EFBRI – An Evolving Ethical Framework Informing Breastfeeding Research and InterventionsAccess now
EFBRI is an open access compilation of ethical principles to guide biomedical research in breastfeeding and lactation. Built on established international standards by the University of Zurich (UZH), it was created to streamline research processes for people working with breastfeeding mothers and children. With EFBRI, researchers and other stakeholders can align their work to universal research ethics standards – confidently and efficiently.
EFBRI is a modular framework
Module 1 focuses on research. Access the framework and helpful checklist in PDF: EFBRI – An Evolving Ethical Framework Informing Breastfeeding Research and Interventions.
Module 2 will focus on interventions (in development by UZH and expected in 2022).
Future modules will be shaped by your needs and globally evolving ethics. Please, help us develop EFBRI by sharing your feedback and suggestions: firstname.lastname@example.org.
Discussing the principles laid out in the framework in the light of real-life cases will contribute to a continuously refined understanding of the multifaceted ethical issues of breastfeeding and lactation research and how they can best be solved.
--- Prof. Dr. med. Dr. phil. NIKOLA BILLER-ANDORNO, Director, Institute of Biomedical Ethics and History of Medicine, UZH
Who is EFBRI for? Researchers, reviewers, healthcare practitioners, decisionmakers, policymakers, planners, implementation specialists, educators, funders and other stakeholders. The framework is easy to use and globally applicable.
Why was EFBRI created? To bring established international ethics standards for biomedical research together in one package, relevant for breastfeeding and lactation. By consolidating accepted standards and removing duplication, research processes that involve breastfeeding mothers and children can become more efficient. EFBRI can be particularly helpful in cross-border or collaborative work. EFBRI is also intended to lay the groundwork for best practice ethics in healthcare policy, implementation and funding activities.
The aim? Safeguard the rights and dignity of all people while advancing health around the globe.
Why is EFBRI ‘evolving’? Ethical considerations play leading roles in breastfeeding and lactation research. As ethics evolve globally and EFBRI is applied to new and different situations, the framework will require reviews and updates to evolve in parallel. In the tradition of community science, explicit user feedback and suggestions (email to email@example.com) from real-life cases will help EFBRI’s creators build a comprehensive, evergreen resource.
Access EFBRI in PDF.
EFBRI was created by Institute of Biomedical Ethics and History of Medicine (University of Zurich).
Authors: Mirriam Tyebally Fang, M.B.B.S (NUS), M.R.C.S (Edin.), and Nikola Biller-Andorno, MD, PhD, MHBA
Published exclusively on LactaHub – A Resource for Evidence-Based Breastfeeding Intelligence
DISCLAIMER. EFBRI – An Evolving Ethical Framework Informing Breastfeeding Research and Interventions is provided in good faith. It is not a legal document and does not supersede any national or international legal regulations. The resulting framework, intended for researchers, reviewers and funders, is a synthesis of relevant Swiss and international norms related to breastfeeding and lactation research. It is a guide for globally accepted best practices and in accordance with Swiss and international research ethics standards yet does not intend to replace any national norms, cultural values or country-specific review processes. The framework lays out rules and principles but does not claim to specify Good Clinical Practice or safety standards. The framework focuses on human participants only but does not cover animal ethics or environmental ethics. The framework will be refined as necessary based on periodic reviews. Therefore, we cannot guarantee its status as definitive guide and do not assume any liability. Liability claims against the authors and/or the publisher regarding damages whether material or immaterial caused by the use or non-use of the provided framework are excluded as a matter of principle.
Recommendations for more useful content on LactaHub
Breastfeeding and Breast Milk – from Biochemistry to Impact. Published by the Family Larsson-Rosenquist Foundation at Thieme, the evidence-based reference book presents a holistic, scientifically robust overview of key topics written by experts from a range of disciplines, including medicine, sociology, political science, culture and economics. The book is published open access on LactaHub and explores factors surrounding the influence of breastfeeding and breastmilk on children’s health and development. It is a valuable resource for decision-makers and healthcare providers alike.
LactaPedia – A Glossary of Lactation for Science and Medicine is a go-to source for standardised, research-based terminology for lactation, breastfeeding, and breastmilk, developed by The University of Western Australia.
INTERGROWTH-21st Preterm Postnatal Growth Standards and Feeding Protocol are globally validated growth standards, feeding protocols, clinical tools and practical training materials created to improve preterm infant health outcomes globally. INTERGROWTH-21st is coordinated by the University of Oxford.
We invite you to join this new community! Sign up to receive LactaNews – the LactaHub newsletter.