• Welcome & Opening Remarks | 9:00-9:30am
• Session 1: Macy-Gyorgy Keynote Lecture | 9:30am – 10:30am

1. Removing Barriers to Mothers’ Own Milk Feeding for Premature Infants: A 40-Year Case Study of Transitional Research in Newborn Intensive Care

• Session 2: Milk and lactation system evolution | 11:00am – 12:30am

1. Infant feeding in our closest primate relatives: New methods and findings
2. Easier Said Than Done: Studying Human Milk as a Biological System
3. Understanding the human lactating breast at a single cell level

• Session 3: Diversity, inclusion, equity and representation in lactation research and practice | 1:30pm – 4:00pm

1. Closing the gap: Cultivating community partnerships towards support for infant feeding practices
2. Breastfeeding as a human right
3. Breastfeeding interventions to reduce inequalities

• Posters | 4:30pm – 6:00pm  Breastfeeding Policy & Programs, Breastfeeding Behavior & Prevalence, Breastfeeding Education & Tools, Human Milk Banking.

• ISRHML strategic plan (Roundtable) | 8:00am – 9:00am
• Session 4: Feeding preterm and other vulnerable babies: Clinical | 9:00am – 10:30am

1. Human milk for preterm infants – current evidence and unresolved questions
2. Could intake of mother’s milk by very low birth weight infants during initial hospitalization be associated with epigenetic variations that influence neurodevelopment in early childhood?
3. Pumping Behaviours in Mothers of Preterm Infants Are Associated with Mother’s Own Milk Biomarkers of Secretory Activation
4. Optimizing human milk composition for preterm infants: the impact of storage on cellular components

• Session 5: Breastfeeding research ethics | 11:00am – 11:30am

1. The ethics of human research

• Session 6: Research and funding priorities | 11:30am – 12:30pm

1. Panel Discussion (Family-Larsson Rosenquist Foundation)

• Session 7: Human milk as a biological system: composition, secretion, and collection | 1:30pm – 4:00pm

1. Maternal obesity and insufficient milk production from a systems biology perspective
2. Lactation as an early life predictor of later health
3. Maternal genetics is associated with variation in human milk microbiome composition: the INSPIRE Study
4. Human milk oligosaccharide (HMO) and infant gut microbiome
5. Longitudinal characterization of breast milk composition over 2 years of lactation period
6. Determinants of human milk oligosaccharides profiles of participants in the Strong Kids 2 Cohort
7. Associations between maternal body composition and human milk appetite-regulating hormones are partly mediated through maternal circulating hormones
8. Human Milk Lactose, Insulin, and Glucose and Infant Body Composition during Exclusive Breastfeeding

• Posters 4:30pm – 6:00pm:  O’mic Approaches to Human: Milk & Infant Outcomes, Breastmilk Volume, Pumping & Shields, HM Composition, HMO & HM Microbiome, Global Human Milk Studies

• Funding priorities (Roundtable) | 8:00am – 9:00am
• Session 8: Human Milk Banking | 8:00am – 9:00am

1. Human milk banking and pandemics
2. Nutrient content of donor human milk in Japan: variation with gestational and postpartum age
3. Challenges in Japan’s New Human Milk Bank Donor Registration Process
4. Comparison of bacterial profiles in donor human milk from mothers of term and preterm infants
5. Effect of Cold Storage on the Viable Milk Microbiome

• Session 9: Early Feeding and Growth of Low Birthweight Infants in India, Malawi & Tanzania: Findings from the Low Birthweight Infant Feeding Exploration (LIFE) Study | 9:00pm – 10:30am

1. Main findings 1 – in-facility care for low birthweight infants in low-resource settings
2. Main findings 2 – feeding, growth and development of low birthweight infants in low-resource settings
3. Main findings 3 – facilitators and barriers of exclusive breastfeeding among low birthweight infants in low-resource settings
4. Reaction and strategic priorities
5. Guided discussion – Implications of findings, impact of COVID, strategic vision, etc.
6. Q&A with audience

• Session 10: Impacts of COVID on research, policy, practice, and populations | 11:00am – 12:30pm

1. Epidemiological level data collected in Mexico during the earliest stages of the pandemic
2. The milk courier: a novel research protocol for transporting mothers’ own milk (mom) to the neonatal intensive care unit (NICU) during COVID-19
3. SARS-CoV-2 IgA and IgG in human milk 6 months after maternal COVID-19 vaccination and detection in breastfeeding infants’ stools
4. Prematurity during a pandemic: maternal COVID-19 status during recruitment for a study of mothers’s milk composition and preterm infant adiposity
5. Longitudinal changes in wellbeing amongst Breastfeeding Women in Australia and New Zealand during the COVID-19 Pandemic
6. Best practices for human milk collection for COVID-19 research
7. Human Milk antibodies, SARS-Cov-2, and mRNA vaccination

• Session 11: Immunology | 2:30pm – 4:00pm

1. Fucosylated human milk oligosaccharides drive structure-specific mediation of syntrophy between Bifidobacterium infantis and Eubacterium hallii within the infant gut
2. Factors shaping human milk oligosaccharides and milk microbiota composition
3. The human milk immune response to maternal COVID-19 infection and vaccination: what have we learned more than 2 years into the pandemic?
4. Effect of a reduced fat and sugar maternal dietary intervention during lactation on the infant gut microbiome
5. Human Milk Oligosaccharides and Bacterial Profile Modulate Infant Body Composition during Exclusive Breastfeeding

• Gala Dinner | 6:00pm – 9:00pm

• Challenges and Opportunities: Lactation support for feeding vulnerable newborns in low-resource settings (Roundtable) | 8:00am – 9:00am

• Session 12: Ibero-Latin American Research Forum: insights and perspectives on breastfeeding, human milk, and lactation | 9:00am – 10:30am

1.  Insights and perspectives on breastfeeding, human milk, and lactation
2. Implementation of the International Code in the Countries of the Americas
3. Implementation of The Baby-friendly Hospital Initiative (BFHI) in Latin America
4. What is the Central American Region doing to protect, promote and support breastfeeding?
5. Evaluation of the Public Policy for the Promotion of Breastfeeding

• Session 13: Clinical innovation and late-breaking | 11:00pm – 12:30pm

1. Intranasal Human Milk for Preterm Infants with Intraventricular Hemorrhage: Long-Term Outcomes
2. A quality initiative to improve mother’s own milk volume provided to very low birth weight infants
3. Does providing biomarker-based messages to mothers of critically ill infants increase breast expression frequency?
4. Where does the time go? Variation in maternal pumping behaviors by gestational age in the ReDiMOM study of very preterm infants
5. Safe infant feeding in healthcare facilities: Assessment of infection prevention and control conditions and behaviors in India, Malawi, and Tanzania
6. Usefulness of measuring sodium (Na): potassium (K) ratio and bacteria culture test in breast milk for understanding the mechanism of pathogenesis of subclinical mastitis

• Session 14: Policies and interventions to improve breastfeeding among working women | 1:30pm – 4:00pm

1. Insights and perspectives on breastfeeding, human milk, and lactation
2. Costing studies to provide a maternity cash transfer for women working in the informal sector in Indonesia and the Philippines
3. Policy changes in paternal leave in California and its postnatal impacts
4. Net map analysis of BF policies at the workplace in Mexico
5. Conditional Cash Transfers as a Strategy to Improve Mother’s Own Milk Provision: The Reducing Disparities in Mother’s Own Milk in Very Low Birth Weight Infants (ReDiMOM) Trial
6. Question and answer period / Panel discussion

• Posters | 4:30 – 6:00pm:  Clinical & Preterm Infants, Allergy & Tolerance, Maternal Nutrition on Human Milk & Infant Outcomes, Human Milk & Lactation Research in Latin America

• Session 15: Breastmilk Ecology and the Genesis of Infant Nutrition (BEGIN): Highlights and process | 8:00am – 9:30am

1. The BEGIN project: Background and rationale
2. WG 1: Parental inputs
3. WG 2: Human Milk Composition
4. WG 3: Infant Inputs
5. WG 4: Research Approach
6. WG5: Translational Research Framework
7. Panel Discussion Highlights of outomes from the BEGIN project
8. Closing Remarks: future directions

• Session 16: Research agendas for a complex and uncertain future | 9:30am – 10:30am

1. The International Milk Composition (IMiC) Consortium: A multidisciplinary collaborative approach to human milk analysis
2. Leveraging systems biology towards discoveries in maternal obesity, milk, and translation to child health

• Closing Remarks and ISHRML 2024 | 10:30am – 11:00am
• Embera Villages Tours with lunch| 11:00am – 4:00pm

*Conference End*