Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

3 ways we’ve failed woman who breastfeed

Joanna Buscemi, PhD
Policy
September 10, 2018
Share
Tweet
Share

I have two hours until I’m due to breastfeed my seventh-month-old baby again, so I’ll make this quick: Breastfeeding is really hard for many and our environment and current policy context makes it even harder.

The month of August has been declared “National Breastfeeding Month” by the United States Breastfeeding Committee — an organization committed to “creating a landscape of breastfeeding support” by advocating for policy changes to facilitate breastfeeding. Since the U.S. Surgeon General released a “Call to Action” to better support breastfeeding mothers and babies in 2011, many support efforts have been initiated, but we still have a long way to go. In fact, just a few weeks ago, the U.S. opposed a worldwide resolution to support breastfeeding at the World Health Assembly.

As a health researcher, I decided during my pregnancy that I would breastfeed my baby based on the American Academy of Pediatrics guidelines given the well-documented health benefits for both of us. At a prenatal breastfeeding class, we practiced the recommended breastfeeding positions using baby dolls, and I felt completely ready for what was sure to be a really easy and natural transition once the baby arrived.

It turns out it is a lot easier to latch a baby doll to your breast than an actual infant. It wasn’t easy for me in the beginning, and it isn’t easy now. And even though “it’s working” for me, it’s still extraordinarily restrictive and difficult for many women given the following environmental and policy challenges:

1. Breastfeeding support insurance reimbursement is inconsistent. I will spare you the details of the breastfeeding complications I had, but it took 12 weekly visits with an International Board Certified Lactation Consultant to breastfeed successfully on my own. Although the Affordable Care Act (ACA) requires full insurance reimbursement for lactation support services, in practice, many women still have difficulty receiving reimbursement for such services under certain circumstances (for example, if they have plans that existed before the ACA or they have out-of-network providers). For many women, this expert support is essential given that the lactation services provided at the hospital are often inadequate, and lack of such support has been linked to early breastfeeding cessation.

2. It is difficult to breastfeed and work full time. Breastfeeding or expressing milk to feed a baby feels like a part-time job, but many women have to work full time. I’m fortunate that I was able to take a medical leave to have time to care for my baby and adjust to breastfeeding. However, not all women are as fortunate. In fact, the US still has not passed any legislation that requires employers to offer paid maternity leave. Learning to breastfeed requires most mothers to be with their babies for weeks after birth to get into a rhythm and build up an adequate supply. Lack of paid leave policies makes breastfeeding impossible for women who would otherwise prefer to do so.

3. There are few clean and private-public places to breastfeed and/or pump. It is finally legal in all 50 states for women to nurse any place they choose in public, but not all women are comfortable doing this. I visited a museum a few months ago with a plan to nurse my baby in their “Caregiver Center.” I brought my hungry baby there to find it situated in the middle of an exhibit with the privacy curtain wide open, children running in and out of it to play with toys, and a row of dads sitting right outside. That doesn’t work for me, and it doesn’t work for a lot of nursing moms. Not every public place should be required to have adequate space for nursing moms, but large public spaces where people spend several hours at a time such as museums, parks, stadiums, and airports, certainly should. Thankfully, Senator Tammy Duckworth has been an amazing advocate for the Friendly Airports for Mothers (FAM) Act, which would require large and medium-sized airports to provide adequate spaces for nursing and pumping. More policies like this one are needed.

I’m only scratching the surface with policy issues that impede breastfeeding, but at the very least, we need reimbursable lactation consultant services to teach us how to breastfeed, paid time to initiate breastfeeding, and places to go where breastfeeding efforts are supported.

Joanna Buscemi is a psychologist.

Image credit: Shutterstock.com

Prev

The price of being a compassionate doctor is often worth it

September 10, 2018 Kevin 0
…
Next

Why "happy" doctors commit suicide

September 10, 2018 Kevin 16
…

Tagged as: OB/GYN

Post navigation

< Previous Post
The price of being a compassionate doctor is often worth it
Next Post >
Why "happy" doctors commit suicide

ADVERTISEMENT

Related Posts

  • The most far-reaching effects of our failed leadership

    Matthew Hahn, MD
  • a desk with keyboard and ipad with the kevinmd logo

    MKSAP: 35-year-old woman with constipation

    mksap
  • Why did it feel like I failed my patient?

    Aatqa Memon
  • a desk with keyboard and ipad with the kevinmd logo

    MKSAP: 60-year-old woman with persistent constipation

    mksap
  • a desk with keyboard and ipad with the kevinmd logo

    MKSAP: 45-year-old woman with type 2 diabetes mellitus

    mksap
  • How one woman prevented a pharmaceutical disaster

    James Essinger and Sandra Koutzenko

More in Policy

  • How American medicine profits from despair

    Jenny Shields, PhD
  • What I learned about health care by watching who gets left behind

    Maanyata Mantri
  • How the One Big Beautiful Bill could reshape your medical career

    Kara Pepper, MD
  • Why the U.S. Preventive Services Task Force is essential to saving lives

    J. Leonard Lichtenfeld, MD
  • Brooklyn hepatitis C cluster reveals hidden dangers in outpatient clinics

    Don Weiss, MD, MPH
  • Why nearly 800 U.S. hospitals are at risk of shutting down

    Harry Severance, MD
  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • Apprenticeship reshapes medical training for confident clinicians

      Claude E. Lett III, PA-C | Conditions
    • How American medicine profits from despair

      Jenny Shields, PhD | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 4 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • How hospitals can prepare for CMS’s new patient safety rule

      Kim Adelman, PhD | Conditions
    • Why palliative care is more than just end-of-life support

      Dr. Vishal Parackal | Conditions
    • When life makes you depend on Depends

      Francisco M. Torres, MD | Physician
    • Guilty until proven innocent? My experience with a state medical board.

      Jeffrey Hatef, Jr., MD | Physician
    • Why medical notes have become billing scripts instead of patient stories

      Sriman Swarup, MD, MBA | Tech
    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • New student loan caps could shut low-income students out of medicine

      Tom Phan, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Could antibiotics beat heart disease where statins failed?

      Larry Kaskel, MD | Conditions
    • The dying man who gave me flowers changed how I see care

      Augusta Uwah, MD | Physician
    • Universities must tap endowments to sustain biomedical research

      Adeel Khan, MD | Conditions
    • Exploring the science behind burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • Apprenticeship reshapes medical training for confident clinicians

      Claude E. Lett III, PA-C | Conditions
    • How American medicine profits from despair

      Jenny Shields, PhD | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

3 ways we’ve failed woman who breastfeed
4 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...