*This live event will be recorded and sent to everyone who purchases a ticket to accommodate everyone's schedules. We have applied for CERPs
BY Kathleen Kendall-Tackett
12 PM, CT
Length: 1hr 30mins
Fed is Best is a foundation with a major social media presence who seek to warn parents and practitioners about the dangers of insufficient exclusive breastfeeding. Through their social media campaigns that have galvanized a backlash against exclusive breastfeeding, lactation care providers, and the Baby-Friendly Hospital Initiative. Although lactation specialists disagree with much of their content, they have raised awareness about mothers who do fall through the cracks of our care system and may suffer as a result. The steep drop-off in rates of exclusive breastfeeding is an indication of this. This presentation will examine three provider-level barriers that negatively impact breastfeeding and what we can do to improve care so that mothers will reach their breastfeeding goals.
1. Describe risk factors for babies who are not feeding well.
2. Describe how provider-patient relationships, birth interventions, and implicit biases affect patients’ oxytocin levels, which can make breastfeeding more challenging.
3. Consider ways that providers can improve care and support mothers at risk for breastfeeding problems.
I. Overview of Fed Is Best Concerns
a. Failure to identify babies not feeding well
b. Not identifying risk factors
c. Actual vs reported incidence of potential problems
d. What mothers are identifying as problem
II. What are some real problems?
a. Quality of provider relationships and its impact on oxytocin
b. Impact of birth and postpartum interventions on oxytocin
c. Implicit biases and provision of breastfeeding support
III. How can we do it better?
a. Improving the quality of interaction
b. Better protocols for identifying mothers at risk
c. Eliminating procedures (or applications of procedures) that lower oxytocin
d. Providing better breastfeeding support in the community
Questions or concerns: email@example.com or firstname.lastname@example.org
What We Can Learn from Fed Is Best
Kathleen Kendall-Tackett, PhD, IBCLC, FAPA
Bass, J. L., Gartley, T., & Kleinman, R. (2016). Unintended consequences of current breastfeeding initiatives. JAMA Pediatrics, 170(10), 923-924.
Bass, J. L., Gartley, T., & Kleinman, R. (2019). World Health Organization Baby-Friendly Hospital Initiative Guideline and 2018 Implementation Guidance. JAMA Pediatrics, 173(1), 93-94.
Berger, W. (2014). A more beautiful question. New York: Bloomsbury.
Brown, A. E. (2018). What do women lose if they are prevented from meeting their breastfeeding goals? Clinical Lactation, 9(4), 200-207.
Dewey, K. G., Nommsen-Rivers, L. A., Heinig, M. J., & Cohen, R. J. (2003). Risk factors for suboptimal infant breastfeeding behavior, delayed onset of lactation, and excess neonatal weight loss. Pediatrics, 112(3), 607-619.
Fed Is Best. (2019). www.fedisbest.org
Feltner, C., Weber, R. P., Stuebe, A. M., Grodensky, C. A., Orr, C., & Viswanathan, M. (2018). Breastfeeding programs and policies, breastfeeding uptake, and maternal health outcomes in developed countries Vol. AHRQ Publication No. 18-EHC014-EF. Retrieved from https://doi.org/10.23970/AHRQEPCCER210
Gomez-Pomar, E., & Blubaugh, R. (2018). The Baby-Friendly Hospital Initiative and the ten steps for successful breastfeeding. A critical review of the literature. Journal of Perinatology. Retrieved from doi:10.1038/s41372-018-0068-0
Kair, L. R., & Colaizy, T. T. (2016). Obese mothers have lower odds of experiencing pro-breastfeeding hospital practices than mothers of normal weight: CDC Pregnancy Risk Assessment Monitoring System (PRAMS), 2004-2008. Maternal & Child Health Journal, 20(3), 593-601.
Kendall-Tackett, K. A., & Uvnas-Moberg, K. (2018). Is it really mothers' choice? Systemic and provider barriers to breastfeeding. Clinical Lactation, 9(4), 193-199.
Lind, J. N., Perrine, C. G., Li, R., Scanlon, K. S., & Grummer-Strawn, L. M. (2014). Racial disparities in access to maternity care practices that support breastfeeding: United States, 2011. Morbidity & Mortality Weekly Report, 63(33), 725-728.
MacEnroe, T. (2018). Debunking the misunderstandings of the Baby-Friendly Hospital Initiative and designation requirements. Clinical Lactation, 9(4), 208-211.
Munn, A. C., Newman, S. D., Mueller, M., Phillips, S. M., & Taylor, S. N. (2016). The impact in the United States of the Baby-Friendly Hospital Initiative on the early infant health and breastfeeding outcomes. Breastfeeding Medicine, 11(5), 223-230.
Vehling, L., Chan, D., McGavock, J., Becker, A. B., Subbaro, P., Moraes, T. J., . . . Azad, M. B. (2018). Exclusive breastfeeding in hospital predicts longer breastfeeding duration: Implications for health equity. Birth. doi:10.1111/birt.12345
Walker, M. (2017). Letter to the editor. JAMA Pediatrics, 171(3), 304.
Walker, M. (2018). Is exclusive breastfeeding dangerous? Clinical Lactation, 9(4), 171-182.