Advocacy Archives — The Lactation Network https://lactationnetwork.com/blog/category/advocacy/ The Lactation Network connects families with the lactation consultations, expertise, and resources they need to thrive. Fri, 09 May 2025 12:13:38 +0000 en-US hourly 1 https://lactationnetwork.com/wp-content/uploads/2021/08/favicon-192x192-1-60x60.png Advocacy Archives — The Lactation Network https://lactationnetwork.com/blog/category/advocacy/ 32 32 How does breastfeeding & mental health affect the economy? https://lactationnetwork.com/blog/breastfeeding-mental-health-and-economy/ Thu, 27 Mar 2025 05:04:56 +0000 https://lactationnetwork.com/?p=65616 Breastfeeding and mental health aren’t just personal matters. They have widespread economic ripple effects that impact healthcare costs, workplace productivity, and overall societal well-being. When parents struggle with mental health challenges, or when barriers prevent them from breastfeeding, the financial burden extends beyond the individual. Supporting breastfeeding parents and prioritizing perinatal mental health can lead...

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Breastfeeding and mental health aren’t just personal matters. They have widespread economic ripple effects that impact healthcare costs, workplace productivity, and overall societal well-being. When parents struggle with mental health challenges, or when barriers prevent them from breastfeeding, the financial burden extends beyond the individual.

Supporting breastfeeding parents and prioritizing perinatal mental health can lead to significant cost savings for healthcare systems and a healthier workforce. At The Lactation Network, we’re passionate about connecting parents with the support they need to thrive while also educating employers, healthcare institutions, and other organizations that have the power to drive meaningful change on these critical issues.

Mental health and the economy: The cost of untreated mental health issues

Affecting 1 in 5 new parents, perinatal mental health conditions, including postpartum depression (PPD), postpartum anxiety (PPA), and perinatal mood disorders, are more common than many realize.

And the economic impact of this is staggering. Studies estimate that untreated perinatal mental health conditions cost the U.S. over $14 billion annually due to healthcare expenses, lost productivity, and long-term developmental impacts on children:

  • Workplace impact: Parents struggling with mental health conditions are more likely to take extended leave, reduce work hours, or leave the workforce altogether.
  • Healthcare costs: When left untreated, perinatal mental health conditions can lead to more ER visits, in-patient hospital stays and increased medical interventions for both parent and child.
  • Long-term effects: Poor parental mental health can affect child development, leading to increased educational and social service costs down the line.

Given the profound ways mental health affects the economy, investing in better support for new parents is essential for economic stability.

Breastfeeding & mental health for parents: A powerful connection

While breastfeeding is known to have benefits on physical health, it can also positively impact mental health. Though every parent’s experience is unique, research suggests that breastfeeding can help reduce stress, significantly reduce the risk of postpartum depression (studies show an 89% lower risk in parents who exclusively breastfeed), and promote bonding:

  • Breastfeeding releases oxytocin and prolactin, hormones that promote relaxation, reduce stress, and help regulate mood.
  • The skin-to-skin contact involved in breastfeeding can increase feelings of closeness and bonding, which can be protective against postpartum depression.
  • Meeting breastfeeding goals—whether short-term or long-term—can boost confidence and provide a sense of control during the often-chaotic postpartum period.

That said, breastfeeding challenges can also contribute to stress and anxiety if parents lack proper support. This is where International Board Certified Lactation Consultants (IBCLCs) come in, as they play a crucial role in helping parents navigate obstacles and discover the breastfeeding journey that works for them.

Schedule a visit with an expert lactation consultant

Fun facts & “did you knows?”

Here are some surprising and fun facts about breastfeeding:

  • Breast milk changes based on the baby’s needs – If your baby is sick, your body actually increases protective antibodies in your milk to help them fight off infection!
  • Nighttime breast milk can help babies sleep better – Your evening milk contains more melatonin, which helps regulate baby’s sleep-wake cycle.
  • Breastfeeding burns calories – Producing milk can burn up to 500 extra calories a day—that’s like running five miles without leaving the couch!
  • Your body tailors breast milk to each baby – If you’re feeding twins, your milk will adjust to each baby’s unique nutritional needs.

The power of IBCLC support

Breastfeeding and mental health are deeply connected, and both have a profound economic impact. Investing in breastfeeding support and mental health benefits parents, children, and societies.

Whether you’re wondering if your baby’s getting enough milk, struggling with latch issues, or feeling overwhelmed in the postpartum period, an IBCLC can provide expert guidance to help you navigate the journey. Get connected with an International Board Certified Lactation Consultant today.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

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Unspoken struggles: Breastfeeding and postpartum needs in the Black community https://lactationnetwork.com/blog/breastfeeding-postpartum-needs-in-black-community/ Thu, 30 Jan 2025 12:40:38 +0000 https://lactationnetwork.com/?p=64957 By Petra McEwan, MD, FAAP, IBCLC As an African American International Board Certified Lactation Consultant, pediatrician, and mom of five breastfed babies, I’ve had a front-row seat to the world of breastfeeding and infant care. I’ve seen firsthand how important breastfeeding is for a child’s health and development. Yet, I’ve also had personal experience with...

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By Petra McEwan, MD, FAAP, IBCLC

As an African American International Board Certified Lactation Consultant, pediatrician, and mom of five breastfed babies, I’ve had a front-row seat to the world of breastfeeding and infant care. I’ve seen firsthand how important breastfeeding is for a child’s health and development. Yet, I’ve also had personal experience with the struggles Black mothers face when trying to get the breastfeeding support they need. From not having many examples of breastfeeding to follow, to not having access to the support I need to succeed, I can say that I truly understand the plight of the Black breastfeeding mom.

Black breastfeeding rates have historically been lower than other racial groups, and there are a lot of reasons for that — cultural, socioeconomic, and systemic barriers that just make things harder for Black families. That’s why it’s so important to focus on empowering Black families — breaking down the stigmas around breastfeeding, and making sure that the care they get is culturally relevant and sensitive to their needs.

One thing that often gets overlooked is that breastfeeding symptoms can look different on darker skin. Issues like nipple pain, infections, or skin damage from a bad latch do not usually show up the same way they do on lighter skin. For example, nipple damage — which usually looks like pale or white patches on lighter skin, can be hard to spot on dark skin. Similarly, conditions like thrush or mastitis, which usually appear as red areas on lighter skin, can also be harder to see on darker skin. It’s important for lactation consultants and healthcare providers to be trained to really pay attention in order to notice these differences and provide the right support when Black mothers need it. We cannot just say, “it’s not mastitis because it’s not red,” when a mother has all of the other symptoms of mastitis.

Postpartum needs of Black parents and mothers

Postpartum care for Black moms also has its own set of challenges. Black women face higher rates of complications and even death after childbirth compared to other racial groups. Much of this has to do with systemic inequities in maternal care, lack of access to care, and bias (whether perceived or not). On top of that, many Black moms feel pressure to go back to work quickly after having a baby — leaving little time for the rest, recovery, and bonding they need to support breastfeeding. As providers, it’s important that we remind our mothers that it’s okay to take time for themselves and to ask for help. It’s also important to ensure Black families have access to the right resources — whether that’s breastfeeding help, mental health support, or just having people who understand their unique experiences and needs.

Representation in healthcare also matters. When healthcare providers reflect the backgrounds and experiences of their patients, it makes a huge difference in the quality of care. Black families often feel more understood and supported when they have providers who “get” where they’re coming from. It helps build trust, opens up communication, and ensures that recommendations are more in tune with what Black mothers and babies actually need. In my roles, I always try to provide that reassurance and comfort for the families I serve — knowing that culturally competent care can make a real difference in how they feel about their breastfeeding journey and their ultimate success with breastfeeding.

It’s essential for Black mothers to have access to accurate, culturally sensitive information about breastfeeding and feel empowered to make the best decisions for their own health and the health of their babies. By continually striving to address the issues our families face, we can help Black mothers breastfeed successfully, support their postpartum health, and build a healthcare system that truly serves them with respect and understanding.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Join TLN — it’s free and built for IBCLCs.

We handle billing, end-to-end. We connect you with insurance-covered patients. We help you grow your practice, your way.

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The year in review: Big breastfeeding moments https://lactationnetwork.com/blog/the-year-in-review-big-breastfeeding-moments/ Tue, 03 Dec 2024 07:43:38 +0000 https://lactationnetwork.com/?p=64591 A baby’s gotta eat. So why is there still so much red tape around the breast, pump, or bottle? Generations of breastfeeding parents and families have and continue to exist globally, and yet, we’re still here — debating, policing, and considering the act, commitment, and practice of breastfeeding. As we close out the year, we’re...

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A baby’s gotta eat.

So why is there still so much red tape around the breast, pump, or bottle?

Generations of breastfeeding parents and families have and continue to exist globally, and yet, we’re still here — debating, policing, and considering the act, commitment, and practice of breastfeeding. As we close out the year, we’re looking back at the past twelve months to see what we’ve learned about what breastfeeding parents experienced and what they still need. (After all, we know that we’ll only arrive at a more equitable, supportive future for breastfeeding parents when we learn from the past.)

Read on for a collection of the headlines, policies, controversies, and viral conversations that moved the needle in the lactation space in 2024.

The current state of breastfeeding access, rights, and attitudes

Before we get to the good stuff, let’s ground ourselves in the current moment. Where are we right now when it comes to our cultural attitudes toward breastfeeding and breastfeeding people?

At the dawn of the new year, attitudes toward breastfeeding were still complex. Parents continue to want to breastfeed, but find it challenging and wish they could get more help to become proficient. Parents search for that help but find it cost-prohibitive, and often must rely on support from partners, friends, and community members, not the clinical experts they deserve to consult. There’s still a gap between the care parents need to breastfeed successfully, and the accessibility of that care across the country.

In short, we’ve made strides, but there’s work to do.

We’re not starting from ground zero, though. Breastfeeding laws have ensured parents in the U.S. have protected rights. No matter where you happen to breastfeed — on either coast or anywhere in between, you have the right to breastfeed in public and in private wherever you are in the United States of America. According to the National Conference of State Legislatures (NCSL), all 50 states, Washington D.C., the U.S. Virgin Islands, and Puerto Rico protect a parent’s ability to breastfeed in any public or private location they are lawfully allowed to be in. That means it is illegal for someone to ask you to leave a public area to breastfeed. The NCSL also outlines that in 31 states, breastfeeding laws exempt nursing parents from public indecency laws, meaning no one can claim it is inappropriate or immodest for you to breastfeed without a cover in public places. Breastfeeding laws mean breastfeeding rights, and that’s a great place to build upon. (Psst: If you or someone you love didn’t know about these protections, now’s a great time to send them this link!)

Major laws, rights, and cultural moments in the breastfeeding community in 2024

So, what were the moments that moved this conversation (and eventually, breastfeeding access and cultural support) forward in 2024? There were a few standouts we’re memorializing as we close out the year:

A breast on a billboard: Swehl’s lactation cookies in Times Square

In May, Molly Baz (then pregnant cookbook author), was featured as part of a campaign for Swehl in New York City’s Midtown while pregnant and covered — mostly — by lactation cookies. Mere days later, the billboard’s provider, Clear Channel pulled the ad… “reviving an old debate about why America is OK exposing pretty much every type of breast except a lactating one.” The ad’s removal sparked a fiercer debate than the contents of the 45-foot ad itself, with proponents wondering why the policing of pregnant and breastfeeding bodies continues — and others miffed about whether lactation cookies are even a thing. The campaign kerfuffle appears to have resulted with Swehl garnering a nearly 500% increase in traffic to their site — proving lactating bodies are still a cultural hot topic.

Restaurant refusal: An Indianapolis restaurant bans breastfeeding mothers and children under 5

The vegan restaurant Plantastic Indy sparked controversy nationwide after creating a policy to refuse to welcome parents and children to maintain sanitary standards.” This restaurant isn’t the only one. Parents all over social media claim they are shunned, dismissed, and treated with hostility by restaurateurs and patrons while trying to breastfeed in eateries — the irony of which is not lost on many.  “A vegan spot opposing a baby’s most natural and ethical food source is astonishing… The disconnect is astounding,” a commenter said.

In November, The Lactation Network (TLN) launched a key response, though — mainly because community support is crucial for helping families thrive. Enter Room at the Table: An initiative that aims to help restaurants become more breastfeeding-friendly by offering resources, training, and a window sticker to show families they’re welcome to feed and be fed. 
 
TLN partnered with chefs and restaurant owners to support breastfeeding families through IBCLC-led trainings, educational one-pagers, and public awareness campaigns. Over 75 restaurants (and counting!) are participating across the country — with word continuing to spread about key events related to shame-free feeding for families.

Writing IBCLCs into federal law

Mere hours before 2024 began, The Lactation Network secured a bipartisan amendment to the 2024 National Defense Authorization Act (NDAA) that underscores the importance of lactation care expertise while providing funding for military spouses seeking their IBCLC certifications.

It took Sarah Kellogg Neff, TLN CEO and her colleagues:

  • 19 months,
  • Dozens of Zoom calls,
  • Countless professionally pushy calls and emails from a great lobbying firm, 
  • A few thousand dollars in well-placed campaign contributions,
  • Three trips to Washington, D.C.,
  • 40+ hours on Capitol Hill, and
  • 50+ House, Senate, and gubernatorial offices…

But history was made. So, what does this mean for the future of breastfeeding families who are serving the country?

A professional pathway and earning potential for military spouses. These partners often sacrifice their own jobs to support active-duty service members as they move. Today, this law serves the spouses of active-duty service members by offering access to IBCLC careers that can be practiced anywhere.

A vote of confidence in IBCLC expertise. With a bipartisan, bicameral coalition’s support, we’re continuing to support breastfeeding laws and drive meaningful access to lactation care on military bases and beyond.

A way to recreate communities in the face of transience. Military parents are often far from their own families and support during their breastfeeding journeys. Our amendment acknowledges the role IBCLCs play in supporting whole families at vulnerable times and is an incredible toehold as we continue to advocate for fair TRICARE reimbursements for all IBCLCs.

An Olympic-sized win for breastfeeding parents

Allyson Felix, an avid maternal health advocate, a TLN 2024 Summit keynote speaker, and the most decorated track and field athlete ever, helped establish the first-ever nursery in the Olympic Village at the 2024 Paris Olympics. As a member of the International Olympic Committee (IOC) Athletes’ Commission, she partnered with Pampers to bring a private breastfeeding space, daycare area, playroom, and more to the Athletes’ Village Plaza. It’s hard to believe that athletes competed on the world stage for decades without access to spaces to be with their growing families at such a critical time in their development, but the nursery is, undoubtedly, a historic addition for mothers and parents at each Games going forward.

One of the first times breastfeeding was shown in all of its glory in a brand spot

Breastfeeding. It’s real, it’s raw, it’s messy, it’s hard work. It takes milk, sweat, and sometimes, tears. And no one knows that better than The Lactation Network and all of the parents who intimately know what breastfeeding is like. The summer of 2024 brought breastfeeding to screens everywhere, with an all-female production crew. The spot broke barriers for its unflinching look at what breastfeeding is and can be with support (especially the at-home, insurance-covered kind.)

The future of breastfeeding: Empowering the breastfeeding community

Hot take: The future of breastfeeding will likely look more and more like the past — a return to the acknowledgement of the biological imperative of shame-free feeding and intercultural support within communities that understand the wisdom of generations of breastfeeding parents. It’s up to our collective communities to apply modern solutions to a beautiful, ancient practice, so parents have the support they need to keep investing in future generations.

Positive change will move the needle — but it starts with multiple layers of action. Companies like Frida are posting uncensored reproductive education content to reduce shame and ignorance around normal bodily functions. Black IBCLCs and birth clinicians are reducing systemic barriers to historically oppressed communities, in large part to address low breastfeeding rates and poor Black maternal health outcomes (Black people experience both the highest maternal mortality rate and the highest infant mortality rate.) And working parents on multiple social platforms are pushing for conversations around workplace flexibility, support, and normalization of postpartum experiences.

With each passing year, we must acknowledge barriers in the lactation care and maternal health space, remove them where we can, and create safe, mutually encouraging spaces for parents. Here’s hoping next year’s headlines will continue to push for equity for parents, babies, and our communities.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

The post The year in review: Big breastfeeding moments appeared first on The Lactation Network.

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Feeding freely for the whole family: The importance of breastfeeding-friendly spaces https://lactationnetwork.com/blog/feeding-freely-how-to-breastfeed-in-public/ Sun, 03 Nov 2024 22:08:18 +0000 https://lactationnetwork.com/?p=64288 Parents don’t owe anyone an apology when feeding their babies. Full stop. Breastfeeding is a fundamental part of life, and families deserve to feel supported and welcome wherever they go. Yet, for many parents, finding a safe and affirming public space to breastfeed can feel like an uphill battle. This isn’t just about being able...

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Parents don’t owe anyone an apology when feeding their babies. Full stop. Breastfeeding is a fundamental part of life, and families deserve to feel supported and welcome wherever they go.

Yet, for many parents, finding a safe and affirming public space to breastfeed can feel like an uphill battle. This isn’t just about being able to nurse comfortably in a restaurant or park — it’s about creating a society where all families are fully embraced and their needs are respected.

When we ensure that spaces are affirming for parents who engage in breastfeeding in public, we’re sending a powerful message that families belong in shared spaces, and they don’t need to hide or hesitate to care for their children.

Breastfeeding in public deserves acceptance, not judgment

There are numerous stories of parents being asked to leave or “cover up” while feeding their baby in public spaces. There are parents who, in the middle of feeding their hungry infant, have been told to take their baby to the restroom because their act of caregiving was deemed inappropriate for others to witness. These moments can feel deeply isolating and demoralizing, making families question whether they belong in public spaces at all, at a time when support and inclusion are needed most.

Creating affirming public spaces for breastfeeding is crucial for families during one of the most vulnerable times of their lives. When restaurants and other public venues have welcoming environments for breastfeeding, they are doing more than simply accommodating a parent and child — they’re declaring that families deserve to participate in public life without shame and to be treated with dignity. Being able to simply feed one’s baby in public without fear of judgment or exclusion should not be a privilege — it’s a basic right.

Community support: The key to how to breastfeed in public (without shame)

When parents can feed their children freely, they feel more connected to their communities and less isolated in their parenting journey. Beyond easing the challenges of breastfeeding, this creates a culture where families are fully integrated into public spaces. When we foster these connections, we build communities that support the health and well-being of both parents and children.

Yet, in many parts of the world, including the U.S., public breastfeeding remains culturally controversial, adding unnecessary strain and shame to an already delicate period of life. Contrast this with many European countries, where breastfeeding in public is seen as a normal, natural act, rather than something to be hidden. And in many places across the world, it’s common to see women nursing their children in parks, cafés, or on public transportation, without a second glance from anyone. In these cultures, the act of feeding a baby isn’t sexualized or stigmatized; it’s recognized for what it is — an essential part of raising a child.

The benefits of socially integrated breastfeeding

Connection and community are essential to the well-being of not just the baby, but the entire family unit. Studies show that parents who feel connected and supported in their communities experience lower levels of stress and a greater sense of confidence in their parenting roles. In fact, a strong social network positively influences both the emotional and physical health of parents and their children, leading to healthier family dynamics and improved long-term outcomes for the child.

Based on these findings, we know that parents who are surrounded by inclusive, supportive communities are more likely to thrive both in their private lives and in public spaces — whether in parks, restaurants, or shopping centers — where breastfeeding and family caregiving should be treated with the respect and acceptance they deserve.

One of the best ways for families to get the breastfeeding support they need is to connect with an International Board Certified Lactation Consultant (IBCLC). These highly credentialed professionals offer individualized strategies to enable you to have a confident and empowered breastfeeding experience. An IBCLC can educate, encourage, and guide families throughout the journey they navigate with breastfeeding. They work alongside the family to ensure parents feel confident knowing their rights on a state and federal level and feel empowered to breastfeed wherever they are. Find the support you deserve throughout your breastfeeding journey with a highly skilled IBCLC at The Lactation Network.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get support for your breastfeeding journey from an IBCLC

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

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A shame-free public breastfeeding experience is possible: Here’s how https://lactationnetwork.com/blog/breastfeeding-in-public/ Tue, 13 Aug 2024 03:10:16 +0000 https://lactationnetwork.com/?p=63597 As a breastfeeding parent, it’s natural to have questions and concerns about breastfeeding in public. The last thing you want is to feel policed or watched while sharing an essential, nurturing moment with your child. You may be looking for reassurance or a friend to tell you what you’re doing is OK — more than...

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As a breastfeeding parent, it’s natural to have questions and concerns about breastfeeding in public. The last thing you want is to feel policed or watched while sharing an essential, nurturing moment with your child. You may be looking for reassurance or a friend to tell you what you’re doing is OK — more than OK.

While public breastfeeding is more accepted than it used to be, it still seems to attract a lot more attention than bottle-feeding — and unfortunately, not always the helpful kind. But here at The Lactation Network, our International Board Certified Lactation Consultants are here to assure you that you’re doing what’s best for you and your baby. It’s perhaps the most natural thing you can do as a parent and never​​​​ something you should feel shame about​​​​.

​​​TLN is your advocate, and ​​your IBCLC is here to help you overcome barriers to breastfeeding in public so you can enjoy a positive, shame-free breastfeeding experience.

Breastfeeding difficulties in public places

Navigating breastfeeding and pumping in public can be challenging and stressful. There’s not always a lot of warmth or understanding, and it can make something that should feel natural and comfortable seem awkward and up for public consumption.

This is outrageous and unfair because breastfeeding is such a beautiful and normal part of parenting. It’s a big deal because it can impact how confident parents feel and even affect their decision to keep breastfeeding, which is so important for both the baby’s health and the special bond between parent and child.

Barriers to breastfeeding

One barrier parents face is the lack of facilities for pumping in public or breastfeeding discreetly. Without these spaces, the anxiety of finding a spot to nurse can be overwhelming.

Misinformation about breastfeeding rights is another barrier, leaving parents uncertain about where and how they can nurse outside the home. These obstacles not only discourage the act of breastfeeding but also impact the breastfeeding experience, leading to feelings of isolation and insecurity.

Policing and sexualization of breastfeeding bodies

As unbelievable as it seems in our modern times, society often casts breastfeeding in public as a provocative act rather than the nurturing one it is. ​​​​You may have heard stories or perhaps even experienced how a moment of parental care quickly became a subject of public scrutiny.

Situations like these shatter the confidence of parents who wish to breastfeed in public spaces, with one in five moms from a recent survey reporting they had someone complain about their public breastfeeding. This turns what should be seen as a natural, healthy practice beneficial to both parent and child into a matter of public indecency, causing caregivers to question their rights out of fear of public shame or confrontation.

Vocal opponents of public breastfeeding might claim they’re safeguarding so-called “public morality” by policing culture and space. But in reality, this unneeded vigilance against something important, natural, and necessary just ends up making people — mostly women — feel ashamed of themselves, their bodies, and even their decision to have children. All of this undermines efforts to normalize breastfeeding.

Breastfeeding shame

Breastfeeding in public often becomes a battleground for parents. You may have already experienced the judgmental looks, questioning your choice to nourish your child out in the open. This can lead to breastfeeding shame — and in some cases, amplify existing body issues.

To dismantle these barriers, we need to empower parents by normalizing breastfeeding in public. One aspect of doing this is to create spaces where pumping and breastfeeding in public is as ordinary as feeding a child with a bottle. Communities can lead this change by proactively promoting, protecting, and supporting breastfeeding.

Your public breastfeeding rights

If you’ve faced moments of hesitation or fear about breastfeeding in public, it can be extremely helpful to know your public breastfeeding rights.

For one, the Affordable Care Act has set a precedent, mandating that employers provide reasonable break times and private spaces, other than bathrooms, for new parents to express breast milk. This legislation empowers you, offering a layer of protection and reassurance.

Additionally, while laws vary across the states, they generally support breastfeeding in public places. These laws shield you from being penalized for nurturing your child in spaces outside of your home.

Familiarizing yourself with these laws is a critical step you can take to equip yourself to confidently stand your ground if faced with disapproval or shame for breastfeeding or pumping in public.

How to breastfeed with confidence 

You might initially worry about the gaze of strangers or fear the backlash of those who don’t understand the importance of feeding your child whenever necessary. However, when you’re armed with knowledge and the law on your side, navigating public spaces while breastfeeding becomes less daunting. Understanding your rights helps you push back against outdated societal norms and is key to fostering confidence in your decision to breastfeed.

It’s also important to surround yourself with a supportive community. This may include talking to other breastfeeding parents who have had similar experiences or online groups offering advice and encouragement.

You may also want to consider investing in attire and accessories designed for breastfeeding on the go. Not only can these items make the entire process more convenient, but they can help you maintain a sense of privacy in public settings, if desired.

Finally, your mindset will significantly impact your breastfeeding experience. Embracing the act of nursing as a natural, empowering aspect of parenthood can help lessen your anxieties surrounding public breastfeeding. We know, that’s easier said than done. But if you can find people in your life or online who are vocal advocates for breastfeeding wherever your baby needs to eat — a.k.a. everywhere — they can help you build your own confident voice.

If you’re seeking personalized care and support tailored to your unique breastfeeding journey, request a consultation with one of our International Board Certified Lactation Consultants. Our experienced and compassionate clinical experts are here for you and are on your side. Always.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

A mom has a pumping consultation during an IBCLC visit

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Announcing TLN’s new parent newsletter (with 4 back-to-school tips)! https://lactationnetwork.com/blog/announcing-tlns-new-parent-newsletter-with-4-back-to-school-tips/ Tue, 06 Aug 2024 03:00:53 +0000 https://lactationnetwork.com/?p=63190 Yep, it’s back-to-school season. And it can be an exciting time! It can also be… daunting, to say the least. Teachers dig in with lesson plans and classroom supplies, seemingly out of thin air. Parents fill out planners and calendars with the intensity of an international ambassador. And children prepare for a whole new year...

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Yep, it’s back-to-school season. And it can be an exciting time! It can also be… daunting, to say the least.

Teachers dig in with lesson plans and classroom supplies, seemingly out of thin air. Parents fill out planners and calendars with the intensity of an international ambassador. And children prepare for a whole new year of learning math, reading, science, and ever-important social skills.

Unfortunately, when we all learned these subjects (or tried to, at least), we didn’t learn about one key detail that helps humans thrive: Breastfeeding. Many of us never learned about breastfeeding until we were actively doing it. In fact, many folks never learn about it at all! Wouldn’t life be easier if there was a teacher who could educate new and expecting parents about the many ins and outs of lactation?

Lucky for all of us, these expert teachers exist. And they’re ready to help you with every step in the breastfeeding journey.

Lactation consultants fill in the gaps

International Board Certified Lactation Consultants (IBCLCs) hold the highest and only internationally recognized credential in the field of lactation. They demonstrate specialized knowledge and clinical expertise in lactation care. We don’t use this title lightly; it’s well-earned!

With years of extensive education, hands-on training, and a frequent recertification process, IBCLCs offer the gold standard in breastfeeding support. These experts are the only type of lactation consultants qualified to provide clinical care. IBCLCs can support you with:

  • Prenatal preparation, education, and expectation-setting 
  • Initiating breastfeeding and first-feed best practices 
  • Breastfeeding positions, latching issues, and hand expression techniques 
  • Bodily experiences like engorgement, the letdown reflex, clogged milk ducts, mastitis, or sore nipples 
  • Unexpected challenges as baby grows and shows new behaviors, such as feeding difficulty due to anatomical abnormalities in baby’s mouth 
  • Navigating all things pumps: Schedules, maintenance, sanitation, and sizing 
  • A return-to-work plan that fits your needs 
  • And so much more

Your new TLN newsletter: Nourished, by TLN

Just as children everywhere deserve the best, most comprehensive education, so do parents on their postpartum journey. Welcome to your tailor-made, nonjudgmental breastfeeding “class.”

The Lactation Network is excited to share our first-ever newsletter for parents. At long last, we can announce it!

“Nourished, by TLN” is created with you in mind. Each month, a new issue of our exclusive, clinically reviewed newsletter will serve as your informational resource for:

  • Timely blog writeups on subjects that matter to you and your family
  • An expert Q&A column for important parenting questions — including the ones you might be too afraid to ask out loud
  • New maternity gear and tools
  • Breastfeeding breakthroughs and national news
  • And more!

Think of this monthly newsletter as a “bulletin board” that supplements the expertise of an IBCLC.

4 back-to-school tips for lactating parents

Okay. This section is for those of you who take back-to-school literally since you’re either teaching, attending classes yourself, or prepping little ones to get back in the classroom. If you’re breastfeeding during this time, we’ve got some expert tips that may help.

  • Start a new rhythm — and don’t fight it. You’ll be busy. Your child(ren) will experience bumps in the road, no matter their age. Do your best to map out a feeding/pumping schedule before school starts. Study it. Make sure your partner, boss, and/or older child(ren) know about it. Then, if you need to tweak it as time goes on or as your baby’s needs evolve, you can make an informed decision about what changes need to happen. Rest assured that a new routine will very likely get easier after just a week or two.
  • Gear up. Back-to-school shopping isn’t just about new shoes and school supplies when you’re keeping a baby fed. We’re talking nursing pads. Nipple cream. Nursing bras. And plenty else. If you’re pumping, make sure you’ve got the right-sized nipple flanges for your nipple size (which may have changed since your first sizing). If you’re insured, you can check with your insurance carrier to see if a pump is a covered expense. Stock up on milk storage bottles, and maybe even a cooler with reusable freezer blocks to keep milk from spoiling. And if you have the option, consider keeping a duplicate set of these tools at work. It can prevent the dreaded “I left it at home!” moment and save you tons of transport time.
  • Take time for you. Even when your body creates a living human — and then keeps that human alive with nourishment and care — your body and your life are still yours. The beginning of the school year can be a frantic time for families, especially when there’s a new little family member in the routine. So, amid this juggling act, preemptively schedule time for your own well-being. Even if it’s as simple as a 15-minute break at work without pumping, getting someone to watch the baby while you shower, or taking a nap while the baby sleeps, this time is sacred. It’s necessary. And it’s yours.
  • Encourage self-soothing in others. People need you. That’s a given. But it’s a real challenge to manage an older child’s need for attention when you’ve got a younger baby on your breast. And answering a student’s questions while simultaneously pumping in your classroom is no easy task for a teacher. Depending on the ages of the other children in your life, they may be ready to operate a bit more independently. Perhaps this is the year they start to get themselves dressed and packed before school. Maybe they’re even old enough to make their own lunches. Or if you’re a teacher managing a class, you might reach out to your administration to ensure access to a private pumping space — away from students. As for the adults in your life: Let them know your priorities have shifted and you’ll be less available to them for a while. Share with them how they might even help you as a nursing parent, and how they could nurture you as responsibilities shift. Remember, your emotional and mental well-being are non-negotiable.

We wish you a smooth, happy back-to-school season. And we’re thrilled to come back to you each month with a fresh newsletter.

See you next month!

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

Got questions about how to create or improve your own breastfeeding plan?

A mom has a pumping consultation during an IBCLC visit

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Olympian Allyson Felix shares how her team helps her navigate motherhood, entrepreneurship, and advocacy https://lactationnetwork.com/blog/olympian-allyson-felix-shares-how-her-team-helps-her-navigate-motherhood-entrepreneurship-and-advocacy/ Sun, 04 Aug 2024 23:53:17 +0000 https://lactationnetwork.com/?p=63138 It’s not every day that a group of powerhouse women gather to speak openly and honestly about the challenges of navigating motherhood — and how support from others makes it all possible. A few weeks ago, we brought together a group of journalists and businesswomen to hear The Lactation Network’s (TLN) CEO, Sarah Kellogg Neff,...

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It’s not every day that a group of powerhouse women gather to speak openly and honestly about the challenges of navigating motherhood — and how support from others makes it all possible. A few weeks ago, we brought together a group of journalists and businesswomen to hear The Lactation Network’s (TLN) CEO, Sarah Kellogg Neff, International Board Certified Lactation Consultant (IBCLC) Leah Tribus, and 11-time Olympic medalist, entrepreneur, and mother, Allyson Felix, discuss the importance of maternal healthcare access. Felix is a maternal health advocate, the founder of Saysh, a footwear company that makes shoes designed for women’s feet, and a mother of two. Felix decided not to compete in the 2024 Olympics, but her impact will still be felt. She partnered with Pampers to launch the first-ever nursery in the Olympic Village.

Speaking of Olympians — IBCLCs see incredible feats of physical and mental strength from breastfeeding parents every day. It’s only fitting that we hear from a champion who did both.

Felix has shown tireless dedication to rewriting the narrative of motherhood. She went toe-to-toe with Nike to secure motherhood protections (and wrote about it for The New York Times), changing the game for other female athletes. Her pioneering work parallels perfectly with The Lactation Network’s offering of insurance-covered, in-home care for breastfeeding parents (a model completely new in the maternal healthcare landscape). Trailblazers, indeed.

Here are four key takeaways from our thoughtful, revealing conversation.

Breastfeeding the second time around isn’t necessarily easier; it’s just different.

Felix shared that she thought breastfeeding her second child would be easier since she’d done it before but found out that it came with its own set of new challenges. Tribus posited that support is still valuable and needed after the first baby. “Having an IBCLC to help you during these changes can make it a better experience and a little less stressful,” she said. “I think that what I found is that each family is just deeply unique. Each baby is deeply unique. And recognizing that you can have hiccups, even if you’re a seasoned parent, is important.”

Meeting with an IBCLC before baby arrives can cut down on breastfeeding stress.

Felix met with her IBCLC before the birth of her second child and found it to be incredibly helpful. “There’s the physical part of it, but there’s also the emotional part as well that’s very heavy in a time where you already have so many hormones and emotions and all of the things,” she says of navigating breastfeeding right after the baby is born. “Talking to my lactation consultant, I said, ‘Okay, what is my game plan?’ And it is great to have family and friends, but everyone has their opinion, so it’s nice to have that trusted source.”

Establishing your postpartum care team will set you up for success.

Felix mentioned that she leans on her team frequently, from her husband to her family and friends. With both an IBCLC and a trusted doctor, Felix has others she can turn to for help and professional advice, who can answer her breastfeeding questions. Tribus highlighted that an IBCLC provides crucial support and can connect families to a broader network of people who can help. “[IBCLCs] know their communities, which is amazing. That consultant will be able to make referrals to help that parent find resources they need,” she said. “Whether it is something like food insecurity, mental health screenings, or occupational therapy. They know the family deeply and then know what resources are needed to create their interdisciplinary care team.”

There’s been some progress in Black maternal health, but there’s still a long way to go.

Felix is proud of her accomplishments to date, and she’s looking forward to continuing her advocacy work. “One thing that’s at the top of my list is just continuing [the push] for medical providers to get training around implicit bias and just to hear women of color. What I hear constantly is, ‘I’m telling my doctor something is wrong, and they’re not hearing me, I’m being dismissed.’” TLN partners with lactation groups specifically focused on Black parents to ensure that Black families receive culturally competent, insurance-covered care.

We’re so thrilled to have found a partner in Allyson Felix — we’re inspired by her vulnerability around the challenges of motherhood and her advocacy for Black families. She will join us this September for the inaugural 2024 TLN Summit, where we will host hundreds of TLN IBCLCs. This gathering offers two days of inspiring, informative content that centers, fortifies, and supports the entrepreneurial pursuits and clinical care goals of the IBCLC community.

Watching Felix sit amongst a group of smart women dedicated to building a better world for breastfeeding parents, it was clear that TLN’s mission of providing insurance-covered lactation care is part of a growing parent advocacy movement. Whether at a nursery in the Olympic village, at home consulting with an IBCLC, or sharing their stories on social media, breastfeeding champions are everywhere.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

An IBCLC sits with a mom and her family during an at-home consultation.

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Know your rights: Breastfeeding in public and private https://lactationnetwork.com/blog/know-your-rights-breastfeeding-in-public-and-private/ Fri, 26 Jul 2024 11:54:39 +0000 https://lactationnetwork.com/?p=62620 Breastfeeding is natural. It’s essential to your baby’s health (and yours, too). The breastfeeding relationship is beautiful and deserves to be protected. This is why it can feel so painful and disheartening when others critique mothers and parents for nursing their babies in public. Side-eye glances from strangers, passive-aggressive remarks from coworkers, restaurant customers or...

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Breastfeeding is natural. It’s essential to your baby’s health (and yours, too). The breastfeeding relationship is beautiful and deserves to be protected.

This is why it can feel so painful and disheartening when others critique mothers and parents for nursing their babies in public. Side-eye glances from strangers, passive-aggressive remarks from coworkers, restaurant customers or staff asking you to leave, even friends and family sharing judgmental comments — it can feel so overwhelming when all you’re trying to do is keep your baby fed.

It’s time to break the stigma against public breastfeeding. Fortunately, the law is on your side, empowering you to breastfeed when and where you need to. So, let’s talk about your rights.

Breastfeeding laws: You have rights in all 50 states 

You have the right to breastfeed in public and in private wherever you are in the United States of America.

According to the National Conference of State Legislatures (NCSL), all 50 states, Washington D.C., the U.S. Virgin Islands, and Puerto Rico protect a parent’s ability to breastfeed in any public or private location they are lawfully allowed to be in. That means it is illegal for someone to ask you to leave a public area to breastfeed.

The NCSL also outlines that in 31 states, breastfeeding laws exempt nursing parents from public indecency laws, meaning no one can claim it is inappropriate or immodest for you to breastfeed without a cover in public places. These states include:

  • Alaska
  • Arizona
  • Arkansas
  • Florida
  • Idaho
  • Illinois
  • Kentucky
  • Louisiana
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nevada
  • New Hampshire
  • New York
  • North Carolina
  • North Dakota
  • Oklahoma
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Utah
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

Additional protections for breastfeeding parents at work

Many breastfeeding and working laws have been developed in recent years, protecting working parents who want to breastfeed or express milk during working hours.

Since 2010, the Affordable Care Act has required employers to provide reasonable break time and accommodations for nursing parents to express milk for up to one year after their child’s birth.

Congress then passed the Fairness for Breastfeeding Mothers Act in 2019, requiring public buildings to provide a shielded, hygienic space for breastfeeding. These include any building that’s open to the public and has a public bathroom. And don’t worry, the law requires the lactation room to be separate from the bathroom.

How to breastfeed in public comfortably

Even when you know your rights, dealing with the opinions (and stares) of uninformed onlookers can be uncomfortable. We’re working hard to end the stigma against breastfeeding in public. But if you’re thinking of how to breastfeed in public in the meantime, some parents find comfort in these tricks:

  1. Dress for comfort and ease: Nursing tops can help make breastfeeding in public much  easier, but they aren’t necessary. Button-up shirts and loose-fitting shirts allow easy access to your breasts.
  1. Find a private space: If you prefer to have a little privacy for nursing, many public areas, including malls and sports stadiums, have nursing rooms specially designed for nursing parents. If these rooms are unavailable, dressing rooms, restaurant booths, and secluded areas in public spaces can help you get some privacy with your little one.
  1. Start nursing before they get fussy: Breastfeeding your baby according to their usual schedule, even when you’re out and about, can give you more time to find a comfortable place to nurse. Of course, that’s not always possible. In these cases, try not to stress. And don’t worry about what people around you think or say about your crying little one — you’re doing the best you can.
  1. Practice in private: If nursing in public makes you anxious, try practicing in your home in front of a mirror. This will help you feel more comfortable handling your baby with all your nursing gear, clothing, and shield (if you choose to use one).

Find an advocate for your rights

While you now have a better understanding of your rights as a breastfeeding parent, not everyone is as informed as you. That’s why The Lactation Network continues to advocate for breastfeeding while working toward building a world where lactating parents are given the care and respect they deserve. We advocate for policies that drive equal and inclusive access for all parents, like our recent work to support the Infant Formula Supplemental Appropriations Act.

Requesting a consultation with an International Board Certified Lactation Consultant (IBCLC) can help bolster your confidence in your right to feed your baby whenever you need to. These lactation experts are the highest accredited clinicians in the world in the field of lactation and will help you discover how breastfeeding can work for you — wherever you are.

Speaking of rights, the Affordable Care Act requires insurance plans to cover lactation care. When you meet with one of our IBCLCs in your home, in their office, or virtually, your insurance may cover the cost in full. Schedule your lactation consultation today to learn how to champion your ability to breastfeed wherever you need.

We know what early parenthood is like, and we’ve been there—searching for countless, often conflicting answers online. At The Lactation Network, our International Board Certified Lactation Consultants (IBCLCs) are committed to providing families with trusted, authoritative information about your prenatal-to-weaning journey.

The information in this article is for informational and educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. The content is made available with the understanding that The Lactation Network is not providing professional medical advice on a particular matter. Every family, parent, and care plan is unique—your MD and IBCLC can work with you to ensure you receive the evidence-based, personalized clinical care you deserve. Always consult your clinical team for medical guidance.

Get the care you deserve

We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.

A mother chats with her IBCLC while nursing her infant during a home visit

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The Lactation Network increases coverage with UnitedHealthcare https://lactationnetwork.com/blog/the-lactation-network-increases-coverage-with-unitedhealthcare/ Thu, 15 Feb 2024 21:06:37 +0000 https://lactationnetwork.com/?p=59284 The partnership expands access to comprehensive postpartum care for UnitedHealthcare’s Commercial members across the nation  February 15, 2024 The Lactation Network (TLN), the nation’s largest network for insurance-covered lactation services, today announces it is in-network with UnitedHealthcare (UHC). Now, members of UHC’s Commercial Plans can find and access personalized, clinical lactation care through TLN in...

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The partnership expands access to comprehensive postpartum care for UnitedHealthcare’s Commercial members across the nation 

February 15, 2024

The Lactation Network (TLN), the nation’s largest network for insurance-covered lactation services, today announces it is in-network with UnitedHealthcare (UHC). Now, members of UHC’s Commercial Plans can find and access personalized, clinical lactation care through TLN in 49 states (Hawaii pending). UHC is one of the nation’s largest insurance providers so this partnership will have a lasting impact on many families, providing critical care when they need it most.   

“We’re thrilled to partner with UnitedHealthcare to ensure that all families get the lactation care they deserve,” said Sarah Kellogg Neff, CEO of The Lactation Network. “This partnership has been in the works for many years, so we are thrilled to take this tremendous step forward in our mission. So many families struggle and fail as they navigate the nuanced, vulnerable, and deeply personal postpartum period; the support of an IBCLC can be the difference between flailing and thriving in this new life moment.” 

TLN is the only national network offering this crucial care in person through health insurance. Services include lactation consultations, including in-home and office, for prenatal, postpartum, and even return-to-work support. These consults play an important role in setting families up for success and helping to establish and maintain breastfeeding through clinical guidance and customized plans based on the family’s individual goals, preferences and lifestyle.  

According to the Centers for Disease Control and Prevention, 60% of parents don’t breastfeed as long as they intended to, with the reasons ranging from difficulty with latch and supply, to a lack of accessible clinical care and insufficient health plan coverage. The U.S. is also one of the few countries in the world where maternal mortality is climbing, with most deaths occurring during the postpartum period and with mental health conditions as the leading cause of death. The CDC calls for improvements to ensure people who are pregnant or postpartum get the right care at the right time; TLN is a change agent in women’s and maternal health, creating an infrastructure that supports parents for the duration of the breastfeeding journey so they can make the best choices for their families.


About The Lactation Network 

The Lactation Network connects families to expert, clinical, insurance-covered lactation care from International Board Certified Lactation Consultants in all 50 states and D.C. With the nation’s largest network of International Board Certified Lactation Consultants (IBCLCs), the gold standard in lactation care, TLN’s mission is to make lactation support accessible and inclusive, breaking down barriers to access and changing stigmas around this crucial care. The mission-driven organization is building healthcare systems designed to support ALL parents during their 4th trimester, so they can thrive.

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Potent policy: TLN unequivocally supports the Access to Donor Milk Act https://lactationnetwork.com/blog/access-to-donor-breast-milk-act/ Fri, 15 Sep 2023 15:00:00 +0000 https://lactationnetwork.com/?p=39666 Recently, Senator Tammy Duckworth (D-IL) and Marco Rubio (R-FL), along with U.S. Representatives Chrissy Houlahan (D-PA-06), Stephanie Bice (R-OK-05), and Maria Salazar (R-FL-27), introduced a bipartisan bill to the United States Senate that could drastically improve health outcomes for vulnerable infants. The Access to Donor Milk Act of 2023 is designed to protect and expand...

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Recently, Senator Tammy Duckworth (D-IL) and Marco Rubio (R-FL), along with U.S. Representatives Chrissy Houlahan (D-PA-06), Stephanie Bice (R-OK-05), and Maria Salazar (R-FL-27), introduced a bipartisan bill to the United States Senate that could drastically improve health outcomes for vulnerable infants. The Access to Donor Milk Act of 2023 is designed to protect and expand access to pasteurized, human donor milk, and recognizes the critical role that nonprofit milk banks play in providing a safe and high-quality resource for our nation’s most at-risk babies.

The Lactation Network unequivocally supports this work, and our CEO, Sarah Kellogg Neff, has partnered closely with Senator Duckworth to define, advise, and promote the bill for its life-altering impact on lactating parents and their families. 

Put simply: this bill is a game-changer. Here’s why.

A complex and overlooked medical issue — with significant implications

When parents cannot adequately produce enough breast milk to feed their children, or if doctors advise parents to provide their newborns with additional milk to meet nutritional needs, parents may be referred to donor milk banks. 

Without an adequate number of breast milk donors, local breast milk banks with appropriate facilities to store and distribute milk, or the insurance coverage or financial resources to get breast milk, desperate parents have turned to potentially harmful options for relief. Parents often resort to sourcing untested, unpasteurized milk from strangers via online marketplaces, begging insurance providers to cover their breast milk needs, or struggling under the burden of steep $3-5 per ounce costs (babies typically require 25 ounces of breast milk per day).

The bill cites findings that we’ve long known: human milk is the optimal first food for infants and medically vulnerable infants derive significant health benefits from human milk, including decreasing rates of necrotizing enterocolitis (a gastrointestinal disorder causing inflammation of intestinal tissue, which can lead to serious illness and sometimes death.) 

Further, nonprofit breast milk banks are standing in the gap for parents while providing a critical medical service, and the nonprofit breast milk banking model ensures a safe and high-quality resource for the nation’s most vulnerable infants. This bill offers visibility and support for nonprofit donor breast milk bank infrastructure and their continued support of families. The stakes couldn’t be higher.

Healthier families and more accessible care, thanks to necessary policy

The Access to Donor Milk Act amends the Child Nutrition Act of 1966 to include support for breast milk donor activities, allowing State agencies to use funds for collecting, storing, and transferring unprocessed human milk to a nonprofit breast milk bank. It also establishes $3 million in emergency capacity funding for milk banks, providing competitive grants to eligible entities for expanding emergency capacity with respect to banking donor breast milk. These funds can be used to cover donor milk collection, storage, pasteurization, transfer, and processing fees, increasing staffing and supplies needed at nonprofit breast milk banks, and purchasing consumable products needed for donor milk processing. This bill would also:

  • Empower State Supplemental Nutrition Program for Women, Infant and Children (WIC) Agencies to use excess funds to purchase coolers to collect and store donated milk before it is collected by a donor milk bank;
  • Establish a donor milk awareness program at the Health Resources and Services Administration (HRSA) and develop a public awareness campaign; and
  • Require FDA to convene a public meeting of stakeholders to examine potential donor milk regulation and develop guidance on donor milk best practices.

This bill is a vital step in ensuring that medically vulnerable infants have access to the best possible nutrition and healthcare. It is critical to the health and well-being of these infants, and we thank Senator Duckworth for her dedication to this cause.

______

Notes on the donor milk journey for parents, and prospective donors

For prospective breast milk donors: If you’ve read about this policy and you’re inspired to become a breast milk donor, you’re already poised to become an invaluable resource in this delicate network of assistance for families. The need is significant and the impact of your donations will likely be robust, but there are considerations you’ll need to make before you can offer your milk for consumption.

  • Consult with an International Board Certified Lactation Consultant, or IBCLC. Prospective donors should work with an IBCLC for lactation and pumping support to ensure their baby’s nutritional needs are met and possible oversupply issues are managed.
  • Contact your nearest breast milk bank for pre-screening. You’ll likely be asked some health questions about you and your baby to ensure the quality of your milk, as well as questions about the quantity of supply you’re able to donate.
  • Fill out healthcare provider release forms and bank-specific paperwork. Each breast milk bank is different, but many will require you to fill out consent forms and guidelines for the collection and storage of your milk, as well as forms that show your provider and pediatrician are aware of your donation plans.
  • Have a blood test. You’ll likely be tested to ensure you aren’t positive for STDs or hepatitis, all of which could travel through breast milk.
  • Send your supply to your breast milk bank of choice. There should be a number of accommodations you are entitled to ensure your donation is as smooth as possible: you may be able to ship your milk to your local breast milk bank, have it picked up by bank staff, or you can deliver milk to a convenient drop-off location designated by the bank.

For parents: Whether you’re prenatal or just about to begin your breastfeeding journey, now is the time to consider the role donor milk may play in your baby’s feeding needs. Follow these steps to learn how to get donor breast milk:

  • Call your insurance company and check with your employer to see if they cover donor milk provisions should you need them. Use a referring hospital to help you advocate for your family’s needs, should they suggest your child require donor milk.
  • Schedule a visit with a lactation consultant (IBCLC) to prepare for scenarios if you require supplementary milk for your child, and investigate how to identify if you meet the requirements to donate to other families once you begin to feed.
  • And if you’ve begun your breastfeeding journey, contact your local milk bank to see if you are a candidate for human milk donation. 

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