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Human Milk Banking Association of North America

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Human Milk Banking Association of North America
AbbreviationHMBANA
TypeNonprofit
HeadquartersFort Worth, Texas
Servicesmilk bank accreditation, standards development, lactation advocacy
Executive Director
Lindsay B. Groff[1]
President
Summer Kelly[2]
Websitehmbana.org

The Human Milk Banking Association of North America (HMBANA) is a not-for-profit organization that accredits nonprofit milk banks in the United States and Canada, produces the standards and guidelines for donated breast milk in North America, and promotes lactation and breast feeding.[3][4][5] The organization was founded in 1985. As of 2022, it has thirty-one member milk banks, including twenty-eight in the US and three in Canada.[3][6] HMBANA is accredited by the US FDA,[7] and is funded by membership dues and donations.[3]

Operations

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HMBANA member banks provide donor milk to NICUs on a cost-recovery basis.[8] In 2021, member banks distributed 9.2 million US fluid ounces (270,000 L) of breast milk, a 22% increase over the prior year.[1] During the 2022 United States infant formula shortage, HMBANA saw a twenty percent increase in requests for donor milk, and increased donor applications.[7]

HMBANA member banks screen potential donors for communicable diseases, medications, and illicit drug use. Donated milk is pooled to ensure consistency, pasteurized at 62.5 °C (144.5 °F) for 30 minutes, and tested for bacterial pathogens both before and after pasteurization.[8] The milk is stored frozen until delivery.[8] Donated milk is prioritized for "medically fragile" babies, and may be prescribed for preterm infants, or those with malabsorption, feeding intolerance, immune deficiency, or who have undergone gastrointestinal surgery.[8][9] When donor milk is available for healthy infants, up to 40 US fluid ounces (1,200 mL) may be purchased without a prescription, at a typical cost of $3 to $5 an ounce.[9] The American Academy of Pediatrics recommends against sharing breastmilk outside of accredited milk banks.[10]

HMBANA-authored publications include 2018 Guidelines for the Establishment and Operation of a Donor Human Milk Bank; 2019 Fourth Edition of Best Practice for Expressing, Storing and Handling Human Milk in Hospitals, Homes, and Child Care Settings; and Lactation Support for the Bereaved Mother.[11]

HMBANA is headquartered in Fort Worth, Texas, but is incorporated in Connecticut.[3][12]

References

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  1. ^ a b Ryssdal, Kai; Amin, Anais (February 17, 2022). "'There will always be a need for donor milk,' says leader of a milk bank". Marketplace. Retrieved 1 June 2022.
  2. ^ "About: Board". Human Milk Banking Association of North America. Retrieved 1 June 2022.
  3. ^ a b c d "About". Human Milk Banking Association of North America. Retrieved 1 June 2022.
  4. ^ "About: Mission & Vision". Human Milk Banking Association of North America. Retrieved 1 June 2022.
  5. ^ "CHOP Mothers' Milk Bank". Children's Hospital of Philadelphia. 17 November 2015. Retrieved 1 June 2022.
  6. ^ "Find a Milk Bank". Human Milk Banking Association of North America. Retrieved 1 June 2022.
  7. ^ a b Sophie, Hirsch (May 31, 2022). "How to Donate Breast Milk Amidst the Baby Formula Shortage". Green Matters. Retrieved 1 June 2022.
  8. ^ a b c d Kim, JH; Unger, S (November 2010). "Human milk banking". Paediatrics & Child Health (in English and French). 15 (9): 595–598. doi:10.1093/pch/15.9.595. PMC 3009567. PMID 22043143.
  9. ^ a b Ceron, Ella (May 16, 2022). "Demand Is Up at Human Milk Banks Amid Baby Formula Crisis". Bloomberg. Retrieved 1 June 2022.
  10. ^ Joyce, Amy (May 19, 2022). "Breast milk banks won't solve the formula crisis, but they're a lifeline". The Washington Post. Retrieved 1 June 2022.
  11. ^ "Human Milk Banking Association of North America". GuideStar. Candid. Retrieved 1 June 2022.
  12. ^ "By-laws of the Human Milk Banking Association of North America, Inc" (PDF). Human Milk Banking Association of North America. Retrieved 1 June 2022.