Meeting Minutes- 01/10/2020

North Central Breastfeeding Task Force

01/10/2020 meeting minutes

Agenda:

<<North Central Breastfeeding Task Force 1.10.20.docx>>

  1. Nicole Robbins from Mother’s Milk Bank of the Western Great Lakes presented about the milk bank
    1. Courtney will bring the brochures, information of the screening process, and information about Poppy’s Dream bereavement milk donation to the next meeting for anyone who is interested
    2. The Milk Bank is part of HMBANA – a group of 28 milk banks across the US and follow specific safety and testing guidelines
      1. Our milk bank serves IL and WI
      2. FDA food processing facility completing pasteurization and blood testing
  • . How to donate milk?
    1. Complete the Donor Interest Form online
      1. Receive a phone call screening about lifestyle, current milk storage routine
  • . Complete an application
    1. Includes Mom and Baby doctor appointments and lab work to ensure that mom’s milk is safe for other babies and that her own baby is healthy and receiving enough milk from mom directly
    2. Blood testing for mom includes looking for Hepatitis B and C, HTLV, and HIV
  • . Once approved, moms can drop their milk off at Milk Depots
    1. Zip code locator online
  • . Milk Depots
    1. Easier access to milk depots leads to increased milk donation!
    2. Accept frozen milk from approved donors
  • Complete a log for donations (recording when accepted)
  1. Track temperatures (only needed on days when the building is open)
  2. When 3/4 full or close to 6 month mark for milk, send to the Milk Bank for processing
    1. Milk Bank pays for coolers to ship the milk
    2. Our locations generally a courier will be sent to pick it up
  • . Milk Processing
    1. Each milk is individually tested for bacteria, then mixed with other milk to ensure nutritional consistency
      1. Preterm milk, early term milk, and term milk
        1. Preterm and early term milk is generally given to NICU and Special Care infants
        2. Term milk is accepted until 2nd birthday
  • . Pasteurized milk using the Holder method, then a  second round of bacteria testing
    1. If the sample bottle tests positive for bacteria, the entire batch is scrapped
    2. 100% of Human Milk Oligosaccharides are kept intact and majority (I forgot the %s) of the immunological components are also safe during the pasteurization process.
  1. Currently, about 80% of their milk goes to hospitals, about 20% to outpatient access at dispensaries or directly from the milk bank
    1. If it cannot be used for these purposes, it is used for research
  2. Charity Care
    1. Look at financial situation, health of mom and baby.
    2. Usually can cover about 20% of the cost
  • Currently supporting 3 families with children who have Spinal Muscular Atrophy
    1. New IL Law allows Medicaid reimbursement to the Milk Bank for providing breastmilk to these families
  1. Poppy’s Dream
    1. Bereavement program. Accepts milk donations from women who’s infant passed away. Families receives a star with their child’s name and every year there is a ceremony
  1. Round Robin
    1. Glendean shared an update about her local baby showers. Making progress with contacts in Kankakee to set up an event, planning meeting also set up in Lake. Having trouble in Will county since so specific home visiting programs have McVee funding. Looking to reach out to someone maybe in Kendall or Grundy counties as the 3 tend to have crossover in clients.
  2. Finances
    1. Cindy will submit form for our FY21 funds
      1. Goal to do similar mini-grants for members
      2. Other ideas: Tent and/or table/tablecloth to be shared by the group for use at events, farmer’s markets. April is looking into prices
    2. FY20 funds
      1. Spent $625, have $375 remaining.
        1. Courtney will submit receipts to be reimbursed for August event expenses
        2. Possible to use some funding for ISPAN BF information cards. Sue is working on determining pricing
      2. ISPAN project updates:
        1. Action Plan
          1. Breast pads are here, 166 for VNA and 166 for Lake Co.
            1. If anyone is interested in ordering them for your own location, I can share the link. Wholesale ordering comes to $1.50 for an individually wrapped set of 2 reusable breast pads (2 sets = 4 individual pads)
          2. Infographic cards to go with the pads
            1. Sue showed an example of the recipe cards VNA has printed in the past. The cards are about 3×5″. She is looking into the pricing for them
            2. Ideas for what to put on the cards:
              1. Title: “You have Milk!”
              2. Points to cover:
                1. Will I have enough?
                  1. Maybe an image of a teaspoon of colostrum?
  • . Bottle introduction/options for breastmilk
  1. Feeding cues (image of common cues if possible?)
  2. When to ask for help and who
  • Any images included will be real life vs cartoon images
  1. These cards could also be great to share with pregnant women even without the breast pads. Chayo talked about the possibility of sharing them with the pregnant women at Sherman hospital for their non-stress testing.
  • Talk with provider leads to get buy-in for the project
    1. Sue is in the process of meeting with prenatal management
    2. Courtney met with Women’s Health Program Coordinator
      1. LCHD program coordinator thinks most prenatal education is handed out by the providers as a packet of information. She is unsure how the providers would feel about handing out the pads/info card
        1. We are also going to survey the providers, nurses, and medical assistants about the breastfeeding support they currently have and that they provide to their patients. Hopefully this will help us get some buy-in. I’m also going to try to attend one of their next meetings. (draft of survey attached)
        2. Still in the process to determine the amount of patients we will reach with the project.
      2. Perhaps create a list of talking points for provider teams to use when handing out the info card/breast pads or at any time during pregnancy
        1. LCHD: Idea we (with the prenatal program coordinator) came up with is to have one of our WIC BFPC staff work near the prenatal provider and see all the prenatal clients when we have the staffing for it (ideally 2 days/week).
      3. State BF Task Force Call: 1/21/20
        1. Glendean and Cindy will be able to join in
      4. Next meeting: March 13th at Well Child in Elgin