Periodic Reporting for period 1 - MUIMME (MILK BANKING AND THE UNCERTAIN INTERACTION BETWEEN MATERNAL MILK AND ETHANOL)
Periodo di rendicontazione: 2015-04-01 al 2017-03-31
Donor milk banking can only function effectively if concerns with transmission are satisfactorily addressed. Fears of milk contamination inhibit the growth development of milk banking. Specifically, anxieties regarding lifestyle choices of donor mothers, particularly with reference to alcohol consumption, may deter hospitals and medical practitioners from recommending the use of donor milk.
Donor human milk, with its immunising properties, has the ability to reduce the amount of time infants spend in Neo-Natal Intensive Care Units, thus saving health authorities money and resources. However, lack of adequate publicity and accurate information concerning milk-banking inhibits the growth of this life-saving (and cost-saving) practice. Indeed a widely reported so-called “Ick Factor” regarding the feeding of babies with other mothers’ milk, indicates a culturally prevalent gut reaction to the practice. For milk-banking to flourish, anxieties regarding both the prevalence and consequences of milk contamination need to be addressed in direct and forthright terms. At the heart of these anxieties is concern over the lifestyles of donor mothers. By researching the detailed life choices of milk donors, a human context can be established which can in turn influence informed policy making regarding future strategies in donor milk banking and milk donor recruitment.
This project was initiated with the objective of researching the human context of relevant stakeholders at four major human milkbanks across the UK and Ireland. This research is to be widely disseminated, both within academic sociological circles and in medical journals. The findings of this research are to be made widely available to the general public.
The research has served the purpose of illustrating the versatility of ways in which milk donation becomes normalised for very different women in very different circumstances By understanding the experiences of how women came to become milk donors, and what the life of a human milk donor consists of, donor recruitment will be focused more sensitively as well as efficiently.
Additionally DrCassidy was involved in a number of transfer of knowledge activities affiliated with the NHS UK Health Research Authorities (HRA) including best clinical practice training and loan researcher training. She also has been pursuing the UK Higher Education Authority (HEA) fellowship accreditation.
The following significant results should be noted:
• The collection of the most detailed multi-cited comparative ethnographic data regarding the donation of human milk ever conducted in the UK and Ireland. Data was collected from the four largest donor human milk banks in the UK, including observational field notes for twelve months, narrative interviews from staff, donors and parents of recipients, as well as documentary/archival data.
• In addition to these triangulated ethnographic data, twelve months of data relating to alcohol and donor breastmilk samples from each of the banks was collected.
• Following four extremely favourable reviews, we have been offered and have signed a contract with a major publisher.
• We have prepared for submission to major journals three papers based on these data,have had two abstracts published. and been asked to contribute to two more special publications on topics related to these data.
• Dr Cassidy participated and presented at over 31 occasions in 7 different countries during her two-year fellowship, and to conduct an online webinar on qualitative research.
• Dr Cassidy was able to extend her networking substantial through her participation in the ESRC funded Breastfeeding Seminar Series which ran throughout this project. As a result, Dr Cassidy has extended research collaborations with one of the organizers of this series.
• Dr Cassidy designed and delivered a workshop.
• Dr Cassidy was invited to participate in Science is Wonder-ful! European Researchers’ Night and was also showcased as an MSCA fellow of the week.
This project has impacted on Dr Cassidy’s own career by raising her professional profile both inside and outside the academy.
At present, she is collaborating with the immunology department at Maynooth University on an application for an EU COST action.
A number of postgraduates and postdoctoral students have expressed interest in working with Dr Cassidy, wishing to take advantage of unique skills and experience and looking to engage her in a mentorship capacity. Her work has continued to engage high profile discussions of women’s health and lifestyle policies, with a significant comparative international component. In the course of the Fellowship, Dr Cassidy began to research questions related to the role of social media in facilitating human milk sharing as well as milk banking. Milk sharing and milk banking (very different phenomena) are sometimes (wrongly) conflated in existing academic discussions. Future publications derived from this research project will seek to clarify public conversations regarding this critical distinction as well as encouraging honest and critical dialogue and debate between milk-banking and milk-sharing organisations.