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Methodologic Considerations for Improving and Facilitating Human Milk Research 

Authors: Cheston M. Berlin Jr. a;  Betty L. Crase b;  Peter Fuumlrst c;  Judy S. LaKind ad;  Gerry Moy e;  Larry L. Needham f;  Linda C. Pugh g; Mary Rose Tully h
Affiliations:   a Department of Pediatrics, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA
b Breastfeeding Initiatives, Division of Community Health Services, American Academy of Pediatrics, Elk Grove Village, Illinois, USA
c Chemical and Veterinary Control Laboratory, Muenster, Germany
d LaKind Associates, LLC, Catonsville, Maryland
e World Health Organization, Geneva, Switzerland
f National Center for Environmental Health, Division of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
g Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
h Human Milk Banking Association of North America, North Carolina Women's Hospital, University of North Carolina Health Care, Chapel Hill, North Carolina, USA
DOI: 10.1080/15287390500226755
Publication Frequency: 24 issues per year
Published in: journal Journal of Toxicology and Environmental Health, Part A, Volume 68, Issue 20 October 2005 , pages 1803 - 1824
Formats available: HTML (English) : PDF (English)
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Abstract

Over the past several decades, interest in using human milk as a biomonitoring matrix has increased. However, it is not always an easy matter for a new mother to provide a milk sample. In this article, guidance on facilitating collection of human milk is provided. This includes addressing the mother's ease in expressing a milk sample, and engaging with many audiences to reduce the likelihood of negatively impacting the already low breastfeeding rates in the United States. In addition, this article covers concepts regarding long-term storage and integrity of human milk samples to maximize the utility of those samples, and proposed methods for improving public access to the full spectrum of human milk biomonitoring data, with context to understand the information presented. The environmental chemicals and chemical classes for which robust analytical methods exist are enumerated, and a process for prioritizing the development of analytical methods for additional environmental chemicals is described.
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