SCIENTIFIC PROGRAM

3rd International Congress European Milk Bank Association (EMBA) «Human milk for preterm infant feeding» Lille

LYON, FRANCE 8th & 9th october 2015 Lyon Convention Centre

Le Havre

Rennes Nantes

Toulouse

http://europeanmilkbanking.com

Nancy

FRANCE

Bordeaux

Official Language of the Congress: English Translation form English to French will be available

Strasbourg

Paris

Brest

Mulhouse

LYON

Montpellier

Nice

Marseille CORSE

PRESIDENT Gillian Weaver (UK) VICE PRESIDENT Sertac Arslanoglu (Turkey) SECRETARY Anne Hagen Grovslien (Norway)

TREASURER Guido E. Moro (Italy) BOARD OF DIRECTORS Sertac Arslanoglu (Turkey) Enrico Bertino (Italy) Clair-Yves Boquien (France) Andreja Domjan (Slovenia) Kerri Frischknecht (Switzerland) Antoni Gaya (Spain) Corinna Gebauer (Germany) Anne Hagen Grovslien (Norway) Guido E. Moro (Italy) Staffan Polberger (Sweden) Gillian Weaver (UK)

3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

PROGRAMME - THURSDAY OCTOBER 8th 2015

08.00 am - 08.45 am

Registration

08.45 am - 09.00 am

Introduction to the Conference Gillian Weaver Emba President & Jean-Charles Picaud

SESSION 1: UTILISATION OF HUMAN MILK IN THE NICU 09.00 am - 09.30 am

A historical perspective of Human Milk Bank in France Jean-Charles Picaud

09.30 am - 10.00 am

The Benefits of Human Milk for Preterm Infants Sertac Arslanoglu

10.00 am - 10.30 am

Quality and Safety of Human Milk; Best Practices Guy Putet

10.30 am - 11.00 am

Coffee break

11.00 am - 11.15 am

Unraveling the Tension with Mothers of Premature Infants Who Provide Consent for Donor Human Milk (DHM) during the Neonatal Intensive Care Unit (NICU) Hospitalization Anita Esquerra-Zwiers

11.15 am - 11.30 am

Full circle: from donor human milk feeding protocol to hospital-based mothers' milk bank Nancy Hurst

11.30 am - 11.45 am

Regional Program « Milk Flower» to improve breastfeeding in Preterm Neonates Sophie Rubio-Gurung

11.45 am - 12.00 pm

Severe combined immune deficiency and continued breastfeeding: Report of 5 own mother’s milk donation (OMM) at the regional Ile de France milk bank Virginie Rigourd

12.00 pm - 12.30 pm

Supporting maternal lactation on the NICU – evidence based practice Paula Meier

12.30 pm - 13.20 pm

Lunch break

3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

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PRELIMINARY PROGRAMME PROGRAMME - THURSDAY OCTOBER 8th 2015

13.20 pm -14.00 pm

POSTER SESSION 1

Authors have a couple of minutes to talk about their posters. They can arrange to discuss them further with interested individuals and they can exchange contact details if they wish to stay in touch. The poster authors are invited to bring A4 hand-outs with them with a miniature version of their poster and their contact details on so that they can discuss the contents further at a later date if they wish.

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P01

REDUCED FORMULA INTAKE WITH DONOR MILK (DM) IMPACTS NECROTIZING ENTEROCOLITIS (NEC) IN VERY LOW BIRTH WEIGHT (VLBW) INFANTS Celina M Scala

P02

INVESTIGATION OF A FOREIGN BODY IN PASTEURIZED DONOR HUMAN MILK (DHM) INTENDED FOR VERY LOW BIRTHWEIGHT (VLBW) INFANT FEEDING IN THE NEONATAL INTENSIVE CARE UNIT (NICU) Celina M Scala

P03

NEONATAL PALLIATIVE CARE AND SUPPORTING A MOTHER’S PHYSICAL AND EMOTIONAL WELL-BEING Alexandra Mancini

P04

WHAT HAPPENS TO MY MILK? A REGIONAL TRAINING PROGRAMME FOR HEALTHCARE PROFESSIONALS CARING FOR MOTHERS FOLLOWING THE DEATH OF THEIR BABY, INCLUDING AN INFORMATION LEAFLET Alexandra Mancini

P05

CAN MOTHERS BEYOND ONE YEAR OF LACTATION BE DONORS OF HUMAN MILK FOR PREMATURE INFANTS? Elena Sinkiewicz-Darol

P06

THE INFLUENCE OF MOTHER’S COOPERATION WITH THE HUMAN MILK BANK ON THEIR DECISION ABOUT BREASTMILK FEEDING – PSYCHOLOGICAL ASPECTS Aleksandra Wesolowska

P07

A NEW E-LEARNING PROGRAM ABOUT BREASTFEEDING, CONTINUOUS MEDICAL TRAINING IN PAEDIATRICS Virgnie Rigourd

P08

KNOWLEDGE, OBSTACLES AND ACCESSIBILITY TO THE BANKS AND THE GIFT OF THE MILK: AN ANTHROPOLOGICAL RESEARCH Annamaria Fantauzzi

P09

MUIMME BEGINS: ETHICAL CONSIDERATIONS ASSOCIATED WITH MILK BANKING AND THE UNCERTAIN INTERACTION BETWEEN MATERNAL MILK AND ETHANOL Tanya M. Cassidy

P10

THE EFFECT OF HOLDER PASTEURIZATION ON HUMAN MILK GLYCOSAMINOGLYCANS Chiara Peila

P11

EFFECTS OF HOLDER PASTEURIZATION ON THE PROTEIN PROFILE OF HUMAN MILK Chiara Peila

P12

IMPLEMENTING THE FOOD SAFETY SYSTEM IN HUMAN MILK BANK IN THE HOSPITAL SETTING Joanna Trafia�ek

P13

CLEANING OF BREAST PUMPS EQUIPMENT: ASSESSMENT OF CAREGIVERS’ KNOWLEDGE IN A NEONATAL UNIT S. Hache 3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

PRELIMINARY PROGRAMME PROGRAMME - THURSDAY OCTOBER 8th 2015

SESSION 2: PRACTICAL ASPECTS OF HUMAN MILK BANKING 14.00 pm - 14.30 pm

Lyophilisation of Human Milk Delphine Lamireau

14.30 pm - 15.00 pm

Qualification of Human Milk Pasteurisers Rachel Buffin

15.00 pm - 15.15 pm

A new high hydrostatic pressure treatment of human milk leading both to microbial safety and preservation of the activity of the main components Gerard Demazeau

15.15 pm - 15.30 pm

Calibration adjustment of the mid-infrared analyzer for an accurate determination of the macronutrient composition of human milk Clair-Yves Boquien

15.30 pm - 16.00 pm

The Science of Screening Breastmilk Jacques Rigo

16.00 pm - 16.30 pm

Coffee break

16.30 pm - 16.45 pm

Costs of Human Milk Banking (BLUD) in Italy Giuseppe De Nisi

16.45 pm - 17.00 pm

Hygienic measures impact on bacteriological contamination, when collecting human milk: a study of 1892 cases regional IDF milk bank Virginie Rigourd

17.00 pm - 17.15 pm

Holder Pasteurization and Donor Human Milk: A Review Chiara Peila

17.15 pm - 17.30 pm

Holder Pasteurization does not affect S100B Concentrations in Human Milk Chiara Peila

17.30 pm - 18.00 pm

The Art of Screening Breastmilk Donors Gillian Weaver

18.00 pm -19.00 pm

EMBA AGM

20.00 pm - 22.00 pm

GALA DINNER

3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

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PROGRAMME - FRIDAY OCTOBER 9th 2015

8.00 am - 8.30 am

Registration

SESSION 3: OPTIMISINGPRETERM FEEDING 08.30 am - 09.00 am

More Papers, Less Pain: Insider Tips on Increasing your International Academic Publications Anne Merewood

09.00 am - 09.30 am

Antiviral activity of human and bovine colostrum David Lembo

09.30 am - 10.00 am

Human Milk Fortifier - where do we go from here? Jean-Charles Picaud

10.00 am - 10.15 am

The impact of human milk pasteurization is lower on the preterm than on the term milk digestion Amélie Deglaire

10.15 am - 10.30 am

Variation and evolution of the breast milk composition of mothers of term, preterm and extremely preterm infants Chloe Mulatier

10.30 am - 11.00 am

Coffee break

SESSION 4: NEW RESEARCH

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11.00 am - 11.30 am

HTST Treatment for Human Milk Enrico Bertino

11.30 am - 12.00 pm

Research Update on Donor Human Milk Marita de Waard

12.00 pm - 12.30 pm

The Human Milk Microbiome Esther Jiménez

12.30 - 13.20

Lunch break

3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

PROGRAMME - FRIDAY OCTOBER 9th 2015

13.20 pm - 14.00 pm

POSTER SESSION 2

Authors have a couple of minutes to talk about their posters. They can arrange to discuss them further with interested individuals and they can exchange contact details if they wish to stay in touch. The poster authors are invited to bring A4 hand-outs with them with a miniature version of their poster and their contact details on so that they can discuss the contents further at a later date if they wish. P14

MONITORING OF BREASTMILK MACRONUTRIENTS IN NICU - WAY OF OPTIMALISATION OF THE NUTRITION Ivana Letenayova

P15

TOWARDS INFANT FORMULAS MIMICKING HUMAN MILK STRUCTURE AND GASTRIC DIGESTION Amandine Bellanger

P16

COMPARISON BETWEEN CALCULATED AND MEASURED PROTEIN VALUES IN HUMAN MILK AFTER FORTIFICATION Laure Simon

P17

INDIVIDUALIZED ADJUSTABLE FORTIFICATION OF HUMAN MILK (HM) IS USEFUL TO IMPROVE THE QUALITY OF GROWTH IN VERY LOW BIRTH WEIGHT INFANTS (VLBWI) Julie Larcade

P18

IBUPROFEN PHARMACOGENETIC STUDY IN HUMAN MILK SAMPLES Virginie Rigourd

P19

INFORMATION AND TRAINING GIVEN TO MIDWIFES ABOUT MILK DONATION IN ILE DE FRANCE (IDF) Virginie Rigourd

P20

OWN MOTHER’S MILK (OMM) DELAY AVAILABILITY IN « ILE DE FRANCE » REGION (IDF) Virginie Rigourd

P21

MOLECULAR PROFILING OF NORMAL BREAST EPITHELIAL CELLS TO QUANTIFY BREAST CANCER RISK James Flanagan

P22

ESTABLISHING AND ORGANIZING A HUMAN MILK – EFFECTIVE COORDINATION BETWEEN HUMAN MILK BANKS IN GREECE AND IN EUROPE Ioanna Ioannou

P23

INFORMAL ONLINE-MILK SHARING IN GERMANY – A SURVEY Daniel Klotz

P24

PROJECT OF JOINT COLLABORATION BETWEEN THE UNIT OF NEONATOLOGY OF BEAUREGARD HOSPITAL IN AOSTA, THE DONATED HUMAN MILK BANK OF REGINA MARGHERITA (OIRM) HOSPITAL IN TURIN AND SCDU OF NEONATOLOGY OF CITTÀ DELLA SALUTE E DELLA SCIENZA DI TORINO Francesca Vielmi

P25

PROMOTION AND SUPPORT OF HUMAN MILK DONATION IN NORTHERN ITALY: ACTUALITY AND PROSPECTIVES Arianna Virano

P26

EXPERIENCE OF HUMAN MILK BANKING IN A MEDICAL COLLEGE HOSPITAL IN WESTERN INDIA Shailaja Mane

3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

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PROGRAMME - FRIDAY OCTOBER 9th 2015

SESSION 5: MILK BANKS AROUND THE WORLD. DIFFERENT COUNTRIES, DIFFERENT APPROACHES" 14.00 pm - 14.30 pm

The business of milk banking; to pay or not to pay Frances Jones and Gillian Weaver

14.30 pm - 14.45 pm

Legislation and Human Milk Guido Moro

14.45 pm - 15.00 pm

The first human milk bank in Russia. What do Russians think about it? Preliminary results Leyla Namazova-Baranova

15.00 pm - 15.15 pm

The Characteristics and Operation of the First Human Milk Bank Xihong Liu

15.15 pm - 15.30 pm

Postnatal counseling on exclusive breastfeeding using video – experience from a tertiary care teaching hospital, South India Adhisivam Bethou

15.30 pm - 15.45 pm

Review of the 5 year functioning of the first Serbia bank of human milk Radmila Mileusnic Milenovic

15.45 pm - 16.00 pm

Is milk kinship an obstacle to the introduction of a human milk bank in Muslim countries? Aliaa Khalil

16.00 pm - 16.30 pm

Update on Global Milk Banking Initiatives Kiersten Israel-Ballard

CONFERENCE END

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3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

InFoRmATIon

oRGAnISInG SECRETARIAT Biomedia srl - Monica Arosio Via L. Temolo 4, 20126 Milan Ph.: +39 02 45498282; Fax +39 02 45498199 [email protected] - www.biomedia.net DESTInATIon AnD mAnAGEmEnT AGEnCY Biomedia Travel e.mail: [email protected] oFFICIAL LAnGUAGE The official language of the Congress is English. Simultaneous translation from French to English will be provided. Thanks to DTF medical and HSC for their support. nAmE BADGE All participants will receive a name badge when they check in at the Registration Desk. This badge must be worn at all times because only registered participants will be admitted to the lecture hall. REGISTRATIon Full registration and Student/Volunteers and Unwaged person registration include:  Entrance to plenary session, poster session, the exhibition area  Congress Information Package  Certificate of attendance Coffee break and working lunch vouchers Registrations available on the Congress Website. REGISTRATIon FEE Delegate Registration Fee EMBA Member Delegate Registration Fee NON EMBA Member Student/Volunteer/Unwaged Day Subscription - Delegate Registration Fee EMBA Member Day Subscription - Delegate Registration Fee NON EMBA Member Day Subscription - Delegate Registration Fee Student/Volunteer/Unwaged

€ 122,96 + VAT 22% = € 150,00 € 163,94 + VAT 22% = € 200,00 € 106,56 + VAT 22% = € 130,00 € 73,78 + VAT 22% = € 90,00 € 98,36 + VAT 22% = € 120,00 € 61,48 + VAT 22% = € 75,00

*ATTENTION: to obtain reduced fee you must be a current member (year 2015) of EMBA It is also valid if you will register yourself at the Congress Venue. SoCIAL DInnER The Social dinner, which will be held on Thursday, 8th October is not included in the Congress fee. Those who intent to attend need to add €. 50,00 + VAT per person at the Congress Fee payment. Information on the Restaurant will be available at the Congress organizing secretariat desk. PAYmEnT: By Cash (Euro) or by Check

3rd International Congress of the European milk Bank Association (EmBA) Lyon, 8th-9th october 2015

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INFORMATION

CANCELLATION Cancellations will be accepted by the organizing secretariat strictly within Friday, 7th August 2015 entitling the registrant to a 80% reimbursement of the fee paid. Although no reimbursements will be processed further to the cancellation deadline, registration may be turned over to another attendee, provided the name is communicated in advance to the organizing secretariat.

CERTIFICATE OF ATTENDANCE A certificate of attendance will be issued for the number of days a registrant has actually attended the congress. These certificates will be available at the Registration Desk and must be picked up before departure.

INFORMATION POINT An Information Point for general information about the congress can be found at the main entrance to the exhibition area. It keeps the same hours as the Registration Desk.

AUDIOVISUAL CENTER Speakers are kindly requested to bring their presentation to the Registration Desk at least two hours before the presentation is scheduled.

MEETING VENUE Citè-Centre de Congrés Lyon 50 Quai Charles De Gaulle 69463 Lyon

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3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

INFORMATION

ABSTRACTS

3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

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ABSTRACTS

A HISTORICAL PERSPECTIVE OF HM BANKS IN FRANCE Prof. Jean-charles PICAUD Neonatal intensive care unit, Croix rousse hospital, Lyon, France Rhone-Alpes regional human milk bank, Croix rousse hospital, Lyon, France Head of the French human milk banks association At the beginning of the twentieth century nurses were hospitalized with the infant they were breastfeeding and they gave their surplus milk to premature and sick infants. Then it became difficult to recruit nurses who accepted to stay in hospital during prolonged period. Therefore, in 1947, Pr Lelong opened the first French human milk bank (HMB) in Paris. Since that time a large number of HMBs were created. French HMBs association was created in 1981 to support organization and development of HMBs over French territory. In 2005 the pasteurized HM was officially classified as a health product. French HMBs association worked with health authorities to develop HMBs network and improve the quality and safety of HM collection, pasteurization and delivering. Until 2011 there were 19 HMBs. Then, 17 new HMBs were opened under control of the french ministry of health and the french agency for safety of health products. Among the 36 french HMBs, one bank -settled in Marmandeis adding lyophilization to pasteurization. The lyophilized HM is useful as it can be stored during longer period than pasteurized, frozen HM, and as it can be easily transported to overseas French Islands of the Indian, Pacific and Atlantic oceans. This bank is collecting, treating and distributing only donor HM. Among the other French HMBs, 18 are collecting, treating and delivering only HM for the preterm infants hospitalized in the same hospital. At the very beginning of HMBs in France, voluntary donors were paid according to the volume of milk collected. Since the 1980s, milk donation is not anymore paid, like it is done for blood. The level of safety required by French health authorities for Human milk is as high as for blood donation and organ transplantation. During the past 70 years, HMBs number increased significantly to meet the growing needs in HM in France. As the number of premature babies has risen sharply over the last 30 years, and as the survival of very premature babies has also improved, the development of HMBs and their network organization has provided breast milk most children birth weight less than 1500 g but the objective is that all infants weighing less than 2000g at birth can receive breast milk, even if their own mother cannot breastfeed. In France around 60 000 babies are born preterm each year.

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3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

ABSTRACTS

QUALITY AND SAFETY OF HUMAN MILK BEST PRACTICES G Putet Hôpital de la Croix-Rousse - Lyon Breastfeeding is recognized to be the more appropriate way to feed a newborn infant. When a newborn infant is not able to suckle, human milk has to be collected and stored until to be given to him and this has to be done carefully in order to keep all its qualities (nutritional content, immunological properties, growth factors…) without adding bacteriologic hazard or loosing some of the nutritional contend. This is a particular concern for the very immature preterm infant, unable to suck for several weeks and knowing that human milk is even more important for him when its impact on neurologic development is considered. Moreover the specific nutritional needs of this immature infant has to be taken into account. Even if volume intakes can be adapted to achieve their nutritional requirements, this as some limits and human milk has often to be supplemented in order to fulfill this needs. Adequate nutrition of Low Birth Weight infants is confront to at least two risks: NEC and Sepsis. All this dilemma for giving and adapted nutrients intakes to this premature infant are well summarized by the following figure adapted from the SIFT investigator group. In this presentation we will focus and review some practices which impact the qualities and safety of human milk given to an infant unable to suckle and which has to be collected, transported and manipulated as its nutritional content may be altered by this manipulations.

3rd International Congress of the European Milk Bank Association (EMBA) Lyon, 8th-9th October 2015

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ABSTRACTS

SUPPORTING MATERNAL LACTATION IN THE NICU Paula P. Meier, PhD, RN, FAAN Director for Clinical Research and Lactation, NICU Professor of Pediatrics Professor of Women, Children and Family Nursing Rush University Medical Center, Chicago [email protected] Donor human milk (DHM) is a "second-best" alternative to mothers' own HM (MHM) for feeding very low birthweight (VLBW;