San Diego County Breastfeeding Coalition

The Role of Justice in Promoting Black Breastfeeding

Thu, 29 Aug 2024 06:26:00 GMT

I’m a 38-year-old Black woman, weeks away from giving birth to my third child, which will be the sixth in our blended family. My partner, Dr. Tre Watkins, is a professor and social justice scholar whose influence has shaped my perspective on lactation through a social justice lens. As a soon-to-be breastfeeding mother again, ten years after weening, I see how much work is still needed despite progress. I’m eager to breastfeed our new baby and want others to enjoy their feeding experience too.

As the second Black IBCLC with a solo private practice in San Diego, Melanin Milk SD , I’m dedicated to serving BIPOC and low-income communities with free and low-cost lactation consults via funding from a local breastfeeding nonprofit, SDBCF , along with my private pay and insurance clients. My work allows me to confront disparities head-on, informed by both my lived experience and the experiences of the diverse families I support.

The theme for this year is “Listen Up! Reclaiming Our Narrative & Centering Our Stories for Breastfeeding Justice”. The intersection of social justice and Black breastfeeding is crucial. Black women in the U.S. face unique challenges in breastfeeding due to systemic racism, healthcare disparities, and a lack of culturally congruent support. These factors contribute to lower breastfeeding rates among Black mothers.

Breastfeeding for Black women is more than a personal choice; it’s deeply intertwined with social justice. To address disparities, we must be vigilant in confronting historical and systemic inequities that undermine Black families’ ability to make informed decisions about their children’s health. Human milk is recognized worldwide as the most optimal source of nutrition for infants due to its range of health benefits for both the mother and the child. Despite these well known advantages, the decision to breastfeed is profoundly influenced by social, economic, and cultural factors. Contrary to common belief, it’s not a lack of education but the legacy of slavery and systemic barriers that have shaped Black breastfeeding experiences leading to generational trauma.

What is the Role of Justice in Promoting Black Breastfeeding?

Justice is about creating a fair and equitable society where everyone can thrive. Social justice involves challenging and changing systems that perpetuate discrimination and inequality, particularly in areas like race, gender, and class. It’s often tied to activism aimed at dismantling oppression and building a more inclusive world. For me, promoting Black breastfeeding isn’t just a health issue—it’s a matter of social justice. To address it, we must advocate for policies that support all breastfeeding families, especially Black women, who face unique challenges. Social justice in this context means ensuring Black mothers have access to the necessary resources, support, and education to successfully breastfeed if they choose to. This includes advocating for policy changes, increasing access to culturally competent lactation consultants, and building supportive communities.

Today, Black breastfeeding is a radical act of liberation and justice, much like it was in the ’70s and ’80s. The movement also focuses on recognizing and dismantling historical traumas related to Black motherhood that have led to generational mistrust of breastfeeding. By promoting breastfeeding as a form of resistance, Black women are not only ensuring the health of their children but also challenging the systemic forces that have historically oppressed them by reclaiming autonomy over their bodies.

Call to Action for BBFW 2024:

Policy Advocacy:

Ensure Black mothers have access to paid maternity leave, workplace accommodations like lactation rooms, and affordable childcare.
Push for policy changes at both federal and state levels to create a more equitable environment where all mothers can breastfeed as long as they choose. Thank you to SDCBC for advocating for this in San Diego county.

Community Support:

Help Black communities build and lead peer support groups, led by Black mothers who have successfully breastfed, to provide encouragement and practical advice.
Create or support programs that offer free or low-cost lactation consulting, education, and resources to bridge access gaps.

Cultural Competency in Healthcare:

Have Black DEI experts train healthcare providers in cultural competency and monitor for effectiveness ensuring providers apply it meaningfully, referring out when necessary to better support Black mothers.
Create pathways and partnerships to support Black individuals with scholarships and grants to become lactation professionals, providing culturally congruent care.

Empower Black Mothers:

Let Black women lead in advocacy and research. By centering their stories and lived experiences, we can see better outcomes and increased breastfeeding rates.
Choosing to breastfeed allows Black mothers to reclaim control over their bodies and challenge systemic forces that have historically sought to control their reproductive choices.

Black Breastfeeding Week was created in 2014 by a collective of Black leaders from the breastfeeding field and is celebrated annually from August 25-31. The observance was developed as a response to the high black infant mortality rate, the lack of diversity in the lactation field, and unique cultural barriers among Black women, and shines a light on efforts and initiatives that support breastfeeding among Black families.

Ten Years with SDCBC

Wed, 15 Nov 2023 16:31:00 GMT

When I first got pregnant, I thought I’d “try to breastfeed if I have milk.” But when my baby arrived and latched on for the first time, I knew immediately it was how I wanted to bond with my baby.

My biggest struggle was returning to work when my baby was three months old. The company denied my lactation right at work despite the California labor law. I was angry and frustrated. I reached out to SDCBC and Legal Aid at Work (then Legal Aid Society) for support. Legal Aid as Work settled the claim for me and I started to blog for SDCBC.

Motherhood opened the door to wonderful opportunities for me to write for my local breastfeeding coalition and to work alongside some of the greatest breastfeeding rights pioneers in this country. It also provokes inspiration for me to move toward a new career. I’m a working journalist. Prior to becoming a mom, I covered customs, borders, immigrants, international crime, and disaster for almost ten years. Since my first child was born, I’ve been covering mother/infant health, parenting, education, K-12 schools, and family lifestyle.

I honestly feel that the life, both career and otherwise, that I have right now works much better for both myself and my family. I’m also proud to help other families and moms by advocating for family-friendly policies .

All of these wouldn’t happen without SDCBC. It’s been an amazing journey but it’s time for me to move on. With this blog post, let me just shout out a big thank you to the SDCBC team. And to the future generation of (breastfeeding or not) mothers to come, let me just say, that you’re stronger and less lonely than you think. Your voice matters, so please vote and speak up when you can. When you struggle, remember support is available out there—SDCBC is a good place to start.

Thanksgiving is upon us. This year, I’m grateful for family, friends, my fellow breastfeeding activists, and most of all, San Diego County Breastfeeding Coalition.

I started to blog for SDCBC in November, 2013, when my first child was six months old and when I lost my last job over a breastfeeding discrimination claim . With that being said, this blog post marks my 10-year-anniversary with SDCBC.

And it’s bittersweet for me to write this post because this will be the last post I write for SDCBC blog.

The Importance of Supporting Lactating Students

Sun, 15 Oct 2023 19:54:00 GMT

What caught my attention was that the lactation rooms at WSU are not only open to employers, but also open to nursing students.

I became a mother after finishing grad school, so I can only imagine how hard it is to get pregnant, give birth, and try to breastfeed all while still being a student. I have a friend who became a mother at age sixteen. She told me that she got “absolute zero support” on campus because strangely, while everyone recognize the possibilities for high school and college girls to get pregnant and become a mother, we never, or rarely, consider the possibilities of these girls needing breastfeeding accommodation.

I read it somewhere about a woman recalling her second year of grad school while in a training as a teaching assistant, she sat on the floor under the bathroom sink during breaks to pump breastmilk for her baby while other grad students went to the bathroom, sidestepped her to wash their hands and occasionally gave her a puzzled or sympathetic look—most of them are not yet parents and it’s hard for them to understand e a mother’s duty, not to mention the support a mother would need.

However, the percentage of college students being parents is actually higher than most people thought—according to the Institute of Women’s Policy Research, there are 3.8 million students raising children while in college, roughly 2.7 million (or 70 percent) are mothers and 1.7 million of them are single mothers. Like working moms need lactation support at work, these student moms need lactation support at school.

It’s time for us to recognize the importance of supporting laxations students. That’s why the recognition of Wichita State University being a Breastfeeding Welcome Here campus for supporting students to reach their breastfeeding goals is significant. Hopefully, in the near future, we’ll see more and more college campuses provide supportive environments for their students.

Kansas Breastfeeding Coalition designated Wichita State University as a “Breastfeeding Welcome Here” campus back in September.

The news caught my attention not because WSU provides private lactation rooms through the campus—lactation facilities on university campuses are not rare. Take our local university, UCSD, for example. UCSD provides fourteen lactation rooms throughout its campus, many of them not only come with basics such as lactation chairs and electronic outlets in compliance with state law, but also equipped with pumps and mini fridges.

A lactation room for nursing students at Wichita State University. Photo credit to WSU Strategic Communications.

A Wonderful Opportunity

Fri, 15 Sep 2023 15:36:00 GMT

There are many advantages to breastfeeding. Breast milk is the overall best source of nutrition for infants. Studies have shown positive impacts of breastfeeding on babies’ gastrointestinal and immune systems developments, as well as fewer infections in breastfed infants. Breastfeeding also provides early skin-to-skin contact, which is proven to help babies adapt, promote healthy weight, and reduce baby’s stress.

Yet breastfeeding can present challenges from the very beginning. Initiating breastfeeding can be difficult with latching and other problems. My first baby latched right away, but my second baby didn’t. When the nurse told me I might not have enough milk and gave me formula to supplement him, a deep feeling of inadequacy settled into my body. It turned out he had a tongue-tie problem , but we didn’t know that during the first two days.

Now looking back, I’m glad that I was patient with the process. Instead of giving up breastfeeding and supplementing my baby with formula milk right away, I waited three days for my milk to come in, knowing that my baby was getting colostrum. He lost some weight, I monitored him closely and tried my best not to panic. We went through a thorough examination to determine his problem, and then a procedure to release his tie. It was all very stressful, but I felt reassured when my milk finally came in and my baby finally latched on after his tongue-tie was released.

If I could tell new and expecting parents something about breastfeeding, it would be “be patient”. The beginning is the hardest, but it’s totally worth it. It’s very nourishing, both for the baby’s body and your soul.

Breastfeeding, like everything good and important, isn’t easy. Giving up, on the other hand, always is. Sometimes, you just need a little encouragement. Visit San Diego County Breastfeeding Coalition’s resource page to find a support group. It’s very helpful. Once the breastfeeding relationship is established, you’re going to be so proud of yourself. And when your child grows out of it, you’ll have so much to celebrate together.

As parents, we all want to provide the best for our children. And there is rarely a better opportunity for us to nourish our kids than breastfeeding—especially for new parents, breastfeeding is a wonderful opportunity to nourish our babies, both physically and emotionally.

Of course, breastfeeding also presents challenges. And that’s what I want to write about today.

This is My Why: A Reflection on #NBM2023

Mon, 14 Aug 2023 18:51:00 GMT

Of course it’s hard. Of course I’m stressed. I come from a culture where breastfeeding has traditionally been relatively discouraged. I was born and raised in Taiwan in the 1980s. At that time, the marketing of baby formula reached its peak. Under the vigorous promotion of formula manufacturers, almost everyone was brainwashed into thinking that infant formula milk was a better choice than breast milk. In 1989, the feeding rate of newborn babies in Taiwan was only 5.6%. Many Chinese elders still believe that formula milk is better, including my own mother and in-laws. They didn’t really support me to breastfeed when my first child was born in 2013.

The hardest part came when my child was three months old and I returned to work. Unfortunately, it was a very breast-unfriendly environment. The company did not provide a place for nursing moms to pump in spite of the California laws. I was forced to pump in a toilet stall. After pumping, when I tried to wash my pump parts in the company kitchen, some male colleagues called loudly behind me, “Don’t wash your dirty underpants in the office.”

The unfriendly working environment put me under undue pressure. When I was pumping in the toilet stall, my milk dropped into the bottle drop by drop, and my tears rolled down my cheek.

Then my milk supply went down. I began to doubt whether I had enough milk to feed my baby. I began to consider supplementing baby formula, and began to feel very disgusted by the experts and scholars who advocated the benefits of breastfeeding.

Finally, that day came. I reported pumping issues to my supervisor and harassment to the HR, but they told me my colleagues were just joking and I can just give my baby formula. When I got home, a discount coupon for baby formula was lying in my mailbox. Exhausted and disappointed, I said to myself, “That’s it.”

Then I drove to a nearby grocery store to buy the first can of formula for my baby. A few minutes later, I was standing in front of the formula aisle in the grocery store, holding a can of powdered milk.

Right then, I heard a little voice: “Will your stress go away if you switch to formula milk?”

If I switched to formula milk, would my baby eat better, would I sleep better, and would I worry less? Probably. I knew breastfeeding babies nurse frequently because breast milk is easy to digest, not because formula milk is more satisfying. I couldn’t pretend otherwise.

Would I feel better at work if I switched to formula milk? Certainly not. Obviously, that was a company that ignored federal and state laws and employees’ labor rights. The company would arbitrarily violate employees’ breastfeeding rights; wouldn’t it violate employees’ labor rights in other ways even if the employees weren’t breastfeeding?

Would I be bothered less by health experts by switching to formula? Absolutely not. I would just find them more annoying because deep down I know they’re right and because deep down I know that despite all the pressure, all the concerns, and all the workplace hostility, in the end, there is only one decisive reason for me to give up breastfeeding, and that is my personal choice.

That’s when I understand that the source of stress is not breastfeeding itself.

So I put the can of formula back on the shelf, walked out of the grocery store, drove home, and contacted Legal Aid at Work. That was when my first child turned six months old. After that, I breastfed him for another two years and then his little brother for three years.

August is National Breastfeeding Month and the theme of this year is “This is Our Why.” This is my why. What’s yours?

I was a breastfeeding mom for six years. During the six years, I have been separated from my baby for three months for work reasons, I have flown to four different cities with my pump within six months, I have been sent to the emergency room with mastitis and high fever, my milk supply has gone down dramatically due to workplace pressure, and finally, I lost my job over breastfeeding discrimination claims.

Nevertheless, I persisted. I often hear people ask, “Why? Isn’t it hard? Aren’t you stressed?”

To-wen Tseng cuddling with her two boys

August 2023 News and views on breastfeeding, human milk, and public health

Mon, 14 Aug 2023 18:40:00 GMT

Help Us Spread the Word!!
SDCBC is partnering with Global Communities Healthy Start program to expand our free breastfeeding support warmline to multiple languages. We are currently serving clients in English, Spanish, and Tagalog, with more languages being added in the future!
1-800-371-6455 (MILK)

New Breastfeeding Support Group Map

Finding a FREE breastfeeding support group in your area just got easier. We are excited to launch this interactive map highlighting free groups in San Diego County.

Have a free group you would like added to the map? Please email the details to SDCBC Coordinator, Christina at christina.lares@breastfeeding.org

2023 National Breastfeeding Month Proclamation Toolkit

USBC released the 2023 version of the National Breastfeeding Month Proclamation Toolkit to help organizations submit requests for their governor to proclaim August as Breastfeeding Month in their state or territory. The toolkit includes a spreadsheet with links and information on submitting a proclamation request in each state as well as a long and abbreviated sample template for proclamation submission.

California Work & Family Coalition’s 2023 Virtual Advocacy Week that will take place the week of August 21st – 25th. Register Here

3rd Annual Breast Milk Drive & Health Fair :

All donors must register in advance. For more information email ucmilkbank@health.ucsd.edu or call 858-249-6455

Research

The Centers for Disease Control and Prevention (CDC) issued a notice inviting comments on the “Feeding My Baby and Me: Infant Feeding Practices Study III (FMB&M–IFPS III)” project

Perspectives & Resources

The Continuity of Care in Breastfeeding Support Blueprint . To listen to the full conversation, click here . To view the Letdown Podcast, click here .

JOB/FUNDING OPPORTUNITIES

News and views on breastfeeding, human milk, and all things lactation related

August 2023

News

Please share the flyer and warmline with your clients and community

July 2023 News and views on breastfeeding, human milk, and public health

Fri, 14 Jul 2023 21:28:00 GMT

NWA’s Participant Advisory Council – Applications Now Open . Applications can be completed here by July 18
Robert Wood Johnson Foundation: “ Pioneering Ideas: Exploring the Future to Build a Culture of Health. ” Application deadline: Proposals accepted on a rolling basis.
Prenatal vitamins Grant Application for WICs, FQHCs, and health departments across the country to target women of reproductive age who experience barriers to accessing prenatal multivitamins
Administrative Supplements to Leverage Network Infrastructure to Advance Multisite Research for Women, Children, Pregnant and Lactating Individuals and/or Persons with Disabilities
Rural Maternity and Obstetrics Management Strategies Program
Healthy Start Initiative – Enhanced
Healthy Families Community-Based Perinatal Health Initiative
PHA is excited to announce we are now accepting scholarship applications for the PSI Clinician Training Certificate programs! As part of our efforts to improve equity and diversity among clinicians who provide care for Perinatal Mood Disorders, we are offering scholarships for the Certificate Trainings offered by PSI. There are both online and in person options for the various classes so please be sure to use the link below to find more information regarding the options.
https://www.postpartum.net/professionals/certificate-trainings
Community Level Interventions to Improve Minority Health and Reduce Health Disparities . Application deadline: August 9
Global Communities is seeking part-time, on call Lactation Educators to join the US Programs team in the San Diego, CA Office. This work focuses on communities and language groups that experience barriers to lactation support. Please share and direct all interested candidates to the Global Communities Careers website here

Have a free group you would like added to the map? Please email the details to SDCBC Coordinator, Christina at christina.lares@breastfeeding.org

News

News and views on breastfeeding, human milk, and all things lactation related

California Work & Family Coalition’s 2023 Virtual Advocacy Week that will take place the week of August 21st – 25th. Register Here

JOB/FUNDING OPPORTUNITIES

The Continuity of Care in Breastfeeding Support Blueprint . To listen to the full conversation, click here . To view the Letdown Podcast, click here .
Kids Fly Safe Act Introduced in House and Senate With Provision to Evaluate Accessibility of Lactation Spaces
I didn’t know men could get it” the hidden impact of male postnatal depression
The Global Breastfeeding Collective updated the “ Breastfeeding Advocacy Toolkit .
The Australian National University (ANU) launched the “ Green Feeding Tool .” The tool calculates the carbon and water footprints of commercial milk formula and helps illustrate the carbon offset that could be achieved by increasing breastfeeding rates, and reducing commercial milk formula use.
Supporting Food and Nutrition Security Through Healthcare for healthcare systems and their public health and community partners. The Nutrition and Obesity Policy Research and Evaluation Network (NOPREN), one of the applied research groups we support, developed the new resource.
ACOG Launches Online Mental Health Training for Obstetric Providers
The American College of Obstetricians and Gynecologists (ACOG) launched a new eModule, Addressing Perinatal Mental Health Conditions in Obstetric Settings . This online training educates obstetric care clinicians about mental health screening, assessment, differential diagnosis, triage, referral, treatment, follow-up, and monitoring. Additional clinician resources include:
Perinatal Mental Health Tool Kit
Perinatal Mental Health Conditions Patient Safety Bundle
The U.S. Department Of Agriculture, Food and Nutrition Service published the “ Breastfeeding Reassurance Tips ” webpage.
The Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center is accepting evidence submissions for the “ Breastfeeding and Health Outcomes for Infants and Children ” systematic review. The purpose of the review is to provide a synthesis of the current evidence on the association between breastfeeding/consumption of human milk and a range of health outcomes in infants and children. AHRQ is seeking supplemental evidence and data that is relevant to the questions in the evidence report. The deadline to submit comments is Friday, August 4.
Registration is open for NWA’s 2023 WIC Technology, Innovation, and Vendor Management Conference
Free Learning Opportunity! Tulare Kings Breastfeeding Coalition Lunch & Learn 8/08/2023

Help Us Spread the Word!!
SDCBC is partnering with Global Communities Healthy Start program to expand our free breastfeeding support warmline to multiple languages. We are currently serving clients in English, Spanish, and Tagalog, with more languages being added in the future!
1-800-371-6455 (MILK)

3rd Annual Breast Milk Drive & Health Fair :

Research

Perspectives & Resources

New Breastfeeding Support Group Map

Finding a FREE breastfeeding support group in your area just got easier. We are excited to launch this interactive map highlighting free groups in San Diego County.

July 2023

All donors must register in advance. For more information email ucmilkbank@health.ucsd.edu or call 858-249-6455

Please share the flyer and warmline with your clients and community

USBC released the 2023 version of the National Breastfeeding Month Proclamation Toolkit to help organizations submit requests for their governor to proclaim August as Breastfeeding Month in their state or territory. The toolkit includes a spreadsheet with links and information on submitting a proclamation request in each state as well as a long and abbreviated sample template for proclamation submission.

Spread the word! The National Maternal Mental Health Hotline number has been changed. It is now:

1-833-TLC-MAMA.

(1-833-852-6262)

2023 National Breastfeeding Month Proclamation Toolkit

The National Institute of Child Health and Human Development (NICHD) is hosting the “ SIDS Awareness Month 2023 Planning Webinar ” on Thursday, July 27, from 2-3 p.m. ET.

California Breastfeeding Coalition Appoints Jasmine Pettis Marquez as New Executive Director . CBC Launches New Website and Social Media Accounts

PHA’s BIPOC Provider Happy Hour is coming up! Thursday, July 20th at 6pm at Puesto Mission Valley

It Is NOT Kindness for Employers to Support Breastfeeding Employees. It Is The Law.

Thu, 13 Jul 2023 23:55:00 GMT

Years ago a local mom contacted me through the SDCBC, saying that she was harassed for needing to pump at work and wanted to maybe follow my example to fight for her rights. I put her in touch with Legal Aid at Work , the non-profit legal service that settled my breastfeeding discrimination claim against my previous employer, only to find that there was nothing that the local mom could do—because she was a school teacher, and teachers were not covered by any kind of protection.

That broke my heart. Teachers are the people we entrust our children with, yet we make it so hard for them to take care of their own children. That was so wrong.

I’m thrilled that, for 9 million U.S. workers who were left out of workplace protections, including school teachers, the struggle should be over. The federal PUMP Act truly means so much. It tells all the employers that supporting breastfeeding employees is not kindness, it’s the law.

And I want to tell all the nursing moms in the community: You have rights! If you’re not treated fairly, speak up! Not only for yourself and your baby, but also for generations of mothers to come. And you will not be alone—San Diego County Breastfeeding Coalition is here to support you.

Learn more about the PUMP Act on U.S. Department of Labor—Wage and Hour Division’s FAQ Page .

Last month, I attended a PUMP for Nursing Mothers Act and Pregnant Workers Fairness Act (PWFA) celebration event with the White House Gender Policy Council. The victories are very personal to me, and it was my great pleasure to share my story at the event. I have been advocating for the PUMP since 2013, when I was denied the accommodations I needed to pump at my office after my first child was born. It was my hope that after me, no mother had to go through what I went through just to feed their baby. So I joined MomsRising , women and children’s advocacy network based in Washington, DC; I started to blog for San Diego County Breastfeeding Coalition; later I co-founded a group called API Breastfeeding TaskForce.

PUMP for Nursing Mothers Act and Pregnant Workers Fairness Act (PWFA) celebration event with the White House Gender Policy Council.

Breastfeeding Is A Learning Process

Thu, 15 Jun 2023 07:46:00 GMT

Fast forward 10 years to the present, I know that it’s totally normal for breastfed babies to eat more frequently because breast milk is easier to digest, not because I didn’t have enough milk. And I just can’t believe that I, a health reporter and a former board member of the US Breastfeeding Committee , once seriously considered switching from breast milk to infant formula!

As embarrassed as I am, I decided to share the experience here because it’s important for new parents to understand that while breastfeeding is natural, it is a learned skill for both mother and baby .

And this is what I want to tell the 10-year-ago me and today’s new moms.

First, although breastfeeding is a natural process, it’s normal to feel awkward, even difficult at first. Please be prepared to practice and have patience.

Don’t hesitate to ask for help. Breastfeeding classes can help you learn the basics and avoid many common problems, and prevent you from falling into formula commercial traps . A certified breastfeeding consultant is also helpful to help you prepare for a successful breastfeeding journey.

Breastfeeding is a lot of work, but the benefits are worth it. After the first two to three weeks, you will find that breastfeeding becomes much easier and enjoyable.

Finally, be easy on yourself. Treat yourself as you would a friend in times of feeling hard, with more understanding and kindness. It doesn’t mean you have to give up, but to understand to err is human. You can even relactate your baby even if you didn’t get off to a good start with breastfeeding.

Breastfeeding may be harder than you think, but trust me, your body is also more capable than you think. Enjoy the learning process, mamas!

You know that Facebook has this “memories” feature? I have turned it off, because I never like to look back, also because those memories often just embarrass me.

For example, recently I accidentally tapped “memories” and saw a post I wrote ten years ago, worrying that I didn’t have enough milk for my then 2-month-old. The reason? Because my baby has been crying for milk every two hours, while my friend’s formula-fed baby only needed to be fed every four hours.

June 2023 News and views on breastfeeding, human milk, and public health

Thu, 15 Jun 2023 00:51:00 GMT

News and views on breastfeeding, human milk, and all things lactation related

June 2023

Happy Pride Month

USBC LGBTQIA+ Lactation Support Resources
Tips for Supporting LGBTQIA+ Families , by the Association of Breastfeeding Mothers
Lactation Options & Strategies for LGBTQIA+ Persons , by Healthy Mom & Baby
Support for Transgender & Non-Binary Parents , by La Leche League International
LGBTQIA+ Resources and PRIDE Month , by the Kansas Breastfeeding Coalition, INC.
Tips for Transgender Breastfeeders and Their Lactation Educators , by the Milk Junkies

News

Help Us Spread the Word!!
SDCBC is partnering with Global Communities Healthy Start program to expand our free breastfeeding support warmline to multiple languages. We are currently serving clients in English, Spanish, and Tagalog, with more languages being added in the future!
1-800-371-6455 (MILK)

Finding a FREE breastfeeding support group in your area just got easier. We are excited to launch this interactive map highlighting free groups in San Diego County .

Have a free group you would like added to the map? Please email the details to SDCBC Coordinator, Christina at christina.lares@breastfeeding.org

2023 National Breastfeeding Month Proclamation Toolkit

USBC released the 2023 version of the National Breastfeeding Month Proclamation Toolkit to help organizations submit requests for their governor to proclaim August as Breastfeeding Month in their state or territory. The toolkit includes a spreadsheet with links and information on submitting a proclamation request in each state as well as a long and abbreviated sample template for proclamation submission.

3rd Annual Breast Milk Drive & Health Fair :

All donors must register in advance. For more information email ucmilkbank@health.ucsd.edu or call 858-249-6455

Every Step of the Way Through the 1,000 Days” Webinar Series – FINAL WEBINAR
Demystifying Infant Feeding Data to Strengthen Continuity of Care (CoC)
June 28, 2023 from 1:00 – 2:30 pm ET Register HERE
HHS Announces Over $65 Million to Address the Maternal Health Crisis and Invest in New Approaches to Care
Senators Urge USDA to Evaluate Opportunities to Strengthen Breastfeeding Support in WIC
HHS and Baby2Baby Announce Partnership to Support New Mothers with a Newborn Supply Kit During Visit by Vice President Kamala Harris
The American Academy of Pediatrics published a policy statement: “ Standards for Levels of Neonatal Care: II, III, and IV .

Research

Perspectives & Resources

JOB/FUNDING OPPORTUNITIES

Prenatal vitamins Grant Application for WICs, FQHCs, and health departments across the country to target women of reproductive age who experience barriers to accessing prenatal multivitamins
Administrative Supplements to Leverage Network Infrastructure to Advance Multisite Research for Women, Children, Pregnant and Lactating Individuals and/or Persons with Disabilities
Rural Maternity and Obstetrics Management Strategies Program
Healthy Start Initiative – Enhanced
Healthy Families Community-Based Perinatal Health Initiative
PHA is excited to announce we are now accepting scholarship applications for the PSI Clinician Training Certificate programs! As part of our efforts to improve equity and diversity among clinicians who provide care for Perinatal Mood Disorders, we are offering scholarships for the Certificate Trainings offered by PSI. There are both online and in person options for the various classes so please be sure to use the link below to find more information regarding the options.
https://www.postpartum.net/professionals/certificate-trainings
Community Level Interventions to Improve Minority Health and Reduce Health Disparities . Application deadline: August 9
Global Communities is seeking part-time, on call Lactation Educators to join the US Programs team in the San Diego, CA Office. This work focuses on communities and language groups that experience barriers to lactation support. Please share and direct all interested candidates to the Global Communities Careers website here

May 2023 News and views on breastfeeding, human milk, and public health

Mon, 15 May 2023 17:55:00 GMT

News

Help Us Spread the Word!!
SDCBC is partnering with Global Communities Healthy Start program to expand our free breastfeeding support warmline to multiple languages. We are currently serving clients in English, Spanish, and Tagalog, with more languages being added in the future!
1-800-371-6455 (MILK)

New Breastfeeding Support Group Map

Finding a FREE breastfeeding support group in your area just got easier. We are excited to launch this interactive map highlighting free groups in San Diego County.

Have a free group you would like added to the map? Please email the details to SDCBC Coordinator, Christina at christina.lares@breastfeeding.org

2023 National Breastfeeding Month Theme
This August, we’re looking forward to once again coming together as a community to celebrate the amazing benefits of breastfeeding. USBC is excited to announce the theme for this year’s National Breastfeeding Month is This is Our Why .

San Diego Breastfeeding Center Foundation Breast Pump Drive

3rd Annual Breast Milk Drive & Health Fair : All donors must register in advance. For more information email ucmilkbank@health.ucsd.edu or call 858-249-6455

Please join the UC San Diego Health Miracle Marchers (OB, NICU, Newborn, nursing, Milk Bank) on May 20 ^th for the March of Dimes, March for Babies walk. Use this link to join the team or donate. We are working on T-shirts for everyone.
Every Step of the Way Through the 1,000 Days” Webinar Series – FINAL WEBINAR
Demystifying Infant Feeding Data to Strengthen Continuity of Care (CoC)
June 28, 2023 from 1:00 – 2:30 pm ET Register HERE
EEOC Webinar on How Doulas and Midwives Can Support Clients’ Pregnancy Workplace Protections
The U.S. Equal Employment Opportunity Commission (EEOC) and the U.S. Department of Labor’s (DOL) Wage and Hour Division and Women’s Bureau are hosting a webinar titled, “ What Your Clients Should Expect From Their Employers When They Are Expecting: Midwives and Doulas ,” on May 16, at 2 p.m. ET. This event is the fourth in a series of webinars on workplace protections for pregnant workers and new parents. This session will discuss federal legal protections for workers during pregnancy, after giving birth, and when returning to work, and how midwives, doulas, and other healthcare providers can support their clients’ workplace needs.
Adaptive Parent Project Launches Coloring Book The ABCs of Disability was designed to teach terms surrounding disability. The goal is to raise awareness, acceptance and understanding about disabilities while teaching the alphabet. Paperback & Digital Download Available
May Revise Out This Friday
Governor Newsom will soon unveil his updated 2023-24 California state budget proposal, known as the May Revise, on Friday. This revised proposal will outline the governor’s economic and revenue outlook and his administration’s policy priorities, including changes since the administration’s January budget proposal . The May Revise press event will be livestreamed on the @CAgovernor Twitter page, California Governor Facebook page and the Governor’s YouTube page . Once the press conference begins, the Department of Finance will post a summary document of the May Revision at www.ebudget.ca.gov .

Research

The Impact of the Human Milk Microbiota in the Prevention of Disease and Infant Health
Re: “The Risk of Breakthrough Bleeding Justifies the Use of Combined Hormonal Contraception Over Progesterone-Only Pills While Breastfeeding” by Segev et al: Combined Hormonal Contraception During Lactation Is Not Without Risk and Requires Shared Decision Making
“I Pumped That Milk Off My Breast and Dumped It in Trash”: Breastfeeding Experiences of Mothers Working in hospital radiation settings—A Qualitative Study
Response to Eglash re: “The Risk of Breakthrough Bleeding Justifies the Use of Combined Hormonal Contraception Over Progesterone-Only Pills While Breastfeeding”: Combined Hormonal Contraception Is Not Without Disadvantages, But Is Acceptable During Lactation
The Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program announced that the agency has opened submissions for new evidence reviews .
Breastfeeding Decision-Making Among Mothers with Opioid Use Disorder: A Qualitative Study
Opioid Use Disorder During Breastfeeding
Pooling Strategies to Modify Macronutrient Content of Pasteurized Donor Human Milk
Persistence of Oxaliplatin Transfer into Human Milk: A Case Report
International Breastfeeding Journal : “ The role of doulas in providing breastfeeding support during the COVID-19 pandemic “

Perspectives & Resources

Capitalism Versus Compassion: Can Healthcare Do Both?
Congressional Research Services Report on Federal Protections for Pregnant and Nursing Workers
The Congressional Research Services published an In Focus report titled “ New Federal Protections for Pregnant and Nursing Workers,” discussing the Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act and Pregnant Workers Fairness Act (PWFA). The report summarizes these two statutes, placing them in context and highlighting the ways they draw on and differ from existing laws. It explains who qualifies for accommodations, what employers must provide, and the limits of employers’ responsibilities
Protecting Pregnant and Postpartum Workers: Parent Town Hall
A recording of the webinar is available here .
Additional Resources from A Better Balance: The Work & Family Legal Center
new resource on the interaction between the state and federal PWFAs
The Pregnant Workers Fairness Act: What You Should Know
The PUMP Act: What You Should Know
State-by-State Workplace Rights Hub
Information about our free and confidential legal helpline for workers nationwide

This Mother’s Day, please join us in spreading the word about the Pregnant Workers Fairness Act by sharing the below graphic with your community! Below are links that you can easily re-share!
Instagram
Facebook
Twitter: Here or Here

JOB/FUNDING OPPORTUNITIES

PHA is excited to announce we are now accepting scholarship applications for the PSI Clinician Training Certificate programs! As part of our efforts to improve equity and diversity among clinicians who provide care for Perinatal Mood Disorders, we are offering scholarships for the Certificate Trainings offered by PSI. There are both online and in person options for the various classes so please be sure to use the link below to find more information regarding the options.
https://www.postpartum.net/professionals/certificate-trainings
Community Level Interventions to Improve Minority Health and Reduce Health Disparities . Application deadline: August 9.
Intervention Research to Improve Native American Health. Application deadline: May 17.
First Nations Development Institute: Luce Indigenous Knowledge Fellowship — 2024 . Application deadline: May 17.
Global Communities is seeking part-time, on call Lactation Educators to join the US Programs team in the San Diego, CA Office. This work focuses on communities and language groups that experience barriers to lactation support. Please share and direct all interested candidates to the Global Communities Careers website here
RFP to Create Your Own Clinical Lactation Training Program – BreastfeedLA seeks proposals from breastfeeding coalitions, cultural groups, and organizations serving or advocating for breast/chestfeeding dyads passionate about diversifying the lactation workforce. BreastfeedLA will select two organizations to develop a Clinical Lactation Training program to support Black, Indigenous and People of Color (BIPOC) and other underrepresented students in their lactation education.

News and views on breastfeeding, human milk, and all things lactation related

May 2023

March of Dimes

May is Mental Health Awareness Month—and many women experience mental health challenges during pregnancy and the postpartum period. Knowing the difference between the baby blues and postpartum depression is important in order to take care of yourself and those you love. Learn more about both and when to talk to your healthcare provider here. >>

Join us in recognizing and celebrating the invaluable contributions of nurses during National Nurses Month this May. Let’s honor these healthcare heroes for their tireless efforts, unwavering compassion, and crucial role in promoting health and wellness for parents and babies everywhere. Share your gratitude to a nurse by leaving a message to recognize all that they do for moms, babies and families. >>

Got a breastfeeding problem? Well, the problem is not breastfeeding

Thu, 11 May 2023 23:03:00 GMT

Earlier this year, I helped to translate the San Diego County Breastfeeding Coalition’s resource guide and the California Work and Family’s paid family leave guide into Mandarin Chinese. Both documents became available to public last month (Hooray!) and I proudly shared both of them on a Chinese-language breastfeeding support Facebook page that I co-manage.

I got a lot of responses, which is a good thing. Some mothers started to comment and share their breastfeeding problems. Then people began to discuss what to do if not breastfeed.

A while ago, there was an article in VOGUE Taiwan that claimed that exclusive breastfeeding would stress out new moms, suggested that only happy moms can happy babies, and concluded with moms should practice self-care by giving up breastfeeding.

This is exactly the kind of arguments that disturb me. The logic of this article is that breastfeeding is a mother’s personal choice, and if a mom choose to breastfeed, that’s her personal burden and no one else should share the responsibility.

The truth is, there’s no better alternative for breastfeeding or a better substitute for breastmilk, except in some very rare circumstances, such as when galactosemia occurs in a newborn baby, or some industrial disaster cause very high level poisoning in mother’s milk (like the Seveso disaster occurred in Italy in 1976.) Breastfeeding saves lives, boost infants’ immune system, and lower mothers’ risk of breast cancer.

We need to talk about how to solve the difficulties that hinder mother’s chance of successfully breastfeeding, not what to use instead of breast milk.

It’s May. As an immigrant mom from Taiwan, I have a lot to write about in this month: It’s AAPI Heritage month. The second Sunday of this month is Mothers’ Day. And May 20th is National Breastfeeding Day in China.

Today, I want to concentrate on breastfeeding “problems.”

Study finds no evidence for the effect of consuming “lactation cookies”

Thu, 20 Apr 2023 17:42:00 GMT

Call our free lactation warmline to be connected with a lactation professional who can answer your questions and offer referrals

1-800-371-6455

A recent study found no evidence for the effect of consuming “lactation cookies” on milk production, perceived insufficient milk, or breastfeeding self-efficacy in exclusively breastfeeding parents with an overall adequate perceived milk supply.

Recommendations to consume LCs for increasing objective or subjective milk supply may deliver false hope and unnecessary financial costs at a vulnerable time.

Find full study details here https://ajcn.nutrition.org/article/S0002-9165(23)46266-1/fulltext

April 2023 News and views on breastfeeding, human milk, and public health

Sat, 15 Apr 2023 16:09:00 GMT

News and views on breastfeeding, human milk, and all things lactation related

MotherToBaby is thrilled to officially announce the launch of the LactRx App – Download the LactRx App iPhone & Android
The NIH presents the 2023 Innovative Approaches to Improve Maternal Health Hybrid Workshop on May 8-9, 2023.
Please join the UC San Diego Health Miracle Marchers (OB, NICU, Newborn, nursing, Milk Bank) on May 20 ^th for the March of Dimes, March for Babies walk. Use this link to join the team or donate. We are working on T-shirts for everyone.
March for Change brings together advocates, families and concerned individuals to raise awareness about the state of maternal and infant health in our communities and country. Join us to learn, network and be a presence for March of Dimes. Mark your calendar and make plans to join us virtually for the 2nd Annual California March of Dimes March for Change on 4/26!
Global Big Latch On 2023 – Women’s Health Action is coordinating the Global Big Latch On 2023 in person and virtually from Friday, April 14, through Sunday, April 16. The Global Big Latch On is a peer support and community development range of events that take place around the world, where people gather together to breastfeed and offer peer support to each other.
Request for Comments on Perinatal and Child Birth Experience Survey – The Agency for Healthcare Research and Quality issued a public comment opportunity titled “ Potential Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey on Prenatal and Childbirth Care Experiences in Ambulatory and Inpatient Settings: Request for Information .”
White House Challenge to End Hunger and Build Healthy Communities ,
Hearing on FDA Response to Infant Formula Crisis
Washington Bill Introduced to Create Lactation Consultant Certification and Expand Medicaid Coverage
The National Partnership for Women & Families, with support from the Robert Wood Johnson Foundation, has created a new initiative, Raising the Bar for Maternal Health Equity and Excellence , for hospitals and health systems to take responsibility for change.
Modern WIC Act Reintroduced

Research

Perspectives & Resources

The California Breastfeeding Coalition (CBC) is proud to be an ally of The Melanated Mammary Atlas® .
CDPH Releases #BMHW23 Toolkit
PBS Debuts Documentary on Black Maternal Healthcare
The National Partnership for Women and Families released a report, “ Raising the Bar for Maternal Health Equity and Excellence: Actionable Strategies for Healthcare Systems .
The Alabama Women, Infants, and Children (WIC) Program announced expanded access to breastfeeding support services . The program now offers unlimited, 24/7 virtual video access to infant feeding support by connecting participants to a nationwide network of International Board Certified Lactation Consultants (IBCLC’s), in addition to direct access to breastfeeding support in local WIC clinics across the state.
The 2023 Lancet Breastfeeding Series: New insights – and clear evidence – must motivate action to support mothers and breastfeeding “
April 18: Lancet Series on Breastfeeding Explained
U.S. Maternal Deaths Rose Dramatically in 2021

JOB/FUNDING OPPORTUNITIES

Global Communities is seeking part-time, on call Lactation Educators to join the US Programs team in the San Diego, CA Office. This work focuses on communities and language groups that experience barriers to lactation support. Please share and direct all interested candidates to the Global Communities Careers website here
USBC Seeks Data Management Specialist
$250 million Yield Giving Open Call from Mackenzie Scott -Mackenzie Scott’s latest initiative, a $250 million Yield Giving Open Call , will award $1 million to 250 community-focused organizations with the greatest need and fewest resources.
RFP to Create Your Own Clinical Lactation Training Program – BreastfeedLA seeks proposals from breastfeeding coalitions, cultural groups, and organizations serving or advocating for breast/chestfeeding dyads passionate about diversifying the lactation workforce. BreastfeedLA will select two organizations to develop a Clinical Lactation Training program to support Black, Indigenous and People of Color (BIPOC) and other underrepresented students in their lactation education.

News and views on breastfeeding, human milk, and all things lactation related

April 2023

April is Minority Health Month, Public Health Week, and Black Maternal Health Week!

News

How I Keep My Breast Pump Clean

Sat, 15 Apr 2023 16:04:00 GMT

It’s important for pumping parents to properly sanitize breast pump equipment after each use. When I was breastfeeding, each pumping session usually took me 10 to 15 minutes, but afterwards I often spent more than 20 minutes to clean the parts. Even when working with the most feverish haste, I always made sure that I:

Use soap.
Scrub each part.
Rinse the parts thoroughly.
Dry the parts completely.

Ideally, I would like to use a wash basin—a clean wash basin used only for washing infant feeding equipment. But that didn’t always happen when I was traveling. But I could at least, and would always, make sure that I use hot water and soap. I packed my own bottle soap in my breast pump bag to make sure I have the right soap to use after each pumping.

This is how I used to clean my breast pump equipment: First, I rinsed off my pumping equipment with drinking-quality water (at around room temperature) to remove any milk proteins left behind. Next, I washed all the parts according to the pump kit manufacturer’s guidance. That meant scrubbing each part for at least 20 seconds with soap before rinsing with hot water. Then I wiped down the parts to completely dry them.

I also made sure that all breast pump parts that come in contact with breast milk, including bottles, valves and breast shields, were cleaned after each use.

It was unfortunate that an infant died from a bacterial infection linked to a contaminated breast pump. But with proper cleaning, we can keep our breast pumps germ-free and make sure our babies thrive on breast milk.

Between my two children, I breastfed for six years. During the six years, my breast pump accompanied me to a dozen cities, from Columbus to Austin to Berkeley , because as a working reporter, I travel frequently for assignments. For six years, my breast pump and the baby photos I pinned on the pump bag got me through many long nights in strange cities. My breast pump was my best friend for six years.

That’s why, the news of a baby dying from a rare bacterial infection due to unsterilized pump parts really broke my heart.

News and views on breastfeeding, human milk, and all things lactation education-March 2023

Wed, 15 Mar 2023 03:41:00 GMT

March is National Nutrition Month ®, an annual campaign by the Academy of Nutrition and Dietetics, to highlight the importance of making informed food choices across the lifespan. The theme this year, “Fuel for the Future”,emphasizes the importance of eating sustainably to nourish our bodies throughout each phase of life and to protect our environment. NACCHO has worked on fueling the future by focusing on the earlier phases of the life cycle, the first 1,000 days. NACCHO is celebrating by sharing newly created early childhood nutrition resources and hosting a webinar highlighting their latest work with public health nutritionists and community stakeholders.

News

Human Milk Institute Community Workshop: The goal of the workshop is to hear about the topics or questions most pertinent to community-based organizations to help expand or support work in breastfeeding and lactation. Lunch will be served
President Biden’s Proposed Budget Includes $6.3 Billion for WIC
President Biden announced his proposed budget for the next fiscal year, and it includes $6.3 billion in WIC funding, a $300 million increase from current funding levels, in anticipation of increased program participation.
The PUMP for Nursing Mothers Act: What Advocates and Employers Need to Know
Join a free webinar on the PUMP for Nursing Mothers Act, which gives more workers the right to time and space to pump breast milk at work. Thu, March 16, 2023, 2:00 PM – 3:00 PM EDT Register Here
USBC Awards Program for the 2023 National Breastfeeding Conference & Convening
BreastfeedLA: upcoming event on April 19. The Lactation Lab with Maya Bolman: Mammary Massage and More!
Every Step of the way through the 1,000 Days: Breastfeeding Champions as Community Changemakers
Symposium: 16 ^th Annual Tufts Nutrition Data Symposium 2023 begins on March 8, 2023 and is themed Sustainability Now! Action-Oriented Solutions for Food Systems, Nutrition, and Diet. Register here
Webinar : Making exclusive breastfeeding a reality….one mom at a time: Reflections from the Executive Director of the US’ biggest Local Agency WIC program on March 23, 2023 at 1:00 pm ET. Register here
On March 28, 2023, from 3-4 pm ET , the National Collaborative on Childhood Obesity Research (NCCOR) will host a Connect & Explore webinar, “ Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents with Obesity .” The lead authors will discuss the development process of the key recommendations included in the first clinical practice guidelines released by the American Academy of Pediatrics .
USDA Proposes Rule Change to Modernize WIC Shopping Experience . Earlier this month, USDA announced proposed changes to allow online transactions in WIC. These changes would create a more convenient, and equitable WIC shopping experience for participants. The proposed rule is open for public comment from February 23 to May 24, 2023.
Biden Administration Allowing State Medicaid Funds to Cover Groceries, Nutritional Care
The Center for Health Equity, Education, and Research (CHEER) is hosting a webinar titled “ Making exclusive breastfeeding a reality….one mom at a time: Reflections from the Executive Director of the US’ biggest Local Agency WIC program, ” on Thursday, March 23, at 1 p.m. ET. The webinar will provide an overview of three cutting-edge breastfeeding promotion, support, and advocacy programs.

Research

Breastfeeding 2023 Series from the Lancet journals
https://www.youtube.com/watch?v=68e2S4NgC5E&ab_channel=TheLancet
U.S. Breastfeeding Committee is thrilled to announce the launch of the 2023 State and Territory Breastfeeding Reports !
In-Hospital Breastfeeding Initiation Data
2023 State of WIC Report: Building the Bridge to a Healthier Future
The National WIC Association report centers infant feeding, economic equity, and modernization of the WIC program. This report assesses the infant formula crisis, USDA’s proposed food package rule, and WIC’s role in building a healthier future for all. Click Here to View the Full Report
Pediatricians’ Interactions with Infant Formula Companies
The Impact of Formula Marketing on Breastfeeding Support: “There Are No Free Lunches”
Policies and Practices in a Cohort of Mississippi Birthing Hospitals During the COVID-19 Pandemic

Perspectives & Resources

Blue Shield Promise Health Plan has partnered with leading healthcare experts to create 7 free and unique Breastfeeding Educational Videos to share with the community.
Why Breastfeed? Passcode: avn&JV#7
How Breastfeeding Works . Passcode: 61Mw?K!L
Formula Facts & Breastfeeding in the Workplace and in the Community . Passcode: c&21qEc0
High Risk Pregnancies & NICU infants . Passcode: A4K3$0$&
Women of Color & Breastfeeding . Passcode: v&*$A3qX
What is safe for me and my baby? Passcode: 3J!yMp=H
Maternal and Infant Illnesses Passcode: NcV81.N?
2023 Black Maternal Health Week Social Media Toolkit
Dr. Evelyn Jain Educational Breastfeeding Videos now on YouTube
Covid-19 Public Health Emergency that is ending APRIL 31, 2023 – Planning For the End of the Continuous Coverage Requirement (ca.gov ) .
The Association of Public Health Nutritionists released Sugary Drink Cons Fact Sheet
“ Complementary Feeding: Children Born to East African Immigrant Families .” ASPHN provides complementary feeding briefs to assist nutrition professionals in supporting families’ diverse experiences and cultural preferences. This brief includes complementary feeding perspectives and breastfeeding practices that are observed in East African Immigrants in the U.S.
“ Breastfeeding: crucially important, but increasingly challenged in a market-driven world “
“ Marketing of commercial milk formula: a system to capture parents, communities, science, and policy “
“ The political economy of infant and young child feeding: confronting corporate power, overcoming structural barriers, and accelerating progress “
“ Comment: Stemming commercial milk formula marketing: now is the time for radical transformation to build resilience for breastfeeding
“Hunger cliff” looms as 32 states are set to cut food-stamp benefits
Abbott Under Criminal Investigation Over Formula Crisis

JOB/FUNDING OPPORTUNITIES

Global Communities is seeking part-time, on call Lactation Educators to join the US Programs team in the San Diego, CA Office. This work focuses on communities and language groups that experience barriers to lactation support. Please share and direct all interested candidates to the Global Communities Careers website here
Job Opportunity: USBC is Hiring – Data Management Specialist
The U.S. Breastfeeding Committee is seeking applicants for a full-time Data Management Specialist job opening. This is a remote position.
National Indian Health Board Hear Her Campaign: Maternal Health Promotion for American Indian and Alaska Native Communities. Applications due Tuesday, March 2, 2023 at 11:59 pm ET . Access the application here
Pregnant People – Infant Linked Longitudinal Surveillance (CDC-RFA-DD23-2303) . Applications due Monday, April 10, 2023 . View the CDC Announcement here . View the grant opportunity and access the application here
The Adolescent Family Life Program (AFLP) Request for Applications (RFA) for State Fiscal Years 2023-2025 is now posted on the CDPH website . Application instructions, eligibility criteria, and additional information are included in the RFA at the link above.

News and views on breastfeeding, human milk, and all things lactation education

March 2023

We Knew What Is Relactation. Now We Know How.

Tue, 14 Mar 2023 08:22:00 GMT

Relactation generally works best if the mom either gave birth fairly recently, especially if the baby is less than three months old, or the mom has only stopped nursing for a short period of time.

With that being said, relactation can be a time-consuming process and the results may vary. But it’s doable. Personally, I have successfully relactated when my baby was two years old and when I stopped nursing for six months! It was an amazing experience.

I’m never quite sure how it happened. All I knew was that I had to stop breastfeeding due to a medical emergency—I had a procedure to remove a benign tumor in my left breast when my baby was 18 months old. That was unexpected. I planned to breastfeed him for at least two years, as recommended by WHO and AAP . Unfortunately, it hurt so badly to breastfeed in the first days after the surgery and my milk supply went down so dramatically that I had to stop.

But! Just as unexpectedly, my baby relactated himself half a year after the weaning! When I took my 2-year-old baby on a 3-long-week business trip to Asia, he seemed to be very uncomfortable all the way there. He wouldn’t sit by himself on the airplane and demanded breastmilk. He finally latched on.

During the next three weeks, he often sought breast for comfort in the strange environment. And then, my body started to make milk again! Starting the second week, I could feel my breast tissue filling with milk around bedtime. By the third week, my boob would leak when he was sucking on the other boob. That was such a fabulous experience that I don’t think I’ll ever forget!

When it comes to relactation, while some mothers might struggle to return to exclusive breastfeeding, most mothers will produce at least some milk. And we now know the science behind relactation!

A new study from the University of Sheffield has identified a protein that supports milk production after a pause in breastfeeding. Published in January in PLOS Biology , the research found a “fail-safe mechanism” for breastmilk production.

If an infant has been breastfed, once he progresses to solid foods, a molecular process commences in the breast tissue. Ultimately, the production of breastmilk winds down, and milk-producing mechanisms are dismantled via cellular suicide, removing the redundant tissue. However, if the infant resumes sucking, the process can be reversed, “kickstarting” breast milk production once again.

The researchers found Rac1, a key player for kickstarting breastmilk production. The research team utilized mammary glands from mice for their research. This laboratory model is a suitable choice due to the structural similarity between mouse and human mammary glands. In mammary epithelial cells (MECS), the researchers found that the presence of a protein called Rat1 causes autophagy, which is a cannibalistic process whereby cells eat their own constituents in an effort to survive.

And some half-dead, half-alive less experiencing autophagy can be brought back to life, enabling milk production once again when the infant sucks on the breast. However, this process can only occur if Rac1 is present.

“We have discovered that Rac1 acts as a nexus, controlling both the rate and balance of cell death and progenitor cell division in involution. Without Rac1, cell turnover accelerates with consequences on mammary gland remodeling in the irreversible phase,” wrote the authors.

The ability of breast tissue to recommence milk production is important for the survival of mammals, including human beings, said Dr. Nasreen Akhtar , the lead researcher, “If a nursing mammal was separated from her pups for longer than expected whilst foraging, the would still be able to feed once reunited.”

In the past year, formula shortage has caused moms across the US to relactate to feed their babies.

Relactation is when moms start breastfeeding again after a gap. That gap might be as little as a few days, or as long as several weeks or even months. There are different reasons why moms want to relactate, including changing their minds about breastfeeding, separation from their babies due to illness or emergencies, or babies being sensitive or intolerant to infant formulas.

Photo of Author To-wen Tseng breastfeeding her child.

News and views on breastfeeding, human milk, and all things lactation education-February 2023

Wed, 15 Feb 2023 00:04:00 GMT

February 2023

Celebrate Black History Month

The B.L.A.C.K Course is facilitating a 45 Hour Lactation Course for aspiring Black lactation professionals and Non-Black Allies supporting Black Communities. The training will be taught virtually.
The theme for the 2023 Black Maternal Health Week (BMHW) is Our Bodies Belong to Us: Restoring Black Autonomy and Joy .
Black Infant Health Program Evaluation Briefs
The Maternal, Child, and Adolescent Health Division is excited to announce the release of two new data briefs summarizing results from the evaluation of the Black Infant Health (BIH) program.
USBC “Landscape of Breastfeeding Support” Image Gallery
RACISM AND MATERNAL AND INFANT HEALTH
Racial Equity Tools Glossary
Every Mother Counts Black Maternal Health Resource List
Complementary Feeding: Children Born to East African Immigrant Families .
Black Women Breastfeed Too: Past, Present, and Future
HHS Maternal Health Stakeholder Briefing on Friday, February 17, at 12:30 p.m. ET
Breast-feeding and Black moms — why I’m breaking a generational cycle

NEW Southeast San Diego Chest/Breastfeeding Support Group & Clinic

Provided in collaboration with Global Communities and San Diego Breastfeeding Center Foundation.
The group will be run by Chardá Bell, CLEC, CBE, CD, IBCLC-pending, every Tuesday 11am – 12pm, starting Jan 3rd, at the new satellite clinic of the San Diego Breastfeeding Center, located in Southeast San Diego at: (704 Euclid Ave San Diego, CA 92114 (Inside of Access Youth Academy Community Center)
Email cbell@globalcommunities.org with any questions

Public Health Emergency Declaration to End in May, USDA Issues New Waivers
The World Alliance for Breastfeeding Action (WABA) announced the slogan for World Breastfeeding Week 2023: Enabling breastfeeding: Making a difference for working parents?
Last Call for WIC Food Package Comments
Pilot Shallow Rental Subsidy Program for older adults now accepting applicants
New Chairwoman Delivers State of the County Address
Give Kids A Smile 2023 will take place on two Saturdays: February 25th and March 4th: No-cost preventive dental services for children 1-18 years of age .
The International LactMap Project uses interactive Google Maps technology to help people find lactation support and care in all geographic regions of the world
Can you help amplify our call to action by urging your Senators and Representative to review these materials and include breastfeeding on their policy agenda?
In 2022, Governor Newsom signed 5 out of 6 Coalition-prioritized and supported bills . Some new laws are already in effect!
Care for Chosen Family: From January 1, 2023, California caregivers who qualify will now be able to take caregiving leave for a seriously ill “designated person” in addition to the family members already covered by the California Family Rights Act (CFRA). This expansion allows caregivers to care for extended and chosen family members and recognizes California’s diverse and multigenerational families.
Bereavement Leave: Also, as of January 1, 2023, all employees working for an employer with five or more employees and who have been employed for at least 30 days will be eligible for up to five days of unpaid but job-protected bereavement leave. We’re so proud to have been part of these impactful wins!
BreastfeedLA Event – Supporting Queer & Trans Parents in their Lactations Goals
Dr. Evelyn Jain Educational Breastfeeding Videos now on YouTube
Doula Enrollment Application is Now Available
Pasteurized Donor Human Breast Milk Billable with HCPCS code T2101
Five Plans to Serve Medi-Cal Managed Care Members under Agreement
Annual Virtual WIC Capitol Hill Education Day which will be held on Friday, February 24 ! – Please don’t hesitate to reach out to Noora Kanfash, nkanfash@nwica.org , if you have questions!
Oakland WIC team uses TikTok to reach Mam-speaking mothers . Second Article
Register today for NWA’s National Policy Conference!
“Cultural Transformation of Maternal Health Programs and Models – Training Indigenous Lactation Counselors
California Guaranteed Basic Income Program
For Research Study: Seeking Lactation Dietitians - The Academy’s Research, International and Scientific Affairs Team is seeking RDNs who specialize in breastfeeding to help collect information about the nutrition care and documentation provided to patients giving and receiving breast milk.The project is funded by the Pediatric Nutrition and Women’s Health dietetic practice groups. Email BFRegistry@eatright.org for additional information.

Research

Perspectives & Resources

Underhand’ formula milk ads stop millions from breastfeeding, experts say
Experts call for clampdowns on exploitative formula milk marketing in new Lancet series
I breastfed my husband on a romantic vacation — it’s not what you think
USBC “Landscape of Breastfeeding Support” Image Gallery
Full listing of Kansas agencies and other state agencies with infant-at-work policies here https://www.babiesatwork.org/organizations
County Health Rankings & Roadmaps is hosting a webinar on February 21 titled “Non-partisan strategies to advance health policy.”
California Work & Family Coalition – Understanding Paid Leave for Family Caregivers Tuesday, February 28th, and Tuesday, March 7th from 9 am – 10:30 am PST
Family Values @ Work is pleased to invite you and your family to join us for a conversation with Strike for Our Rights to discuss the importance of paid leave, what it is, and why we need it now! Registration is required in order for you to join this conversation via Zoom. Please get your questions ready and secure your spot today .
Preconception Health and Health Care Is Important for All | Preconception Care | CDC
Community Milk Sharing: What You Need to Know About Giving and Receiving Liquid Gold
LatCh Social Media Toolkit
LactMaps are Here!
Global Breastfeeding Scorecard 2022 Released
State and Community Health Media Center – low-cost, audience-tested ads and support materials

JOB/FUNDING OPPORTUNITIES

Two CDC Funding Opportunities with March 2023 Deadlines. The Centers for Disease Control and Prevention issued two new Notices of Funding Opportunities: the High Obesity Program (HOP) and the State Physical Activity and Nutrition (SPAN) program .
Healthcare Workforce Scholarships
Global Communities is seeking part-time, on call Lactation Educators to join the US Programs team in the San Diego, CA Office. This work focuses on communities and language groups that experience barriers to lactation support. Please share and direct all interested candidates to the Global Communities Careers website here

News and views on breastfeeding, human milk, and all things lactation education

News

News and views on breastfeeding, human milk, and all things lactation education-January 2023

Sun, 15 Jan 2023 06:42:00 GMT

January 2023

News

NEW Southeast San Diego Chest/Breastfeeding Support Group & Clinic

Provided in collaboration with Global Communities and San Diego Breastfeeding Center Foundation.
The group will be run by Chardá Bell, CLEC, CBE, CD, IBCLC-pending, every Tuesday 11am – 12pm, starting Jan 3rd, at the new satellite clinic of the San Diego Breastfeeding Center, located in Southeast San Diego at: (704 Euclid Ave San Diego, CA 92114 (Inside of Access Youth Academy Community Center)
Email cbell@globalcommunities.org with any questions

Doula Enrollment Application is Now Available
The theme for the 2023 Black Maternal Health Week (BMHW) is Our Bodies Belong to Us: Restoring Black Autonomy and Joy .
1/16 Deadline for Call for Speakers at the 2023 USBC Conference
Women’s Preventive Services Initiative (WPSI) Overview, ” on Tuesday, January 24, from 3-4:30 p.m. ET.
Live Well San Diego Love Your Heart event
No-cost preventive dental services for children 1-18 years of age.
House Elects New Speaker, Swears In Members
Congress Takes Steps to Improve Maternal, Child Health in Year-End Spending Bill
The International LactMap Project uses interactive Google Maps technology to help people find lactation support and care in all geographic regions of the world.
Tell Congress to Pass Child Nutrition Reauthorization
We need the Senate to expand WIC eligibility, streamline certifications, and permanently relax physical presence requirements – exciting and important steps to modernize WIC services and reach the next generation of eligible families!
WIC Food Package Open for Public Comment!
Governor Newsom Releases Budget Proposal
Pres. Biden Approves Emergency Declaration for CA Storms
BreastfeedLA Event – Supporting Queer & Trans Parents in their Lactations Goals
Dr. Evelyn Jain Educational Breastfeeding Videos now on YouTube
Pasteurized Donor Human Breast Milk Billable with HCPCS code T2101
Five Plans to Serve Medi-Cal Managed Care Members under Agreement
Oakland WIC team uses TikTok to reach Mam-speaking mothers. Second Article
Register today for NWA’s National Policy Conference!
“Cultural Transformation of Maternal Health Programs and Models – Training Indigenous Lactation Counselors
California Guaranteed Basic Income Program
For Research Study: Seeking Lactation Dietitians -The Academy’s Research, International and Scientific Affairs Team is seeking RDNs who specialize in breastfeeding to help collect information about the nutrition care and documentation provided to patients giving and receiving breast milk.The project is funded by the Pediatric Nutrition and Women’s Health dietetic practice groups. Email BFRegistry@eatright.org for additional information.

Research

Perspectives & Resources

Policy Priorities from USBC
FOR PREGNANT WORKERS AND NEW MOMS, FY 2023 SPENDING BILL WAS A WELCOME OUTCOME
When I ran a marathon while breastfeeding, the on-site lactation tent was crucial. But many runners only know these tents exist by word of mouth .
Community Milk Sharing: What You Need to Know About Giving and Receiving Liquid Gold
The American Journal of Public Health ( AJPH ) released a special series about the importance of the first 1,000-day window, the time between pregnancy and a baby’s second birthday, as being most critical for brain development.
Supporting Breastfeeding Maternal Mental Health COVID-19 .
Fall issue of the WIC Watch is out!
LatCh Social Media Toolkit
LactMaps are Here!
Global Breastfeeding Scorecard 2022 Released
State and Community Health Media Center – low-cost, audience-tested ads and support materials
COVID Treatment and Winter Virus Prevention Toolkit
Exclusive Breastfeeding Duration and Perceptions of Infant Sleep . This journal article reports that identification and management of maternal and infant focused anxieties may improve breastfeeding outcomes and perceptions of infant sleep quality.
Economics of Infant Feeding in the U.S . The publication examines the full scope of economic tradeoffs families in the U.S. face when deciding how to best ensure the nutritional health of their infant.
Enhancing Reviews and Surveillance to Eliminate Maternal Mortality This report reflects efforts undertaken by jurisdictions to improve their MMRC processes and use MMRIA to document and disseminate information.
Building Capacity for Addressing Maternal Depression This free community health working training, offered by CAI, provides a curriculum to increase skills needed to recognize and respond to maternal depression.
Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees . This report provided data on 1,018 pregnancy-related deaths among residents of 36 states from 2017–2019 that were shared with the CDC through the Maternal Mortality Review Information Application (MMRIA). Over 80% of pregnancy-related deaths were determined to be preventable.
Maternal Health: Outcomes Worsened and Disparities Persisted During the Pandemic .
The U.S. Government Accountability Office (GAO) published its report that resulted from its review of how the pandemic affected maternal health.
Maternity Care Deserts Map . This report, released by March of Dimes , shows maternity care deserts across the United States and highlights which counties lack maternity care resources.
Health Alert Network (HAN) Health Advisory . The CDC issued this advisory about early, elevated respiratory disease incidence caused by multiple viruses occurring especially among children and placing strain on healthcare systems. RSV: People at High Risk for Severe RSV Infection
State of Childhood Obesity Annual Report from Robert Wood Johnson Foundation (RWJF): This annual report highlights RWJF’s work to prevent childhood obesity. RWJF focused on improving health data, creating communities of opportunity, building equitable food systems, and advancing priority policies.
The Department of Labor released an informational webpage on the rights of nursing employees . The webpage highlights protections available under the Break Time for Nursing Mothers law.
Dignity in Pregnancy & Childbirth: Preventing Racial Bias in Perinatal Care The course uses stories to illustrate how racial bias undermine perinatal care. It also provides specific, concrete, evidence-based strategies for interrupting racial bias. The course is also available for organizations .
Raising Adventurous Eaters with First Foods: Clinicians play an important role in providing families with credible education on feeding development. Check out newly released resources, including free patient education handouts with stage-by-stage anticipatory guidance on feeding development during pregnancy and from 0-15 months of age are available for download in the link.

JOB/FUNDING OPPORTUNITIES

Healthcare Workforce Scholarships
CWA is seeking a new team member to serve as the Administrative Coordinator.
Global Communities is seeking part-time, on call Lactation Educators to join the US Programs team in the San Diego, CA Office. This work focuses on communities and language groups that experience barriers to lactation support. Please share and direct all interested candidates to the Global Communities Careers website here
BreastfeedLA hiring for a Lactation Consultant Program Manager!
Community Health Program Specialist – vacancy for the Perinatal Equity Initiative (PEI) and Black Infant Health (BIH) coordinator
Internship Opportunity at the National WIC Association
Building Multi-Sector Partnerships to Advance Equity in Cardiovascular Disease Prevention Efforts:
Request for Proposals to Build LHD Capacity through Data Story Telling:
Development of Culturally Responsive Resources for Infant and Toddler Nutrition:

News and views on breastfeeding, human milk, and all things lactation education

The PUMP Act is Now Signed Into Law. What Changes Is It Gonna Make?

Sun, 15 Jan 2023 06:25:00 GMT

I’m breaking it down for you today. First, the PUMP Act expands the time employers are required to accommodate lactating workers to two years from one year that previously guaranteed by Break Time for Nursing Mothers . And since the Act takes immediate effect, it virtually affects every person who gives birth or begins providing breast milk for a nursing child on and after January 1st this year.

The PUMP Act also closes a loophole in federal lactation rights by including salaried workers, including teachers and registered nurses. That’s right—teachers who were breastfeeding didn’t have the guarantee of a private place and reasonable break times to pump breast milk before the PUMP Act. I still remember during the first year I started blogging for San Diego County Breastfeeding Coalition, a local teacher reached out to the coalition for help because she was harassed at school for needing to pump. The coalition’s then coordinator forwarded the teacher’s request to me because at that time I just had a breastfeeding discrimination claim against my previous employer settled. I referred the teacher to the Legal Aid At Work which helped me settle the claim, only to learn that the teacher couldn’t have a case because her right to pump at work was NOT protected. I still remember vividly how heartbroken I felt for her.

And that teacher was not alone. In a 2018 article, the Economic Policy Institute estimated 9 million U.S. workers were left out of workplace protections prior to the passage of the PUMP Act. Now they’re finally getting breastfeeding accommodations under new law, and as EducationWeek stated, “It’s about time.”

Last but not least, as we celebrate the better working conditions for lactating works, let’s not ignore the continued gaps in who can and can’t benefit from the PUMP Act. For example, airlines are exempt from the PUMP Act. We shall remember that lactation should not be a privilege for workers in certain industries, and continue to fight for lactation rights protection for all walks of life.

Unless you live in a cave, I’m sure you’ve heard that the Senate passed the Providing Urgent Maternal Protections for Nursing Mothers (PUMP) act , a milestone protection for new mothers in the last few days of 2022. You’ve also probably heard that it’s a major milestone for women’s workplace civil rights. But what does it really mean?

To-wen nursing son Jasper while subbing at a local school a few years ago (To-wen Tseng).

News and views on breastfeeding, human milk, and all things lactation education-December 2022

Thu, 15 Dec 2022 02:34:00 GMT

December 2022

News

NEW Southeast San Diego Chest/Breastfeeding Support Group & Clinic

Provided in collaboration with Global Communities and San Diego Breastfeeding Center Foundation.
The group will be run by Chardá Bell, CLEC, CBE, CD, IBCLC-pending, every Tuesday 11am – 12pm, starting Jan 3rd, at the new satellite clinic of the San Diego Breastfeeding Center, located in Southeast San Diego at: (704 Euclid Ave San Diego, CA 92114 (Inside of Access Youth Academy Community Center)
Email cbell@globalcommunities.org with any questions

Formula Recall Alert!

ByHeart announced on December 11, 2022 that, out of an abundance of caution, it has chosen to voluntarily recall five batches of ByHeart Whole Nutrition Infant Formula due to the potential for cross-contamination with Cronobacter sakazakii. No distributed ByHeart product has tested positive for the bacteria.

The International LactMap Project uses interactive Google Maps technology to help people find lactation support and care in all geographic regions of the world.
Tell Congress to Pass Child Nutrition Reauthorization
We need the Senate to expand WIC eligibility, streamline certifications, and permanently relax physical presence requirements – exciting and important steps to modernize WIC services and reach the next generation of eligible families!
WIC Food Package Open for Public Comment!
Biden Signs Respect for Marriage Act
Pasteurized Donor Human Breast Milk Billable with HCPCS code T2101
Oakland WIC team uses TikTok to reach Mam-speaking mothers. Second Article
Register today for NWA’s National Policy Conference!
Tell the Senate to enact legislation addressing the Black maternal health crisis before the end of the year!
“Cultural Transformation of Maternal Health Programs and Models – Training Indigenous Lactation Counselors
California Guaranteed Basic Income Program
For Research Study: Seeking Lactation Dietitians - The Academy’s Research, International and Scientific Affairs Team is seeking RDNs who specialize in breastfeeding to help collect information about the nutrition care and documentation provided to patients giving and receiving breast milk.The project is funded by the Pediatric Nutrition and Women’s Health dietetic practice groups. Email BFRegistry@eatright.org for additional information.

Research

Perspectives & Resources

Community Milk Sharing: What You Need to Know About Giving and Receiving Liquid Gold
The American Journal of Public Health ( AJPH ) released a special series about the importance of the first 1,000-day window, the time between pregnancy and a baby’s second birthday, as being most critical for brain development.
Supporting Breastfeeding Maternal Mental Health COVID-19 .
Fall issue of the WIC Watch is out!
LatCh Social Media Toolkit
LactMaps are Here!
Global Breastfeeding Scorecard 2022 Released
State and Community Health Media Center – low-cost, audience-tested ads and support materials
COVID Treatment and Winter Virus Prevention Toolkit
Exclusive Breastfeeding Duration and Perceptions of Infant Sleep . This journal article reports that identification and management of maternal and infant focused anxieties may improve breastfeeding outcomes and perceptions of infant sleep quality.
Economics of Infant Feeding in the U.S. The publication examines the full scope of economic tradeoffs families in the U.S. face when deciding how to best ensure the nutritional health of their infant.
Enhancing Reviews and Surveillance to Eliminate Maternal Mortality This report reflects efforts undertaken by jurisdictions to improve their MMRC processes and use MMRIA to document and disseminate information.
Building Capacity for Addressing Maternal Depression This free community health working training, offered by CAI, provides a curriculum to increase skills needed to recognize and respond to maternal depression.
Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees. This report provided data on 1,018 pregnancy-related deaths among residents of 36 states from 2017–2019 that were shared with the CDC through the Maternal Mortality Review Information Application (MMRIA). Over 80% of pregnancy-related deaths were determined to be preventable.
Maternal Health: Outcomes Worsened and Disparities Persisted During the Pandemic.
The U.S. Government Accountability Office (GAO) published its report that resulted from its review of how the pandemic affected maternal health.
Maternity Care Deserts Map. This report, released by March of Dimes , shows maternity care deserts across the United States and highlights which counties lack maternity care resources.
Health Alert Network (HAN) Health Advisory. The CDC issued this advisory about early, elevated respiratory disease incidence caused by multiple viruses occurring especially among children and placing strain on healthcare systems. RSV: People at High Risk for Severe RSV Infection
State of Childhood Obesity Annual Report from Robert Wood Johnson Foundation (RWJF): This annual report highlights RWJF’s work to prevent childhood obesity. RWJF focused on improving health data, creating communities of opportunity, building equitable food systems, and advancing priority policies.
The Department of Labor released an informational webpage on the rights of nursing employees . The webpage highlights protections available under the Break Time for Nursing Mothers law.
Dignity in Pregnancy & Childbirth: Preventing Racial Bias in Perinatal Care The course uses stories to illustrate how racial bias undermine perinatal care. It also provides specific, concrete, evidence-based strategies for interrupting racial bias. The course is also available for organizations .
Raising Adventurous Eaters with First Foods: Clinicians play an important role in providing families with credible education on feeding development. Check out newly released resources, including free patient education handouts with stage-by-stage anticipatory guidance on feeding development during pregnancy and from 0-15 months of age are available for download in the link.

JOB/FUNDING OPPORTUNITIES

Global Communities is seeking part-time, on call Lactation Educators to join the US Programs team in the San Diego, CA Office. This work focuses on communities and language groups that experience barriers to lactation support. Please share and direct all interested candidates to the Global Communities Careers website here
BreastfeedLA hiring for a Lactation Consultant Program Manager!
Community Health Program Specialist – vacancy for the Perinatal Equity Initiative (PEI) and Black Infant Health (BIH) coordinator
Internship Opportunity at the National WIC Association
Building Multi-Sector Partnerships to Advance Equity in Cardiovascular Disease Prevention Efforts:
Request for Proposals to Build LHD Capacity through Data Story Telling:
Development of Culturally Responsive Resources for Infant and Toddler Nutrition:

News and views on breastfeeding, human milk, and all things lactation education

How San Diego County Breastfeeding Coalition Made a Difference This Year

Thu, 15 Dec 2022 01:45:00 GMT

That’s why, at this time of each year, I write a blog to celebrate the achievement of San Diego County Breastfeeding Coalition.

This year and every year since 1994, the coalition has—

Provided monthly educational webinars to equip healthcare professionals such as physicians and nurses with proper lactation knowledge. The coalition is confident that with this knowledge, our healthcare professionals will be able to better support and promote breastfeeding and give the healthiest start for our babies.
Involved in legislative advocacy work in support of laws that protect, promote and support breastfeeding. This year, SDCBC advocated for SB951 , which was signed into law in September and increased the rate of wage replacement for workers who take paid family leave.
Supported local breastfeeding families with a resource guide and a warm breastfeeding line. The resource guide is central for breastfeeding support serving the County, is updated every year and is available in English and Spanish. Also for the first time, the coalition has the resource guide translated into Chinese, and the Chinese language guide will be available in 2023.
Recognized breastfeeding champions of every field. This year, the coalition honored Supervisor Terra Lawson-Remer as 2022 Breastfeeding Champion for the proclamation of August as San Diego County Breastfeeding Month. The Coalition also honored American Academy of Pediatrics, CA Chapter 3 and Truecare with the 2022 Breastfeeding-Friendly Workplace Award.
Partnered with UCSD Extension and provided EIGHT lactation education scholarships for community leaders who are pursuing LEC education in order to increase lactation support in underserved communities.

Thank you for standing with the San Diego County Breastfeeding Coalition this year! On behalf of everyone from the coalition, I wish you a very merry holiday season.

This is the time of the year when my inbox is filled with fundraising emails—from MSF , WWF to my local Y and San Diego County breastfeeding coalition , everyone is asking for support.

No, I’m not complaining. I’m grateful to read about all the great work being done around the world and across the country.

In fact, I feel too many non-profit workers, including my colleagues here at San Diego County Breastfeeding Coalition, have been too busy with day-to-day work that they don’t take enough time to pause and reflect on their accomplishments.

News and views on breastfeeding, human milk, and all things lactation education-November 2022

Tue, 15 Nov 2022 05:59:00 GMT

November 2022

News

The USBC Membership Steps Into a New Opportunity for Connection: Launching the First Food Connection Hub & Taking a Mission Moment with Monica Esparza.
Invitation to Contribute Stories to LLLI Publication
The Office of the U.S. Surgeon General published a Framework for Workplace Mental Health and Well-Being
City of Chicago Announces 12-Weeks Paid Parental Leave for City Employees
Biden-Harris Administration Announces More than Half of All States Have Expanded Access to 12 Months of Medicaid and CHIP Postpartum Coverage
Achieving healthy people 2030 breastfeeding targets in the United States: challenges and opportunities
Open Enrollment – Kaiser Permanente’s Child Health Program
Reach Lactation Advocates as a 2023 CBC Summit Sponsor or Exhibitor The deadline to confirm participation as a sponsor is Dec. 1, 2022. The deadline to confirm participation as an exhibitor is Dec. 15, 2022. Email tonya@californiabreastfeeding.org for details.
The Federal Drug Administration (FDA) has released official guidance on the risks of chronobacter in powdered infant formula.
2023 CWA Virtual Conference & Tradeshow. The deadline to submit a session proposal is Friday, November 18.
Abbott plans new $500 million infant formula facility as shortage continues
Pfizer Says Maternal RSV Vaccine Prevents Severe Infection in Infants
WIC Breastfeeding Award of Excellence Application Open
The Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program announced that the agency has opened submissions for new evidence reviews.
The President signed the Global Malnutrition Prevention and Treatment Act of 2021 (H.R.4693) into law.
The W.K. Kellogg Foundation (WKKF) announced that the 7th Annual National Day of Racial Healing will be held on Tuesday, January 17, 2023.
Pioneering Ideas: Exploring the Future to Build a Culture of Health – Call for Proposals
Blue Shield of California and Blue Shield Promise would like to invite you to attend an educational webinar focused on Adverse Childhood Experiences (ACEs) and Trauma-Informed Care (TIC) Education and Practical Resources for Community-Based Organizations Employees and Providers.
December 1st, 4:00 pm EST “The Ethical and Scientific Stakes Around Words: Language, Gender, and Pregnancy” Harvard Reproductive Health Seminar Series, #3. Register here.
Baby Formula Lawsuit Update November 2022

Research

Perspectives & Resources

Resource Handout: “ Breastfeeding Takes All of Us “
Online Quiz: “Returning to Work or School and Breastfeeding “
Holiday Food Safety Resource from WIC
Strategies for a Healthy and Safe Holiday Season
LactMed (Drugs and Lactation Database) is now available as an App! LactRx is finally in the App stores.
iPhone
Android
Diabetes and Breastfeeding
Nursing mothers, stay away from these foods ‘to keep your milk production levels up and ensure baby is happy, healthy’
The U.S. Breastfeeding Committee published a blog post, “A Closer Look at the 2022 CDC Breastfeeding Report Card
USBC Learning Opportunities Page Updated: USBC Webinar Recordings Available
Nutrition in the First 1000 Days.
Scary Stats 2022: ‘Halloween Ends’ but Pregnancy Discrimination Continues
Policymakers Should Expand Child Tax Credit in Year-End Legislation to Fight Child Poverty
Register Now: Human Lactation in the LGBT Community
2022 Impact Report: Breastfeeding Policy Priorities ,
A Better Balance published an open letter from more than 125 mothers in 42 states asking the Senate to pass the Pregnant Workers Fairness Act (PWFA) as a full-page ad in The New York Times.
New York Bill on Coverage for Lactation Consultants Passes Assembly

JOB/FUNDING OPPORTUNITIES

UC Davis is seeking a new leader to serve as director of the UC Davis Human Lactation Center and the Master of Advanced Study in Maternal and Child Nutrition. The application deadline is Jan. 4, 2023. For more information, read the position description.
Job Opportunity – PROGRAM OFFICER, BIRTH JUSTICE FUND
Baby-Friendly USA is seeking applications for external review board (ERB) members
Health Resources and Services Administration: Fiscal Year 2023 Quality Improvement Fund – Maternal Health . Deadline: Monday, December 5.

News and views on breastfeeding, human milk, and all things lactation education

Practicing Your Rights of Breastfeeding At Work

Tue, 15 Nov 2022 05:05:00 GMT

Earlier this month I received a letter from a nursing mom through my Chinese-language breastfeeding page . Here was the scenario: The baby was now nine and a half months old. The mother got to pump milk every four hours, twice a day at work. The mom has added solid foods to the baby’s diet, but breastfeeding continued.

She reached out to me because her milk supply has dropped but the baby’s milk demand hasn’t. Meanwhile, her boss asked her to extend the milk pumping session to every 5 hours, giving the reason that pump has affected her work performance. The mother hesitated and wondered if she should accept the requirement

My response was that no matter which state she lived in, the federal laws require the employer to provide a reasonable amount of break time and a space to express milk as frequently as needed by the nursing mother, for up to one year following the birth of the employee’s child. According to the Office of Women’s Health , a mother typically pumps every 2 to 3 hours, or around two to three times per 8-hour period. Therefore, it’s unreasonable for her boss to ask her to extend the pump period to every 5 hours.

Later I learned that the mother actually lived in Hong Kong. Since I’m not familiar with the labor laws in Hong Kong, I had to refer her to the Hong Kong Breastfeeding Coalition . When I followed up with her, she told me that she learned from the Hong Kong Breastfeeding Coalition that her boss’s request was unlawful in Hong Kong, but the employer didn’t mind breaking one rule or two and there’s nothing she could do about it. She eventually accepted that unreasonable request to keep her job.

The incident saddened me in many ways: the challenge that breastfeeding moms face at work seems to be universal, for one. And breastfeeding moms do need more protection, that’s why the Senate failed to pass the PUMP Act last month really hurts. (But the fight isn’t over: read more on U.S. Breastfeeding Committee’s Website )

Breastfeeding is a human right. With this blog post, I would like to remind all moms to familiarize yourselves with the labor laws during pregnancy, so that you know how to practice your rights of breastfeeding at work once the baby is here.

Happy Breastfeeding!

News and views on breastfeeding, human milk, and all things lactation education-October 2022

Fri, 14 Oct 2022 22:01:00 GMT

October 2022

News

The 2022 mPINC survey will close on October 17th, 2022.

All hospitals that have been screened by Battelle and deemed eligible have been sent an email with a link to complete the survey. Hospitals must complete their survey to receive a Hospital Report and be included in state, regional, and national level data. If a hospital has not yet received a link to complete the survey or has other questions, please email mPINC@cdc.gov .

Four in 5 pregnancy-related deaths in the U.S. are preventable
PUBLIC COMMENT OPEN – Infant Formula Transition Plan for Exercise of Enforcement Discretion: Guidance for Industry .
U.S. Breastfeeding Committee Statement on second-ever White House Conference on Hunger, Nutrition, and Health .
CA WIC Association Webinar Series – Human Lactation and the LGBT Community w/ speakers Lauren Handley, MD, FACOG, FABM, IBCLC & Andrea Braden, MD, FACOG, IBCLC
The Annual CWA Virtual Conference & Trade Show will be taking place Tuesday April 11 – Friday April 14.
Tell Congress to Pass Child Nutrition Reauthorization
CDC Breastfeeding Report Card, 2022
FDA Advises Parents and Caregivers Not to Buy or Give Mother’s Touch Formula to Infants
Miracle Babies: Boogie 4 Babies Saturday October 15, 2022 in Solana Beach

Research

Perspectives & Resources

The March of Dimes released a report titled “Nowhere to Go: Maternity Care Deserts Across the U.S.
September 15 – October 15 Is Hispanic Heritage Month Resources
Visit the OMH Hispanic Heritage Month website
The United States Conference of Catholic Bishops issued a letter to Senator Jeff Merkley (D-OR) and Representative Carolyn Maloney (D-NY-12) , urging Congress to pass the Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act (S. 1658/H.R. 3110).
New Peer-Reviewed Series Reinforces Powerful 1,000-Day Window in U.S.
Navigating New Motherhood as a Birth/Breastfeeding Worker.

News and views on breastfeeding, human milk, and all things lactation education

Breastfeeding Actually Saved Me Lots of Work

Fri, 14 Oct 2022 21:15:00 GMT

The work of picking the right formula milk: Mama’s milk is always the best. It’s genetically specific for the baby, and it meets perfectly for the baby’s needs. No need to compare and look for the top baby formula (really, does that even exist?) since I just breastfed.
The work of supplementing babies with various nutrients: There are lots of advertisements out there, telling us that we need to supplement our babies with infant probiotics, iron, vitamins, fluoride… Luckily, breast milk is the most complete nutrition; it is the right balance of proteins, fat, carbohydrate, vitamins, antioxidants, enzymes and minerals, and more. This perfect combination provides babies with everything they need to grow and thrive. There is never a need to give a breastfeeding baby any probiotics or vitamin supplements, except maybe a little vitamin D.
The work of “upgrading” formula milk: The cow’s milk-based baby formulas for babies up to 6 months of age are called stage 1 or starter formulas. You can use stage 1 formulas for 0-12 months. From 6 months, you need to change to stage 2 or follow-on the formula at some point. Then you need to change to the toddler formula. On the other hand, the nutrients of breast milk will change with the growth of the baby, and there is no need to change.
The work of obtaining clean drinking water: The milk fresh from the breast is always clean and ready to drink, no additional water is required. While people in developed countries often take clean drinking water for granted, it is true that there are situations where drinking water can be difficult to obtain. I was an international disaster reporter for seven years and have been in such situations in person.
The work of boiling water: Milk from the breast is always sterile and always at the right temperature for the baby to drink. There is never a need to worry about bacterial contamination due to insufficient heating, or the temperature being so high that burns the baby.
The work of taking care of a sick baby: Breast milk contains antibodies , which protect babies from illness. It also contains immunoglobulin A (IgA), which coats the intestine of the baby to protect it from any digestive tract infection. IgA also protects the baby from any allergens and infections entering the bloodstream. Additionally, when the mom is ill , she makes antibodies in her body which process through the breast milk and pass immunity to the baby. Both of my little ones never got sick before they were six months old. I do believe it has a lot to do with breastfeeding.
The work of soothing a baby with tummy troubles: Breast milk is a natural food for the baby. It is easy for the baby to digest; it can protect the baby’s gut health. Breastfed babies face fewer tummy troubles. They are less likely to have gas, constipation, diarrhea, vomiting, gastroesophageal reflux or GERD, Gastroenteritis, gut infection, thrush, diaper rash, and many other problems.
The work of washing bottles: In the first three months after my first child was born, I didn’t even have to wash bottles or breast pump accessories, because I just directly breastfed. Unfortunately, after my maternity leave was over and I started to pump, there seemed to be endless bottles and pump parts to wash. If only I could direct breastfeed for a longer period of time, that’d be heavenly.
The work of treating a tooth cavity: Research shows that breastfed babies are less likely to develop cavities. My two children, now ages nine and four, have never had a cavity.

Last but not least, while I didn’t have premature babies, research shows that breast milk helps to protect premature babies from a life-threatening condition called necrotizing enterocolitis (NEC). This is an infection of the intestinal lining that leads to severe inflammation and ultimately causes pieces of the intestine to die. Breastfeeding reduces the risk of NEC infection by up to 60 percent, and I imagine that breastfeeding can save a mom of a premature baby even more work—the work of having her little baby undergo surgery to correct NEC.

Between my two kids, I breastfed for a total of six years. I exclusively breastfed for the first six months of each of them, and we extended the breastfeeding relationship to 2.5 years with my older one and 3.5 years with my younger one. I was often asked, “Isn’t that a lot of work?”

True, breastfeeding is a lot of work . But I think the benefits are worth it. Plus, breastfeeding actually saved me even more work. These are some works that breastfeeding saved me from.

San Diego Coalition Honors Supervisor Terra Lawson-Remer as 2022 Breastfeeding Champion

Wed, 12 Oct 2022 22:45:00 GMT

SAN DIEGO, CA

Contact:

Angeles Nelson, Board President

angeles@breastfeeding.org

On Sunday, October 23rd from 4pm-9pm at the Southwestern Yacht Club , the San Diego County Breastfeeding Coalition (SDCBC) will be celebrating collective wins in infant feeding and maternal health. Supervisor Terra Lawson-Remer who proudly represents San Diego County’s Third Supervisorial District, spanning the region’s iconic coastline from Carlsbad to Coronado, will be honored as the 2022 San Diego County Breastfeeding Champion for her leadership and service.

In 2021, Supervisor Lawson-Remer championed the Coalition’s National Breastfeeding Month Proclamation recognizing August as San Diego County Breastfeeding Month. As a breastfeeding mother herself, Lawson-Remer has been an advocate for breastfeeding, with many instances of unapologetically breastfeeding her child while on the campaign trail.

Supervisor Lawson-Remer (center holding frame) handing proclamation to SDCBC board members.

This past year, Supervisor Lawsom-Remer has been working closely with the SDCBC to uplift funding opportunities to diversity the local breastfeeding support workforce through lactation education scholarships and affordable, accessible breastfeeding education opportunities for San Diego County health professionals.

Supervisor Lawson-Remer will be recognized at 5:30pm by dozens of local lactation and health advocate at the San Diego County Breastfeeding Coalition’s annual fundraising event, Liquid Gola Gala. This special event is back after being put on hold for the past two years due to the pandemic. The night will feature a cocktail reception along the picturesque San Diego Bay with music by the SDSU Community Music School Trio, Dinner and Award Ceremony recognizing local leaders and workplaces, followed by a fun and exciting silent and live auction.

Please visit our website at breastfeeding.org/2022-liquid-gold-gala/ to learn more about the upcoming event. Tickets still available, auction donations and event sponsors are accepted.

The San Diego County Breastfeeding Coalition (SDCBC) is a local non-profit coalition dedicated to improving the health and wellbeing of our community by protecting, promoting, and supporting breastfeeding through education, outreach, advocacy, and service. SDCBC is comprised of a variety of stakeholders and implements several initiatives in addition to the resource guide such as lactation education scholarships, breastfeeding warmline, education programs, community services, and a website.

For Immediate Release – October 11, 2022

News and views on breastfeeding, human milk, and all things lactation education-September 2022

Thu, 15 Sep 2022 03:23:00 GMT

News and views on breastfeeding, human milk, and all things lactation education

September 2022

News

The 2022 mPINC survey will close on October 17th, 2022 .

All hospitals that have been screened by Battelle and deemed eligible have been sent an email with a link to complete the survey. Hospitals must complete their survey to receive a Hospital Report and be included in state, regional, and national level data. If a hospital has not yet received a link to complete the survey or has other questions, please email mPINC@cdc.gov .

Research

Perspectives & Resources

News and views on breastfeeding, human milk, and all things lactation education-August 2022

Mon, 15 Aug 2022 07:19:00 GMT

August 2022

News

Academy of Breastfeeding Medicine Position Statement: Breastfeeding As a Basic Human Right
Update for Clinicians on Monkeypox in People with HIV, Children and Adolescents, and People who are Pregnant or Breastfeeding .
Miracle Babies: Boogie 4 Babies Saturday October 15, 2022 in Solana Beach
The National Association of County and City Health Officials is hosting a webinar titled “ Building Community Workforce Capacity to Equitably Support Chest/Breastfeeding ,” on Tuesday, September 13, at 1 p.m. ET.
Fixing Our Regulatory Mayhem Upsetting Little Americans (FORMULA) Act (H.R. 8351) has been signed into law.
Family Level Assessment and State of Home Visiting Outreach and Recruitment Study Report
New Breast Milk Analyzer Provides Targeted Fortification, Exact Nutrients for Premature Babies

National Breastfeeding Month Events/Webinars

National WIC Association are hosting a series of panel discussions in celebration of National Breastfeeding Month .
Breastfeeding Resiliency, Engagement, and Empowerment is hosting an online screening of Chocolate Milk: The Documentary on Wednesday, August 31, from 3-5 p.m. ET.
National Institute for Children’s Health Quality published a National Breastfeeding Month webpage
Nurturely is hosting an Instagram live event on Tuesday, August 30, from 5-6 p.m. ET. Join Kayla Bitten, founder of The Southern Midwife and The Postpartum Clinic will chat about food justice, lactation, ecology, herbalism, and food sovereignty .
Oklahoma Department of Health and U.S. Department of Labor, Wage & Hour Division are hosting a free compliance assistance webinar titled “Break Time for Nursing Mothers: Guidance for Employers and Advocates” on Tuesday, August 23, from 12-1:30 p.m. ET.
The Northwest Portland Area Indian Health Board hosts the Maternal and Child Health ECHO Series
U.S. Department of Agriculture released a series of MyPlate resources for breastfeeding families in honor of National Breastfeeding Month
The Pregnant Scholar at the Center for WorkLife Law, UC Hastings College of the Law is hosting a webinar titled “Supporting Lactating Students and Employees on Campus” on Wednesday, August 17, at 1 p.m. ET.
The U.S. Department of Labor’s Women’s Bureau, the Wage and Hour Division, and the U.S. Equal Employment Opportunity Commission are hosting a webinar titled “ Know Your Rights: Nursing Workers & FMLA ” on Wednesday, August 31, at 3 p.m. ET.
The National Institute for Children’s Heath Quality is hosting a webinar titled “ Centering Community Voices: Solutions to Safe Sleep and Breastfeeding Using a Quality Improvement Framework ” on Wednesday, August 24, at 2 p.m. ET.
The National Coalition for Infant Health is hosting an “ Infant Health Policy Summit ” on Wednesday, August 31, from 9 a.m.-2 p.m. ET, in Washington, D.C.

Research

Perspectives & Resources

Foods for infants and young children: a matter of concern? – WHO | World Health Organization
Amazon didn’t give workers breaks to pump breast milk – lawsuit
Why Is Breastfeeding in the Workplace Still Such a Contentious Topic?
Baby-Friendly Hospitals’ Aim to Break Down Barriers to Breastfeeding
Funding Opportunity: CDC-RFA-DP23-2312: The State Physical Activity and Nutrition Program (SPAN)
Funding Opportunity: CDC-RFA-DP23-2313: The High Obesity Program (HOP)
Funding Opportunity: CDC-RFA-DP23-2314: Racial and Ethnic Approaches to Community Health (REACH)
American Academy of Pediatrics published an updated resource titled “FAQ on Management of Infants Born to Mothers with Suspected or Confirmed COVID-19
U.S. Department of Agriculture released several resources on supporting breastfeeding families. A new series of webpages features words of affirmation for mothers , partners , grandparents , and friends
The Centers for Disease Control and Prevention Office of Minority Health and Health Equity launched a new webpage dedicated to providing a greater understanding of health equity
Breastfeeding Week 2022: A lactation expert debunks 10 breastfeeding myths – Healthshots

“ Madres que están lactancia maternal Protecciones Laborales ” is a Spanish language version of the “ Nursing Mothers Workplace Protections ” flyer featuring information on the Break Time for Nursing Mothers law.
Breastfeeding Medicine in the Ukraine Free eCourse
Formula Shortage: Spanish Language Blog Available
Infant Formula Translated Resources
Hands-On Pumping Handout English . SPANISH
Afghan Language Breastfeeding Resources
UNICEF Baby friendly Foreign Language Resources
EthnoMed: We provide information about cultural beliefs, medical issues and other topics related to the health care of immigrants to the US, many of whom are refugees.
Pregnancy and Baby Care » Translated Health Information
Lactation Education Resources: Arabic, Chinese, English, Polish, Spanish, Vietnamese
Breastfeeding Educational Materials in the Vietnamese Language
Breastfeeding Resources: Arabic, Bosnian, Burmese, Chinese, English, Farsi, French, Hindi, Hmong, Korean, Nepali, Romanian, Russian, Somali, Spanish, Urdu, Vietnamese.

News and views on breastfeeding, human milk, and all things lactation education

Breastfeeding is a One-Of-A-Kind Experience

Sun, 14 Aug 2022 20:54:00 GMT

Here are some most impressive responses:

From a mom who did not attend prenatal breastfeeding class, “I couldn’t believe that they asked me to do skin-to-skin right after giving birth! I was exhausted already. I had absolutely no idea what to do. And I never got enough sleep again. In spite of all of these, I discovered that breastfeeding is actually the happiest and most relaxing time for baby and me.”

“My baby was a good eater and I absolutely loved breastfeeding until he was teething…it hurt! But he soon weaned himself after that. Now I miss breastfeeding.”

“I felt every positive emotion from the beginning to the end.”

“I loved the skin-to-skin contact with my baby right after giving birth. I loved rooming with my baby. Breastfeeding at home worked well, thanks to the good start in the hospital. I so enjoyed the moments when she stuck on me. Now she’s almost two and would climb on me and ask for milk. It’s breastfeeding at its easiest.”

“I love every second of breastfeeding.”

“I don’t have much milk, but amazingly, it’s always enough for my baby.”

“I’m tired, so tired, very tired…I never know whether it’s day or night. But still, it feels good, it feels like baby and I are a team.”

“The best thing I ever did for my baby as a mom.”

“I’m hungry, super hungry…Five emojis are not enough! I want to eat!!”

Among all these responses, I noticed that none of the moms used a sunshine or rainbow emoji. Being a new parent is exciting, but it’s definitely not always sunshine and rainbows!

How was your breastfeeding experience? Share with us using five emojis!

This National Breastfeeding Month, I invited the followers of my Facebook Breastfeeding Page to show their breastfeeding experience with five emojis. The results were truly fascinating and really reflect how unique each mother’s breastfeeding journey can be.

Congratulations to our Summer 2022 Lactation Scholarship Awardees

Fri, 15 Jul 2022 01:59:00 GMT

In partnership with UCSD Extension’s Global Lactation Alliance Program , SDCBC offers scholarships for community leaders who are pursuing LEC or IBCLC education in order to increase lactation support in underserved communities. Each year the Coalition will announce several scholarship opportunities and select individuals vividly exhibiting a passion to serve San Diego families.

Meet Leslie McFarlane

Like many, my journey into birth work and birth justice activism began with my own first pregnancy over seven years ago. It became very clear that there were huge gaps in my healthcare experience being a black mother and woman of color.

Two years later in 2017, I completed a Perinatal Education program with the Midwest Maternal Institute. With PE certification I was able to start my mission as a full spectrum doula and childbirth educator and currently serve local San Diego families at the San Diego Community Birth Center.

I am so thankful for the scholarship and learning opportunity here at UCSD!

After the completion of this program and the ALPP exam, my goal is to continue serving BIPOC communities. I hope to further enhance my ability to bring these families into the SD community birth center, teaching and supporting them in their breastfeeding journeys.

Meet Marissa A Rivera

I write to acknowledge immense gratitude for this opportunity, as this will let me gain knowledgeable wisdom to empower women in my community.

In the short time I have worked as a Prenatal Case Manager, I have come to see the real need to advise women and support breastfeeding by having genuine conversations about how there are different experiences with breastfeeding, and how they are all okay in their own special way.

I look forward to being that extra resource. I honestly can’t wait.

Every gift counts! Here is how you can help today:

$25 will pay for the Warm Line for 1 month
$65 provides books for a CLEC (Lactation Educator Counselor) student
$200 will provide the software for our educational webinars for 1 month
$400 (matched by UCSD) provides 1 scholarship for a lactation student
$1000 will support our website for 3 months

News and views on breastfeeding, human milk, and all things lactation education-July 2022

Fri, 15 Jul 2022 01:01:00 GMT

News and views on breastfeeding, human milk, and all things lactation education

July 2022

News

Mandatory California Hospital Infant Feeding Policy and Practice: Is your Hospital on Track? Free Training Thursday July 21 12pm-1pm PST

The County of San Diego Health and Human Services is proud to announce the Black Legacy Now San Diego Implicit Bias Training. This training series is Senate Bill 464, The Dignity in Pregnancy and Childbirth Act compliant. It is free to providers in the County of San Diego and available for you to take now.

UCSD NEWS: WEE NUZZLE: A QUALITY INITIATIVE TO PROMOTE NON-NUTRITIVE BREAST FEEDING IN ORDER TO INCREASE BREASTMILK AT DISCHARGE FOR PRETERM INFANTS IN THE NEONATAL INTENSIVE CARE UNIT

TrueCare WIC & UCHealth Milk Bank 2nd Annual Milk Drive ENGLISH FLYER & SPANISH FLYER Sat August 6th 2022

Infant and Young Child Feeding in Emergencies (IYCF-E) Toolkit.

Updated AAP guidance recommends longer breastfeeding due to benefits

Federal Appropriations For Breastfeeding

California Releases New Pregnancy-Related Mortality Data:

The U.S. Department of Education Releases Proposed Changes to Title IX Regulations, Invites Public Comment

White House Blueprint for Addressing the Maternal Health Crisis.

Representative Robin Kelly (D-IL-02) introduced the Health Equity and Accountability Act (H.R. 7585)

Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment.

Research

Perspectives & Resources

What do these breastfeeding guidelines tell us?

Thu, 14 Jul 2022 19:54:00 GMT

I appreciate how these new guidelines reduce the stigma against breastfeeding past 12 months. They affirm that mothers should be supported by medical providers, workplaces, families and society at large in breastfeeding for as long as they want to. The new policy statement also notes that there aren’t enough structural supports in place—such as paid parental leave, flexible work schedules and on-site child care—that might help American families reach their breastfeeding goals.

And releasing the new guidance days after the overturning of Roe v. Wade, when millions of American women are alarmed about restrictions on their reproductive and physical autonomy, was a move that sent important reminders: instead of abortion bans, there are more reasonable means to reduce abortion rates—provide families the support they need. Instead of toppling Roe, what we should do is pass the PUMP Act , legislation meant to give more women access to workplace protections for action.

Currently, nine million women of childbearing age are left out of federal workplace lactation protections. Teachers, registered nurses, agricultural workers and many others have no federal right to take work breaks to pump milk to feed their nursing babies. The AAP guidelines explicitly recommend “universal” workplace break time and private space, and we must make it a reality.

Last month, the American Academy of Pediatrics released an updated policy statement on breastfeeding that suggested increasing the duration of breastfeeding to two years or more from one year or more. This is the first update to the breastfeeding recommendations in a decade.

Besides the increase in duration, many of the recommendations remained similar to the guidance published in 2012, including continuing recommendation to breastfeed exclusively for the first six months of a baby’s life. Facing questions about the timing of the release, Dr. Joan Meek, the lead author of the policy statement, told New York Times that the update has been in the work for years, and the timing of its publication “should not be interpreted as if the AAP were suggesting in any way that women can breastfeed their way out of the current formula crisis.”

Promote Non-Nutritive Breast Feeding

Tue, 28 Jun 2022 19:06:00 GMT

WEE NUZZLE: A Quality Initiative to Promote Non-Nutritive Breast Feeding in Order to Increase Breastmilk at Discharge for Preterm Infants in the Neonatal Intensive Care Unit

Background :

Non-nutritive breast feeding (NNBF) is breast/chest feeding on a breast after it has been pumped. Reduced opportunities for infants to practice direct latching may discourage parents, impact breastmilk supply, and reduce breastmilk feeding at discharge.

The objective of this Quality Improvement (QI) project is to decrease the time to first NNBF attempt by one week from a baseline of two weeks among infants <34 weeks, between May 2021 to May 2022. The global aim is to support and encourage breastfeeding, promote maternal-infant bonding, and facilitate early positive oral experiences.

Read the full abstract here: https://docs.google.com/document/d/1MXgnGpmGYswsUJ_w2l-uX7m1jLQcN_4W/edit?usp=sharing&ouid=100032680491019628659&rtpof=true&sd=true

Fathers and Breastfeeding Resources

Thu, 16 Jun 2022 18:12:00 GMT

Fathers have an important role to make chest/breastfeeding work.

Objectives

At the conclusion of the presentation the participant will be able to:
1. Discuss the influence of paternal/partner attitudes on the mother’s decision to breastfeed.
2. Evaluate and respond to at least 2 of the most common concerns about breastfeeding that fathers/partners may have heard.
3. Identify at least 3 ways fathers/partners can protect and support the mother while breastfeeding.

Father’s and Breastfeeding Resources:

Reaching Our Brothers Everywhere (ROBE)’s educates, equips, and empowers men to help increase breastfeeding initiation and duration rates, primarily in the Black community. Their article Breastfeeding Communities for Fatherhood: Laying the Groundwork for the Black Fatherhood, Brotherhood, and Manhood Movement explains how their work is helping increase breastfeeding rates in Black communities.
WIC Dear Dads Webpage
WIC Fathers Can Support Breastfeeding Brochure
Live Healthy Miami Gardens Fathers and Breastfeeding Event Video
Healthy Start Pittsburgh: Fatherhood Program
Baby GooRoo: Breastfeeding And Dad Video

News and views on breastfeeding, human milk, and all things lactation education-June 2022

Wed, 15 Jun 2022 17:12:00 GMT

News and views on breastfeeding, human milk, and all things lactation education

LGBTQIA+ Resources and Pride Month

How a breastfeeding company changed its approach to gender-inclusive language

Fatherhood Forward,” presented in collaboration with Reaching Our Brothers Everywhere (ROBE)

MHLIC 2022 National Maternal Health Innovation Symposium August 2-3, 2022

USBC Theme for #NBM2022: Together We Do Great Things

2023 California Breastfeeding Summit Virtual Speaker/Poster Proposal

Maternity Care Survey Underway

Gestational Hypertension on the Rise

UCSD NEWS: WEE NUZZLE: A QUALITY INITIATIVE TO PROMOTE NON-NUTRITIVE BREAST FEEDING IN ORDER TO INCREASE BREASTMILK AT DISCHARGE FOR PRETERM INFANTS IN THE NEONATAL INTENSIVE CARE UNIT

San Diego Community Mission Virtual Meeting: Join the March of Dimes on Thursday, June 16, 2022 from 10:00 am – 11:30 am

The Australian National University and Alive & Thrive Southeast Asia have partnered to develop the Mothers’ Milk Tool.

Webinar on Establishing a Company Paid Leave Policy

Webinar on State-Level Paid Leave Program Wins and Implementation

Mothers’ Employment Two Years Later

Funding Opportunity to Educate Women Workers

Research

Black-Led Birth Centers to Address Health Inequities

The Effect of a Father’s Support on Breastfeeding: A Systematic Review

The Effect of Intimate Partner Violence on Breastfeeding Behavior

Comparative Profiles of SARS-CoV-2 Spike-Specific Human Milk Antibodies Elicited by mRNAand Adenovirus-Based COVID-19 Vaccines

Antibodies Against SARS-CoV-2 in Human Breast Milk After Vaccination: A Systematic Review and Meta-Analysis

Case report: human breast milk from vaccinated woman clears persistent SARS-CoV-2 infection

Association Between a History of Hookah Use and Breastfeeding Duration

Association Between Influenza Vaccination During Pregnancy and Breastfeeding Duration

Comparison of Infant Bone Mineral Content and Density After Infant Daily Oral Vit D 400 IU Supplementation Versus Nursing Mother Oral 6,400 IU Supplementation: A Randomized Controlled Lactation Study

Most Egg Allergies, One Third of Peanut Allergies Resolve by Age 6

Bonding, Relaxation, Separation, and Connection: Expressing Human Milk While Videoconferencing with the Hospitalized Premature Infant

Researchers Pinpoint Important Biomarker for SIDS – Updated

Perspectives & Resources

National Maternal Mental Health Hotline

Free Food for Families: SBCS in partnership with Smart Food Foundation, Feeding San Diego and the San Diego Food Bank, offers healthy food distribution (walk-up) on a monthly basis

Nutrition Business Monitoring Tool Recommends Breastfeeding Support

A formula for disaster

The formula shortage and why “just breastfeed!” is ridiculous advice

Here’s what doctors want you to know about donor breast milk l GMA

Nevada mom donates thousands of ounces of breast milk

Combating Pervasive and Misleading Formula Marketing Practices Is All of Our Responsibility

Is the US infant formula shortage an avoidable crisis?

California WIC Efforts to Cope With Formula Shortage

The baby formula shortage is prompting calls to increase support for breastfeeding – NPR

This World Food Safety Day, What Can We Learn from the US Formula Crisis?

Tue, 14 Jun 2022 16:45:00 GMT

June 7th is the second World Food Safety Day. It is a WHO initiative that aims to draw attention to the need to prevent food-borne risks, and contribute to food security, human health, economic prosperity, and sustainable development among other food-related concerns.

Unfortunately, on this World Food Safety Day, the United States is under a baby formula crisis . More, unfortunately, while WHO says that breast milk is the safest and healthiest way to exclusively feed children during the first six months of life, breastfeeding is not always an option for everyone.

There are adoptive parents and moms with health conditions or limited breast milk supply. More than that, there are parents who have to rush back to work after childbirth—The US is the only developed country in the world that does not guarantee paid maternity leave; plus, only 40% of women had access to both break time and private space which is not a bathroom for expressing milk, despite federal law requiring both of these, making breastfeeding impossible for many families.

In short, it was never moms who cannot afford formula to choose to breastfeed. It was always moms who cannot afford breastfeeding who choose formula feed. It is reported that the baby formula shortage across the US is disproportionately hurting vulnerable infants and low-income families who do not have the resources to travel long distances or pay marked-up prices for critical nutrients, exactly the families that cannot afford to breastfeed.

First, we need to help families cope. The AAP had issued multiple guidelines and warnings, including what parents should do if they can’t find any formula, how to best switch among different baby formula brands, and what to do with babies needing specialty metabolic infant formula. More information can be found here .

Second, we need to ensure this doesn’t happen again. House Democrats on May 18 passed a $28 million spending bill that would boost FDA funding to inspect domestic and international formula procedures. The bill now moves to the evenly divided Senate, where its fate is uncertain and we need to hold the Senate accountable.

Last but not least, we need to continue to protect infant and young children’s health through protecting, promoting, and supporting breastfeeding. It is clear that the formula crisis is hitting the families that cannot breastfeed the worst, and it’s our responsibility to improve birth equity and make breastfeeding more doable.

News and views on breastfeeding, human milk, and all things lactation education

Sat, 14 May 2022 20:35:00 GMT

News and views on breastfeeding, human milk, and all things lactation education

Asian American and Pacific Islander Heritage Month

Valuing breastfeeding through the Mothers’ Milk Tool

Org Sign On – Joint Letter Supporting Federal Funding for Breastfeeding

Registration for the USBC conference is open

Centers for Disease Control and Prevention opened nominations for new members of the Community Preventive Services Task Force

Governor Carney Signs Paid Family Leave Legislation

Insurers Required to Cover More Breastfeeding Equipment, Supplies

Tell Congress to #ExtendTheWICBump

NWA 2022 Biennial Nutrition Education and Breastfeeding Promotion Conference – Call for Abstracts Open

2022-24 class of the ZERO TO THREE (ZTT) Fellowship

Bill to Extend Medicaid Coverage for Doulas and Midwives Introduced

WABA Labour Day – Supporting breastfeeding at work: Improve parental social protection now!

TRICARE expanding services for new and pregnant parents

Academy of Breastfeeding Medicine New Protocol: Supporting Breastfeeding During Materna or Child Hospitalization

International Confederation of Midwives’s Virtual Party for the International Day of the Midwife

Delegate Eleanor Holmes Norton (D-DC-At Large) introduced the Breastfeeding Mothers Jury Duty Exclusion Act (H.R. 7558)

Widower of Black woman who died hours after childbirth files civil rights lawsuit against Cedars-Sinai

Research

Assessing the impact of a statewide effort to improve breastfeeding rates: A RE-AIM evaluation of CHAMPS in Mississippi.

Robert Wood Johnson Foundation released the 2022 County Health Rankings

Marketing of breast-milk substitutes: national implementation of the international code, status report 2022

Maternal and Child Health Outcomes Associated with the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

Department of Labor Report – Women and Work: Reinvestment, Return and Recovery.

The scope and impact of digital marketing for the promotion of breast-milk substitutes

Perspectives & Resources

LLLI multilingual resources for infant feeding in emergencies now include Bulgarian, Polish, Romanian and Ukrainian. Totalling 18 languages

Cancer: Diagnostic Tests, Therapeutic Procedures and Treatment while Breastfeeding – Updated

PUMP Act Partner Toolkit

Nursing Mothers Workplace Protections Handout

U.S. Department of Labor virtual presentations: Equity in the Workplace: Protecting Pregnant and Nursing Mothers

U.S. Department of Labor virtual presentations: Equity in the Workplace: Advancing Equity for Asian American and Native Hawaiian, Pacific Islander (AA and NHPI) Women

As climate change worsens hurricane season in Louisiana, doulas are ensuring parents can safely feed their babies

Strategies for Infant and Young Child Feeding in Climate-Related Emergencies”

ILCA RESOURCES FOR SKILLED LACTATION CARE PROVIDERS ON EMERGENCIES & DISASTERS

FACT SHEET: President Biden Announces Additional Steps to Address Infant Formula Shortage

Safe milk more accessible for everyone:’ Connecticut gets first outpatient breast milk dispensary”

Breastfeeding USA has developed a shareable graphic featuring information from the American Academy of Pediatrics on the infant formula shortage

Interest in breastfeeding has increased amid baby formula shortage

What Are Milk Banks? Parents Turn to Alternatives Amid Formula Shortage

World Breastfeeding Week 2022 Action Materials

Free Virtual Events in May from Blue Shield Promise Health Plan – Southern California Homelessness: Preventive Strategies and Solutions

Training: Nonpartisan Advocacy in Partisan Times

Alive & Thrive has published a variety of new resources of interest to implementers of MIYCN programs and breastfeeding advocates worldwide

It Is Not Kindness For Employers To Support Breastfeeding Parents At Work; It’s The Law.

Sat, 14 May 2022 09:00:00 GMT

When I returned to work three months after giving birth, I had to crouch in a toilet stall to pump breast milk. When I talked to my supervisor about my need of having a private space to pump, she told me that I don’t need to breastfeed. When I stood up against my employer for not accommodating me as a nursing mom, the company agreed to pay a monetary settlement. But just like 2/3 of women dealing with breastfeeding discrimination in the country , I ended up losing my job.

What I learned from my experience is that you need to know your right to practice your right. So today, I’m going to write down the important lactation rights that all my fellow California moms and expecting moms should know.

Before your maternity leave, ask your employer about these rights.

An employer discriminates against or harasses an employee because of lactation is against the law.

Your employer must provide a reasonable break time to pump, even if pumping requires additional breaks that are longer than normal.

Your employer must provide you with a clean, private space that has an area to sit, a surface to put your breast pump, has electricity, and is in close proximity to a refrigerator and sink. However, if an employer has fewer than 50 employees and can show it would be extremely difficult to meet one of these requirements, they may not be required to do so. Visit legalaidatwork.org/wf or call 800-880-8047 for advice about specific situations.
It is not kindness for employers to support breastfeeding parents; it’s the law. Parents have the right to a private space and break time to pump milk, free from harassment or retaliation.

May is my favorite month. It’s warm, but not too warm. The Lilacs and lilies of the valley bloom. Both Mother’s Day and Chinese Breastfeeding Awareness Day (which is May 20th) are in this month. It’s also AAPI Heritage month.

This May, I was lucky enough to tell my breastfeeding story with a video produced by StoryCenter in collaboration with Legal Aid at Work .

News and views on breastfeeding, human milk, and all things lactation education

Fri, 15 Apr 2022 05:56:00 GMT

News and views on breastfeeding, human milk, and all things lactation education

Continuity of Care in Breastfeeding Support Blueprint Webinar Series

Applications Open: NACCHO’s Subject Matter Expert Advisory Workgroups

ROSE Breastfeeding Summit

Georgia Lactation Consultants Victorious Over Unconstitutional Licensing Law

AAP National Conference Now Accepting Breastfeeding Abstracts!

Breastfeeding Advocates Recognize Georgia Pediatricians

Centering the Experiences of Black Mamas in the Workplace: How the Pregnant Workers Fairness Act Can Support Black Maternal Health

Bill on Lactation Space for Veterans Advances in House

WHO recommendations on maternal and newborn care for a positive postnatal experience

Parental Leave for Residents and Pediatric Training Programs

The Office of Disease Prevention and Health Promotion added Spanish translations of consumer-friendly handouts based on the Dietary Guidelines for Americans, 2020-2025

Maternal and Infant Health Assessment (MIHA.)

H.Res 846 “Recognizing the maternal health crisis among indigenous women in the United States

Research

Special Issue on Breastfeeding and the Black/African American Experience: Cultural, Sociological, and Health Dimensions Through an Equity Lens—Part 1

Breastfeeding Medicine and Studies on the Black/African American Experience and Breastfeeding: Part 2

The Center for African American Health Community Assessments

Association of Breastfeeding Duration with 12-Month Postpartum Blood Lipids in a Predominately Lower-Income Hispanic Pregnancy Cohort in Los Angeles.

Inequities in paid parental leave across industry and occupational class: Drivers and simulated policy remedies

Short Breastfeeding Duration is Associated With Premature Onset of Female Breast Cancer.

Breastfeeding duration is positively associated with decreased smoking relapse in the postpartum period.

Maternity Care Practices and Breastfeeding Intentions at One Month Among Low-Income Women

The role of breastfeeding promotion in German hospitals for exclusive breastfeeding duration.

Poll On COVID-19 Vaccine Hesitancy and Points to Continued Lack of Trust Beyond the Pandemic

How Do Milk-Producing Cells Change Over Time in Nursing Mothers?

The dynamics of human milk production

Association of Breastfeeding Duration with 12-Month Postpartum Blood Lipids

Perspectives & Resources

NWA Toolkit on Infant Formula Recall of Certain Abbott Products

WABA Messages for World Health Day 2022 – Breastfeeding Is A Climate-smart Decision

How the Public Health Emergency Declaration Affects WIC

survey on the prevalence of pregnancy discrimination in the workplace

Strategies for Infant and Young Child Feeding in Climate-Related Emergencies

Lactation Apps

Dangerous Donations

Online Breastfeeding Training for Health Care Staff:

Lactation is Maternal Health. Let’s Support Black Lactating Mothers this Black Maternal Health Week.

Fri, 15 Apr 2022 04:43:00 GMT

It’s constantly changing according to babies’ nutritional needs . More than that, breast milk helps protect infants from short and long-term illnesses, including asthma, childhood obesity, type 1 diabetes, and sudden infant death syndromes. Many of the conditions are more common in black children than non-black children.

With that being said, supporting breastfeeding and quality lactation care is a good place to start to improve the overall health and wellbeing of black women and their babies, and Black Maternal Health Week is a great reminder that we must center the voices of black women to achieve lasting change.

Black Maternal Health Week is also a great opportunity for awareness and activism.

Right now, the Senate is considering making a critical investment in black maternal health: The Black Maternal Health Momnibus . The act supports pregnant and lactating black mothers by making critical investments in social determinants of health that influence maternal health outcomes, like housing, transportation, and nutrition. It will grow and diversify the perinatal workforce and ensure that every mom in America receives maternity care and support from people she can trust. It will further invest in maternal mental health care and substance use disorder treatments.

We don’t need to be a Senator to support this important bill. We can:

Call our Senator to support the Black Maternal Health Momnibus with MomsRising
Advocate for the Black Maternal Health with March of Dimes
Sign on to support Black Maternal Health Momnibus with Council of Jewish Women

April 11th marked the first day of Black Maternal Health Week this year. I think it is a great time to talk about how lactation is a crucial part of maternal health.

Breastfeeding can reduce a mother’s risk of breast and ovarian cancer, type 2 diabetes, high blood pressure, and all these conditions affect black women at a disproportionately higher rate than non-black women. For example, research shows that black women are disproportionately affected by more aggressive subtypes, such as triple-negative breast cancer. On the other hand, for every 12 months a woman breastfed, her risk of breast cancer decreased by 4.3% .

Congratulations to our Spring 2022 Lactation Scholarship Awardees

Thu, 07 Apr 2022 04:13:00 GMT

Meet Reese Shasha

I am Reese Shasha, I working with First 5 First Steps program/ home Start for more than 3 years as a family support specialist. I provide direct services to the different populations in east county, and I learned about cultural differences and beliefs. I speak Arabic, English, and understand Chaldean. I love working with Families and I enjoy watching kids grow and learning scales.

The First 5 First Steps (First Steps) family support program provides home visiting services for pregnant women and families with children ages 0-3. First Steps promotes positive parenting and enhances child health and development for families who may face hardships and stressors that place them at increased risk for poor health and developmental outcomes. Our services are offered over the long term to prepare children to enter school as active learners and ensure that all children are healthy, loved, and nurtured.

Through my experience working with mom, high percentage of moms decided to stop breastfeeding due to lactating difficulty, discomfort during nursing, breast pain, and sore nipples

After birth many moms become more stress(ed) due to a traumatic birth or experience which led them to stop breastfeeding. External pressure from Families, friends, and husband or surrounding to stop nursing once the baby reaches a certain age, for example, three-six months old or when they start solid foods. While Moms ask questions about breastfeeding, I struggle with finding an accurate answer to help and support moms in this matter.

This class will help me gain knowledge about breastfeeding, hormone changes during breast feeding, Illness, infection, and treat the infection. Also, learn new technics to convince moms to start and continue with breast feeding and taking care of themselves and their nutrition that need during that time which help MOM to produce more milk instead of using a bottle milk.

Also, this class will help me learn more about pumping and storage the breast milk that mom can use it as need it to BA.

Meet Emily

Howka, my name is Emily and I am a proud Auntie from the Santa Ysabel Reservation here in Kumeyaay Territory aka San Diego, CA. On my Reservation, I am working towards being a respectful land steward and creating mindfulness of all ecosystems around us.

Whether it be in the garden or in the kitchen, I am working towards building food sovereignty practices for the many families here on & off the Rez. We have been growing seeds in our community garden (@MaatHetemii) for the past 3 years.

In Fall 2020, I started a monthly meal distribution to elders and expecting/postpartum mamas who live on the Reservation. I prepared, packaged, and delivered every meal. I was able to do that for some months and look forward to making more nourishing meals with our garden harvests this year.

The LEC program will help me further my lactation knowledge and will go straight into the community. Ultimately being that resource to parents on my Reservation who may need lactation support. This encourages me and maybe will encourage others the importance of our role in the postpartum ceremony. We all can be of support in one way or another.

Lactation Apps

Tue, 29 Mar 2022 22:08:00 GMT

Some of these are free and have been recommended or suggested by lactation professionals.

Baby Connect ($4.99)

Tracks everything related to baby: diapers, feeding,growth, meds, sleep, and vaccines; caregivers can log in too; everybody canbe synched together

Baby Feeding Log

< https://itunes.apple.com/us/app/baby-feeding-log/id412360317?mt=8 > (free)– allows new parents to record all the basics for nursing, diapers, and sleeping

Breastfeeding Central ($3.99) created by an IBCLC

Breastfeeding Management

< http://breastfeeding-management.topapp.net >(free) – a complete informational resource for breastfeeding moms developed by Massachusetts Breastfeeding Coalition

iBabyLog

< https://itunes.apple.com/us/app/ibabylog-baby-tracker./id466576348?mt=8 >(free)– tracks sleeping, breastfeeding, diaper changes, mood, baths

Feed Baby – Baby Tracker: (free)

tracks everything about baby

Global Health Media Birth and Beyond (free)

28 videos in 21 languages. Topics covered include birth, breastfeeding,newborn care, small baby care. https://globalhealthmedia.org/announcing-our-new-app-birth-beyond/

Irth: https://irthapp.com/

prenatal, birthing, postpartum andpediatric reviews from Black and Brown women

LactApp (free) English and Spanish; from UNICEF. https://lactapp.com

Latch Me (free)

This app is full of resources for a breastfeeding mom to find local support. It includes help finding locations to breastfeed, doctors and lactation consultants nearby and more. You can also add nursingor pumping locations to the app as you find them.

Mamava App

Download to find places to nurse, and the code for unlocking pods https://www.mamava.com/find-mamava https://www.mamava.com/mobile-app/

Milk Maid ($2.99)

rated the best by a site for those exclusively pumping: https://exclusivepumping.com/breast-pumping-apps-which-is-the-best/

Nancy Morbacher Breastfeeding Solutions ($4.99).

An interactive appdeveloped by an IBCLC that guides a mother through 30 common situations.Has articles section too.

NICU Baby APP

https://www.marchofdimes.org/nicufamilysupport/my-nicu-baby-app.aspx

Nursing Room Locator Moms Pump Here (free)

Find quiet and private nursing rooms, lactation lounges, and breastfeeding-friendly places to breastfeed their baby or express breast milk. You can add locations.

Pacify

A nationwide network of IBCLCs who are available for on-demand video consultants. Breastfeeding support is available 24/7 in English and Spanish. Pacify is HIPPA-secure. www.pacify.com FREE to Philadelphia families.

Pumpspotting

https://www.pumpspotting.com/* “*it’sFacebook meets yelp. meets boob.”

Trash the Pump and Dump

https://trashthepumpanddump.org/about/ from IABLE

App for prenatal education:

http://www.coffective.com/learn/ Disclaimer: signing up for app opens you up to marketing. https://itunes.apple.com/us/app/coffective/id849901936

The Milk Man app (free) Just for dads.

http://pifistudy.net.au/milkman The Milk Man smartphone app is designed specifically for men aboutbreastfeeding and early parenting.

Total Baby ($4.99)

Log anything, caregivers can log in too, everything can be synched together.

New Lactation Research Studies posted in LACTNet-24 Mar 2022 to 26 Mar 2022

Tue, 29 Mar 2022 21:57:00 GMT

In: International Journal of Environmental Research and Public Health 2022 Mar 4;19(5):3008. doi: 10.3390/ijerph19053008.

Authors: Zhongzheng Niu, Christine H Naya, Lorena Reynaga, Claudia M Toledo-Corral, Mark Johnson, Tingyu Yang, Brendan Grubbs, Nathana Lurvey, Deborah Lerner, Genevieve F Dunton, Rima Habre, Carrie V Breton, Theresa M Bastain, Shohreh F Farzan.

Abstract: “Breastfeeding may protect women’s long-term cardiovascular health; however, breastfeeding-related postpartum lipid changes remain unclear. We aim to examine associations of breastfeeding duration with maternal lipids at 12 months postpartum. In a subsample (n = 79) of the Maternal and Developmental Risks from Environmental and Social Stressors (MADRES) cohort, breastfeeding status and duration at 3, 6, and 12 months postpartum were self-reported. Serum levels of lipids, including total cholesterol, triglycerides (TG), high-, low-, and very low-density lipoprotein cholesterol (HDL-C, LDL-C, VLDL-C), were measured from blood samples collected at 12 months postpartum. We used linear regression models to compare lipids by breastfeeding duration, adjusting for potential confounders. Women who were breastfeeding at 12 months had higher HDL-C (mean: 41.74 mg/dL, 95% CI: 37.27-46.74 vs. 35.11 mg/dL, 95% CI: 31.42-39.24), lower TG (80.45 mg/dL, 95% CI: 66.20-97.77 vs. 119.11 mg/dL, 95% CI: 98.36-144.25), and lower VLDL-C (16.31 mg/dL, 95% CI: 13.23, 20.12 vs. 23.09 mg/dL, 95% CI: 18.61-28.65) compared to women who breastfed for <6 months. No lipids were significantly different between women who breastfed for 6-11 months and for <6 months. Each month’s increase in breastfeeding duration was significantly, inversely associated with TG and VLDL-C and positively with HDL-C. Adjusting for fasting status, demographics, pre-pregnancy body mass index, breastfeeding frequency, and pregnancy complications did not appreciably change effect estimates. Breastfeeding at 12 months postpartum and a longer duration of breastfeeding in the first year postpartum were both associated with increased HDL-C and decreased TG and VLDL-C at 12 months postpartum.”

Open access: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8910591 /

In: Midwifery 2022 Feb 21;108:103289. doi: 10.1016/j.midw.2022.103289.

Authors: Kevin Zhang, Linda P Siziba, Nan Ji Suo, Dietrich Rothenbacher, Jon Genuneit.

Abstract: “Introduction: A significant proportion of women quit smoking during pregnancy, creating a unique window of opportunity to encourage long-term smoking cessation. Efforts to prevent smoking relapse in the postpartum period, however, have largely been ineffective. We investigated the association between breastfeeding duration and smoking relapse to help inform postpartum smoking cessation strategies. Methods: The Ulm SPATZ Health Study consists of 1006 newborns and their 970 mothers recruited from April 2012 to May 2013 in Ulm, Germany. For this analysis, only mothers who quit smoking during pregnancy, for whom breastfeeding and smoking data were available, were included. Kaplan-Meier plots were used to investigate the relationship between breastfeeding duration and postpartum smoking relapse within 2 years. Cox proportional hazards regression models were used to estimate hazard ratios, adjusted for factors reported to influence postpartum smoking outcomes. Results: A total of 115 mothers were included. They had a mean age of 32.0 (SD: 5.0) years and breastfed for 5.6 (SD: 4.4) months. Of those who remained in the study, 14 (12.2%) experienced smoking relapse by 6 weeks and 48 (51.1%) relapsed by 2 years. In an adjusted analysis which accounted for age, educational attainment, postpartum weight retention, and gestational weight gain, breastfeeding for at least 6 months was significantly associated with decreased smoking relapse within 2 years (HR: 0.18; 95% CI: 0.07 – 0.45). Conclusions: Breastfeeding for at least 6 months was associated with decreased postpartum smoking relapse. Breastfeeding promotion should be considered to enhance smoking cessation strategies in the postpartum period.”

Open access: https://www.sciencedirect.com/science/article/pii/S0266613822000419?via%3Dihub

In: Clinical Nursing Research 2022 Jan 25;10547738211069725. doi: 10.1177/10547738211069725.

Authors: Ángel Fernández-Aparicio, Jacqueline Schmidt-RioValle, Pedro A García, Emilio González-Jiménez.

Abstract: “Currently, there is controversy concerning potential factors that contribute to the development of breast cancer. Our study analyzed the possible association between weight status, cigarette consumption, lactation period, serum estrogen levels, family history of breast cancer, and age at breast cancer diagnosis. We conducted a retrospective study at a University Hospital in Granada (Spain) by consulting the medical records of 524 women aged 19 to 91 years, all of them diagnosed and treated for breast cancer from 2011 to 2019. Our findings indicated that in non-morbidly obese females who were also non-smokers, a maternal lactation period of more than 3 months (p = .013) and the absence of family antecedents of cancer (p = .025) were statistically significant factors that led to a more advanced age at breast cancer diagnosis. Thus, maternal lactation seems to have a potential protective effect on breast cancer.”

Abstract only: https://journals.sagepub.com/doi/10.1177/10547738211069725?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

In: Maternal & Child Nutrition 2022 Apr;18(2):e13326. doi: 10.1111/mcn.13326. Epub 2022 Jan 25.

Authors: Nele Hockamp, Erika Sievers, Philipp Hülk, Henrik Rudolf, Silvia Rudloff, Thomas Lücke, Mathilde Kersting.

Abstract: “Breastfeeding promotion and support in hospitals is expected to have a positive impact on maternal breastfeeding outcomes. The objective of this study is to examine the association between breastfeeding promotion in maternity hospitals in Germany and exclusive breastfeeding (EBF) rates during the first 4 months. Thus, a nationwide cross‐sectional web‐based survey of breastfeeding promotion was conducted in 103 hospitals. Mother–infant pairs (n = 962) were recruited at these hospitals for a prospective web‐based survey of breastfeeding status at five‐time points, that is, during a hospital stay, at discharge as well as after 0.5, 2, and 4 months. The hospital analysis was based on the “10 Steps to Successful Breastfeeding” of the World Health Organization and the United Nations Children’s Fund, adapted for Germany. Their degree of implementation was stratified by a breastfeeding promotion index (BPI) as low (≤5 steps), medium (6–8 steps), and high (≥9 steps). The association between the BPI and the odds of EBF at each of the five‐time points was estimated by multivariable regression models, adjusting for various maternal factors. At all time points, the proportion of EBF among mothers from high BPI hospitals exceeded the proportion of those from medium or low BPI hospitals. A high BPI was associated with higher odds of EBF during the hospital stay and at discharge, while maternal factors for EBF such as breastfeeding experience and no early use of a pacifier persisted beyond. The high commitment of hospitals and tailored support of mothers is essential for EBF.”

Open access: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932702 /

California’s Maternal and Infant Health Assessment

Tue, 29 Mar 2022 21:12:00 GMT

Each year since 1999, the Maternal and Infant Health Assessment, or MIHA, survey has been sent to a small number of women across California who recently had a live birth. MIHA includes questions about a woman’s experiences before, during and shortly after pregnancy, and questions about her new baby.

Data from MIHA are used to monitor the health of women and infants in California, and to plan health policies and programs for California women, infants and families. MIHA is a collaborative effort of the Maternal, Child and Adolescent Health and the Women, Infant & Children (WIC) Divisions of the California Department of Public Health (CDPH) and the Center for Health Equity at the University of California, San Francisco (UCSF) . Quantum Market Research (QMR) is the company that works closely with CDPH and UCSF to conduct the MIHA survey.

The goal of MIHA is to improve the health of mothers and infants by providing data to inform programs and policies aimed at reducing adverse outcomes such as low birth weight, infant mortality and morbidity, and maternal morbidity.

Learn more by visiting the CDPH website here

News and views on breastfeeding, human milk, and all things lactation education

Tue, 15 Mar 2022 07:51:00 GMT

News and views on breastfeeding, human milk, and all things lactation education

March 2022

News

FDA Expands Infant Formula Advisory

World Breastfeeding Week 2022 Theme Announced

Health Affairs journal released an open access issue on racism and health

Funding Opportunity for Rural Maternity and Obstetrics Programs, summarized from HRSA

Impact Grants for Black Women-Led and Serving Organizations, summarized from Goldman Sachs Foundation

Tribal Maternal, Infant, and Early Childhood Home Visiting Program: Development and Implementation Grants.

Seeking Stakeholder Actionable Input to Improve Research on Health and Well-being for Asians, Native Hawaiians, and Pacific Islanders

Postpartum Care Protocol Submissions Open, summarized from AHRQ

112 Legislators Sign On to Food Package Letter

BLUE SHIELD OF CA LAUNCHES MATERNAL AND INFANT HEALTH INITIATIVE

Research

California Doula Pilots Lessons Learned Project

Webinar on Healthy People 2020 and 2030

The State of WIC: Investing in the Next Generation

Genetic mutation may identify women with difficulty producing breast milk

Effectiveness of Maternal Vaccination with mRNA COVID-19 Vaccine During Pregnancy Against COVID-19–Associated Hospitalization in Infants Aged <6 Months — 17 States, July 2021–January 2022

Maternal Mortality Rates in the United States, 2020

Guidelines for Reporting Cases of Medication Use During Lactation

Treating Glaucoma and Neovascular Eye Diseases While Breastfeeding

Breastfeeding May Reduce Risk of Gestational Diabetes in Subsequent Pregnancies

National and State Level Estimates of WIC Eligibility and Program Reach in 2019

Perspectives & Resources

“Unpacking Commercial Milk Formula Marketing: Communities, Contexts, and Impacts

Abbott Formula Recall Social Media Toolkit

A Quick Guide: The International Code of Marketing for Breast-milk Substitutes

New Video Resources on Policy Change and Lactation

WIC & Health Resources for Black Americans

2nd Annual Devotion Starts Within Multicultural Maternal Mental Health Summit

Perinatal Mental Health Alliance for People of Color

CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) for Strategies for Success: Community-level Approaches to Support Breastfeeding

USBC Conference Corner: Conference Awards Application Open

Social Media Toolkit for National Nutrition Month

Doing Evaluation in Service of Racial Equity.

CWA’s 30th Conference and Trade Show – REGISTRATION OPEN!

What is Exploitative Marketing of Formula Milk?

Tue, 15 Mar 2022 07:00:00 GMT

One month before giving birth, I received a “gift box” from the formula milk company Enfamil. Inside the box were formula and nipple samples, and a card with my name and parenting support information (which actually leads to an industry-sponsored helpline) on it.

I was shocked that the formula company knew that I was going to give birth in one month, because we didn’t make any pregnancy announcement. But according to a new WHO/UNICEF report , my experience is only typical: 51% of parents said that they have been targeted with this kind of predatory marketing from formula milk companies.

In fact, the experience could very well serve as an illustration for the WHO/UNICEF report, which found that formula milk marketing is pervasive, personalized, and powerful. The parcel was sent directly to me, with my name on it, and congratulated me for my new baby.

WHO also found that the industry uses manipulative marketing tactics that exploit parents’ anxieties and aspirations. The card came with my parcel labeled an industry-sponsored helpline as “parenting support hotline,” and when I called (I actually did!) I got the information about how to ask for formula samples from the hospital when giving birth.

The package of the parcel also contains misleading information, including “Enfamil PREMIUM is closer than ever to breast milk,” “Enfamil PREMIUM is the only formula that has both the amount of brain-nourishing inositol and DHA that breastfed babies receive.” The messages were accompanied by a photo of a beautiful and chubby baby, well-fed and smiling.

This, according to WHO and UNICEF, is exploitative marketing of formula milk. This kind of marketing from formula milk companies focus on getting targeted parents to use their products, instead of supporting lactation or use of human milk. It influences parents’ decisions on infant feeding, and can have profound and lifelong impacts on children’s health and development.

The formula industry is now worth $55 billion every year. While the industry puts profits before infant health, we can put babies before bottom lines, starting with recognizing the harmful effect of aggressive marketing and joining WHO’s effort to end exploitative marketing.

Call to Action: Public Comment in Support of Fully Funding SB 65

Thu, 03 Mar 2022 18:40:00 GMT

SB 65 is on the agenda for the Senate Budget Subcommittee No. 3 hearing TODAY! We are calling on our community of supporters to voice your support for fully funding SB 65, the California Momnibus Act , during the public comment period.

3. When the moderator asks for anyone who would like to testify in “Support”, press 1-0 Every time you press 1-0 you either put yourself “In queue” or take yourself “Out of queue” so listen carefully, and press 1-0 only once when you are prompted by the moderator

4. Listen for and write down the line number assigned to you by the operator You will be placed in the queue once you receive your assigned line number

5. When it is your turn to comment, the moderator will call out your line number, open your line, and at that time you can share your comment

The hearing will begin after the Senate’s 9:00am regular floor session . You can live stream the hearing by clicking here . Each person will have about 1 minute to comment, so short & sweet! Remember to keep calling if the lines are full, and to stay on hold once you get a number. Your voice is crucial!

Call Script

Hello, my name is ________________. I am calling to express my support for fully funding the provisions of SB 65 the California Momnibus Act. SB 65 reimagines maternal health for all Californians by redefining success. Although the overall maternal mortality rates in our state have decreased, disparities still persist. Black and Indigenous birthing people continue to die or sustain severe injury from pregnancy related causes at rates far above the state average. SB 65 created the statutory structure for the critical interventions needed to meaningfully address the maternal and infant mortality and morbidity crisis in our state. We now ask that you fully fund them.

We ask that you:

1. Fund the Midwifery Workforce Act to expand the midwifery workforce and ensure that all counties have access to quality maternity care;

2. Fund the County Fetal and Infant Mortality Review Committees to better collect data on fetal and Infant loss in order to prevent these tragedies in the future; and

3. Increase funding for the Doula Medi-Cal benefit so that Doulas receive fair and equitable reimbursement rates that ensure sustainability of the workforce and success of this vital program.
Funding these provisions is an investment towards eliminating California’s racial and socioeconomic disparities in birthing outcomes.

With your help, we can get SB 65 – the CA Momnibus Act fully funded. Please pass this along to your networks – we need as many people as possible to show support!

Thank you for taking action!

Kiera & Advocacy Team

How to Call in for Public Comment:

1. Dial: 844-291-6364 / Access Code: 3531283

2. You’ll be placed in a “waiting room” and muted N ote that you’ll be able to listen to the hearing while you wait

How the marketing of formula milk influences our decisions on infant feeding

Mon, 28 Feb 2022 22:52:00 GMT

More than half of parents and pregnant women (51%) surveyed for a new WHO/UNICEF report say they have been targeted with marketing from formula milk companies, much of which is in breach of international standards on infant feeding practices.

The report, How marketing of formula milk influences our decisions on infant feeding , draws on interviews with parents, pregnant women and health workers in eight countries. It uncovers systematic and unethical marketing strategies used by the formula milk industry – now worth a staggering US$ 55 billion – to influence parents’ infant feeding decisions.

The report finds that industry marketing techniques include unregulated and invasive online targeting; sponsored advice networks and helplines; promotions and free gifts; and practices to influence training and recommendations among health workers. The messages that parents and health workers receive are often misleading, scientifically unsubstantiated, and violate the International Code of Marketing of Breast-milk Substitutes (the Code) – a landmark public health agreement passed by the World Health Assembly in 1981 to protect mothers from aggressive marketing practices by the baby food industry.

Multilingual Breastfeeding Resources

Thu, 24 Feb 2022 21:19:00 GMT

The Carolina Global Breastfeeding Institute, in partnership with the Connecticut Department of Public Health, launched the Ready, Set, Baby website and curriculum in Arabic . The website contains all the content from the English version of the Ready, Set, Baby curriculum and allows expectant parents to choose a self-paced experience to prepare for their breastfeeding journey. Upon completing a section, a certificate of completion is available for download.

A Spanish version of the website and curriculum is also available.

No, Green Breast Milk is NOT an Indication that You Have COVID-19

Tue, 15 Feb 2022 07:35:00 GMT

There has been a viral picture going around the Internet of a mother saying that her breast milk turned green when she and her baby tested positive for COVID. So is green breast milk really an indication of COVID?

First, a mother’s breast milk has nutrients that are specifically made for her infant. That is especially true when a mother is sick—Studies have shown that women that have had COVID will pass those antibodies on to their baby through pregnancy and breastfeeding, meaning by breastfeeding the baby will get COVID antibodies if the mother has the virus or gets vaccinated.

Does breastmilk change color?

Then about the color. Normally, if a mother just started breastfeeding, she will likely be secreting fluid that is thick and yellow in color, called colostrum. When her milk has transitioned from colostrum and becomes mature—or reached the final stage of milk production—it will, in most cases, take on a whitish hue. As a mom’s milk matures, it can even have a slight bluish tint to it as well, because foremilk is thinner and contains less fat than its stark white counterpart. So the breast milk color change is just something normal of what we would expect.

Though breast milk can take on a vast color palette, experts said that they haven’t seen any of the COVID positive moms have had green breast milk. The color of breastmilk can be different for each mother at each stage, so we can’t necessarily pinpoint that the color change from the mom’s milk was from COVID.

What’s the research say?

There’s no study out there to support the claim of breastmilk turning green after mother got COVID. There are, though, studies showing that food and diet changes breast milk color, so does medication, and green breast milk is more likely from that.

For example, eating bright leafy greens juice or smoothies can all create that green color in breast milk. So, no, green breastmilk is not an indication that you have COVID. While it can be alarming to see your breast milk change color, most of the changes are not cause for concern.

Dads, Not Just Moms, Need To Start Shouting For Paid Family Leave

Fri, 14 Jan 2022 18:21:00 GMT

In a 2019 piece for Family Values at Work, my husband shared his thoughts about the need for paid family leave for men. Since then, we’ve seen some changes—the Biden administration’s social spending bill, which includes a provision for four weeks of paid family and medical leave—not exactly robust but better than nothing— passed the house narrowly last November. But to this day, the fate of the bill in the Senate isn’t certain.

Personal Story

My husband was lucky. He had six weeks of paid leave, which allowed him to really learn how to be a dad in a practical way and to really bond with our children. Having him around during that period of time greatly helped me to build a successful breastfeeding relationship with our baby. I also feel that our partnership was strengthened when we had time to learn to parent together.

Dads Need Paid Leave Too

As beneficial as paid leave is, only 16% of employees in America have access to some paid family leave through private-sector paid employers. What happened to those men who didn’t, or who had very short breaks? Chris Osterlund , a 32-year-old new dad who lives in Virginia, shared his experience with New York Times, saying that when his son was born, he took only two weeks and that the company he worked for at the time was not supportive of dads taking longer leaves. The sleep deprivation of a new baby made it difficult for him to function, and it led to disengagement at his job and tension with his spouse. “I never felt like I had the buoyancy to think clearly about how to change what became a dark period in our marriage,” he told the Times, “Whatever the reason, I regret not being home and have carried that shame for almost three years.”

Let’s Take Action for Paid Leave

Unfortunately, some dads don’t take leave even if they have access to it, because they think they’ll be “punished.” The caution wasn’t irrational: studies did show that taking paternity leave can damage a man’s professional reputation and affect his future earning potential . And for more dad to take parental leave without being punished, it needs to be universal. It’s time for dad, not just moms, to start shouting for paid family leave.

Meet our Board President, Angeles Nelson

Sat, 01 Jan 2022 20:46:00 GMT

Prior to her involvement in the San Diego County Breastfeeding Coalition, Angeles had her own personal breastfeeding story as the mom to four children, all of whom she breastfed. Two of her children experienced tongue-ties which really challenged her goals of breastfeeding. She sought out as much support and education as she could and ended up successfully breastfeeding her children up to 5 years. After her personal experience, she dedicated her free time to offering support to other breastfeeding moms on community forums and Facebook groups in both English and Spanish.

Angeles’ advocacy and activism for breastfeeding grew in the community when she created the first lactation support group in Lemon Grove, CA. Angeles collaborated with the local WIC office and San Diego La Leche League leaders to offer breastfeeding support to local families. She further shares her love of working with mothers and families by serving as a volunteer birth doula with the UCSD Hearts & Hands Program.

SDCBC board members really admired Angeles’ commitment and dedication to supporting lactation in the community that she was invited to join the board of directors. When she joined the Coalition, she started the SDCBC Advocacy program which mobilizes support for maternal and infant health equity, encouraging board members and SDCBC supporters to take action on key federal policies and state legislation.

Angeles became the SDCBC Board President in January 2021 at a critical moment as the Coalition was on the brink of closure due to many internal and external challenges exacerbated by the COVID-19 pandemic.

Angeles stepped up to the challenge because she truly believes in the Coalition’s mission to protect, promote, and support breastfeeding. Angeles has a strong vision for the Coalition’s future and has worked tirelessly to build the infrastructure needed to sustain the Coalition. She advocated for the hiring of three dedicated staff members to help build the Coalition in areas where they were struggling (fundraising, advocacy/outreach, and education). The Coalition is also strengthening its connections with community partners and the medical community, including the California WIC Association, National WIC Association, San Diego County Perinatal Equity Initiative, Nourish California, UC Health Milk Bank, among others.

The San Diego County Breastfeeding Coalition looks forward to growing our impact in 2022 and are confident we will meet our strategic goals under the fierce leadership of Angeles Nelson.

Angeles Nelson is a professional Community Advocate and Organizer who has worked enthusiastically to
improve the health and wellbeing of the San Diego community for over 15 years. She currently works for California Food Policy Advocates and collaborates with several organizations to advance state and federal policy that improves students’ access to healthy meals and increases food access for immigrant Californians.

Mrs. Nelson is passionate about children’s education and wellbeing and she persistently works to prevent childhood obesity, increase access to nutritious and affordable foods, and promote social and economic justice for
marginalized families in California.

Angeles currently lives in Lemon Grove with her husband of almost 25 years where they enjoy gardening and taking their four wonderful kids with their happy, golden retriever for walks, swimming, and surfing on the beautiful beaches of San Diego.

Angeles highlighting the importance of the San Diego County Board of Supervisors Proclamation declaring August San Diego County Breastfeeding Month

A Look Back at SDCBC’s Activism in 2021

Wed, 15 Dec 2021 13:00:00 GMT

What a year!

In the face of a pandemic, San Diego County Breastfeeding Coalition continues to protect, promote and support breastfeeding through education, outreach, advocacy, and service in our community. Here is a look back at what the coalition has done in 2021.

Continue to put together our signature Breastfeeding Resource Guide for families in both English and Spanish, and distributed more than 1,800 copies in English and more than 1,000 copies in Spanish.

Continue to provide affordable, quality education opportunities for health care professionals. This year, we had 15 webinars through zoom, covering a variety of topics including:

Breastfeeding care for offices, clinics, and public health nurses
Non-profit milk banking
Implementing a culturally and linguistic intervention in Latinx mothers
Addressing the motherhood transition and its impact on family wellness
And stay tuned, the recording of our webinar series will soon be available on our website.

Continue to call the public for action in supporting important legislation such as:

Providing Urgent Maternal Protections (PUMP) for Nursing Moms Act: PUMP Act closes the gap of the Break Time for Nursing Mothers law.
Wise Investment in our Children (WIC) Act: The bipartisan bill extends the eligibility for children to participate in the Social Supplemental Nutrition Program for Women, Infants and Children (WIC) until their sixth birthday.
Build Back Better Act: The Build Back Better Act invests in education, health housing, job creation/job supports, fair wages, and equitable working conditions.

Continue to engage community stakeholders through newsletters and social media. When there is new research, we share it; when there is an action opportunity, we amplify it; when there is an unflattering portrait of breastfeeding by mainstream media, we counter it . Subscribe to our newsletter , follow us on Facebook , Twitter and Instagram if you haven’t already.

Here at San Diego County Breastfeeding Coalition, we’re grateful for the opportunity to continue to serve the breast/chestfeeding families in the community. Let us wish you a wonderful holiday season, and together hope for a prosperous year to come!

Funding the Next Generation of SD County Lactation Leaders

Mon, 13 Dec 2021 22:49:00 GMT

San Diego County Breastfeeding Coalition (SDCBC) raises over $5,500 in matching donations for lactation education scholarship fund.

GivingTuesday

There’s #BlackFriday and #CyberMonday…and then there’s #GivingTuesday, an international day of giving! Giving Tuesday is about all of us coming together and giving back to do extraordinary things, and this year our community joined together to advance the cause of promoting diversity in lactation education and increasing lactation support in underserved, marginalized communities.

From November 16-December 1st, SDCBC board members, staff, and volunteers created peer-to-peer fundraising campaigns and raised over $2,800. Thanks to the generosity of our board member and founder, Dr. Nancy Wight, we were able to double our impact with a dollar for dollar donation match. That’s over $5,700 for countywide lactation scholarships.

Lactation Education Scholarship Program

In partnership with UCSD Extension’s Global Lactation Alliance Program, SDCBC offers scholarships for community leaders who are pursuing LEC or IBCLC education in order to increase lactation support in underserved communities. Each year the Coalition will announce several scholarship opportunities and select individuals vividly exhibiting a passion to serve San Diego families.

The impact of this program grows and grows each year. Metztli Lopez Torres, who was awarded a scholarship in 2018 shares the community impact:

“Since I was awarded the scholarship I have supported more than 100+ new moms and babies because I was working in a community clinic as a Lactation Educator……This scholarship has benefited my professional life but also it has a real impact in the community I served. My hope is to continue providing breastfeeding support in the years to come.”

Breast milk is the perfect nutrition for newborns, filled with all the vitamins, minerals, and nutrients they need to build immunity; develop protection from germs, illnesses, and diseases; and safeguard them from the inside out as they start life. We believe we can give San Diego county infants a healthier start by funding the lactation support necessary to meet each family’s breastfeeding goals.

What’s Next

We are looking forward to 2022 and announcing our next cycle of scholarship winners soon. For more info on scholarships and how to apply, please visit https://breastfeeding.org/lactation-education-counselor-scholarship/ .

Subscribe to our monthly newsletter to stay informed of all coalition updates.

Still feeling generous? Donate!

Visit our donation page here: https://breastfeeding.org/donate/ . Our Coalition’s efforts and these scholarships are funded almost exclusively by donations.

Take Action before 2021 Ends

Fri, 10 Dec 2021 20:26:00 GMT

The year is quickly coming to a close but we are still busy mobilizing support to pass key policies that will drastically improve the lives of San Diego County babies and families.

Click the links below to help us pass three key pieces of Federal legislation before 2022.

The Build Back Better Act invests in education, health, housing, job creation/job supports, fair wages, and equitable working conditions.
The Build Back Better Act makes major investments in paid leave, home and community-based services, and child care.

The bipartisan bill would extend the eligibility for children to participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) until their sixth birthday, extend the certification period to two years, and extend post-partum eligibility to two years for all mothers.

The Break Time for Nursing Mothers law, passed in 2010, provided critical protections to ensure that employees have reasonable break time and a private place to pump during the work day.
However, nearly one in four women of childbearing age are excluded from coverage and have no clear right to break time and space. It’s time to close the gap:
Ensure that ALL lactating employees are covered by the Break Time law

Join our Board of Directors

Thu, 18 Nov 2021 18:43:00 GMT

Join our Board and Make an Impact!

The San Diego County Breastfeeding Coalition is currently looking for candidates who reflect the full diversity of the communities that we serve to fill vacancies on the Board of Directors for 2022.

Our current Board of Directors is comprised of a passionate, diverse group of individuals from various disciplines and stages of careers.

What do our Directors have in common?

They all care about their community and want to promote, protect and support breastfeeding for all families in San Diego County.

If interested, please submit your application via this Google link or email your application and a copy of your resume nancys@breastfeeding.org by December 5, 2021. Nominations will be reviewed by the selection committee. Board membership term is based on the calendar year and new board members would begin January 1st, 2022.

Visit our Board Member Recruitment Page for more information

Celebrating Breastfeeding Rights Pioneer, Dr. Nancy Wight MD, IBCLC, FABM, FAAP

Mon, 15 Nov 2021 15:00:00 GMT

I am dedicating this month’s SDCBC blog post to Dr. Nancy Wight, the founding and constant member of the Coalition for the past 27 years.

Eight years ago around this time, I sent my first email to SDCBC, asking to become a volunteer with the coalition. I introduced myself as a journalist with 10 years experience and a mother with an exclusively breastfed 6-month-old. I offered to write for the coalition—news release, editorial letters, blog posts, whatever they needed.

Advocating for the Community

I was motivated to volunteer for the local breastfeeding coalition because I was separated from my previous employer as a result of a breastfeeding discrimination case. The company refused to provide a nursing room and I was forced to pump in a toilet stall since returning to work after giving birth. Some male colleagues even made rude comments such as “don’t wash your dirty panties in the office” when I was tempted to wash my pumping accessories in the office kitchen.

I talked to my supervisor but didn’t get a positive response. The newspaper even published two articles, one describing breastfeeding in public and/or sharing breastfeeding photos on social media as “disturbing” and “disgusting,” the other one claiming that lactation accommodation at the workplace is “unnecessary.”

Three days later, I got a warm letter from Dr. Wight, suggesting I let my boss know that the company is breaking both State and Federal law by not giving new moms a place to pump. She also welcomed me to volunteer for the coalition and invited me to the next board meeting.

Building the Next Generation of Breastfeeding Leaders

Today, members of the first food field across this country widely know me for my timely and well-referred articles advocating for lactation rights. Very few know that I spent the first ten years of my career life with ethnic media—Chinese language media, to be specific— and when I started writing for SDCBC back in 2013, I barely had any experience writing in English. Dr. Wight had to fix my spelling, grammar and other language problems before my blog was published. In spite of all the inconveniences, she continued to encourage me.

It is a big deal for me, but just a little example of how dedicated and enthusiastic Dr. Wight has been to the cause and to nourish the next generation of activists. She co-founded the coalition in 1994 and has been a constant member since then. Over the years, she has put her work into the coalition. She made generous donations to ensure the coalition has sufficient resources to fulfill its mission. Her expertise and worldwide contacts have greatly contributed to the successes of SDCBC. Dr. James Mckenna , Dr. Nils Bergman and many other world famous scholars have all served as speakers at SDCBC’s mini seminar, thanks to Dr. Wight’s personal relationship with them.

Thank You Dr. Wight

Earlier this month, Dr. Wight announced her resignation and said it is now time for her to retire and hand over the reins to a younger generation. While it’s hard for many members, including myself, to see Dr. Wight go, we understand this is a well-deserved, long-overdue retirement for her.

Thank you, dear Dr. Wight. You made the coalition possible. You made me (as a lactation rights activist) possible.

New California Hospital Report on Maternity Practices in Infant Nutrition and Care

Thu, 21 Oct 2021 23:40:00 GMT

The CDC recently released results of a national survey of Maternity Practices in Infant Nutrition and Care . The survey measured care practices and policies that impact newborn feeding, feeding education, staff skills, and discharge support.

We highlighted some key findings from the California Hospitals report. There is some good news with lots of room for improvement

Do you have a hospital birth/breastfeeding story to share? Email us at sdcbc@breastfeeding.org

Sources: Centers for Disease Control and Prevention. California 2020 Report,
CDC Survey of Maternity Practices in Infant Nutrition and Care. Atlanta, GA. September 2021

Moms Need Even More Support to Breastfeed In the Era of COVID-19

Mon, 18 Oct 2021 15:00:00 GMT

Last month, TIME magazine published an article that portrayed breastfeeding in an unflattering way. Featuring a new mother struggling to produce breast milk, the article described breastfeeding as an activity that sacrifices a mother’s well-being and blamed COVID-19 for making new moms who seek immune protection to their babies feel even more pressure to breastfeed.

As a faithful reader of TIME magazine, I’m disappointed how this article ignored the real reasons behind the pressure to breastfeed: It’s because mothers are getting much less support, not because breastfeeding is by nature not doable and moms are forced to breastfeed to provide antibodies to their babies.

Pandemic Shifts for New Moms

Support for new moms is generally scarce during the pandemic. In the past few months, I often think of those days when I first became a mother—that was more than eight years ago. What I think of most often is my parents’ visit. I enjoyed the hot chicken soup in my bed; I took shower while my mom was holding the baby. After each late-night feeding, my mom would hum a little song and put the baby to bed so that I could go straight back to sleep.

My parents-in-law also came to help with laundry and cleaning. Other relatives and good friends were all there to support me, taking turns to hold the baby, bringing food to my husband and me. When I didn’t have a clue about how to be a mother, when I doubted I could survive the days where I had to wake up every two hours, and when I wondered why the baby kept crying or why he wouldn’t latch on, fortunately, I had my family and friends there. When I needed support the most, I had a village.

After the outbreak of COVID-19, the village disappeared. When I went to visit a friend who gave birth during the pandemic, all I could do was stand outside with a mask on, waved to her, and then put the food and gifts for the baby at the door. She stood behind the window, held her baby up to show me, like Rafiki the baboon in “ The Lion King ” held up Simba the lion cub. I couldn’t go in to give her a hug, or to hold the baby for her for a while so that she can sit down to eat a good meal or take a nice shower. I tried to imagine what I would become if I didn’t have all the help from family and friends when I was a new mom. I just wanted to cry.

Moms Need Support

Every new mother should have a village. In each stage of becoming a mother, there should be support, guidance, and blessings from family and friends. But for my friend and many mothers who gave birth during the pandemic, this village has disappeared. In the pandemic year, not only did family and friends not be able to visit one another, many local mother support groups were also forced to shut down, and these supports are crucial to a successful breastfeeding experience.

Professional breastfeeding support is especially scant for new moms during the pandemic. Throughout the country, lactation professionals found themselves struggling to continue to serve families. Because lactation consultants were not considered essential workers , many were not allowed to enter the hospital and had to set up weighing stations in parking lots , many could not get their hands on personal protection equipment . CDC reports show that one in five hospitals across America cut breastfeeding support during pandemic. Lactation services had to go virtual, which created further barriers for families with limited access to the Internet.

These are the real problems that TIME should be looking into, instead, the magazine painted breastfeeding as the problem and pretended these factors don’t exist. New moms trying to breastfeed during the pandemic are facing enough challenges, we really don’t need another article to discourage us.

Three Ways to Support Paid Leave for All

Mon, 11 Oct 2021 20:36:00 GMT

Paid leave is potentially under threat today!

There is pressure to eliminate paid family and medical leave from the Build Back Better Act. We believe that anyone demanding that we choose between paid leave and other priorities is presenting us with false choices.

The United States is the only industrialized country in the world that does not have a national paid family and medical leave program. As Californians, we know firsthand how essential paid family leave is. We want to ensure that everyone living in the United States can recover from their own illness and to be there for their loved ones when it matters most.

Get active on social media! Retweet and share Twitter posts and on Instagram calling on President Biden and Congress to include comprehensive paid family and medical leave in the Build Back Better Act
Contact your Representatives in Congress directly by clicking here .
Register for a Virtual Screening of #TimetoCare on October 13th at 6pm. You’ll hear from Representative Jimmy Gomez and California advocates about how you can advocate for Paid Leave For All. Spanish interpretation will be available.

Please share this call to action with your networks and stay tuned for more ways to keep up the momentum in support of Paid Leave for All.

CA Releases First Maternal Mortality Surveillance Report

Tue, 21 Sep 2021 20:06:00 GMT

Maternal mortality is a key indicator of population health. Deaths in pregnancy and postpartum should be rare events, so routine and accurate surveillance of pregnancy-related deaths is an essential public health responsibility.

CA-PMSS is a statewide surveillance of deaths among Californians who were pregnant within the prior year. The Maternal, Child and Adolescent Health (MCAH) Division of the California Department of Public Health (CDPH) initiated CA-PMSS in 2018 to provide a timely and accurate accounting of deaths related to or aggravated by the pregnancy or its management.

Download the Full Report Here

BreastfeedLA and ACLU SoCal share a helpful lactation rights guide

Tue, 14 Sep 2021 21:58:00 GMT

We love this quick and easy guide shared by our friends at Breastfeed LA and So Cal ACLU .

The guide is part of a comprehensive advocacy toolkit, scheduled to be released by October, said Arissa Palmer, executive director of BreastfeedLA.

In the meantime, this guide is a great resource for Californians who want to better understand their lactation rights or who seek answers to common questions.

You are welcome to share it with anyone in your network. For information on the complete toolkit, email info@breastfeedla.org .

For more know your rights resources and additional information, please visit BreastfeedLA and ACLU So Cal .

Lactation Practice Within Immigrant Communities

Tue, 14 Sep 2021 18:35:00 GMT

I once knew a woman who breastfeed on a refugee boat for 48 hours and saved her two young children’s lives—yes, saved their lives, not kept them alive. It was during the 1949’s Chinese Civil War, and that was a small boat packed with displaced people. Her fellow refugees were afraid that the kids’ crying would attract the Communist Navy searching for fugitives on the sea, and were going to throw the children off board. The woman saved her children by calming them with her breasts.

The woman was my grandmother. The two children were my then 3-year-old father and 1-year-old uncle. My grandmother did such a brave thing, but she was not proud. Until the day she passed away, she still associated breastfeeding with war, violence, oppression and other traumatized experiences. On the other hand, she viewed infant formula as a symbol of freedom, progress and wealth. Upon the family’s arrival in Taiwan, my grandmother got herself a full-time desk job, a rare thing for women of her time. She used the money to buy expensive formula milk, and proudly formula fed all my father’s younger siblings.

I shared this family story at a recent HealthConnect One panel discussion about lactation practice within immigrant communities . Of course, this is just my grandmother’s story, and her experience can certainly not represent all immigrants’ experiences. What I was trying to say is that immigrants came to our country from all over the world, and many of them have undergone things that were hard for us to imagine. When working with immigrant communities, we need more than knowledge and education.

Knowledge is good, but empathy is better. Judging a woman like my grandmother with knowledge, it is easy for us to say “oh well, she WANTS to formula feed”—even herself believed that formula feeding was her personal choice. Which is real but not true. Decisions about health are rarely voluntary. We think that our decisions are voluntary, but there is often baggage behind that “voluntary decision.” We can never understand an immigrant mother’s baggage until we climb into her skin and walk around in it.

Education is good, but support is better. When we educate people, we try to offer them knowledge in a specific area which is, in this case, breastfeeding. When we support people, we change how and what they learn, aimed at helping them succeed in breastfeeding. Mothers are not breastfeeding often because they are not supported , not because they are not educated.

As health and community workers, we need to develop empathy, respect, and understanding for immigrants by considering situations from their perspectives. And then we need to show up in the community, prepare to support them instead of just educating them. Only when we are ready to support communities with empathy, can we start to promote lactation across borders.

The author’s grandparents, father, and uncle in Shanghai, 1949, days before the family fled from China.

Pooling Expressed Milk

Wed, 08 Sep 2021 01:08:00 GMT

A recent article in “Motherly” touted a new, unannounced change in breastmilk storage guidelines for the American Academy of Pediatrics (AAP). (You can find the AAP information under Frequently Asked Questions under, What are the milk storage guidelines? Evidence suggests mothers can mix warm milk and cold.)

Those links direct you to a research study by Dr. Lisa Stellwagen of UCSD from 2012 of 19 NICU infant mothers who pooled their pumped milk in 24-hour batches one week, and in individual pumping containers the next week. They concluded that 24-hour pooling of human milk reduced the nutrient and caloric variability without increasing bacterial counts.

For NICU and premature babies, consistency of nutrients and caloric content may be a benefit, but for full-term healthy babies, I am not so sure. Mother nature/evolution did not make all human milk the same. One mother’s milk is tailored to the needs of her own infant, changes over time post-delivery, changes over time of day and even
changes with the sex of the child!

As a scientist, I believe there must be a reason why nitrogen (protein) content tends to be highest in the afternoon and evening, and fat content (calories) highest in the early morning! Pooling 24 hours of human milk and
adding warm to already cold expressed milk appears safe in terms of bacterial content, but will it alter any other bodily systems, like hormone cycling or the immune system?

I wonder…

Nancy E. Wight, MD, IBCLC, FAAP, FABM
San Diego, CA, USA

Black Breastfeeding Week is A Celebration of Sisterhood

Tue, 31 Aug 2021 19:04:00 GMT

BBFW 2021

Chardá Bell, CLEC, CBE, CPE, FSD

Perinatal Health & Wellness Consultant

Owner, Melanin Milk SD Doula & Lactation Support www.melaninmilksd.com

As a Black mother, doula and lactation birthworker, I look forward to encouraging others to acknowledge groups and/or individuals for the outstanding work to support, promote and protect Black breastfeeding. In 2012, birth equity champions, Kiddada Green, Kimberly Seals Allers, and Anayah Sangodele-Ayoka, paved the way to create this week as a national recognition to support Black breastfeeding efforts and to better understand the racial disparities in breastfeeding that has existed for over 40 years.

This is a time to discuss the systemic factors that contribute to our high maternal and infant mortality rates, such as culturally incompetent lactation support, historical trauma of wet nursing, and first food deserts within our marginazlied communities. Improving breastfeeding support can drastically improve black maternal health outcomes and mortality, which are still far behind all other groups in the U.S. Black women are three to four times more likely to die as a result of pregnancy and childbirth related complications compared to white women.

When Black breastfeeding families run into a challenge we get formula instead of support, not to mention barrier after barrier being placed in front of us like a tumbling pile of blocks. We are told things like, we need a certain type of insurance or pay out of pocket in order to see a lactation consultant—the board certified & licensed clinical professional you would see in regards to chest/breastfeeding health. These are few and far between in cultural competency, which is one of the many reasons I decided to pursue my license and degree to become an IBCLC. I strive to help the African American population benefit from breastfeeding to help decrease the rate of infant deaths and encourage bonding that contributes to strong familial ties and healthier adults across a lifespan. The benefits of breastfeeding could improve the overall health across generations.

I kicked off my week hosting an amazing drive thru BBFW event free to the community in support of Black Breastfeeding Week—The positive radiating energy I’m still living off for the week had me thinking about for us Black moms out there, this truly about sisterhood through this journey we call motherhood. This type of social support allows us to empower and encourage each other to reach our breastfeed goals and choices. It’s also about the transferring of knowledge about breastfeeding within family units and social circles, and having real life breastfeeding role models that you can learn from through imitation. Positive social support has the capability to foster confidence in a person’s choice to breastfeed.

This is a moment to uplift, amplify, and support Black women’s needs around a concept that can reframe the narrative around breastfeeding, which can be life saving for Black moms and babies across America. This isn’t a Black problem, this is an all of us problem. It is a public health crisis that requires a sense of urgency and massive community efforts to continue eradicating these egregious disparities in perinatal health. We can all benefit from the task of promoting and supporting the choice of breastfeeding, here’s why and how:

Mom

Lower risks of ovarian and breast cancer, both more aggressive in black women,

Increases your natural “happy” hormones of oxytocin to promote tranquility and keep postpartum depression at bay. I like to say, one breastfeeding a day keeps the baby blues away!

Mitigates the effects of stress on the body from systemic racism endured as a black mother.

Prolonged breastfeeding also helps with optimal child spacing and keeping that period away due to ovulation being kept at bay by hormones from milk making. Though less of a factor in the western world, sufficient birth spacing helps with the survival of the older sibling and the new infant.

Baby

Lower risk of diabetes, obesity, asthma and allergies in breastfed children—Black babies are also more likely to be born prematurely than white babies due to systemic racism experienced while in utero by way of the mother’s psychological and physiological reactions to these adverse experiences. Breast Milk is considered the safest choice in feeding a premature infant, in which it supports better health and development of their immature immune system.

Less chances of getting ill in the first years of life which means less trips to the doctor and less time off work—which is important because according to the CDC Black women are more likely than others to need to return to work earlier than 12 weeks—Breastfeeding reduces the number of sick days that families must use to care for their sick children and therefore reduces absenteeism in the workplace overall.

Better vaccine effectiveness, the COVID-19 vaccine it’s considered safe among breastfeeding people. In a recent study on breastfed infants, it showed a better serum and secretory responses to peroral and parenteral vaccines than the formula-fed, whether with a conventional or low protein content.

Family

Psychological impact helps with bonding and increases family acceptance through real life teaching moments and exposure.

Breastfeeding is a component of attachment parenting which is something to be promoted in the black community, especially due to the traumatic events of family separation during slavery times in the United States. We deserve to feed and care for our children how we see fit, in a time when we were once used as wet nurses to feed people’s children other than our own, this is a time to reclaim our bodily autonomy and freedom of choice.

By promoting breastfeeding we are protecting the black family and we can begin to have resounding impacts on the health and well being of future generations.

Saves a lot of money! Concentrated and ready-to-feed formulas are even more expensive than powdered formulas. The cost of artificial feeding has increased steadily over the last 10 years. The cost to supply artificial baby milk (ABM) to one child is between $800 and $1,200 per year depending on the brand and area of the world.

Country

Breastfeeding has a positive impact for the healthcare system and which leads to overall societal health benefits.

Policies that enable taking paid leave after giving birth, flexible work schedules, and support for breastfeeding or expressing milk at work might help improve breastfeeding intention, initiation, and duration.

The importance of promoting the value and practice of breastfeeding to our policy makers and health insurance companies could reverse some of these negative trends. We must equip all families who choose to breastfeed with the tools they need to sustain their infant feeding decision. I say equip because oftentimes it is not lack of education in Black families it’s lack of access to resources—This comes into a deeper level of societal issues reflecting the lack of or level of prenatal care black mothers receive.

It’s a huge financial savings to the government and families; Breastfeeding reduces the cost of healthcare and the need for costly health services that must be paid for by insurers, government agencies, or families. Reduced tax burden on communities and government to ensure children are properly fed.

Foster the establishment of community breastfeeding support groups in areas with high populations of marginalized people.

Global

The Baby-Friendly Hospital Initiative (BFHI) is a global effort launched by the WHO and UNICEF to implement practices and policies that protect, promote, and support breastfeeding in hospitals. However, even in Baby-Friendly hospitals, fewer Black women breastfeed compared to women of other races.

We must collect all breastfeeding data from Baby-Friendly hospitals in one large data set categorized by race/ethnicity and other identity groups—Increase research on the impact of the BFHI on African American women’s breastfeeding behaviors.

Breastfeeding requires no packaging, and its production does not harm the environment.—There’s an environmental impact of less cans of formula and the processing and handling of artificial baby milk. Breastmilk is a more ecological choice as it does not waste scarce resources or create pollution. It’s a naturally-renewable resource with less use of natural resources (glass, plastic, metal, paper) and also less waste for landfills reducing global pollution by decreasing the use of resources and energy required to produce, process, package, distribute, promote and dispose of materials created by the manufacturer and use of artificial baby milk.

According to CDC research, labor and delivery departments of hospitals with greater black populations are less likely to help black families initiate breastfeeding in hospitals and to offer lactation support during their postpartum stay or recovery visits. These facilities often encourage staff to offer black babies formula based on preconceived notions or the saying “this is what we’ve always done.” with the biased and outdated assumption that Black women have no interest or education in breastfeeding.

Chardá Bell with her CLEC tools

Vaccination During Pregnancy

Mon, 30 Aug 2021 20:12:00 GMT

Based on new evidence about the safety of COVID-19 vaccines, the Centers for Disease Control and Prevention (CDC) is strengthening its recommendation for COVID-19 vaccination during pregnancy. (See updated Interim Clinical Considerations for Use of COVID-19 Vaccines and COVID-19 Vaccines While Pregnant or Breastfeeding .) The increased circulation of the highly contagious Delta variant, low vaccine uptake among pregnant people, and increased risk of severe illness and pregnancy complications related to COVID-19 infection among pregnant people make vaccination for this population more urgent than ever.

While COVID-19 vaccination has previously been identified as safer than illness due to COVID-19 and therefore an acceptable risk for pregnant persons to consider, vaccination is now recommended for all people aged 12 years and older, including people who are pregnant, breastfeeding, trying to get pregnant now, or might become pregnant in the future. The strength of the evolving science has informed this new recommendation.

The latest information from the CDC aligns with recent guidance from the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM), the two leading organizations representing specialists in obstetric care, who recently recommended that all pregnant individuals be vaccinated against COVID-19 .

According to the CDC, only about 23% of pregnant individuals have received one or more doses of the COVID-19 vaccines. As an organization that works directly with Californians who are pregnant and new parents, we want to ensure you have information to address vaccine hesitancy across the state.

What we know:

Pregnant people are at increased risk of getting very sick with COVID-19.
Pregnant people who contract COVID-19 are more likely to be hospitalized and require critical care, including ventilation and admission to the intensive care unit.
COVID-19 during pregnancy increases risk of preterm birth – the birth of a baby before 37 weeks of pregnancy.
Tens of thousands of pregnant people have been vaccinated over the past several months, protecting themselves and their babies.

The Maternal, Child and Adolescent Health (MCAH) Division, the Women, Infants and Children (WIC) Division, and the Genetic Disease Screening Program (GDSP) of the California Department of Public Health are now partnering on a social media campaign to help raise awareness about the safety of vaccines in pregnant people.

How you can help: Spread the word to pregnant individuals.

National Breastfeeding Month 2021: Every Step of the Way

Wed, 25 Aug 2021 13:38:00 GMT

My heart is full, as it tends to be every August—it is the National Breastfeeding Month. The theme of this NBM is “Every Step of the Way,” so I rewrote the lyrics of Cade Thompson’s song of the same title. Amazingly how it reflects the theme of the year, and my own breastfeeding journey.

Eight years ago, I returned to work when my first child was three months old. Unfortunately, it was a very unfriendly environment for breastfeeding. The company did not provide a nursing room in accordance with the law , and I was forced to pump milk in a toilet stall. After pumping, when I was tempted to wash and dry the pump parts in the company kitchen, a few colleagues uttered abusive words, saying, ”don’t wash your dirty underwear in the office.” The company, which happened to be a newspaper, even published an article calling breastfeeding images “disgusting.” The unfriendly working environment put me under unprecedented pressure. When pumping in the company’s toilet stall, the milk dripped into the bottle, and my tears dripped down my cheeks.

After a while I began to be unable to express milk. I began to wonder if I had enough milk to feed my baby and to consider supplementing infant formula milk.

Finally, that day came. My fight for the rights to breastfeed with the company’s management failed to get the desired result; when I got home, a coupon for infant formula was lying in my mailbox. Tired and disappointed, I grabbed the coupon and told myself, “Let’s do it.”

I drove to the nearby grocery store, ready to buy the first can of formula for my little one. A minute later, I was standing in front of the formula milk shelf in the grocery store, holding a can of milk powder in my hand.

Then I heard a little voice, “Will this fix your problem?”

Will I feel better at the company if I switch to formula milk? Certainly not! Obviously this is a company that ignores federal and California labor laws and disregards employees’ labor rights. Now the company arbitrarily violated employees’ breastfeeding rights. Even if employees did not breastfeed, wouldn’t the company violate employees’ labor rights in other ways?

I realized that was not my problem. It was the company’s problem.

So I put that can of formula back on the shelf, walked out of the grocery store, drove home, and wrote my resignation letter.

It was after my resignation that I realized that I was not alone: There were LLL breastfeeding support group in my local library; there were my local breast-feeding coalition that put me in touch with pro-bono lawyers who later settled my case against my previous employer ; there were like-minded individuals who founded the Asian and Pacific islander Breastfeeding Task Force with me, and we are launching the very first national AANHPI Breastfeeding Week this year.

If I could talk to myself eight years ago, I would tell that depressed new mother, “Trust yourself, you can do it. Not because you have super power, but because you’ll be supported at every step along this journey.”

“If I could talk to myself eight years ago
Seeing what I’ve seen, knowing what I know
I would tell that new mother
There’ll be days ahead
When breastfeeding doesn’t seem to work
I would tell her she can trust herself
Cause now I gotta picture of landscape of infant feeding
I can see with perfect clarity
It wasn’t impossible
It was what we need
I couldn’t see it then
But now I know
Every step of the way
There’s support there’s help

San Diego County Board of Supervisors Proclaim August as San Diego County Breastfeeding Month!

Tue, 24 Aug 2021 18:53:00 GMT

FOR IMMEDIATE RELEASE: August 17, 2021

SAN DIEGO—National Breastfeeding Awareness Month (NBM) is observed annually to raise awareness to address barriers to human milk feeding faced by families across the United States and around the world. The theme for this years’ breastfeeding month is “Every Step of the Way” and each week therein is celebrated with a different theme to encourage support and reduce breastfeeding/chestfeeding disparities.

The first week of August is celebrated as World Breastfeeding Week, the second week is celebrated as Indigenous Milk Medicine Week, the third week is celebrated as Asian American Native Hawaiian & Pacific Islander Breastfeeding Week, and the last week of August is celebrated as Black Breastfeeding Week.

Today, Chair Fletcher and all the members of the San Diego County Board of Supervisors commend the San Diego County Breastfeeding Coalition (SDCBC) for its outstanding commitment to protect, promote and support lactation in our region and therefore, declare August 2021 to be “San Diego County Breastfeeding Month” throughout San Diego County. The proclamation was presented by Supervisor Lawson-Remer.

Angeles Nelson, SDCBC President, points out that “The Pandemic has exacerbated persistent racial, geographic and socioeconomic disparities in breastfeeding rates in our region and it is essential —and a shared responsibility— to support and invest in optimal breastfeeding practices to address those disparities and to ensure every baby in San Diego has the opportunity to receive the best nutrition, establishing a healthy weight and reducing the risk of chronic disease.”

Research suggests that breastfeeding/chestfeeding is a key factor in reducing the risk of disease for both the lactating individual and infant, including respiratory illness, ear infections, allergies, some cancers and even thought to provide some immunological protection against COVID-19.

A recent publication by the California Women, Infants, and Children (WIC) Association and UC Davis highlights that in 2018, San Diego County’s average exclusive breastfeeding rate was 79% but, there was a marked difference (~17%) in these rates among different racial and ethnic groups. Ensuring an effective network of care and provision of support at every level can help reduce barriers, and ultimately, assist the lactating dyad achieve breastfeeding/chestfeeding goals.

To help raise awareness of the benefits of human milk feeding, the San Diego County Breastfeeding Coalition has long championed the protection, promotion and support of breastfeeding/chestfeeding in the region through its advocacy, education and community programs. Additionally, The County of San Diego is committed to supporting efforts to uplift breastfeeding/chestfeeding through the work of Public Health Services and implementing system changes.

For more information about breastfeeding/chestfeeding, visit the San Diego County Breastfeeding Coalition Website: https://breastfeeding.org/ or call the Warmline: 1-800-371-MILK

###

About the San Diego County Breastfeeding Coalition: The San Diego County Breastfeeding Coalition (SDCBC) is a non-profit organization consisting of community members, organizations, professionals, and volunteers dedicated to promoting and supporting breastfeeding in San Diego County. SDCBC publishes an annual Breastfeeding Resource Guide, a lactation Warmline, and offers educational events throughout the year.

Social Media Profiles:
Facebook: https://www.facebook.com/SDbreastfeeding/
Instagram: https://www.instagram.com/sdbreastfeeding/
Twitter: https://twitter.com/sdbreastfeeding

Breastfeeding-Friendly San Diego: Apoyando la Lactancia Materna en el Cuidado Infantil: Martes, 24 de Agosto @6:30 pm PDT – ¡Gratis!

Tue, 10 Aug 2021 05:44:00 GMT

Participe en un entrenamiento GRATUITO diseñado para proveedores de

cuidado infantil y aprenda cómo puede apoyar a familias que amamantan

Muchas mamás regresan a trabajar ó a la escuela durante los primeros tres meses de vida de su bebé. El apoyo

durante esta transición es extremadamente importante y puede determinar el que los bebés reciban leche materna

ó no. El apoyar a las familias durante la lactancia materna es práctico y económico, además de que usted como

proveedor de cuidado infantil puede sobresalir al ofrecer este tipo de apoyo a sus clientes.

Este taller tiene como co-anfitrión a TrueCare WIC y los centros y programas de cuidado infantil en casa recibirán

capacitación impartida por un Consultor Internacional de Lactancia Certificado (IBCLC por sus siglas en inglés).

La capacitaciٕón incluye los beneficios de la lactancia materna, el manejo y almacenamiento apropiado de la leche

materna, amamantando al bebé, creando un ambiente confortable para el amamantamiento y apoyando la

participación de los padres con recursos comunitarios.

Aprenda sobre el programa Breasfeeding-Friendly San Diego (BFSD), un programa reconocido y GRATUITO

para proveedores de cuidado infantil y cómo completar los 5 Building Blocks para autonominarse para la

designación y el reconocimiento. Los proveedores de cuidado infantil de BFSD disfrutarán de la promoción de

su programa a través del sitio web San Diego County Breastfeeding Coalition (SDCBC) y se destacarán como

YMCA CRS “Breastfeeding-Friendly Child Care” para familias en busca de cuidado adecuado para la lactancia materna de sus bebés.

Para inscribirse, favor de entrar a este enlace: https://breastfeeding.org/child-care-providers/

Costo: Gratuito

Información: mytraining@ymcasd.org

Para bajar la aplicación de Zoom, visite: Zoom Download

Lactation Education Counselor Fall 2021 Scholarship Applications Now Open!

Tue, 10 Aug 2021 04:54:00 GMT

In partnership with UCSD Extension’s Global Lactation Alliance Program, SDCBC is excited to offers scholarships for individuals passionate in pursuing certification as a “Lactation Counselor”. The UCSD Lactation program prepares lactation educators to assist in the promotion of breastfeeding and to interact in the breastfeeding situation by assisting and encouraging the breastfeeding triad of mother, baby, and support person. Apply today – the application period closes August 15th! Click to learn more and apply –>

Vaccinated Mothers Turning to Breast Milk to Protect Babies

Sun, 18 Jul 2021 18:16:00 GMT

A friend of mine re-latched her two-year-old soon after getting her COVID-19 vaccine back in May, hoping to give the child antibodies via breast milk. Her child was previously weaned at 18 months old.

My friend is not alone. It is reported that vaccinated mothers have been turning to breast milk to protect children too young for COVID-19 vaccines: Many extended breastfeeding, some give breast milk to their breastfed babies’ older siblings in a cup or with cereal, and some even share their breast milk with family or friends’ children . Mothers Milk Bank in Canada has seen increased interest in milk from COVID-vaccinated women. Because COVID-19 vaccines are not yet approved for children under age 12, many parents hope breast milk can protect their young children.

When it comes to COVID vaccines and breastfeeding, multiple researches show that the vaccines do not pass through breast milk, but antibodies do, providing hope that breastfed babies might have some level of protection.

Scientists at University of California, San Francisco looked at the vaccines made by Pfizer-BioNTech and Moderna, and have not detected the vaccines in breast milk. What they have found are antibodies, produced by mothers in response to inoculations, to the coronavirus SARS-CoV-2.

Now, the researchers want to know how much protection the antibodies can provide babies. While the answer to this question remains uncertain, we already know that the vaccine is the best way to protect a breastfeeding mom, her children and her family. Breastfeeding people were not included in any of the trials for COVID-19 vaccines, but scientists at Brigham and Women’s Hospital in Boston, MA found that the lactating individuals generated the same robust antibody response as did those who were not lactating. In other words: the vaccine is just as beneficial for breastfeeding moms.

We also know that COVID-19 vaccine would NOT harm a nursing infant. As Kirsi Jarvinen-Seppo, an immunologist at the University of Rochester Medical Center in Rochester, New York, explained to Nature , COVID-19 vaccines are extremely unlikely to cross into breast milk.

To that end, the World Health Organization recommends that breastfeeding mothers be vaccinated, and continue to breastfeed after vaccination.

Code Anniversary—How Far We’ve Come?

Sun, 18 Jul 2021 18:11:00 GMT

Last March in the beginning of the COVID-19 pandemic, I received a LINE message calling to “stock up on infant formula in case there will be a formula milk shortage.” It was a commercial message from a pharmacy that I shopped at during my short visit to Taiwan back in 2019 and they have collected my family’s information just like that. I was totally surprised.

Or maybe I shouldn’t be that surprised— according to the World Alliance for Breastfeeding Action (WABA) , a growing breastmilk substitutes industry and ongoing emergencies is a real concern to the current global scenario with slow progress in improving breastfeeding rates.

This year marks the 40th anniversary of the adoption of the International Code of Marketing of Breastmilk Substitutes and relevant World Health Assembly (WHA) resolutions. However, in the past one year, we’ve seen more cases of infant formula companies failing to adhere to the Code amid the pandemic:

A screenshot from Facebook of Colosbaby advertisement in Vietnam features the World Health Organization’s (WHO) Director-General headshot with a caption at the top, “WHO raises COVID-19 threat warning to its highest level.” “The world is entering a decisive moment when coronavirus disease is spreading more rapidly” appeared like a quote from him. Next to the products were captions “Colosbaby boost immune system” and “prevent respiratory and digestive infections caused by viruses and bacteria.”

A screen shot from the China Children and Teenager Fund’s website of Mead Johnson’s campaign with the caption “Conquer virus for love to protect new lives.” Image on the right shows items in donation packets, including formula milk for mothers.

In Los Angeles, a county supervisor’s office has been distributing formula milk without infant feeding education and support, which is banned by the Code because this kind of “charity” not only undermines breastfeeding but also targets our most marginalized communities with massive formula distribution.

These are just three of the countless violations which contribute to poor nutrition and, in many cases, preventable deaths in infants and young children. On the 40th anniversary of the Code, we need to urge every country to improve implementation, monitoring and enforcement of the Code.

Why it’s Still Important to Promote Breastfeeding in Developed Countries

Wed, 19 May 2021 20:25:00 GMT

Whenever I write about “ breastfeeding saves lives ,” I always get some reader comments like this: “Only babies in underdeveloped countries would die from diseases that could be prevented by breastfeeding. Babies in developed countries would thrive with whatever milk they get.”

Sounds about right. Indeed, when a country’s economy takes off and people’s income increases, the benefits of breastfeeding seem to be less significant—in developed countries people have access to clean drinking-water, and everyone can afford infant formula. Formula feeding seems to be very safe in these countries, where babies have little chance to die from polluted drinking-water or diluted formula milk. Also, an increased number of mothers may work outside of the home, which makes formula feeding a more convenient option.

Brazil is an example. As the country experienced economic growth, it also saw a dramatic decline in breastfeeding rates. Only 5% of 6-month-old infants were being exclusively breastfed in 1986. While these rates have increased, to this day there are fewer than half of infants being exclusively breastfed for 6 months in Brazil.

However, the latest research published in this month’s Pediatrics shows that the benefit of breastfeeding is much more than making sure that the baby “won’t die.” This analysis controlled for many confounders that are not usually considered, including child care attendance, presence of the father at home, household food insecurity, inter-parental conflict, and maternal depression. Even when adjusting for these and additional confounders, the association of breastfeeding with positive physical and developmental outcomes remain—breastfeeding was still associated with increased height of age, decreased physical stunting, and increases in overall child development.

It is unarguable that it’s still important to promote and protect breastfeeding in developed countries. In undeveloped countries, breastfeeding makes the difference between life and death. In advanced countries, breastfeeding makes the difference between thriving and surviving.

Academy of Breastfeeding Medicine Position Statement on Ankyloglossia in Breastfeeding Dyads

Fri, 30 Apr 2021 14:55:00 GMT

Last week, the Academy of Breastfeeding Medicine announced its NEW revised position statement: Ankyloglossia in Breastfeeding Dyads**.

Recently, there has been increased interest in ankyloglossia or tongue-tie demonstrated by a substantial increase in the number of publications. This parallels a huge increase in the diagnosis and treatment of tongue-tie around the world. Despite this reality, there exists a lack of agreement regarding the diagnosis and treatment of tongue-tie globally and among various health professions.

In response to this situation, the Academy of Breastfeeding Medicine gathered a task force of experts—clinicians who have worked extensively in this area—to provide a position statement to summarize the available evidence regarding tongue-tie.

Read the position statement to learn of the five specific areas identified as needing increased research and focus related to the treatment of tongue-tie.

It is the hope that all who assist breastfeeding mothers and their infants become familiar with this document as to achieve collaborative consistency and care.

**Authors: Yvonne LeFort, Amy Evans, Verity Livingstone, Pamela Douglas, Nanette Dahlquist, Brian Donnelly, Kathy Leeper, Earl Harley, Susan Lappin; and the Academy of Breastfeeding Medicine.

Breastfeeding Contributes to the Survival of All

Fri, 23 Apr 2021 13:00:00 GMT

Recently, I was informed by my agent that a book I wrote ten years ago will be reproduced as an e-book and be relaunched. So I did a second proofreading, and recalled that I had written an article covering the 2010 Haiti earthquake:

“…One day, a mother brought her baby, who was less than six months old, to the free clinic. Through an interpreter, she told the doctor that the baby was sick. After the examination, the doctor explained that the baby was not sick, but was malnourished. The mother said sadly that she did not have enough milk. The doctor advised her to eat more beans and she would have milk. The mom cried and said, ‘Beans? But I can’t even afford corn!’…”

When I re-read this article ten years later, I was shocked. On January 12, 2010, a catastrophic magnitude 7.0 earthquake struck Haiti, causing severe damages. In the following days, many humanitarian organizations set up temporary free clinics in tents in the outskirts of Port-au-Prince, capital of Haiti. In the ruined city, hundreds of severely injured victims who had lost one or some limbs were sent to these free clinics every day. Since the mother and her little baby still had all their limbs and were not severely injured they attracted very little attention from a reporter, like myself. I did write a few sentences about them, but soon forgot about the whole thing. What happened to them? I do not know.

Now thinking of them, thinking of the mother who couldn’t afford beans and her malnourished baby, I tried to remember their appearance. The baby must have been really thin, his limbs must have been especially skinny. He had probably been hungry for such a long time and most likely dehydrated as well. He had been crying for so long, maybe his lips were dry. The formula milk fed to him by the volunteers at the free clinic could probably get him through that day, but definitely not for much longer. How is he now? Was he lucky enough to make it to one year old?

Thinking about this, I could literally hear the sound of my heartbreak and regretted why I didn’t pay a little more attention to them at that time. I am so ashamed.

Breastfeeding, not infant formula, is actually the most reliable way of feeding infants and young children in emergencies. At that time, in Port-au-Prince, there was not even clean water. We reporters had to carry bottled water from the United States to Haiti for drinking and daily use. When assignments were completed, we had to bring the empty bottles back to the States for recycling or disposal. Under such conditions, how could anyone safely make a baby bottle? No wonder so many babies survived the cataclysmic earthquake but not its miserable aftermath— more babies actually died from diarrhea .

But, ten years ago, many emergency relief team members lacked such an understanding, let alone we health journalists.

Every baby has the right to survive and to grow up. Breast milk is a human right.

Earlier this month, World Alliance for Breastfeeding Action (WABA) announced the theme of this year’s World Breastfeeding Week : Protect breastfeeding—a shared responsibility, with a focus on how breastfeeding contributes to the survival of all. Let’s keep it in mind that breastfeeding saves lives and needs investment at all levels.

Photo Credit: Yann Libessart/MSF, MSF Hospital of Drouillard, Haiti in 2012.

Breastfeeding: Our Stories

Mon, 15 Feb 2021 17:39:00 GMT

The boat was sailing to Kaohsiung. Soon after they left the port, the two children started to cry. People on the boat were afraid that the kids crying would attract the communist navy searching for refugees. They were going to throw the kids into the sea.

The mother fought against those people with all her strength, promising that she would stop the children crying. She took off her blouse, put the two kids under her arms, one on each side, and then put her nipples into the kids’ months. Comforted by the mother’s breasts, the children calmed down. The mother kept nursing her children until they arrived in Kaohsiung safely two days later.

The mother in the story is my grandmother. Those two children are my father and my uncle. For years I held this story as a unique family memory. But when I shared the story at the 14 Breastfeeding and Feminism International Conference in North Carolina two years ago, an attendee exclaimed, “Oh, that could be my grandma! She did the same thing when running away from the Nazis in 1939’s Austria.”

When it comes to breastfeeding, it’s always personal. Yet when it comes to breastfeeding stories, all the stories have something in common.

Seven years ago when I was working for a Los Angeles-based Chinese language newspaper as a staff writer, I sat on the floor of a bathroom stall between assignments and then washed the pumping accessories in the office kitchen while some colleagues told me “don’t wash your dirty panties here.” For months I thought it’s just unfortunate of me to have disrespectful colleagues and a law-breaking employer who refused to provide lactation accommodation. But when I reached out for legal assistance to allege my previous employer for breastfeeding discrimination , I learned that my experience was both typical and far from the worst of it among breastfeeding moms returning to work after their child’s birth.

When it comes to breastfeeding stories, all the stories have some elements in common: struggle, resilience, and most of all, love. Telling stories is one of the most powerful means that activists have to influence, teach and inspire. Do you have a breastfeeding story to share? Please leave a comment and let us know!

Photo Credit: Arissa Palmer

Writing blog posts for my local breastfeeding coalition is all about storytelling for social good. So today I am going to tell another breastfeeding story.

It was 1949, in the middle of Chinese civil war. A mother trying to escape from the war-torn China got on a refugee boat in Guangzhou with her 3-year-old and 1-year-old.

How to Promote Breastfeeding in Ethnic Groups? Study Says Prenatal Education Might be the Answer.

Sat, 16 Jan 2021 00:35:00 GMT

When I was pregnant with my first child, during a prenatal interview, my then future pediatrician asked me if I planned to breastfeed. I said, “I will try if I have milk.”

He told me, “With proper support, virtually every mother has milk.”

It was this statement that motivated me to make a breastfeeding plan. Now, new research has echoed this personal experience of mine: Healthcare providers are an essential “first contact” for encouraging pregnant women to value breastfeeding.

While exclusive breastfeeding is described as a problem for all American women, Asian American women have been shown to introduce foods other than mother’s milk to their infants earlier than any other ethnic group, according to a 2016 study . The new research wanted to find out why and concluded that the answer is “a lack of available prenatal breastfeeding education.”

The research focused on Chinese Americans, the largest Asian American group , and found that Chinese American women often did not receive information from their healthcare providers about breastfeeding during prenatal visits, which is an important missed opportunity for providers to reinforce the value of exclusive breastfeeding. While these pregnant women had positive attitudes toward breastfeeding, they lacked the knowledge of the importance of exclusive breastfeeding, general approval for using infant formula, as well as early introduction of complementary foods. Most of them don’t know about colostrum, the nutrients- and antibodies-rich “liquid gold” present immediately after birth.

In short, the access to breastfeeding education is the one factor that affects feeding choices the most among Chinese American mothers. Lacking prenatal breastfeeding education is leading Chinese American mothers to introduce unnecessary liquids to their babies during the first six months of life.

“The more information a woman has prenatally, the more influence it will have on her feeding decisions when she has her baby,” said Dr. Joanne Goldbort, an assistant professor from Michigan State University College of Nursing , and the lead researcher of the study. For example, she said, “most Chinese American moms didn’t know colostrum was essential, so they were introducing other liquids such as formula or sugar water, which is a problem.”

The researchers also found that while person-centered and factual messages were judged as equally effective messages, intention to breastfeed was more affected by the factual message. Dr. Goldbort urged healthcare providers to proactively communicate with all pregnant women during all trimesters of pregnancy about the importance of exclusive breastfeeding for the first six months postpartum.

A Look Back at SDCBC’s Activism in 2020

Fri, 18 Dec 2020 22:00:00 GMT

This year may feel different to many of us, but here at San Diego County Breastfeeding Coalition, we continue to protect, promote and support breastfeeding through education, outreach and advocacy in our community. While we might have to do things a little differently, we are grateful that we are able to carry on with our mission!

In 2020 the Coalition:

Continued to provide low-cost, accredited educational opportunities to both healthcare professionals and community members. After hosting our last in-person workshop in February, we did not let the COVID-19 situation stop us! We moved all the seminars to the internet and kicked off a virtual webinar series during World Breastfeeding Week , starting with the 2020 WBW theme “Support Breastfeeding For A Healthier Planet.”

The series featured speakers in various topics including:

● Protect The Environment, Promote Breastfeeding!

● Relactation: What, Why and How?

● COVID-19: Perinatal Breastfeeding Update

● Hypoglycemia: How Sweet It Is!

● Breastfeeding & Perinatal Health Equity

● Human Milk Banking & Research – San Diego Style

Continued publishing our monthly newsletter featuring referenced articles, links to research, resources, and breastfeeding news and events from all parts of the world. You can subscribe to the newsletter that is valued by professionals and moms here .

Redesigned our website which hosts a wealth of information on many breastfeeding topics, as well as resources for working mothers, childcare providers and victims of breastfeeding discrimination. Visit our website here .

Continued to produce our Breastfeeding Resource Guide in both English and Spanish. We have distributed more than 1 million guides in the past 25 years, and in this COVID-19 pandemic, we focused on providers that offer virtual consults to make sure that the breastfeeding families in our community can still find lactation support during this hard time.

Provided educator and consultant scholarships in collaboration with the University of California San Diego Extension. We’ve learned that breastfeeding is a vital pandemic response , and breastfeeding education is even more important during this period in time.

Supporting child care by purchasing, collecting and distributing cleaning supplies and personal protective equipment for child care providers who continue to help working families during the COVID-19 crisis.

Pandemic or not, the San Diego County Breastfeeding Coalition is here, and will always be here for breastfeeding families in our community. We wish you a peaceful holiday season, and let’s hope for a better year ahead!

Photo Credit: Kristen Marie Imagery

Private: SDCBC November 2020 Newsletter

Fri, 11 Dec 2020 00:53:00 GMT

Celebrating Breastfeeding and Giving Back

Sun, 29 Nov 2020 21:00:00 GMT

The season of Thanksgiving is upon us. I am especially in the mood of gratitude these days because my youngest child turned three years old in late October and weaned himself in early November. With that being said, I have completed my breastfeeding mission—a mission that I once considered impossible!

I credit my success to the support from family, friends, and community organizations. Between my two children I have breastfed for more than five years, but I once decided to and almost did stop breastfeeding for non-supportive, hostile workplace policies. Luckily, my local breastfeeding coalition—I lived in Los Angeles at that time—put me in touch with a pro bono legal organization that settled my breastfeeding discrimination claim against my previous employer . That’s the major reason I could continue to breastfeed.

And I am not alone. While women may not want to stop breastfeeding early for a variety of reasons, one thing is for sure—most of them know that breastfeeding is beneficial and a little support can change everything!

This is why I choose to write for the San Diego County Breastfeeding Coalition as a volunteer blogger. After my case was settled, I separated from my employer in Los Angeles and moved down to San Diego. I immediately contacted the coalition and offered to write for them, because I want to give back to the local organizations that support breastfeeding moms!

People contribute to the community in different ways—I am a seasoned health reporter and I write. You don’t have to do what I do, but I invite you to join me today and invest in breastfeeding by singing up the San Diego County Breastfeeding Coalition membership.

Breastfeeding is not just about babies. It benefits everybody, including strengthening the economy— The findings from WHO and partners estimate that global economic losses from lower cognition associated with not breastfeeding reached more than US$ 300 billion in 2012, equivalent to 0.49% of the world’s gross national income.

The San Diego County Breastfeeding Coalition has been addressing breastfeeding barriers by producing and distributing breastfeeding resource guide and breastfeeding rights cards, providing personal protective equipment for child care providers during the COVID-19 crisis, and maintains a breastfeeding warm-line (response within 24 hours). Your contribution will help the coalition continue this very important work.

The coalition looks forward to expanding its impact and is thankful for the chance to help shape a future that breastfeeding support is accessible for all families in our community. And I invite you to be part of that future!

Click here to join San Diego County Breastfeeding Coalition today!

All About Extended Breastfeeding

Sun, 18 Oct 2020 21:30:00 GMT

Extended breastfeeding, which is considered breastfeeding beyond one year in the U.S., has been a popular topic among my mom friends and readers. It seems my mom friends never stopped debating and my mom readers never stopped asking “shall I stop breastfeeding when my child turns one?” “Does extended breastfeeding lead to tooth decay?” “Why breastfeeding babies just don’t sleep over night? I’m tired of nighttime nursing, especially now he’s already one.”

So I decided to write something about this, based on my best knowledge as a breastfeeding mom as well as a health reporter covering maternal and infant health.

First, you don’t have to continue or stop breastfeeding when your child turns one. The American Academy of Pediatric recommends breastfeeding for at least one year, while the World Health Organization recommends breastfeeding for two years. I’ve heard mom asks if breastfeeding beyond one harms the children in any way; the answer is no. In contrast, there are some benefits of extended breastfeeding, including enhancing a toddler’s immune system, lowering his risks of high blood pressure and cholesterol when growing up, supporting school success , and helping the child achieve independence .

Second, it’s not breastfeeding babies who don’t sleep over night. It’s the babies who can’t sleep overnight seek the comfort of breastfeeding. In fact, breast milk helps set a baby’s clock and makes them sleep overnight. It’s normal for little babies to wake up frequently and breastfed through the night . But if your toddler child still doesn’t sleep overnight, experts say you should consider two other things before blaming breastfeeding: sugary food and screen time. Research shows that sugar-laden or anything containing caffeine will do toddlers a disservice at bedtime. Stare at a glowing blue screen one hour before bedtime can also disrupt a toddler’s body clock.

Third, some study says that long-term nursing can lead to tooth cavities , but breast milk alone doesn’t appear to be the cause. Formula-fed children are under the same risk. And since breast milk is not a toddler’s major nutrition source, foods other than breastmilk tend to be the main problem. The best thing parents can do to help their children avoid tooth decay is not quit breastfeeding, but accustom the children to oral care, clean the children’s teeth twice a day as soon as teeth begin to appear, and reduce the amount of time that sugary substances contact the teeth.

Disclaimer: my youngest child turned three years old this week and we stopped breastfeeding just recently. He slept overnight at six months old and has no decayed tooth so far. His older brother was breastfed for two and a half years; slept overnight at four months old; now seven years old and never had decayed teeth either. I hope this post helps!

Goodbye, Pump—What to do with your breast pump when you’re done with pumping

Wed, 16 Sep 2020 06:21:00 GMT

Today I said goodbye to my breast pump. The pump that I had for seven years. The pump that I have wonderful experiences with. The pump that I share bitter-sweet memories with. The pump that helped me achieve my breastfeeding goals. The pump that provided the benefits of breast milk to my two babies.

With the pump, I pumped in beautiful mother’s rooms in fancy shopping malls. I pumped in nasty storage closets at a baby unfriendly company . I pumped in toilet stalls, dirty or clean. I pumped on the road; in the car; at airports from California to Texas to Ohio. I got upset when not having basic workplace accommodations and adequate break time, but my pump stuck to her job no matter what. I complained; she responded with a steady pumping sound. That was so comforting. We were a great team.

All good things come to an end, including my pumping journey and my partnership with my dear pump. Jade is now 7 and Jasper is turning 3 in one month. My pump has successfully completed her important task and it’s time for her to rest.

The children helped me to pack the pump. My pump’s manufacturer offers a recycling program which allows me to ship my electric pump back to the company, where they send all eligible breast pumps to a third-party processing center where they will be broken down and all recyclable parts will be recycled appropriately.

If you are, too, ready to say goodbye to your breast pump, there are three things you can do: Selling it, donating it, or recycling it.

Selling your used breast pump

Selling your used pump may be an option; however, used pumps should only be reused by another individual when they are a closed system pump . Make sure you have a closed system pump with a still strong motor before selling it.

Donating your used breast pump

When considering donating your used breast pump, the rules above apply. Many non-profit organizations don’t accept a used pump due to liability and health concerns, so your best bet is to connect with other moms in your community.

Recycling your used breast pump

Some pump manufacturers, like Medela and Hygeia , offer recycling. Some manufacturers, like Spectra , suggest consumers to recycle the old pump by taking it to an appliance or PC recycling center. You can always contact your manufacturer directly to find out if they offer a way to recycle your pump.

Farewell with a good partner is emotional. Luckily, with the many safe and eco-friendly options for saying goodbye to a breast pump, we don’t have to throw it away. What have you done with your old breast pump? Leave a comment and share your experiences!

Breastfeeding: A Vital Pandemic Response

Wed, 02 Sep 2020 06:56:00 GMT

The infant formula advertisements have increased since the outbreak of COVID-19. The World Health Organization(WHO) warned that countries failed to stop harmful marketing of breast-milk substitute . Market Watch predicted that the global infant formula market is going to grow due to the COVID-19 impact . Investigative journalists reported on the evidence of this harmful practice of formula marketing .

Pandemic or not, the manufacturers have long been making false claims about the nutrition value of baby formula , and exaggerating the difficulties of breastfeeding . Now with COVID-19, the industry is further using the pandemic to push their products , targeting parents’ fears of infection.

But the truth is: Breastfeeding saves lives! Research shows that infants and children are the most vulnerable during emergencies, including a pandemic. Human milk is always clean and available even in the direst circumstances. It requires no fuel, water, or electricity. There is currently no evidence that COVID-19 can be transmitted through breastfeeding, and WHO recommends that all women, including those infected with COVID-19, continue to breastfeed their babies.

As relief and health workers, we have to take action to protect infant and young child feeding in the pandemic. Human milk is not only the perfect nutrition for infants, it also contains antibodies that fight infection and disease. Contaminated water, poor sanitation, and the spread of germs and bacteria are common in a pandemic, and infants and young children are at special risk. The safest, most sanitary food is always the mother’s own milk. Breastfeeding also helps keep infants warm, and lowers stress levels to calm traumatized infants and mothers.

We can encourage mothers to continue breastfeeding, or to restart breastfeeding if they have stopped (see below.) Certified lactation consultants should always be included in an emergency relief team to provide the special assistance and support to help mothers continue breastfeeding.

Keep it in mind that mothers can make plenty of milk, even if they are stressed. We can, of course, help mothers relax in stressful situations. Holding a baby skin-to-skin helps lower stress cortisol levels in both the mother and the baby, and helps a mother’s milk easily flow.

Contact SDCBC for more information about their recent relactation webinar.

To Decrease the High Rates of Black Infant and Maternal Mortality, We Must Increase the Low Number of Black IBCLC’s

Fri, 28 Aug 2020 04:41:00 GMT

Chardá Fontenot, CLC, CLE, CCE

She/Her/Hers

There is currently only one Black IBCLC in the entire county of San Diego that doesn’t also work as a doctor or nurse. Jarrah Foster, IBCLC, MBA, is an amazing local lactation consultant, breastfeeding mom and certified health coach. I’m ever so thankful that she exists for those who need her, she is well respected, trusted and utilized by organizations such as the San Diego Breastfeeding Center Foundation, Black Infant Health and PCI Healthy Start San Diego. In these various organizations and foundations, one of the services they provide is free quality breastfeeding support to black families in order to address the disparities. However, we need more Jarrah’s in San Diego, which is why I’ve decided to pursue my dreams of becoming an IBCLC, and encourage other Black women to consider joining the amazing and rewarding field of lactation. Here’s how this incredible paradigm shift of the demographic makeup of lactation consultants can create systemic change in the interest of public health and particularly in marginalized communities.

Decrease the high black infant mortality rate

We must remind the public that there needs to be a sense of urgency to eliminate the frightening birth and breastfeeding disparities that exists. Black infants die at four times the rate of white infants. Breastfeeding prevents many of the contributing factors that cause black infant mortality rates to be significantly higher such as SIDS, complications of low birth weight, and maternal complications.

Additionally, a new study recently reports that who cares for you and your baby have a major impact on their survival rate. According to the new research, when cared for by white doctors, black babies are about three times more likely to die in the hospital than white newborns. Representation matters, this is proof as not having it now means life or death for some infants. If we had black lactation consultants, we would likely see an increase in the survival rates for black babies. Especially if we had them in the hospitals where black women and babies are often treated with a lower level of care and minimal to no breastfeeding education to help them make an informed decision on their infant feeding choice. Black babies are dying and it is imperative that we have black providers including, black lactation consultants to be on the front lines saving our babies.

Decrease the high rates of diet-related disease for black moms and babies

Breastfeeding has been proven to reduce risk of certain illnesses and diseases for moms and babies such as obesity, childhood obesity, diabetes, high blood pressure, asthma, and osteoporosis to name a few. Black women and babies are more likely to develop and suffer from many of the above-mentioned conditions. Several interrelated factors contribute to the health disparities we know exist, including but not limited to toxic stress from structural and societal racism and cumulative socioeconomic disadvantages.

The marketing of formula in the U.S. is a racial issue and public health crisis. Formula companies were built on the backs of black babies, specifically the Fultz Quadruplets. Black mothers and babies suffer disproportionately from an array of illnesses and conditions linked to formula use, from ear infections to infant mortality . Due to the racially targeted rampant advertising of infant formula, our black families are having their infant feeding choices limited and are not being taught that breastfeeding is the normative standard of infant feeding. Instead, we have health professionals who take one look at a black mom and assume she does not want to breastfeed, this couldn’t be further from the truth. As a black lactation consultant one of my top priorities will be to hold facilities, health care systems and professionals accountable when it comes to ensuring The Code under the World Health Organization is implemented.

Increase in both initiation and duration rates for black breastfeeding families

We must recognize that increasing breastfeeding rates will lead to decreasing infant mortality rates. Black families are not being given the information they need to make an informed decision when it comes to their infant feeding choice. Bringing a monthly support group to a marginalized community or providing mentorship to black women on the path to obtaining their IBCLC, would create a resounding impact on the efforts towards increasing access and support for black breastfeeding families. Empowering more black lactation consultants is one of the key factors to eliminating these disturbing disparities. Every birthing and lactating person deserves to receive someone who understands their experiences, inequalities and circumstances of their life free from judgment and unconscious bias. A black mother seeking quality lactation support simply cannot get that level of support from anyone other than a black IBCLC, period.

Structural barriers cannot be removed overnight, because breaking down those barriers means dismantling a broken system and that takes work. People have to be comfortable being uncomfortable in doing that work. If we want to give black moms and babies a fighting chance to overcome these troubling statistics through an inclusive and supportive lactation environment, we must encourage and create opportunities for more black women to become lactation consultants. Having Black IBCLC’s isn’t the panacea to eradicating black infant and maternal mortality, but it is a step in the right direction.

Now that we have the facts and a few solutions to try, we must stop presenting breastfeeding, especially to black women, as an individual lifestyle choice when we know the benefits of breastfeeding for black moms and babies are far too great to ignore. If you are a black woman reading this and you would like to become a lactation consultant but don’t know where to start, visit https://extension.ucsd.edu/courses-and-programs/lactation-education-counselor

References:

1.Physician–patient racial concordance and disparities in birthing mortality for newborns. Brad N. Greenwood, Rachel R. Hardeman, Laura Huang, and Aaron Sojourner. PNAS first published August 17, 2020

2. American Academy of Pediatrics Section on Breastfeeding. Policy statement: breastfeeding and the use of human milk. Pediatrics 2012;129:e827–41

3. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6205a1.htm#tab

4. https://www.who.int/nutrition/publications/infantfeeding/infant_formula_trade_issues_eng.pdf

5. https://www.cdc.gov/breastfeeding/pdf/breastfeeding-cdcs-work-508.pdf

6. https://uslca.org/wp-content/uploads/2020/06/2019-Lactation-Care-Provider-Demographic-Survey.pdf

7. https://www.alpp.org/inthenews/report-of-clcs

8. https://www.theguardian.com/world/2020/aug/17/black-babies-survival-black-doctors-stud y

9. https://www.sup.org/books/title/?id=28151

Chardá is a mom of 2 breastfed boys, doula, certified lactation educator and counselor, certified childbirth educator and perinatal health navigator for the Healthy Start program of San Diego. An advocate for families from preconception through early education, she was elected to the Board of Education for the La Mesa Spring Valley School District in 2018. Additionally, Chardá serves on the board for Black Infant Health, San Diego County Breastfeeding Coalition, and San Diego Breastfeeding Center Foundation. She is currently on the journey towards becoming an IBCLC and looks forward to bringing lactation support to underserved marginalized communities.

What if we include the work of “Breast milk Production” in the GDP?

Thu, 16 Jul 2020 02:18:00 GMT

Thinking carefully about that, this argument actually makes a lot of sense to me! Of the nearly four million babies born in the United States every year, four out of five are breastfed at some point, according to the CDC.

Almost half of babies consume nothing but breast milk for three months. One quarter consumes only breast milk for six months. Breast milk is a vital part of the nation’s infant food supply—and it isn’t free.

American Academy of Pediatrics recommends six months of exclusive breastfeeding. The work, according to Australian research, would cost a mother an average of 17 to 20 hours a week, plenty of discomforts, and a lot of sleep.

Yet unlike infant formula, breast milk production is not included in the GDP, the primary measure of the economy. Folbre and Smith believe it’s a vital omission, and the exclusion of breastfeeding from the GDP is part of a broader problem with international systems for measuring economic activity. It largely ignores the contributions of unpaid work historically undertaken by women and has real consequences.

What is GDP, anyway? It is a primary measure of the economy adopted after World War II in an effort to regulate the international monetary order. To this day, the GDP remains the dominant indicator used to assess a nation’s economic strength and the efficacy of its public policies.

Folbre and Smith aren’t the first economists to point out that the framework underpinning the GDP formula leaves a lot out. For decades, feminist scholars such as former New Zealand member of Parliament Marilyn Waring have noted that as it is calculated, GDP skewed our understanding of economic growth by failing to account for shifts between market activities—such as the creation of physical capital including factories, buildings and machines—and non-market ones— such as the creation of a human, an essential of the economy.

And because the child care provided by a stay-at-home parent, traditionally the mother, counts for nothing in our national accounts, the increase in the GDP that results if that care is outsourced and the mom returns to the “normal” labor force will be exaggerated.

This kind of mismeasurement inevitably distorts policymaking: If the government’s just looking at the market sector, they’re being misled about trends in the economy, and they’re going to make wrong decisions about what’s important and what’s worth investing.

This explains a lot why breastfeeding and other unpaid housework that majorly shouldered by women are not being valued as they should be. With decades of hard work of pioneering feminist scholars and advocates, now we finally have a little better understanding of childcare’s role in the economy. As their successor, let’s keep up the good work and be hopeful that we could get some progress.

Recently I read an economic analysis report which argues that breastfeeding isn’t free and that work should be included in the GDP (gross domestic product).

“What we measure reflects what we value and shapes what we do,” economists Nancy Folbre and Julie P. Smith wrote in the report. “International systems for measuring the economy have institutionalized the devaluing of women’s unpaid productive and reproductive work, distorting the allocation of resources, and entrenching gender inequality.”

CDPH visitation guidelines now recommend two visitors at one time for NICU patients

Wed, 01 Jul 2020 02:00:00 GMT

Since the early 1960s, dramatic improvement in the care of preterm infants and/or infants with certain medical conditions has taken place in NICU across our country. Knowledge has advanced along with the technical equipment to care for these babies: incubators to help babies stay warm, oxygen delivery to help with respiratory distress, supplemental forms of intravenous intrusion to nourish them.

But the role of the parent was not an important topic before the 1970s. At that time, in most hospitals and nurseries, dads were often excluded, and maternal-infant bonding was often not the priority. Strict visitation hours and policies were the norms and a sterile “do not touch” culture was routine. It wasn’t until late 1980 that family-centered care expanded along with visitation policies and support groups.

Still, the one visitor at a time limitation gave the impression that not all parents were essential by forcing families to choose which parent could visit baby at any given time. It also posed a huge burden for families by preventing parents—usually, the mother, if she can go to the NICU—from having the benefit of a partner in the NICU with them.

Having a baby in the NICU can be stressful for parents. Any parent with a baby in NICU can use all the support from the partner. This is especially true for a mom who wishes to breastfeed her baby in the NICU.

Breastmilk is the best for food for babies, and its antibodies are even better for babies in the NICU. When the baby is not ready to breastfeed, a mom wishes to provide breastmilk has to pump her milk. Pumping on schedule is a lot of work itself. In the meantime, a partner can help the mom provide breast milk for the baby: Help get bottles ready, make sure the milk is stored correctly, and take it to the hospital so it’s ready when the baby needs it.

In addition to breastfeeding support, a partner can play important roles reassuring the mother and encouraging her to take care of herself.

We applaud the CDPH for making this update, which is in the best interest of the infants and their families. The NICU has skilled staff and so much technology, but the baby has Mom and Dad.

The California Department of Public Health (CDPH) recently changed its visitor limitation guidance : it is now recommended that two designated support persons can visit a NICU patient at the same time. Before this update, the guidance suggested only one visitor be allowed in the NICU.

It is a major win for California postpartum families. Recognizing and supporting the role of parents when a baby is in NICU is a fairly recent phenomenon.

WHO says Countries failed to implement the Code of Marketing of Infant Formula

Mon, 15 Jun 2020 02:13:00 GMT

I’ve personally seen evidence of this kind of predator practice. Even before the pandemic, it is no secret that Nestlé and other infant formula companies have been offering doctors and health workers in some countries— like Philippines — free trips to lavish conferences, earning their loyalty.

Then in May, WHO and UNICEF launched the 2020 status report on the national implementation of the code of marketing of breastmilk substitutes, stating that formula manufacturers are exploiting the panic and fears of contagion to intensify their aggressive marketing practices.

WHO and UNICEF said that promotion of breastmilk substitutes is especially harming Pacific Islander families, stating that despite efforts to stop the harmful promotion of infant formula, only two countries in the region—Fiji and Paula—had strong laws and regulations to protect families from false claims about the safety and role of formula.

Again, I’ve personally seen how this kind of practice hurts PI families. Being born and raised and still writing for magazines in Taiwan, I received so many social media messages calling moms to “make sure you have enough formula for the babies” since the outbreak of the coronavirus outbreak. It is also reported many hospitals stopped the practice of rooming-in . On top of that, the editor from one of the magazines I’ve been working with told me “not to quote WHO about it encourages women to continue to breastfeed during the pandemic,” referring to the spat between Taiwanese authority and WHO back in March.

It is unfortunate. UNICEF and WHO strongly encourage women to continue to breastfeed even if they have confirmed or suspected COVID-19 based on science evidence : Breastfeeding reduces death from acute respiratory infection.

Here in America, we would imagine what’s happening in PI countries has nothing to do with us. The truth is, I’ve seen so many mothers in PI communities stop breastfeeding since the outbreak, especially those first-generation moms who rely on information from home countries to make parenting decisions. Promoting and supporting breastfeeding is a work with no borders. Pandemic or not, now is the time to protect families from misleading information.

The global COVID-19 pandemic highlights the importance of protecting breastfeeding—the optimal nutrition for infants—to improve child health and survival. “I am seeing way too many emails from formula reps to hospital administrators who are trying to use the pandemic to sidestep state, industry or Baby Friendly guidelines on their in-hospital marketing practices,” tweeted Kimberly Seals Allers, author of The Big Letdown. “No mention of what is being done to resolve supply chain issues.”

From One Mom to Another: Keep Calm and Breastfeed On

Mon, 01 Jun 2020 02:45:00 GMT

My first child was born right before Mother’s Day. I’ve always said that he is my Mother’s Day present. This year that “Mother’s Day present” turned seven years old. I took him to the pediatrician for his annual wellness check. At the door of the clinic, I saw a very little baby, probably two or three weeks old, crying just like…a baby. I saw the young parents taking turns to hold and try to calm the baby. I saw their faces. Due to the pandemic, the clinic set a rule that each child can only be accompanied by one adult. And it was obvious that neither one of them was confident to take the baby through the clinic door alone.

I remember when I was a new mom. Every time I had to take the baby out by myself, I felt like a Hobbit leaving the Shire to fight the Battle of Helm’s Deep. I imagine it must be even harder to become a new parent during a pandemic.

I imagine there are many new parents out there, trying to take their beloved babies through this difficult time. I imagine they worry, they plan, they smile for their babies, even when they are falling apart inside.

I remember when I decided to become a mother. It’s not difficult to love. It’s not difficult to dedicate to my baby—these are almost instinctive things. The difficulty was that from now on I had to become the one who “holds everything together” for the baby. To feed the baby. To shelter the baby. Take him to the doctor and later to school. Be patient, be kind. Always protect, always hope. And never fail. From the day I became a mother, I became a pragmatic person, always ready to answer all needs. This is quite a skill, unfortunately I can’t write it on my resume.

Now that the pandemic continues, we are told to stay at home. I imagine all the moms and dads sheltering in place at home with their babies, trying to do everything right while staying calm and optimistic.

But how can we do all of these? I became a mother for the first time in the year when the country was prosperous and the people were at peace. Still the small storms in my small home sometimes made me feel stressed. That was my longest and hardest year.

Yet amazingly, that was also my easiest and shortest year. Baby cry? Breastfeed. Baby hungry? Breastfeed. Baby sleepy? Breastfeed. Baby waking up? Breastfeed. And the days passed.

Finally, one day, I discovered that the baby does not need me to “hold everything together.” He just needs me to be honest and do my best. Me and my baby are not the one protecting and the one being protected. We are a team. The baby loves me and is willing to help me. I raise him, he raises me, and then we grow together.

Parenting is absolutely difficult yet amazingly simple. Just keep calm and breastfeed on, good things will happen.

From one mother to another, you can do it, too.

A Quick COVID-19 Guide for Pregnant and Breastfeeding Mothers

Fri, 01 May 2020 02:10:00 GMT

For Pregnant Women
According to the CDC, we do not currently know if pregnant people have a greater chance of getting sick from COVID-19 than the general public nor whether they are more likely to have a serious illness as a result. However, we do know that pregnant people have changes in their bodies that may increase their risk of some infections. Pregnant people have had a higher risk of severe illness when infected with viral respiratory infections, such as influenza. Pregnant people should always protect themselves from COVID-19 as well as other illnesses.

CDC recommends pregnant women:
Avoid people who are sick or who have been exposed to the virus.
Clean your hands often using soap and water or alcohol-based hand sanitizer.
Clean and disinfect frequently touched surfaces daily.

CDC also points out that mother-to-child transmission of coronavirus during pregnancy is unlikely, but after birth, a newborn is susceptible to person-to-person spread. A very small number of babies have tested positive for the virus shortly after birth. However, it is unknown if these babies got the virus before birth. The virus has not been detected in amniotic fluid, breastmilk, or other maternal samples.

For Breastfeeding Mom
Considering the protection that breastmilk provides against many illnesses, UNICEF, CDC, AAP all encourage mothers to breastfeed as much as they can in the midst of the pandemic.

What if the mom has COVID-19? So far, COVID-19 has not been detected in breast milk, so the organizations listed above say that mothers can continue breastfeeding while applying all the necessary precautions.

According to AAP, If an infected mother decides to breastfeed, she should wear a face mask and wash her hands. If the mother is separated from their infants, she should express breastmilk but should wash their hands thoroughly and disinfect the pump and bottles. Someone who is healthy should feed the child.

Arthur I. Eidelman, MD, Editor-in-Chief of Breastfeeding Medicine, stated in a research published in early March : “Given the reality that mothers infected with coronavirus have probably already colonized their nursing infant, continued breastfeeding has the potential of transmitting protective maternal antibodies to the infant via the breast milk. Thus, breastfeeding should be continued with the mother carefully practicing handwashing and wearing a mask while nursing, to minimize additional viral exposure to the infant.”

***Information on COVID-19 is rapidly evolving, and this guide could become outdated by the time you read it. For the most up to date information, please visit the CDC information page at https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnancy-breastfeeding.html

COVID-19 is a new strain of coronavirus identified as the cause of an outbreak of respiratory illness. The investigation to determine more about this outbreak is still going on. However, UNICEF, CDC, and AAP have provided guidance for pregnant and breastfeeding moms.

It’s 2020 and I still hear people say, “Mothers breastfeed because they cannot afford formula.”

Wed, 15 Apr 2020 02:06:00 GMT

I was speechless with an indescribable emotion. After a moment of silence, I said, “Well, actually black mothers have the lowest breastfeeding rate.”

“How could that be?” She questioned, “I used formula. It’s super expensive. It may be a stereotype but I think many black moms cannot afford it. So don’t they just breastfeed? Breastfeeding is easy and cheap.”

Once again I was speechless. That statement was just so wrong in so many ways.

A little background: I am Asian and my friend is white. So none of us have experienced what a black mother might have experienced. I cannot speak for a black woman, but I can say two things for sure: One, breastfeeding is not easy or cheap. Two, mothers don’t breastfeed because they cannot afford formula. They formula feed because they cannot afford to breastfeed.

Breastfeeding is only “cheap and easy” when everything goes 100 percent smooth. Breast milk has a cost, direct and indirect. Directly there is breastfeeding-related products and services. Indirectly there is an impact of breastfeeding on a woman’s future earnings. A British paper found that women who nurse their children longer are less likely to come back to work within a year after giving birth and that breastfeeding-friendly corporate policies, such as on-site daycare and pumping rooms, increase the likelihood of coming back to work while breastfeeding, but only for the better-educated women.

So mothers actually formula feed because they cannot afford the cost of breastfeeding. According to 2017 CDC data, breastfeeding initiation rates are much higher in higher-income, largely white communities. In fact, according to a study in Breastfeeding Medicine, mothers with lower rates of breastfeeding “tend to be young, low-income, African American, unmarried, less educated, participants in the Supplemental Nutrition Program for Women, Infants, and Children (WIC)…and more likely to report their pregnancy was unintended.”

There are numerous reasons for this disparity. The bottom line is: breastfeeding is nothing free, cheap, or easy. It is a privilege, while it really should be a human right . It shocked me that people still say “mothers breastfeed because they cannot afford formula” in 2020. It is a rough reminder that the value of breastfeeding still needs to be promoted and the right of breastfeeding still needs to be protected.

A while ago my 6-year-old and his best friend talked about if chocolate milk comes from “special black cow” at a playdate. The conversation just made me and the other mother laugh. And then, randomly, I told the other mom, “you know there is actually a documentary called ‘chocolate milk.’ It is about breastfeeding disparities in black moms.”

“That’s crazy,” she said. “Don’t black moms breastfeed more because they cannot afford formula?”

The Childcare-Conference Conundrum

Thu, 19 Mar 2020 02:04:00 GMT

But I was unable to participate fully in this summit. The reason was childcare. Struggling to find care for my 2-year-old, I took him to the summit. During the seminar sessions, I had to leave my chair from time to time to breastfeed, to change diapers, to calm the fuzzy child, and my looking for new spots while trying my best not to disturb other attendees. A hard position indeed.

And I am sure I am not alone. Primary caretakers of dependent children face inequitable hurdles to fully attending and participating in conference activities because of responsibilities related to pregnancy, breastfeeding, and caretaking. A breastfeeding summit is one of the most family-friendly conferences that I can imagine, and the organizers kindly showed us empathy, yet I face hurdles. At the Summit, Sen. Scott Wiener talked about making a difference for working parents in the new decade. I honestly think the childcare—conference conundrum should not be overlooked.

How might this conundrum be addressed? I think supporting child care would overcome a major hurdle to conference attendance. There are a number of ways to do this. I attended the California Breastfeeding Summit as a volunteer but if I were to go to a conference for work, my current employer would provide parents with children under 2-year-old financial support for individually arranged childcare. I attended National Breastfeeding Conference and Convening last summer where onsite childcare was provided and I absolutely appreciate it.

There are clear social-justice concerns when certain groups are excluded from participating fully in the academic field. When conference organizers consider parental needs, everybody wins. I look forward to seeing a parent-friendly environment and culture being promoted by professional societies.

A while ago I attended the 2020 California Breastfeeding Summit as a poster presenter and an awardee. I was thrilled to be there. Conferences like these are vital forums for academic researchers and activists. At these meetings, scientists communicate discoveries, activists form advocacy collaborations, make contacts with funding agencies, and attract new members to our programs.

PUMP!

Sun, 19 Jan 2020 01:00:00 GMT

The PUMP for Nursing Mothers Act would strengthen the existing Break Time for Nursing Mothers law by:

Closing the coverage gap. The bill would protect 9 million employees unintentionally excluded from the 2010 Break Time law by extending the law’s protections to cover salaried employees as well as other categories of employees currently exempted from protections, such as teachers, nurses, among others.
Providing employers clarity on when pumping time must be paid. The bill leaves in place existing law protecting many salaried workers from having their pay docked and clarifies that employers must pay an hourly employee for any time spent pumping if the employee is also working.
Providing remedies for nursing mothers. The bill would ensure that nursing mothers have access to remedies that are available for other violations for the FLSA.

Here in California, we are lucky—our moms already got stronger support for workplace lactation when a law signed last October by Gov. Newsom that requires a more dignified space to pump and proper equipment for storing the milk. Now we stand with our sisters across the nation and encourage Members of Congress to cosponsor this important legislation.

Providing Urgent Maternal Protections (PMUP) for Nursing Mothers Act (S. 3170) has been introduced with bipartisan support in the Senate!

The current law, Break Time for Nursing Mothers which passed in 2010, requires employers to provide reasonable break time and a private, non-bathroom space for breastfeeding employees to pump during the workday. This was an important step. However, the placement of the law within the part of the Fair Labor Standards Act (FLSA) that sets minimum wages and overtime resulted in 9 million women—which is nearly one in four women of childbearing age—not covered by this legislation. As a result, these women have no clear right to break time and space to pump breast milk.

The Case of Relactation

Thu, 19 Dec 2019 13:10:00 GMT

Jasper is now two years old and hasn’t been breastfeeding for almost half a year. Last month he went on a 3-week-long business trip to Asia with me. For some reason—maybe the 14-hour-long flight, or the time difference, or the —he seemed to some comfort in addition to the e-devices and new toys I packed him. He wouldn’t sit by himself on the airplane. He asked for milk the first night when we were in Taipei. I gave him a straw cup with cow milk inside. He refused; cuddled up to me and tried to suck my breast. He finally latched on, for the first time in 6 months.

After that, he often sought breast for comfort when he was going to sleep and just waking up. That happened often because he woke up often due to jet lag. I let him suck, even though I didn’t have milk. But, I thought, breastfeeding is not just about the milk. My baby needed comfort and bonding when we were away from home.

And then, to my surprise, my body started to make milk again in the second week! I can feel my breast tissue fills with milk around bedtime. By the third week, my boob would leak when Jasper was sucking the other boob. That was fabulous. I never thought my body can make milk again, after the breast surgery and half a year after stop breastfeeding.

I’ve heard about relactation, but this was the first time I actually experienced it. It’s too wonderful an experience not to share. I have to say that a woman’s body is just amazing and relactation really happens! It’s definitely doable! Here is what I learned about relactation from KellyMom :

Relactation is essentially a two-fold process: One, you will be teaching (or re-teaching) baby to nurse at the breast, and to equate nursing with comfort. Two, at the same time you will be developing (or re-developing) a milk supply. Developing a milk supply requires nipple stimulation (via baby nursing, hand expression, pumping or a combination) and milk removal (once there is milk to remove). If your baby will nurse, regular and frequent nursing sessions (even if baby is just learning in the beginning) will be very helpful.
If the baby is 4 months old or younger, it will generally be easier to relactate. It will also be easier if your milk supply was well established (frequent and effective nursing and/or pumping) during the first 4-6 weeks postpartum. However, moms with older babies, moms who did not establish a good milk supply in the beginning, and adoptive moms who have never breastfed can also get good results. Your child will get numerous benefits from breastfeeding even if you do not have a full milk supply.
If baby is willing to latch on, then nurse often (at least every 2-3 hours). What if baby will not latch? Keep working at it – some babies have gone back to the breast after many months of bottle feeding.

Baby Jasper weaned himself at 18 months old, weeks after I had surgery to remove a benign tumor in my left breast. That was unexpected. I planned to breast him for at least two years as I did for his big brother. But it hurt badly to breastfeed in the first days after the surgery and my milk supply went down dramatically. He probably sensed how uncomfortable I was and discouraged by my empty breasts, thus chose to the breastfeeding relationship early. That saddened me.

Just like he weaned without warning, he relactated himself unexpectedly. It all happened in the past month.

A Look Back at Breastfeeding Activism in 2019

Thu, 19 Dec 2019 01:00:00 GMT

Mini-seminars
As a way to promote and support breastfeeding in our community, the Coalition offers mini-seminars for healthcare professionals. The topic in 2019 was “Breastfeeding and the Law,” “The Tongue and Beyond,” and “The Return of Breastsleeping.”

Education videos
Last year, members of the Coalition joined our partners at UC San Diego in producing a series of breastfeeding-friendly childcare training videos. This year, the videos are finally up on the UCSD’s website as a training tool for childcare providers!
https://ucsdcommunityhealth. org/work/breastfeeding/child- care/training/

Advocacy works
This year, the Coalition has supported Governor Newsom’s proposal of giving parents six months paid leave and House Resolution 545 which recognizes the importance of breastfeeding and urges the President to promote the health and welfare of children and their parents by supporting international efforts to improve breastfeeding practice globally.

Lactation scholarship
The Coalition offers three scholarships through the year: Lactation Consultant Pathway 1 Education Only, Lactation Consultant Pathway 2 Hybrid, and Certified Lactation Educator Counselor.

Breastfeeding champions recognition
This year, the Coalition has recognized Qualcomm as a breastfeeding-friendly workplace and presented Father Joe’s Villages with the mother-baby friendly award.

Please stay tuned for more great ideas the Coalition has to implement to help our breastfeeding community in 2020! Before that, on behalf of San Diego County Breastfeeding Coalition, much peace, and love for the new year to you and yours!

This has been a tremendous year of support, dedication, and growth for the San Diego County Breastfeeding Coalition. My heart, for one, is filled with love and gratitude for my colleagues at the Coalition and everyone in the breastfeeding community. As we continue to protect, promote, and support breastfeeding through education, outreach and advocacy, here are several things we’ve done this year.

The Return of Breastsleeping

Fri, 15 Nov 2019 13:48:00 GMT

In the industrialized Western world, we often expect babies to sleep over night as early as possible while “sleeping like a baby” in the first three months really means, according to Dr. James McKenna, sleeping near the mother, waking up frequently and being breastfed. He named the arrangement “breastsleeping.”

“Infants are contact seekers,” said Dr. McKenna, an anthropology professor at the University of Notre Dame and world-recognized behavioral sleep expert at a recent San Diego County Breastfeeding Coalition seminar. “This is what’s good for their physiology. This is what their survival depends on.”

He called the belief of solitary infant sleep a “systematic error,” adding that in spite of the common practice of letting babies sleep alone, people were not completely convinced by this arrangement. In the bottom of their hearts, parents felt more comfortable about having the baby sleep near the mom, and that’s exactly why baby monitors are so popular.

Dr. McKenna believes that breastsleeping is humankind’s oldest and most successful sleep and feeding arrangement. Parents co-sleep with their babies to protect them, to monitor them, and to ease breastfeeding. It’s time to restore the norm.

Those who are against mom sleeping with baby argued that bed-sharing raised the risk of sudden infant death syndrome (SIDS). In Milwaukee , for example, parents saw an ad in which the headboard of the parental bed is portrayed as a tombstone and etched onto it were the words, “For too many babies last year, this was their final resting place.”

“The ad is saying, ‘Not only shouldn’t you sleep with your baby but it’s almost against the law, and parents should be arrested,’” Dr. McKenna said. “It’s unacceptable. And it’s not really the evidence.”

He took a look at how easy it is for an infant to be suffocated by an overlay and found that , first, while parents who drink or do drugs shouldn’t be sleeping with their babies because they could roll over onto their child, the chance of a normal sleeping adult roll over onto their child and cause death is only 1/16400. Second, when mom is breastfeeding, she essentially creates a little shell around the baby and the chance of her to roll over onto the baby is even thinner.

“Mothers don’t have to co-sleep with their babies,” said Dr. McKenna, “but they should be able to if they want to without being accused of killing their children.”

Here in the U.S., bed-sharing is a growing trend among families. More moms are choosing to share a bed with the infants. The practice in the U.S. has grown from about 6 percent of parents in 1993 to 24 percent in 2015 .

Dr. McKenna acknowledged that it’s natural for parents want to bed-share. Pediatricians need to be less judgmental about the practice and more understanding of families’ choices, Dr. McKenna said.

“We don’t want mothers to lie to their health providers and receiving no safety information for their sleeping and breastfeeding choices. They need to learn how to do it safely,” he said. “And we’ll never discover how to arrange the safest bedspring environment unless we explore it and recognize that breastfeeding has changed things permanently.”

Thank You for Breastfeeding

Tue, 15 Oct 2019 13:45:00 GMT

Hesitantly, we sat down in a cafeteria and I started to breastfeed. My mom opened an umbrella and tried to cover me. That was just embarrassing. Everyone walked by looked at us. I felt like one of those park animals.

Then I saw there was another family at the other side of the dining area. They were all eating: The father was eating, the mother was eating, the baby was eating, or, to be accurate, being breastfed.

“Mom, look!” I elbowed my mom, pointed the family to her with my chin. “Do you see that? And they are not using an umbrella!”

“Ah, American!” She murmured but put the umbrella down.

Nobody looked at me anymore. I was relieved. Baby ate and was satisfied.

By the time my second child arrived, I got comfortable enough to breastfeed in public, but still feel obligated to breastfeed in a nursing room if there’s one.

One day I took my first child—now four years old—to his swimming lesson. He made me promise that I’d stay and watch the whole session. But, alas, the baby was hungry and I retreated to the nursing room.

The baby finished eating just when the preschooler finished his swimming lesson for that day. When I stepped out of the mother’s privacy room, my older child grumbled, “I did very well today, Mom. But you were not there to watch me!”

“I’m sorry,” I said. And I meant it. “I wanted to watch you but DiDi was hungry. I had to feed him.”

“Why don’t you just feed him by the pool? I saw other kids eating on the pool chaise lounge. That should be okay.”

I looked around and saw a couple of toddlers eating goldfish or other crackers. And then I saw a mom breastfeeding! Funny enough, she was wearing the same nursing dress that I have. I couldn’t help it but walked up and thank her for breastfeeding.

“Ah? Yeah…you’re welcome.” She didn’t know that she just granted me the right to breastfeed by the pool, to feed my baby and watch my 4-year-old swimming at the same time.

When my younger one turned 1 year old, we took him to pumpkin patch for the first time. (His birthday falls in October.) When he got hungry, I just sat on a big mac pumpkin and nursed him. Across the field I saw another mom sitting on the ground, lean on a big mac, also breastfeeding. She saw me, too. I smiled to her and she smiled back. Then she gave me a high-five from a distance and I high-fived back. I feel encouraged. I think she is encouraged, too.

My younger one turned two years old earlier this month and was officially not a baby anymore. Thank you to all the moms who have breastfed in public. You helped make this journey much more pleasant for all the other moms.

Fall is in full swing. Some of my personal favorite memories of the season has breastfeeding involved.

When I had my first child and my parents flied half way around the planet to visit, I decided to take them to the safari park when it cooled down. Without any surprise, the baby got hungry when we were out there. To my surprise, there wasn’t a nursing room in the park. The park ranger told me, “you’re welcome to breastfeed anywhere you like.”

Breast milk helps set baby’s clock

Thu, 19 Sep 2019 14:00:00 GMT

But a recent study helped me answer that question: human breastmilk may help babies tell time via circadian signals from mom!

It turned out that breastmilk contents keep changing based on the time of the day. Just like adults often decide on the specific combination of ingredients they want for a cocktail depending on mood or occasion, a mother’s body manufactures cocktails for a breastfeeding baby—cocktail ingredients that change throughout the day.

New parents know that babies’ bodies do not necessarily follow a daily cycle or circadian rhythm, most obviously when a baby is awake at night and sleeping by day. Babies’ bodies may take several months to one year to develop circadian rhythms , depending on the environment they are in.

A mother’s milk follows a daily cycle or circadian rhythm; breast milk provides “chrononutrition” and may set baby’s clock.

The researcher found that breast milk changes dramatically over the course of the day. For example, levels of cortisol—a hormone that promotes alertness—are three times higher in the morning milk than in evening milk. Melatonin, which promotes sleep and digestion, can barely be detected in daytime milk, but rises in the evening and peaks around midnight.

Night milk also contains higher levels of certain DNA building blocks which help promote healthy sleep. Day milk, by contrast, has more activity-promoting amino acids than night milk. Iron in milk peaks at around noon; vitamin E peaks in the evening. Minerals like magnesium, zinc, potassium, and sodium are all highest in the morning.

Now I have the perfect answer for those who (including myself) wonder how my breastfeeding babies slept overnight by six months old. Or I’ll just show them this cute video produced by USC that explains the research in one minute!

I have two children. The first one was breastfed until two-and-a-half years old. The second one is now 22 months old, still being breastfed. The first one slept overnight at four months old. The second one at six months old.

When I share this experience with people, they often stare at me, “and they’re breastfeeding babies? Impossible!”

I never knew how to explain that. People seem to believe that formula babies sleep longer and better, like my mom, my in-laws, and my postpartum doula insisted.

Help pass House Resolution 545: Why and How

Thu, 19 Sep 2019 01:45:00 GMT

I’m thrilled that House Resolution 545 was recently introduced by Rep. Adam Schiff (D-CA-28) and it now has 17 co-sponsors from across the country! The resolution recognizes the importance of breastfeeding and “urges the President to promote the health and welfare of children and their parents by supporting international efforts to improve breastfeeding practices globally.”

Why urge the President to support breastfeeding GLOBALLY?

I’ll explain it in a really simple way (as to my 6-year-old): Last year at the UN World Health Assembly there was a nice resolution, the resolution 1275B, that said breastfeeding is good, there should be more of it, and ask all countries work together and make it happen.

The resolution was necessary because predatory baby food companies keep trying to trick moms into using formula instead of breastfeeding. It’s always been like this forever even though there is a milk code of conduct. According to the conduct, infant formula sales representatives should be banned from all hospitals, yet in some countries, they dress up like nurses and recommend formula to moms in hospitals.

A study in the Lancet says universal breastfeeding would prevent 800,000 child deaths and save $US 300 billion a year because a healthy baby is a cheaper run.

So everyone was surprised when the USA opposed the resolution, demanding that the words “protect, promote and support breastfeeding” be removed along with text that encouraged restrictions on food products that are literally bad for babies!

Not just that, the USA bullied Ecuador, threatening the little country with trade sanctions and worse if they voted for it. After that many developing nations walked away from the resolution because they saw what happened to Ecuador.

New York Times broke into that formula company Abbott Laboratories spent up big on Trump’s inauguration. Baby scientists say that without resolution 1275B, hundreds of thousands of babies will keep dying and infant food companies will continue to make billions of dollars.

But we can change the end of the story! If you acknowledge that there are proven health benefits to infant and mother, that the leader of our country should support international efforts to improve breastfeeding practices, please use the action tool to help the passage of House Resolution 545.

Making The Most Out Of #NBM19

Tue, 20 Aug 2019 13:35:00 GMT

It’s National Breastfeeding Month and I’m celebrating with activists throughout the first food field. So many of my fellow believers have been working so hard on protecting babies’ rights to get the best nutrition and I’m honored in collaboration with many dedicated advocates from around the country. I have so many to write about today, just because it’s my favorite month of the year! With this post, let me just share some top actions that you can take to support breastfeeding.

1. Send a Letter: Take notice of childcare!
Most new parents need to navigate their return to work or school after the birth of a baby. That’s why affordable, high-quality childcare is an important part when creating a landscape of breastfeeding support. According to Parents Magazine , more than half of all Americans currently live in childcare deserts and, for those who can access care, the cost exceeds that of most major household expenses including housing. The recent increase in the Child Care and Development Block Grant has helped, but it’s just not enough. Elected leaders need to hear from you with a letter to the editor in your local paper. Members of Congress and their staff pay close attention to letters to the editor in local newspapers as a way to gauge the opinions of constituents. Your voice is needed to let your elected leaders know that families back in their home state are expecting them to support an increase of $2.4 billion of the Child Care Development Block Grant in the Fiscal Year 2020 appropriations bill. This would mean childcare for up to 300,000 more children! Contact Union-Tribune here if you live in San Diego.

2. Tell Congress: Pass the WIC act!
Half of all infants born in the U.S. are boosted by the Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC) each month. Millions of moms received breastfeeding support from WIC . Yet there has been a steady decline in WIC participation over the years that could lead to negative health impacts for both moms and kids. That is why it is so exciting that a bipartisan group of U.S. Senators has introduced the WIC Act to make improvements to this important nutrition and health program so more moms, infants, and toddlers can access the program. Add your signature to MomsRising’s letter to the U.S. Congress, telling them to co-sponsor and pass the WIC Act this year!

3. Raise Your Voice: Support Nursing Families!
The U.S. Department of Labor is hosting an online dialogue on Supporting Nursing Mothers in the Workplace. Ideas and comments gathered from this online dialogue will be used to guide DOL’s work to expand and enhance compliance assistance resources and materials on the Break Time for Nursing Mothers provision. Join the conversation here.

This #WBW, Empower Parents and Enable Breastfeeding

Thu, 25 Jul 2019 13:26:00 GMT

We can never overemphasize the benefits of breastfeeding: Breastfeeding promotes better health for both mothers and children. According to UNICEF, breastfeeding could save more than 800,000 lives each year, mostly children under 6 months old. Breastfeeding decreases the risk of mothers developing breast cancer, ovarian cancer, type 2 diabetes, and heart disease. According to WHO, breastfeeding could prevent 20,000 maternal deaths each year due to breast cancer.

The #WBW2019 slogan is “Empower Parents, Enable Breastfeeding.” Empowerment is a process that requires evidence-based, unbiased information, and support to create an enabling environment where mothers can breastfeed optimally. Breastfeeding is in the mother’s domain and when fathers, partners, families, workplaces, and communities support her, breastfeeding improves.

This year, activists around the world are working to promote the importance of family-friendly policies to enable breastfeeding and help parents nurture and bond with their children in early life, when it matters most. This includes a parent-friendly workplace that protects and supports mothers’ ability to continue breastfeeding upon their return to work. Mothers need access to breastfeeding breaks, a private and hygienic space for expressing breastmilk, and a place to store expressed milk. Affordable childcare is equally important. (Read more: Breastfeeding discrimination in the workplace is real)

This also includes enacting paid maternity leave for a minimum of 18 weeks—recommended by WHO—, and paid paternity leave to encourage shared responsibility of caring for their children on an equal basis. (Read more: Governor Newsom proposed giving parents six months paid leave )

Last month, organized by U.S. Breastfeeding Committee, a group of breastfeeding advocates traveled together to the U.S. Capitol to discuss issues impacting breastfeeding families with their Members of Congress.

In the few short weeks since Advocacy Day, we’ve already seen progress on several pieces of breastfeeding-friendly legislation:

The House of Representatives has passed a spending package with historic funding levels for the WIC Breastfeeding Peer Counselor Program.
The Fairness for Breastfeeding Mothers Act has passed the Senate and is now awaiting signature into law (the bill passed the house in February).
The Small Airports Mothers’ Room Act has been introduced and had its first Congressional hearing. USBC disseminated a letter that garnered signatures of support from 60 organizations.

These are real examples of how empowering parents can enable breastfeeding, and how support changes everything. The impact of the conversation will continue to emerge.

WHO recommends exclusive breastfeeding starting within one hour after birth and until the age of 6 months old. This goal is hard to achieve without supports. Luckily, everyone can support this process, as breastfeeding is a team effort.

World Breastfeeding Week is just around the corner! Annually, WBW is celebrated from August 1 to 7 to encourage breastfeeding and improve the health of babies around the world. It commemorates the Innocenti Declaration signed in August 1990 by government policymakers, WHO, UNICEF, and other organizations to protect, promote, and support breastfeeding.

Creating a Breastfeeding-Friendly Childcare

Mon, 10 Jun 2019 01:21:00 GMT

It says it takes a whole village to raise a child. Today’s childcare center is more than a place for children to play; it can serve as a modern day’s village. It cares and nourishes young children as well as their families. Providing resources for mothers who continue to breastfeed their infants once they return to work is one of the best supports that a childcare center can provide its families.

Breastfeeding provides both important nutrients for a baby to thrive and precious bonding time for a young child to develop healthy emotions. New mothers who receive support in breastfeeding have less stress as they navigate balancing the commitments of work and family.

To support mothers and lactation, a childcare center can provide a calm place for mothers to pump breastmilk and a refrigerated space for storing pumped milk. It can encourage breastfeeding onsite by offering private spaces for mothers to nurse. It can have breastfeeding-friendly information available for parents in its classroom packets. It can have written feeding plans for staff members’ reference.

The training video my baby and I participated in was filmed at UCSD’s Early Care, which is a demonstration site for Breastfeeding-Friendly San Diego and already has it all. I was thrilled to learn that the early education program has partnered with the UC San Diego Center for Community Health to develop train modules to promote the benefits of creating lactation areas in the childcare setting. The childcare center my now 20-month-old baby currently attends only support breastfeeding up to baby turns 1 year old. I hope collaborations of expertise at UC San Diego and Breastfeeding-Friendly San Diego can pave the way for the best practices at childcare centers statewide, if not nationwide!

Find contact information and location of breastfeeding-friendly childcare in your area on the SDCBC website at https://www.breastfeeding.org/childcare/breastfeeding-friendly-sites/

Early last summer, my then 8-month-old baby and I had a chance to participate in the filming of a series of breastfeeding-friendly childcare training videos produced by UC San Diego. I’m glad the videos are now up on UCSD’s website as a training tool for childcare providers!

https://ucsdcommunityhealth.org/work/breastfeeding/child-care/training/

Overcoming language barriers in lactation service

Sat, 01 Jun 2019 13:12:00 GMT

It was where I jumped in. I went to the first appointment with Heidi as an interpreter. It was a nice house full of cutting-edge baby tech, from smart socks to smart bassinet. We met the couple and the 1-week-old baby.

“Science says that breastfeeding is the best for babies,” said the dad, firmly. “I believe in science. We must make give our baby breast milk.”

“I read about that breastfeeding babies have better immune systems,” said the mom. “I barely slept last night. I’m so tired. But I still want to make this work.” I saw a Chinese breastfeeding book on her nightstand.

So we got to work. Heidi started to undress the baby, weigh the baby, demonstrate skin-to-skin. I translate everything that Heidi and the mom said. When Heidi trying to find out the most comfortable nursing position for the mom, the family’s nanny stood by and stared with her arms crossed.

“I’ve seen this before,” she murmured unapprovingly. “It’s no use. Bottle doesn’t hurt anybody.” She has been supplementing the baby with formula.

I was sure the mom heard the nanny, but she seemed to decide to ignore it. I asked the grandma who was also there, “what do you feel about breastfeeding?”

“I…I don’t know,” said the grandma, “I never breastfed. But my daughter wants to breastfeed. I want to support her.”

Here I saw a typical Chinese-American family: young, educated mother wants to breastfeed, while grandma and nanny of the earlier generation don’t know much about breastfeeding or even against breastfeeding. This new mom was actually lucky to have a supportive mother and husband.

I am a health journalist and have been covering maternal and children health for almost my entire career life. Too often I heard people say “Asian moms don’t breastfeed.” One resource revealed to me that some hospitals in great Los Angeles area refused to go baby friendly because they mainly serve the Asian community and believe that because Asian moms don’t want to breastfeed, it would decrease their customer satisfaction if they seek baby-friendly certification.

This is unfortunate. It’s not Asian mothers don’t breastfeed; it’s Asian mothers are under-served. Southern California is the home to the largest Asian population outside of Asia, yet fewer than 4% of the lactation consultants in this area speak an Asian language. When I returned to work as a staff writer at a Chinese-language newspaper serving Los Angeles six years ago, my employer refused to provide breastfeeding accommodation. I tried to invite a lactation professional to my company and talk to my supervisor about the importance of breastfeeding but couldn’t find even one Chinese-speaking lactation professional in the entire great Los Angeles area.

And this young mom that Heidi and I recently worked with was a great example. She had every intention to breastfeed, but without proper support and professional assistance, she might as well just gave up.

One month later after our first visit, the mom reported that she was able to stop formula supplements and breastfeed the baby exclusively. We paid her a follow-up visit where she told us she wants to become a lactation consultant. We were greatly encouraged. Let’s hope for more positive changes like this.

Recently I had a privilege to work with Heidi Burke-Pevney, a friend of mine and the San Diego County Breastfeeding Coalition’s IBCLC of 2018.

It all happened in late April when a Chinese-speaking mother struggling with breastfeeding and trying to seek professional help. First, she asked her friend to recommend Chinese-speaking lactation consultants. When they couldn’t locate one in San Diego, they turned to Heidi for help. In spite of her professionalism, Heidi doesn’t speak Chinese. Then the mother started to text Heidi, with her friend translated in between. It was confusing and if I remember it right, it took them days to figure out a home-visit appointment.

The real cost of breastfeeding

Thu, 23 May 2019 01:08:00 GMT

I have been writing blogs for the San Diego County Breastfeeding Coalition for almost six years now (wow)! In one of my earliest posts, I wrote that “ breast milk is free. ” But I was wrong.

Between my two children, I have breastfed for almost four years and loved every minute of it. But breastfeeding is far from free.

I have spent almost $600 on breastfeeding-related products and services. About $220 went to a lactation consultant because my littlest one and I had a rocky start. It turned out he had tongue and lip ties , and we had to have the ties released when he was two weeks old. Luckily, the procedure was covered by insurance, so is my electric pump. Then there were vitamins for $70, the nursing pillow for $30, three pairs of bras for $60, the milk collection shells for $30 and six reusable nursing pads for $15, the lanolin cream for $10, six bottles for $40, 100 storage bags for $20, and the cooler for$25. I also got a nursing cover for $20 and a couple of nursing tops. While some mommy blogs, breastfeeding support groups, and even some health providers would argue that a nursing cover is unnecessary, at the beginning I didn’t feel comfortable breastfeeding in public .

The U.S. surgeon general estimates that breastfeeding could save families between $1200 to $1500 on formula in an infant’s first year. True, unlike formula, all of the nursing expenses are in theory optional, if you are never away from your baby for more than one hour, in which case the pump, the bottles the cooler become a requirement, or never take the baby in public for more than one hour, in which case nursing clothes become a necessity. But with mothers struggling with various issues from low milk supply to returning to work while breastfeeding, having access to a lactation consultant and a high-quality pump makes the difference between continuing of giving up nursing, and none of those comes cheap. Vitamin D supplements are recommended by pediatricians for breastfeeding babies. A nursing pillow helps positioning the baby for breastfeeding, which can promote successful latching and save mothers from posture-related back pain. Pads and milk collection shells help me with my leaking breast milk.

Breastfeeding is only free when everything goes 100 percent smooth, which is often not the case. And that does not include the indirect costs, the “ motherhood penalty .” A British research found that women who nurse their children longer are less likely to come back to work within a year after giving birth. Another Canadian study found that even after going back to work, mothers who have breastfed longer tend to be more penalized in their income.

Breastmilk has indisputable health benefits, that’s why the World Health Organization recommends exclusive breastfeeding up to six months of age, with continued breastfeeding along with appropriate complementary foods up to two years of age or beyond. But following that recommendation can be financially challenging for many mothers. That’s why we need to address breastfeeding inequalities.

Normalize Breastfeeding in our Community

Sun, 19 May 2019 01:05:00 GMT

I have a story about persistence.

In 2013, a self-describe “largest Chinese-language newspaper serving North America” published a controversial article. Titled “ Breastfeeding photos embarrass Chinese-American to death ,” the piece cited anonymous resources, labeled breastfeeding photos as “R-rated-photos,” described breastfeeding images as “disturbing” and “disgusting.”

At that time, I just returned to work after a 3-month-long maternity leave to that particular newspaper as a staff writer. And yes, I was breastfeeding. I certainly felt shocked by that article and tried to talk to the company’s president. But he wiped my concern by saying “you’re overreacting.”

The article received strong reaction from our local Chinese-speaking community. Dozens of protesting letters from readers flew into the newsroom, yet the paper had no response.

The mother company of the newspaper is headquartered in Taiwan. The Breastfeeding Association of Taiwan launched a protest against the company and demand for an apology, but the company had no comment.

Three weeks later, I left the company over a breastfeeding discrimination lawsuit (which is another story .) I got together with several of my fellow believers and talked about that in response to discriminating speech like this, we should start a photo exhibit project and illustrate the beauty and importance of breastfeeding.

That project did not happen for lack of budget. Without money, it was hard to afford a professional photographer or a decent venue. Also, the Asian community is relatively conservative and it has been a challenge to recruit models.

So the project did not happen at that time. But I never forgot the project idea.

Since that rude awakening, I have been dedicating my career to speaking up about breastfeeding barriers in our community . Five years later in 2018, I was selected as one of the leaders by HealthConnect One ’s Birth Equity Leadership Academy . Through the Academy I was able to secure a small amount of fund that can finally make the photo project happen!

This week, in collaboration with Asian Breastfeeding Task Force of SoCal , BreastfeedLA , and PHFE WIC , the project was finally happening. With a small stipend we were able to recruit 20 mother-baby pairs to participate in this community based project. Also with a reasonable price we were able to hire great photographer and videographer . A team member and a friend generously opened her beautiful house for the photo shooting. I looked at the mothers and babies (and some fathers) post in front of the camera and have their breastfeeding photo taken. I watched the mothers (and some fathers) share their breastfeeding experience, good or bad, in on-camera interviews. I wanted to cry.

It’s been six years since the photo project idea first came to me. I wanted to shout to my previous employer, “Did you see that? Breastfeeding is not disturbing or disgusting. It’s beautiful and graceful!”

But of course, they wouldn’t hear that. And the project is really not about them or about me anymore. It’s about the community. Without the efforts of the team, the project would never happen.

Southern California has the biggest population of Asians in the world outside of Asia, yet fewer than 4% of all lactation consultants in this area speak an Asian language. It’s our hope that the effort will increase breastfeeding rates in our community. And no one would ever tell mothers “breastfeeding images are disturbing and disgusting. Your breastfeeding photos are embarrassing our community to death.”

*The photos and videos of Asian women breastfeeding will be up in a traveling photo gallery exhibit! Please stay tuned.

The Voice of Breastfeeding Community Needs to be Heard

Wed, 01 May 2019 00:59:00 GMT

With my colleagues at Asian Breastfeeding Task Force, I had a chance to present at the 14th Breastfeeding and Feminism International Conference in Chapel Hill, North Carolina a while ago. At the conference, we presented on a panel entitled “Normalizing breastfeeding in Asian communities.” The focus of our presentation was on sharing the history and process of the community-driven formation of the Task Force along with current and future goals and activities of the group.

My biggest gain from the conference, however, was to meet many legendary activists. Leah Margulies, for one.

Leah is a feminist, anti-corporate activist, founding member of the New Heaven Women’s Liberation Rock Band and Movement, lawyer, and single mother. In 1977, she helped to launch the famous Nestle boycott.

At that time, infant formula companies were aggressively marketing powdered formulas in the Third World countries to mothers who couldn’t possibly use it safely since they didn’t have access to clean water, refrigeration and sterilizing equipment. It resulted in infant malnutrition and death. Nestle was the biggest offender. Leah recruited a few other believers, started INFACT, and then launched the Nestle Boycott. The boycott lead to the UN adopting a code of marketing, now known as International Code of Marketing of Breast Milk Substitutes to attempt to control this industry. The boycott in the US ended in 1984, but it continued to this day in many parts of the world.

The Nestle boycott happened even before I was born, but I have a special feeling toward the boycott. I am a journalist covering maternal and infant health for a variety of publications. Years ago, I helped to translate the Nestle Boycott report into Mandarin Chinese and cited the report in several of my articles. Later one of the editors I worked with implied me to stop writing about the boycott, because the publisher’s mother company reached certain commercial agreement with the infant formula company.

I was shocked. In spite of all the codes, infant formula industry still has every way to manipulate the media and interfere the public opinion. I became a reporter to be the voice of the voiceless, but I am silenced on key issues like this. Most people would imagine that as journalists, we could write whatever we wanted to write, but the truth is, our hands are tied.

Since the Nestle boycott, the marketing strategy of the infant formula industry has changed: They no longer advertise that “formula is good.” Instead, they tell mothers “breast is good but difficult. Let us help you with infant formula.” They have developed a faux sense that society is ganging up on them, judging them for choosing alternative methods of feeding their babies.

It’s a myth to think that the non-breastfeeding community is the silence one; for years they have made known their difficulties. But we must not be so sensitive to them as to whitewash the benefits of breastfeeding. It’s important that voice of breastfeeding community being heard—even if it takes millions of blog posts to remind everyone of that fact, then so be it. I am here and I will keep writing.

What I learned from a Biopsy while Breastfeeding

Tue, 19 Mar 2019 00:57:00 GMT

Last month, I discovered a suspicious lump in my left breast through a breast self-exam. After the ultrasound, my doctor decided the lump must be biopsied for assessment.

In the evening before the biopsy, looking at my left breast in the mirror, I realized that I don’t worry about cancer—I have a strong family history of breast cancer; I’ve been seeing and hearing close ones being diagnosed with breast cancer ever since I was a little girl; I am well prepared psychologically. I realized, however, that I worry about my future ability to breastfeed.

Jasper was 16-month-old and still being breastfed. My plan was to breastfeed for at least 20 months, ideally for two years. My doctor told me that I don’t have to wean before the biopsy and my ability to breastfeed after the process depends on the extent of the biopsy. After that, it really depends on the test results of the biopsy.

It’s hard to find breastfeeding-friendly information on this topic, so I turned to several of my trusted IBCLC friends for their opinion. Most of them didn’t see any reason why I cannot breastfeed after a biopsy unless the test results found otherwise. I was relieved.

This is what I learned: needle biopsies, including fine-needle aspiration and core biopsy, can be done on a breastfeeding mother. The smallest needle available for the procedure should be used, and the risk of milk fistula, which is chronic milk leakage, is very rare.

The evening after the biopsy—or eight hours after the biopsy, to be precise—I was holding Jasper, breastfeeding as usual. I felt grateful. Jasper was curious about the surgical glue over my incision. He tried to peel it off so I had to put another bandage on top of it. Other than that the biopsy barely caused me any problem in breastfeeding. I felt so grateful.

As the article is being written, I am still waiting for the results of the biopsy and I’m not sure how much longer I’ll be able to breastfeed. For now, I just want to cherish the time with my baby while I still can.

Meanwhile, I realize that breastfeeding is such a gift—both for mom and for the baby. It is a shame that there are still mothers who are completely healthy with breasts fully capable of breastfeeding being driven to infant formula due to a breastfeeding-unfriendly environment. Mothers have the right to breastfeed their babies and deserve full support.

I also realized how hard the feeling can be for a mother who may not be able to breastfeed due to disease. All of a sudden I was even more proud of myself being a breastmilk donor (before the lump was discovered) at the Mother’s Milk Bank.

It is my sincere wish that one day all the mothers will be able to breastfeed as long as they want with the full support from society as a whole. And that all the babies will be able to receive donor milk when the mother’s milk is not available.

Breastfeeding Discrimination in the Workplace is Real

Tue, 19 Feb 2019 00:44:00 GMT

When I returned to work as a staff writer at some newspaper in Los Angeles, I sat on the floor in a bathroom stall to pump breastmilk for my then 3-month-old son while my colleagues went to the bathroom, pounded on the door and occasionally complained about me occupying the stall. It was the only outlet I could find in a private location since there wasn’t a nursing room available. The incidences eventually resulted in my separation from that company. Based on a completely unscientific poll on social media, my experience was either unusual or the worst of it among breastfeeding moms returning to work after their child’s birth.

But based on a new, actually scientific study , I would have been in the company of more than half of women who alleged their employer did not provide workplace accommodations for them as nursing moms. In fact, a whopping two-thirds of cases alleging breastfeeding discrimination over the past decade led to the employee losing her jog, the first-of-its-kind study found.

We’ve long known that when employers fail to provide adequate accommodations for breastfeeding, it creates health risks for nursing employees and their babies. Now we know the damages can actually extend to mothers’ livelihoods.

“We’re experts in the field, and we were shocked by what we found,” Liz Morris, a co-author of the report and leader of the Nursing Mothers Law Project through the Center for Law at the University of California, said in an interview with Fortune.

Breastfeeding discrimination includes all manner of offenses: denying break requests from employees who are in pain and leaking milk, firing workers for asking for breaks, refusing to provide privacy for workers who need to pump breast milk, and sexual harassment as others in the workplace comment on employees’ breasts. The Affordable Care Act was supposed protect workers with a clean place to pump, 15-20-minute breaks to do so, and a change in duties or temporary reassignment if necessary. But according to a 2016 study , employers routinely break the law when it comes to breastfeeding moms.

For example, one police officer in the study was unable to wear a bulletproof vest while breastfeeding but was denied a temporary desk job.

Because of these discriminatory consequences, nursing mothers end up weaning earlier than doctors recommend, with a diminished milk supply, or with painful infections—the health risks often associated with the lactation discrimination.

It is unfortunate. Putting more effort into meeting nursing employees’ needs not only benefit moms and babies, but has an upside for companies, too—in addition to the legal high ground, employers end up with cast savings from improved employee retention, reduced sick time, and lower health care costs when they provide what breastfeeding employees need upfront.

To learn more about the business case for accommodating breastfeeding, lick here to sign up the “A Right, Not a Privilege,” SDCBC’s mini-seminar on breastfeeding and the law.

Governor Newsom proposed giving parents six months paid leave

Fri, 01 Feb 2019 00:40:00 GMT

Exciting news for Californian parents— Governor Gavin Newsom announced that he hopes to expand paid family leave to six months in California! Here at San Diego County Breastfeeding Coalition, we are happy to start the new year with needed attention given to the dilemma faced by new parents when forced to choose between paycheck and providing optimal bonding for their child(ren).

“This is a necessity–we all know that the first few months are so important for bonding, attachment, and development of a newborn, not to mention it is a crucial time for mothers to establish breastfeeding during the initial weeks. Families should be able to spend this time with their baby instead of worrying about having to rush back to work,” said Nancy Saavedra, MPH, CLE, the current president of San Diego County Breastfeeding Coalition.

The plan, part of our governor’s $209 billion budget plan, would compensate new parents up to 70 percent of their wage when they take off to care for a newborn or newly adopted baby. Two parents or caretakers would be allowed to take advantage of the program for up to three months each.

It’s a major upgrade to the state’s current paid family leave policy, which provides up to only six weeks of partial pay for employees as part of the state’s Disability Insurance and Paid Family Leave Program.

I have firsthand experience on the importance of paid family leave for diverse families. I took advantage of the current paid family leave after my first child was born. During the six weeks, I bonded with my baby by breastfeeding him as often and as long as possible; I also built a very good milk supply. By the time I went back to work, I had more than one gallon of breast milk stored in my freezer. With that storage, I was able to continue exclusively breastfeeding even facing challenge related to pumping at work.

I also have firsthand experience on why we need an even longer paid family leave. On the day my second child turned 6 weeks old, both my husband and I went back to work under the current paid leave policy. My husband immediately flew to Asia for a week-long business trip. That was a miserable week for our family. At that time, the baby still eats every two to three hours, and sleeps only a few hours at a time, day or night. Breastfeeding became much harder when my partner was not around to help.

Even with the exciting proposal in works, as CNN reported , the United States is still behind what is offered by most developed nations around the world. And we are lucky to live in California, as most states don’t even have the protections and benefits that we are entitled here. The United States is the only developed country in the world that doesn’t guarantee paid time off to new parents. In fact, according to data compiled by the Organization for Economic Cooperation and Development (OECD), the U.S. is the only country among 41 nations that does not mandate any paid leave for new parents.

Still, we are excited about the Governor’s proposal—As they say, baby steps. San Diego County Breastfeeding Coalition is committed to continuing the fight for working families’ rights and support for breastfeeding families. We thank Governor Newsom for looking for bold solutions and recognizing the need for California families to have adequate time to care.

Giving the Lifetime Gift of Breastfeeding

Sat, 19 Jan 2019 00:36:00 GMT

Happy New Year!

Do you have a New Year’s resolution? Many make resolutions to better themselves. Some make resolutions to aid others. For a new mother who is breastfeeding, the new year presents an opportunity to do both.

The most popular New Year’s resolution is probably “eating healthy.” For a new baby, there’s nothing more healthy than mama’s milk. There are many benefits to breastfeeding, and any amount given to baby is beneficial. The first expression of breast milk, called colostrum, protects babies from disease and infection. It’s easy for babies to digest, and it provides the perfect amount of nutrition babies need in the first hours of life. The World Health Organization recommends that all newborns are fed colostrum within the first hour; this will give infants a great start to a healthy life. Lifelong benefits of breastfeeding include the prevention of asthma, allergies, and diabetes in children, to name a few. It also reduces the risk of cervical and breast cancer in mothers. Breast milk really is the best nutrition a mother can provide her infant.

With work, school or family life, breastfeeding can be a challenge. But with realistic goals and the right support, it can lead to lifelong benefits for mom and baby. If you are a new mother, I invite you to celebrate yourself and your new baby with these recommendations.

Revise your to-do list. Take some time to rest when the baby is resting and stop feeling the need to do the laundry.
Take help. Breastfeeding is a family affair. When mom is nursing, it is dad’s turn to cook.
Get support. It takes a village to raise a child. Reach out to a support group or lactation consultant.
Tend to your own needs. A rundown mother is no good to anyone.
Trust yourself and your mothering instincts and be confident in your ability to breastfeed. Your baby is a clock. Watch your baby, not the clock. Follow your baby’s hunger cues and trust yourself to meet the baby’s needs.
Enjoy this time. Babies grow fast, so be present.

If you are a family member, a friend, a peer or even a stranger, I invite you to support breastfeeding mothers around you. The more supportive family, friends and the society are, the more like a new mom is to succeed in breastfeeding. Participation from family and friends is one of the main motivating factors when it comes to breastfeeding. It could affect how long a mom chooses to breastfeed. Even little warm words can go a long way.

Current California laws state that a woman is entitled to breastfeed any place she is allowed to be. Employers should provide a reasonable break time and a private place that is not a bathroom for moms to express breast milk. Still nursing moms always need more support.

San Diego County Breastfeeding Coalition is moms’ friend. My colleagues are here to support new moms and their growing families through the breastfeeding journey, through education, outreach and advocacy in our community. We are pledged to continue supporting breastfeeding families in 2019.

Once again, let me wish you a very happy New Year and new moms a very happy breastfeeding journey!

A Look Back at Breastfeeding Activism in 2018

Wed, 19 Dec 2018 00:30:00 GMT

It has been a busy year for breastfeeding advocates!

You and many others have sponsored our important work here at San Diego County Breastfeeding Coalition and together saw renewed enthusiasm and commitment in 2018. With everyone’s help, we continue to create a landscape of breastfeeding support across the county.

Read on to refresh your memory about what you made possible this year. It is your engagement and action that has made all of this happen:

In January, SDCBC applauded to New Jersey for signing a bill to prohibit breastfeeding discrimination. Firing or discriminating against women who breastfeed at work was finally prohibited under the state legislation signed by Gov. Chris Christie on Monday, Jan 8.
For sick or pre-term babies, breastmilk is not only the best nutrition but also the lifesaver. In February, SDCBC responded to Mother’s Milk Bank’s emergency needs of donor milk and called for milk drive.
In spite of the backlash against breastfeeding, science continues to approve that breastmilk is the best nutrition for babies. In March, Dr. Susan Crowe (MD, FACOG) discussed the making of breastfeeding controversies at an SDCBC mini-seminar.
According to the Center for Disease Control (CDC), support for breastfeeding in early care and education is an import strategy. In April, SDCBC joined our partner at UCSD Center for Community Health and produced a breastfeeding-friendly childcare training video.
In May, SDCBC called for support to SB 937, a new bill that would improve requirements for workplace accommodations in California. If passed, it would require a lactation room or location to include prescribed features. The Bill was, unfortunately, vetoed.
It was reported in June that breastfeeding babies were separated from moms at the U.S.-Mexico border. SDCBC responded to the family separation and released a statement against the detention of immigrant children, noting it could affect health for a whole-of-society.
It was reported in July that the U.S. Delegation to the United Nations-affiliated World Health Assembly (WHA) undermined a global resolution aimed at supporting breastfeeding. SDCBC responded to the opposition, stating it puts profits before babies.
In August, SDCBC invited world-recognized neuroscientist, Dr. Nils Bergman, to examine why infants need to bond with their mothers early on at the coalition’s National Breastfeeding Month seminar.
In October, SDCBC celebrated the 10th Annual Liquid Gold Gala, a fundraiser night for our wonderful cause. Thank you to your support, the coalition met its goal this year by raising close to $15,000 in the evening.
In November, SDCBC applauded to the Friendly Airports for Mothers Act, which made U.S. airports a better place for eight our of 10 new mothers in the U.S. breastfeeding their babies (CDC, 2016)!
In December, SDCBC warned mothers about holiday weaning, which means accidentally nursing less often due to traveling, busy holiday schedules, or surrounding by groups of family and friends.

That is just a snapshot! Before the year closes, let us thank you for helping make this important work possible!

How Breastfeeding Supports School Success

Mon, 19 Nov 2018 00:25:00 GMT

Dia Michels, the author of Milk, Money & Madness: The Culture and Politics of Breastfeeding believe that breastfeeding, talking, and touch in infancy all support school success.

“In the wild, the day the child weans is the day s/he walks. Childhood and lactation are one-and-the-same,” she wrote. “Everything the young need to know to travel the path from helplessness to self-sufficiency is learned while breastfeeding. By looking at mammal mothering, we learn about the role breastmilk plays in child development and gain an appreciation of early mother-infant attachment.”

Breastfeeding plays a unique role in promoting literacy. A research conducted by Oxford University and the Institute for Social and Economic Research, Essex University, have shown that breastfeeding causes children to do better at school. The study found that as little as four weeks of breastfeeding for a newborn baby has a significant effect on brain development, which persists until the child is at least 14 years old.

Researchers matched each breastfed baby with one or more babies who were not breastfed, but who were similar in all other respects. Test scores in reading, writing and mathematics for the children at ages five, seven, 11 and 14 revealed a statistically significant difference between those who had been breastfed as compared with those who had not.

Some argues that breastfeeding is more likely to be practiced by mothers who are of higher social class. To demonstrate whether the relationship between breastfeeding and brain development was caused by the breastfeeding alone, or whether it was because mothers who breastfeed are likely to have more successful children anyway, the researcher used a rich dataset from the Avon Longitudinal Study of Parents and Children, which covers 12,000 children born in the early 1990s in the Bristol area. Babies were matched on a huge range of characteristics, including gender, gestational age, birth weight, mother’s age and marital status, parents’ job status and education, and home environment.

Crucially, the researchers also used the parents’ attitudes to breastfeeding as measured before birth.

“Comparing the test scores of groups of children matched in this way, we are effectively estimating the causal effect of breastfeeding,” said co-author of the research, Dr. Almudena Sevilla-Sanz of the Department of Economics and the Centre for Time Use Research at Oxford University. “We find that breastfeeding does have a causal effect on children’s cognitive outcomes. The difference is statistically significant across English, Maths and Science scores, and persists into secondary school. Indeed, there is some evidence that the effect tends to grow over time.”

When tackling the “vocabulary gap” between rich and poor children, breastfeeding can help. Breastfeeding boosts the brain development of a baby— researchers at Brown University have discovered that breastfeeding alone produces the best results for boosting a baby’s brain growth. Just three months of breastfeeding boosts a baby’s brain growth by 20 to 30 percent.

The researchers found that even a combination of breastfeeding and formula produced better development than formula alone.

Map Out Online Courses

Wed, 07 Nov 2018 17:35:00 GMT

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Making a point to Breastfeed openly

Mon, 01 Oct 2018 00:24:00 GMT

Earlier this month, when traveling to Taiwan for my new book tour, I saw an interesting poster in the breastfeeding room in Taoyuan International Airport. It said “Hold and Breastfeed your baby anytime, anywhere.”

To me, the poster basically said “you don’t need a breastfeeding room to breastfeed. You can breastfeed anywhere.”

Well said. But still, during my 30 days in Taiwan, I didn’t see any nursing mom in public. There were breastfeeding rooms everywhere. They were in airports, shopping centers, government buildings, metro stations, even on the train. And there was often a line in front of the precious breastfeeding room. I once waited for 20 minutes for the breastfeeding room on a high-speed rail train. While 20 minutes sounds acceptable, it felt like forever when you were holding a hungry, crying baby. I would totally breastfeed on my seat, if only the young gentleman sitting next to me seem to be not so uncomfortable.

Things are a little bit better back in America. We don’t have that many breastfeeding rooms, yet we have more breastfeeding moms in public. I think it’s a good thing.

My experience in Taiwan remind me how important exposure is when it comes to normalize breastfeeding. While we applaud the availability of nursing rooms for moms who feel most comfortable with some privacy, breastfeeding in public should be encouraged. In order for breastfeeding to be truly normalized, it must be seen and incorporated into daily life. Only the kids growing up in places where breastfeeding is openly practiced will internalize breastfeeding as being normal way to feed and nurture a baby.

Plus, we don’t want a society where people think the *only* place for breastfeeding is hidden away in a private room. Really, I don’t want to stand in line for 20 minutes again just for a breastfeeding room.

In a 2016 CDC survey of over 4,000 male and female adult respondents , 64% of people believe that women should have the right to breastfeed in public places. That number should be 100%. Luckily these attitudes are continuing to shift. Here, I want to invite all my fellow nursing mothers to make a point to breastfeed openly and support other nursing moms. For the moms who are not used to breastfeeding in public, let me provide a few tips for stress-free experience for you and your baby.

If you’re feeling anxious about breastfeeding in public, try practicing at home in front of a mirror so you can see what you look like while nursing. I promise that you’ll notice you’re not exposing as much of your breast as you imagined, because your baby’s head is covering it.

What you wear when breastfeeding in public makes a difference. Personally, I found it’s worth it investing in a few items of nursing wear to make life easier. It’s not necessary to buy specific breastfeeding clothing—you can simply layer up two of your normal tops.

Know your breastfeeding rights also helps. Read more about your legal rights in my previous post here. Happy openly breastfeeding!