Ask questions. Voice your concerns. Share what is important to you. If you feel strongly that something is in the best interest of your baby, insist on it being that way.

2. Preemies need fresh breast milk. Preemies should receive a 100% breast milk diet. Fresh breast milk can be life-saving for fragile infantsMothers should begin pumping as soon as possible. To establish and sustain her milk supply, every mother of a preemie needs support from her partner, family, lactation consultant, and baby’s care team. When mothers’ own milk is unavailable for fragile infants, pasteurized donor breast milk is the next best optionFormula increases a preemie’s risk of developing NEC.

3. You know your preemie best. Learn your baby’s cues. Premature babies can become critically ill fast. You may know before anyone else when something just doesn’t seem right. If you sense something isn’t quite right, voice your concerns and make sure they are addressed. Watch for these subtle signs that something may be wrong:

  • Abnormally distended belly
  • Temperature instability (body temp is too high or too low)
  • Blood in stool
  • Frequent dry diapers
  • Frequent or large amounts of vomit
  • Constipation
  • Lethargic or not as responsive
  • Difficulty or change in breathing

4. Insist on having primary caregivers. A team of primary nurses who know your baby and family will help to ensure better communication and continuity of care, which increases patient safety. Take time to build a respectful, trusting relationship with your baby’s primary caregivers.

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5. Learn how to care for your preemie. Ask your baby’s nurse to teach you how to provide basic care for your preemie. Provide kangaroo care as often as you can. Preemies need to feel their parents’ touch. When you cannot kangaroo your baby, hold hands and read to him/her.

6. Pay attention to details. Keep a journal documenting your baby’s care routines, behavior, as well as his/her setbacks and accomplishments. Capture your thoughts and questions. Take notes during rounds. Do not assume the care team knows everything and will do everything right. They are human and make mistakes. If you don’t notice the mistakes, it’s possible that no one else will.

7. Become your preemie’s expert. Read and learn everything you need to know about your preemie’s health or condition. Learn the NICU language and best practices. If you’re not sure where to find credible information, ask your baby’s care team. Reach out to other NICU families. Reach out to other institutions, neonatologists or researchers if you have specific questions that your baby’s care team cannot address.

8. You are your baby’s voice. Attend rounds. Do not let anyone intimidate or shame you for being your baby’s advocate. You are not annoying. You are not stupid. You are not going to jeopardize your baby’s care. Your baby needs you to speak up for him/her, respectfully.

9. Create a haven of peace and healing. Leave behind your frustrations and fears so that you can be present and tune into your baby. Make your preemie’s space your home away from home. Smile at your baby. Sing to your baby. Bring in special blankets. Hang up family photos. Play soothing music. Celebrate the smallest of milestones.

2014-06-20-DSC_2438.jpg10. Live your life fully. Having a baby in the NICU is exhausting and overwhelming. The NICU journey may feel like it’s never going to end, but it will be over soon. For better or worse, you’ll never have this time back. Live it fully, without regrets. Make hand and footprints. Read special books to your baby. Take pictures and videos with your baby, even if s/he is critically ill. Savor this time with your baby.

Tragically, baby loss is a real thing for many NICU families. If you’ve experienced this tragic loss, seek the support of the baby loss community. If you know a family who has lost a baby, check out this list: 6 Things to Never Say to a Bereaved Parent.

Parents of preemies need support from their family and community. If you know a family with a baby in the NICU, insist on showing them some love. A community of love and support will help parents be the best advocates, nurturers and champions for their precious little ones.

Meet Brentlee: a full-term baby impacted by NEC

Written by Amber, Brentlee’s mom.a7

It was an uneventful pregnancy. I had a little more stress than usual, but nothing I couldn’t handle. The delivery was uneventful as well. A scheduled C-section at 39 weeks. She came out crying and we took her home after two days. Something just didn’t seem right, though. She was unable to hold down breast milk, so the pediatrician and I decided she must be lactose intolerant like her sister was, so we swapped her to formula after two weeks. At 3 ½ weeks, she still hadn’t made any progress, so I took her in to discuss another formula change. Once at the Pedi, they discovered she was running a 100.4 fever. Just enough to send us over to the local ER for a workup.

Once in the ER they ran their routine test and discovered something going on inside of her little belly. We were flown to Children’s Medical Center in Dallas and the roller coaster began. Once there, the doctors uttered the words Necrotizing Enterocolitis, or NEC. It was all a blur, nothing made sense.

Weren’t we just home all snuggled in bed?

NEC, typically affects premature infants, but there are rare cases like Brentlee’s when the disease affebrentleects full-term infants. The NEC that affects full-term infants appears to be of a different etiology than the NEC that affects preemies.

Brentlee required surgery to remove some of her bowel that died, and we spent 98 days in the NICU, which was the most scary, humbling roller-coaster ride we had ever been on. Unfortunately, NEC claims the lives of nearly 500 U.S. infants each year, but we were lucky enough to keep our little angel. NEC was just the beginning of our long journey. Once in the NICU she also contracted enterobacter and klebsiella through her central line, staph, rhinovirus, and she developed a blood clot in one of her main veins. She was unable to absorb the nutrition she needed, so she had to have a feeding tube.

What should have been the most awful, miserable 3 months, ended up being the most humbling experience of our lives. Through all of the set-backs and discouragement we found light in her smile. She never gave up, no matter the circumstance, so we never did either. Brentlee is the strongest, most courageous little girl I have ever met. Most people wait a lifetime to meet their hero, and I gave birth to mine.

When Mother’s Milk Was All I Had to Give

Posted from: http://www.huffingtonpost.com/jennifer-canvasser/when-mothers-milk-was-all-i-had-to-give_b_5414804.html

I’ve been exclusively pumping breast milk for over two years. Neither of my twins could nurse at birth because they were born incredibly fragile at 27 weeks gestation. I managed to establish a milk supply for twins by relying solely on a breast pump.

Micah and Zachary were born via emergency c-section, each weighing just over two pounds. I did not see my babies when they were born. They were taken out of my body and whisked away to the NICU to fight for their lives. Intense fear and guilt clouded feelings of happiness.

In the OR recovery area, I begged my nurse to bring me a breast pump. I had never even seen a breast pump. I just knew I needed to start making milk for my very premature twins. My nurse refused to bring me a breast pump. She said I’d need to wait until I got to my private room. I begged, explaining how important it was for me to establish my milk supply for my tiny babies.

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Hours later, when my breast pump finally arrived, I began the routine of pumping for 20 minutes every two hours around the clock. I didn’t make a single drop of milk in over 24 hours. My twins’ care team explained that if my milk didn’t come in soon, my premature babies would be fed formula. More than 48 hours after giving birth, I was so relieved when the smallest drops of colostrum dribbled down into the plastic pumping bottles.

My family supported my determination to provide breastmilk for Micah and Zachary. My husband made sure I was well-nourished and had everything I could possibly need to optimize my milk supply for our twins. My mom and closest family members took care of everything else so I could take care of my fragile twins. Support was critical to my success. Not once did my inner-circle utter a discouraging comment about my pumping schedule. As I pumped, I read up on the lifesaving power of mother’s milk for fragile infants. The more I learned about mother’s milk for fragile infants, the more determined I became to provide my twins with breast milk for as long as possible.

By the time Micah and Zachary were six weeks old, my milk supply was well-established and I had plenty of milk for both of them. But, our NICU insisted on adding a bovine-based formula-fortifier to my breast milk to boost the caloric and nutritional content. Neither of my twins responded well to the formula-fortifier, which caused them severe constipation, frequent bouts of emesis and life-threatening breathing episodes. Tragically, Micah developed necrotizing enterocolitis and became critically ill.2014-05-30-IMG_1348.JPG

I continued my round-the-clock pumping schedule, through intense uncertainty. The one way I could nurture my fragile babies was by giving them my milk. Making milk was my one source of empowerment, when all of my motherly duties and responsibilities were taken away and given to clinicians.

Throughout Micah’s 10-month hospitalization, I continued to pump milk for Micah and Zachary. Neither of my twins learned to breastfeed, so I exclusively relied on a breast pump to nourish their little bodies. Tragically, due to complications from necrotizing enterocolitis, we lost Micah when the boys were 11 months old. Despite our tragic loss, and the hell that I watched Micah endure, my body somehow managed to continue to make milk.

We just celebrated Micah and Zachary’s second birthday, and I am still exclusively pumping. When Micah was critically ill, I couldn’t hold him for four months straight. But, I could nourish him with my milk, and that was an amazing gift.

2014-05-30-DSC_5988.jpgMicah is gone, but my milk supply that I built for twins is not. I have donated breast milk to families who have adopted children and tomilk banks who pasteurize the milk for fragile hospitalized babies. Providing breast milk for my babies and other babies in need, brings me great peace. Losing a child is one of the most tragic losses anyone can experience. My heart will forever ache to have Micah back in my arms. Yet, I am blessed. In my lowest of lows, when I felt like I had nothing to give, I could still give my milk. My milk gave my babies life, other babies love, and my devastated soul, peace.

FAST FACTS: Miracle Milk™

In the context of thousands of years of human existence, human milk is ordinary just like blood or eyes are ordinary. It is only when human milk is absent, however, that it dawns on us that human milk is extraordinary human milk. Nowhere is this more true than in the context of premature birth, or newborn disease.  When a 2 lb baby is fighting for his life, human milk becomes more than ordinary . . . for sick and fragile babies, human milk is truly Miracle Milk™.  Join the 1st Mother’s Day Miracle Milk Stroll to raise awareness of the life-saving power of human milk in the NICU!  Help us get more miracle milk to more babies in the NICU.  Here are some “fast facts” about Miracle Milk™:

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  • Prematurity is the #1 killer of newborns (not including congenital malformations). 1 in 9 babies is born preterm (before 37 weeks) in the U.S., and 1 in 12 in Canada, i.e. 530,000 babies per year.  The U.S. has the highest prematurity rate of the largest industrialized nations, and is in the top 10 overall (along with Bangladesh and Indonesia) Worldwide, 15 million babies are born preterm. African American mothers are more likely to have preterm infants than any other ethnicity, the infant mortality rate among black infants in the U.S. is 2.4 times higher than that of white infants, primarily due to preterm birth. In Canada, the aboriginal preterm birth rate is as much as 1.8 times higher.
  • The American Academy of Pediatrics position on donor milk for preterm infants: “the potent benefits of human milk are such that all preterm infants should receive human milk . . . . If mother’s own milk is unavailable despite significant lactation support, pasteurized donor milk should be used.”  The Canadian Pediatric society says that “human breast milk provides a bioactive matrix of benefits that cannot be replicated by any other source of nutrition.” Both the  AAP and CPS clearly recognize the life-saving power of donor milk for preterm babies.  For premature, sick and fragile babies, human milk is truly “Miracle Milk™”.  
  • Necrotizing enterocolitis (NEC) is the #2 killer of premature babies and the #10 killer of all babies. The use of an all human milk diet can lower the risk of necrotizing enterocolitis (NEC) by 79%. NEC sickens 5,000 U.S. and Canadian premature babies per year, of which roughly 500 die from the disease.  NEC is an excruciatingly painful bowel disease which can cause parts of the intestines to die (necrosis) and need to be surgically removed.

o    One NEC surgery can cost $200,000; multiple surgeries, organ failure, and lengthy NICU stays may be required, lifelong complications and treatment may cost over  $1,000,000 per individual..

o    Compare: the cost of exclusive donor milk is typically between $700 and $2,000 per month.   (A two-pound premature baby may consume approximately 5.5 ounces per day.)  Mothers who can express some milk use less donor milk so incur far lower costs.

  • spatzquoteHuman milk also lowers the risk of late-onset sepsis (blood infections after the first week of life) and other illnesses that premature babies are susceptible to and breastfeeding or pumping speeds recovery for the mother.  Every 10 milliliters of human milk per kilogram (i.e. 0.15 ounces/pound) that a very low birth weight infant received during the first 28 days of life decreased the odds of sepsis by almost 20 percent!  Human milk is dose-dependent; any amount improves health, but the more, the better; an exclusive human milk diet has the greatest impact.
  • Donor milk can be critical in filling the gap until the mother’s milk increases in volume. Mothers who deliver early or have complications in labor experience tremendous stress and may not be able to produce milk right away for their babies despite good lactation support.  Babies may be intubated or too fragile to latch on and nurse right away (though some premature babies CAN latch on and breastfeed).
  • Yet, nearly 60% of all NICUs are not using ANY donor milk.  
  • Some NICUs do not even offer mothers of preterm babies lactation support or breast pumps, for fear of putting pressure (or guilt) on mothers who are already under stress.  However, most moms who learn that the life-saving power of breastmilk is truly like medicine for their babies are eager to breastfeed or pump. African-American mothers face greater barriers to pumping and breastfeeding and deserve culturally-appropriate support.
  • Lactation consultants (IBCLCs), peer counseling and mother-to-mother support have been shown to improve the rate of breastfeeding or pumping in the NICU.  Mother-to-mother support is directly related to increased duration of pumping in the African American community.
  • Many NICU medical directors, parents and insurance companies lack knowledge of the existence, accessibility, safety, cost-savings, and especially, LIFE-SAVING POWER of donor milk. Too many clinicians are not prioritizing human milk as a life-saving intervention which is as critical as a ventilator.  The fact that 9 of the top 10 children’s hospitals are using it in the NICU should encourage other NICUs to follow suit!
  • Donor milk suitable for use in the NICU comes from milk banks and is screened, tested and processed rigorously, just like donor blood.  In fact, at least two blood banks (one in the U.S., one in Canada) are considering opening milk banks to meet the needs of NICU babies.  
  • Very low birthweight (<1500g/3.3 pounds) babies may require the addition of a fortifier to their diet. Fortifiers add extra protein, minerals and calories to help very premature babies grow.  There are two types of fortifier: human-milk derived fortifier (only available as a commercial product in the U.S.) and non-human milk-derived fortifier.  There is not enough research on health outcome differences when adding one or the other to breast milk; however, evidence is mounting that if a fortifier is required, human-milk-derived fortifier produces better results, and that non-human-milk derived fortifiers may increase a fragile premature infant’s risk of developing NEC.  More independent, non-industry research is desperately needed!  Before adding a fortifier, it is urged that health-care providers read Breastfeeding the Premature Baby.
  • Best for Babes supports the non-profit HMBANA.org milk banks as the most financially sustainable and ethical source of donor milk for premature babies. HMBANA nonprofit milk banks dispensed 3 million ounces of milk in 2013, meeting demand from US NICUs currently using donor milk.  However, if every NICU followed the AAP recommendation (60% do not!), 9 million ounces of human milk from the mother or by donor milk would be needed every year.  Donor human milk is currently dispensed to NICUs in every state in the U.S., however if more milk banks and drop-off locations were established, shipping costs could be lowered.  All premature, sick and fragile babies deserve better and more affordable access to donor milk from a human milk bank, which is why we created the Miracle Milk Mother’s Day Stroll.

Reading Resources

March of Dimes
You think donor milk is expensive?  Wait until you see the alternative. 
How to get donor milk from a HMBANA milk bank.   
Breastfeeding the Premature Baby
Booby Traps in the NICU
How to Beat the Booby Traps in the NICU
Do Preemies Really Need Formula for Adequate Growth?
The Best Children’s Hospitals Use Donor Milk

 Peer Reviewed Articles/Resources

AAP Policy Statement on Breastfeeding and the Use of Human Milk
Unicef: Donor Breast Milk vs. Infant Formula: Systematic Review and Meta-Analysis
Pasteurized Human Donor Milk Use Among U.S. Level 3 NICUs
Impact of early human milk on sepsis and health-care costs in very low birth weight infants
Impact of necrotizing enterocolitis on length of stay and hospital charges in very low birth weight infants

Partners

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Presenting Sponsors

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As the first herbal personal care and supplement line specifically designed for pregnant and breastfeeding women, Motherlove has led the holistic body care industry since its conception in 1990. Our dedication to consistent quality means crafting only the finest, purest products, and using certified organic ingredients designed to nurture, soothe and heal women on their all-important journey of nurturing life. Each of our formulas are time proven and backed with integrity, wisdom and an intimate knowledge of herbal remedies. 
Limerick logo comfortable2014 In 1992 Patricia Kelly a Registered Dietitian and Joan Ortiz a Registered Nurse (mother & daughter) founded Limerick Inc. The two were certified as Lactation Consultants in 1992.  The Limerick Workplace Lactation Program was created to help working mothers reach their breastfeeding goals.  Based on their work with thousands of mothers, Patricia and Joan developed the PJ’s Comfort electric breast pump incorporating the ideas gathered from working mothers.

Special thanks to Jennifer Canvasser, Jodine Chase, Kathleen Marinelli, and Kim Updegrove for reviewing this fact sheet.

 

The original post can be found: http://www.bestforbabes.org/fast-facts-miracle-milk/