THE ELEPHANT IN THE ROOM (eBook)

BIOETHICAL CONCERNS IN HUMAN MILK BANKING
eBook Download: EPUB
2018 | 1., First Edition
130 Seiten
September Williams (Verlag)
978-1-5323-7187-5 (ISBN)

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THE ELEPHANT IN THE ROOM -  San Jose Mothers Milk Bank,  September Williams
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From bioethicist September Williams, MD, the author of 'Chasing Mercury,' with Mothers' Milk Bank, San Jose, comes The Elephant in the Room: Bioethical Concerns in Human Milk Banking. Seriously humorous, informative and timely, The Elephant… makes bioethics look sexy. The year 2018 will be remembered as pivotal in modern history. This year, the first mother-model (in more ways than one ) helped empower all families by breastfeeding her baby at work—on a runway during Fashion Week. How did we come to this point where breastfeeding is sensational?In Dr. Williams hands, bioethics, some heady science, and public health are broken into bite-sized bits ingestible by ';everybody and their mothers'. She looks at worries about access to breastfeeding and breast milk equity. We are forced to consider why every infant can't receive breast milk when we are in the land of plenty in the USA and—science tells us that children and their mothers' health can be improved by breastfeeding.';Should we let babies starve?' The Elephant asks. It is a not so ';tongue in cheek' example of a simplified moral question. The book wades through the pain of disproportionate infant mortality by race, maternal morbidity. The evidence is given for why parents and mothers plagued by high infant mortality might benefit from mind-body skill development. The ethical traps inherent in dependence on biotechnology and neonatal intensive care units reacting to prematurity, without an equal focus on diminishing root causes in communities of most need—are underlined.The daily restocking of breast milk bank freezers, emptied by night to feed frail babies in need, is a miracle that is facilitated by donations from women's' bodies and hearts. The Elephant in the Room: Bioethical Concerns in Human Milk Banking trumpets a song that can be easily heard by a wide range of people—women and men, health care professionals, owners of restaurants, bookstores, movie theaters, and the average person on the street. The clarion call? ';More breast milk, please.' Not for profit Mothers' Milk Bank, San Jose provides over 1/2 million ounces of milk to babies in need annually. The easily needs twice as many donations annually to meet projected expanded needs— for those babies whose mothers who are unable, in the short run, to provide milk for them. This book reflects the MMB-SJ ';call to arms,' directed at those who hold babies and life dear. The proceeds of the Elephant in the Room: Bioethical Concerns in Human Milk Banking are being donated to Mothers' Milk Bank San Jose.

Foreword 1Preface 3I. A Request for Consultation 5  A. Introduction 5  B. Goals of this bioethics consultation 12  C. Famine in the Midst of Plenty, Conclusions & Recommendations 14II. Should We Let Babies Starve? Bioethics, Cases & Stories 15  A. The Eyebrow Raising Event 18  B. Cost of Breast Milk as a Tissue versus as a Corporate Product 21  C. The History of Commodification of Human Beings and Their Parts 25III. Clinical Medical Ethical Decision Making: the 4 Box Method 27  A. Beneficence 30  B. Autonomy, Respect for Autonomy & Informed Consent 34    1. Disclosure 35    2. Barriers to Disclosure 36    3. Case Studies 39  C. Justice 65    1. Quality of Life 65    2. Geo-Political-Social Concerns 70IV. The Elephant in the Room: Infant Mortality, Premature Birth and Health Disparities 79  A. Infant Mortality in the USA 79  B. The Absolute Multifactorial Increased Need for Breast Milk 85    1. Twenty-Two Week Gestational Age At Birth Babies 86    2. Hospital Accreditation & World Breastfeeding Trends Reports 87    3. Medical Association Policy Statements Against Unregulated Breast Milk Exchanges 88    4. Decreased availability of human milk because Prolacta HMF has the fiscal capacity to keep its milk fortifier flowing? 90    5. Increased Premature Baby Survival means increased community need for Breast Milk 90  C. The Need for positive Baby Friendly Messages about Breastfeeding in Popular Media/Health Communication 92  D. Translational Medicine Research 94V. Famine in the Midst of Plenty 97VI. Conclusions 105Appendix 111The Author Gratefully Acknowledges 117About Mothers’ Milk Bank San Jose 119About the Author 121

Erscheint lt. Verlag 4.10.2018
Sprache englisch
Themenwelt Sachbuch/Ratgeber Gesundheit / Leben / Psychologie Schwangerschaft / Geburt
Schlagworte Body • Breast Milk Banking • Breast Milk Equity • Class • Culture • Family relationships and parenting • Feeding Fragile Babies • gender and milk equity • health disparity • Lactation Advocacy • Lactation Advocacy and Public Health • Medical Ethics • Medicine • Midwifery • Milk Equity • Mind • neonatology and • Normalization of Breastfeeding in the USA • Prematurity • Preventing Infant Mortality • Public health policy • Race • SPIRIT • Spirit and Milk Equity
ISBN-10 1-5323-7187-X / 153237187X
ISBN-13 978-1-5323-7187-5 / 9781532371875
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