Weekly Wire: June 1, 2018

Please note: Inclusion of an item in this e-newsletter does NOT imply endorsement or support of such item by the United States Breastfeeding Committee, unless specifically noted.

USBC Updates

Exhibitor & Sponsorship Opportunities at NBCC

The United States Breastfeeding Committee is pleased to present the Exhibit, Sponsorship & Advertising Opportunities for the Eighth National Breastfeeding Coalitions Convening (NBCC). This one-of-a-kind event kicks off National Breastfeeding Month festivities—and for the first time, we're thrilled to announce that the event will be hosted in downtown Atlanta, Georgia! On site marketing opportunities begin the evening of Friday, August 3 and go through mid-day on Sunday, August 5.

Sponsoring on-site special events like the "Social Media Mixer" or "Awards luncheon," or a popular "Table Topic Breakfast;" or take-home items like the Program Book or writing pads, ensures that your presence and support will be recognized by all conference attendees. In addition to sponsorship opportunities at various levels, the NBCC will also have an exhibit hall located in the foyers outside the ballroom, with dedicated breaks. Items and flyers can be placed in the attendee bags, as well as full or half-page advertisements in the program book. Pricing is tiered, offering both large and small nonprofit rates. Explore these and many other options for supporting the Convening on the event's website, and click the tabs to view the preliminary event agenda or learn about registration pricing or the conference hotel. Please contact Camille with any questions at conference@usbreastfeeding.org.

Registration for the conference is open. We hope to see you in Atlanta!

Racial Equity Webinar Recording

The USBC has published a recording of the most recent webinar in the Racial Equity Webinar Series titled "Effective Collaborations and Breastfeeding Promotion Strategies for Asian, Southeast Asian and Pacific Islander Communities." On the webinar, panelists from the Asian Southeast Asian Pacific Islander (ASAP!) Taskforce shared their experiences with breastfeeding promotion partnerships with Asian, Southeast Asian and Pacific Islander communities, including the challenges and barriers encountered, and the development of strategic plans based on the strengths of the communities.

Federal News

Report on 2017 Birth Rates, from CDC

The Centers for Disease Control and Prevention, National Vital Statistics System has published a report featuring updated birth rate data titled "Births: Provisional Date for 2017." The provisional number of births for the United States in 2017 was down 2% from 2016 and the lowest number in 30 years. The general fertility rate was 60.2 births per 1,000 women aged 15–44, down 3% from 2016 and another record low for the United States. Birth rates declined for nearly all age groups of women under 40, but rose for women in their early 40s. The birth rate for teenagers aged 15–19 was down 7% in 2017 to 18.8 births per 1,000 women; rates declined for both younger (aged 15–17) and older (aged 18–19) teenagers. The cesarean delivery rate increased to 32.0% in 2017; the low-risk cesarean delivery rate increased to 26.0%. The preterm birth rate rose for the third year in a row to 9.93% in 2017; the 2017 rate of low birthweight (8.27%) was one of the highest levels reported since 2006.

Health Equity and Accountability Act Introduced, from Congress

Senator Mazie Hirono and Representative Barbara Lee have introduced the Health Equity and Accountability Act (HEAA) of 2018, supported by the Congressional Tri-Caucus. The legislation features several comprehensive strategies aimed at eliminating racial and ethnic health disparities in order to achieve equity. The HEAA has been introduced in every Congress since 2007. This legislation reforms policies and expands federal health care resources for racial and ethnic minorities, as well as other underserved populations who face discrimination and barriers to care due to their immigration status, sex, age, ability, sexual orientation, gender identity, and English proficiency. Partner and media highlights include:

Puerto Rico Economic Empowerment Act Introduced, from Congress

Senators Orrin Hatch and Marco Rubio have introduced the Puerto Rico Economic Empowerment Act of 2018 (S. 2873). The bill would implement recommendations by the Congressional Task Force on Economic Growth in Puerto Rico, including: provide tax relief for Puerto Rican workers for two years; make families with one or two children eligible for the federal child tax credit; provide greater flexibility for Small Business Administration Programs to help Puerto Rico's small business owners during a prolonged economic downturn; and establish a Federal Statistical Research Data Center in Puerto Rico and calls for Puerto Rico to be included in more economic surveys. The costs of the bill are fully offset by redirecting funds from the Prevention and Public Health Fund (PPHF). Read the press release

USBC Insight: There is a clear and urgent need for funding to support recovery in Puerto Rico. This week, the New England Journal of Medicine published a study that estimates the death toll in Puerto Rico after Hurricane Maria at an estimated 4,645 people, massively surpassing Puerto Rico's official death count of 64. However, funding these provisions via the PPHF will cause cuts to other critical public health funding. Currently, 12% of the Centers for Disease Control and Prevention's budget comes from the PPHF. Since 2012, PPHF funds have been allocated each year to the CDC Breastfeeding programs. The partner actions below call on Congress to remove the PPHF Fund offset before voting on the bill. 

Partner Actions:

Member News

Black Breastfeeding Caucus Webinar, from BMBFA

Join the Black Mothers' Breastfeeding Association and Lactation Education Resources on Wednesday, June 6, from 1-2 p.m. ET for a webinar titled "Developing a Call to Action to Support Breastfeeding for Black Families." Speakers from the Black Breastfeeding Caucus will discuss developing the "Logic Model for the Call to Action to Support Breastfeeding for Black Families," explain how the logic model will be used as the framework for the development of the Call to Action, and state the intended outcomes and impacts of the Call to Action.

Study on Impact of Skin-to-Skin Contact on Administration of Medication after Cesarean Birth, from AWHONN

The Association of Women's Health, Obstetric, and Neonatal Nurses has published an article titled "Retrospective Chart Review of Skin-to-Skin Contact in the Operating Room and Administration of Analgesic and Anxiolytic Medication to Women After Cesarean Birth" in the journal Nursing for Women's Health. The retrospective study analyzed the association between skin-to-skin contact in the operating room and administration of analgesics and anxiolytics to women in the operating and recovery rooms after cesarean birth. The results indicate a trend toward decreased medication administration for women who experienced skin-to-skin contact and add to evidence supporting the incorporation of skin-to-skin contact in the operating room as the standard of care for cesarean birth. The authors concluded that skin-to-skin has the potential to enhance the birth experience, promote breastfeeding, and provide greater safety with less exposure to opioids and benzodiazepines for women and their newborns.

Position Statement on Racism and Racial Bias, from ACNM

The American College of Nurse-Midwives has released its new "Position Statement on Racism and Racial Bias." The document represents a concrete step forward in ACNM's commitment to create an inclusive organization and continue their efforts to eliminate racism and racial bias in the midwifery profession and race-based disparities in health care. The statement includes ACNM's position, commitments, and historical background on midwives and race.

Committee Opinion on Treatment of Post-Partum Pain, from ACOG/ACNM

The American College of Nurse-Midwives and the American College of Obstetricians and Gynecologists' Committee on Obstetric Practice have published a Committee Opinion on the treatment of postpartum pain in the journal Obstetrics & Gynecology. The article concludes that untreated postpartum pain is linked to increased risks for women and recommends that non-pharmacologic and pharmacologic therapies be included in pain management strategies.

Nurse-Family Partnership Webinar, from NWA

Join the National WIC Association on Thursday, June 7, from 3–4 p.m. ET for a webinar titled "Great Mothers, Strong Research - Evidence Behind Nurse-Family Partnership." The webinar, hosted in partnership with Nurse Family Partnership, will highlight foundational research on the Nurse Family Partnership program and report on results from recent studies that are relevant to WIC programs and participants, including breastfeeding and infant birth outcomes.

Senate Appropriations Action Alert, from NWA

The National WIC Association has developed an easy action tool for individuals to contact the Senate Subcommittee on Agriculture Appropriations to ask them to fully fund WIC at $6.3 billion, with $90 million for the breastfeeding peer counselor program. The subcommittee is in the final stages of writing its funding bill for Fiscal Year 2019.  

Speak for Health Appropriations Action Tool, from APHA

As part of the Speak for Health campaign, the American Public Health Association has launched an online action tool for individuals to ask Members of Congress to reject proposed cuts to public health programs in the President's budget proposal and instead prioritize public health by building upon the important increased investments in public health provided by Congress in Fiscal Year 2018.

Partner News

Breastfeeding Public Health Partners Webinar, from BPHP

Join the Breastfeeding Public Health Partners on Monday, June 18, from 2-3:30 p.m. ET for a webinar titled "Charting the Course Together: Broadening the Spectrum of Skilled Breastfeeding Support in the Community." Hosted by the National Association of County and City Health Officials, the webinar will feature speakers from the U.S Breastfeeding Committee, the National Association of Professional & Peer Lactation Supporters of Color, and Public Health Solutions. The webinar will discuss how to establish an equitable and solid care continuum for families through well-tended connections between community systems and an array of skilled lactation support providers. This session will describe systemic solutions to create continuity in the community by increasing access and availability of skilled breastfeeding support beyond the clinical, maternity care, and workplace environments.

Municipal Employee Paid Family and Parental Leave Policies Chart, from NPWF

The National Partnership for Women & Families has published an updated chart summarizing available information about paid leave policies for city and county employees titled "Paid Family/Parental Leave Policies for Municipal Employees." More than 70 cities and counties in 24 states and the District of Columbia have enacted paid leave policies for their employees. The chart also highlights the jurisdictions with leave policies that cover family caregiving purposes as well as parental leave.

News from the Field

Free Access to Opioid Epidemic and Breastfeeding Articles, from Breastfeeding Medicine

The journal Breastfeeding Medicine has opened online access to a series of articles on breastfeeding and opioids through Wednesday, June 6. Articles include:

Red Diaper Syndrome Literature Review, from Breastfeeding Medicine

Breastfeeding Medicine has published an article titled "Serratia marcescens Colonization Causing Pink Breast Milk and Pink Diapers: A Case Report and Literature Review." The article offers guidance on how primary care physicians and parents can determine appropriate treatment for Red Diaper Syndrome and any impacts on breastfeeding. The authors concluded that absent signs of clinical infection, breastfeeding should continue normally when mother and baby are diagnosed with Red Diaper Syndrome (pink-colored breast milk and pink-colored soiled diapers) caused by the bacteria Serratia marcescens. 

Status Report on Code Implementation, from WHO

The World Health Organization has published a report titled "Marketing of breast-milk substitutes: National implementation of the international code." The report provides updated information on the implementation status of the International Code of Marketing of Breast-milk Substitutes and subsequent relevant World Health Assembly resolutions in and by countries. The report documents the adoption of new legislation implementing the Code in a few countries since 2016, and formulation of additional measures to strengthen existing legislation in others. It also provides a regional perspective on the legal status of the Code, and in countries where such information is available, the extent to which Code provisions have been incorporated in national legal measures. A preliminary analysis of selected legal provisions in those countries where complementary foods are listed as designated products in their Code-related legislation is also documented. This serves as a baseline assessment of the 2016 Guidance on ending inappropriate promotion of foods for infants and young children ("the Guidance") and provides a useful starting point to assess the extent to which the current legal and regulatory landscape in countries is supportive of effective implementation of the recommendations of the Guidance. The report also includes recommendations for action for policymakers and governments. The United States has taken no legal action related to the Code. 

Study on Impact of Paid Leave on Military Families, from PAS

A study presented at the Pediatric Academic Societies 2018 Meeting has highlighted the impact of paid leave among military moms who breastfeed. The study noted a significant increase in breastfeeding duration and exclusivity through nine months for active duty mothers under a 12-week maternity leave policy. This is the first study evaluating military active duty breastfeeding prior and after implementation of extended maternity leave policies. Read the press release

Early Childhood Care and Education Workshop Report, from NASEM

The National Academies of Sciences, Engineering, and Medicine has published a report entitled, "Exploring Early Childhood Care and Education Levers to Improve Population Health: Proceedings of a Workshop." Workshop presentations and discussions focused on the intersection of the two key social determinants of health; exploring current and potential effective strategies to work together; and the policy levers available to improve early childhood development, health, and learning. Breastfeeding was included several times as a measure of community health or in the context of a successful child care program.

Collective Impact Connection

Case Study on Hampton Roads Community Foundation, from CIF

The Collective Impact Forum has released a case study titled "Early Wins in Early Childhood: A Case Study in Seeding Systems Change." The publication looks at the founding of Hampton Roads Community Foundation and its initiative designed to unite previously disparate child care and early education programs together for greater impact through systems change. The case study details the opportunities, highlights, and lessons learned in the first two years of the initiative. Top takeaways include that building and nurturing relationships is the most important aspect in systems change and those involved in systems change work should have an appetite for patience as well as a clear set of early wins that are achievable within the first year of implementation.

Health in All Policies Resource, from ChangeLab Solutions

ChangeLab Solutions has published a resource titled "A Roadmap for Health in All Policies: Collaborating to Win the Policy Marathon." The publication provides strategies for collaboration, challenges to consider, as well as guidance and inspiration. The roadmap focuses on using policy to build and institutionalize the public sector's ability to collaborate across government departments, agencies, and offices, and is part of ChangeLab Solution's Health in All Policies resource library.

State/Community News

Physician Statement of Support for Paid Leave, from Massachusetts

Raise Up Massachusetts has published a statement signed by 155 physicians in support of the creation of a Paid Family and Medical Leave Insurance Program in Massachusetts. The statement notes that paid leave means healthier patients and families, improves Massachusetts economy, and has worked in other states.

News & Views

CBS Baltimore: "Amtrak Offers Lactation Suites For New Mothers At Baltimore’s Penn Station"   

UNM Law blog: "Professor Carol M. Suzuki Presents 'Promoting Student Learning and Breastfeeding Behind Bars Through Multi-Faceted Social Justice Advocacy'"  

Aeroflow blog: "The Road to Co-Breastfeeding"

USA Today: "Single mom's inspiring post about graduating from Harvard Law goes viral"   

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