Harassing Breastfeeding Mothers

There have been multiple incidences of breastfeeding mothers being harassed recently.  Here are two of the most recent ones:

Target – Houston, TX

Bettina Forbes from Bestforbabes.org posted yesterday about a mom from Houston feeling harassed in her local Target store for breastfeeding her baby.  This is despite a policy in place that says breastfeeding in welcome, although there is some weird wording here.  You can read Bettina’s story here: Target Employees Bully Breastfeeding Mom Despite Corporate Policy

Michelle Hickman, the mother in the post, has started a Facebook page to rally for a nurse in at all Targets on December 28th at 10 a.m.   Best for Babes also outlines some additional cases involving Target and harassment.

Care to get in touch with Target about this, after reading the whole story, please:

Target Corporation, 1000 Nicollet Mall, Minneapolis, MN  55403

Guest Relations: (800) 440-0680

guest.relations@target.com or Target Corp. Contact Form

Washington D.C.

Another incident involving breastfeeding harassment was in Washington, D.C. Simone Maningo-Truell dos Santos was nursing her 4 month old baby in the hall at the Henry Daly Building.  There is a law that protects her right to breastfeeding, but two different guards told her she would have to stop, including telling her it was public indecency. (Thanks to @KristenCampbell for sharing this with me!)

What to Do if You’re Harassed for Breastfeeding

These two incidences are both within the last couple of weeks.  This is NOT old news.  So what do you do if you feel like you are being harassed for breastfeeding?

  • Know what the law says about breastfeeding in your state or situation.
  • Ask to speak to a manager or someone in charge.  Be firm but polite.
  • Go above their heads when needed.
  • Always document names, times, titles – any info you can get.
  • Ask for help!

Have you ever experienced breastfeeding harassment?

Posted in activism, Breastfeeding, Legal | Tagged , | 1 Comment

Maternity Care with Heart

If you haven’t checked out this video by Childbirth Connection, you should. It’s a great visual representation of something I’ve been saying for years – we need all of the options available, not just some and not just to some women.  Leave your thoughts in the comments and be sure to pass this along…

Maternity Care With a Heart from Childbirth Connection on Vimeo.

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Don’t Forget to Say Thanks to Your Childbirth Educator

It’s the StoryCorps National Day of Listening. Today they are asking that you say thanks to a teacher.  There’s a call to remember your childbirth educator.  So send a shout out to your favorite childbirth educator by tagging them on Facebook or on Twitter.  If you use Twitter, be sure to use the #thankateacher hashtag!

Who will you be thanking today?

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Breastfeeding Nudges

I’ve spent the last week soaking up the information from the book Nudges by Richard Thaler and Cass Sunstein.  It’s a very intriguing book, and much more accessible than the original articles I read for grad school on libertarian paternalism, in case you’re wondering if it’s friendly for the masses.

So I’ve been thinking about nudges, particularly as they relate to breastfeeding, something I’ve been doing some research about in the last semester.  When I started reading the book I thought, “Ah ha!  Choice architecture – that’s what I’ve been doing as an educator this entire time.”  But it goes further than that, think about the nudges that we have and could have to potentially nudge people towards a higher breastfeeding rate. (Some of these are implemented some places and not others.)

  • Skin to skin contact right after birth for all is a nudge towards breastfeeding because it can help facilitate breastfeeding.
  • Having the lactation consultant see every mother.
  • Not sending mothers home with formula (which is the anti-breastfeeding nudge).
  • Making breastfeeding the assumption, having women opt out, rather than opt in.
  • Many more…

There are currently many calls to increase the breastfeeding initiation rates and help sustain at least some modicum of exclusive and extended breastfeeding to meet the American Academy of Pediatrics (AAP) guidelines currently in place.  We know that breastfeeding saves lives and money. Certainly many of the nudges are resisted because of formula companies, but others are resisted because some call them drains on our freedom to choose not to breastfeed. Though the definition of libertarian paternalism is not about removing those freedoms, but simply making it easier to make the healthiest (and in case of the book, wealthiest) choices.

What breastfeeding nudges do you use?

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Keep On Keepin’ On

Well, now that the dust has settled after the great fall, (Yes, I know that is drastically overstating what happened to the cesarean rates, but it just sounds better.) it’s time to look forward. Birth Activists still have a lot of work to do in this area, but here’s what you can do:

  1. Education: Continue to talk about what your local cesarean section rates are, particularly compared to the national data. Talk about what a healthy cesarean rate might look like and why a cesarean rate that is too high can hurt mothers and babies. Remember, we’re not against all cesarean births, they can and do save lives. We’re against the overuse of this surgery because of it’s harm to babies, mothers, the health care systems and ultimately society.
  2.  Support Moms: Moms get caught up in the middle of all this data slinging. They only want to do what’s best for their babies and many times they are really confused about what that is right here, right now. Support them in finding out accurate information, support them in their decisions, support them no matter what, be that physical support in labor, emotional support before and after, be that informational support.
  3. Teach the Art of the Second Opinion: When a mom is trying to make a decision about having surgery, talk to her about the benefits of a second opinion. (Let me say it’s also a great relationship to cultivate with some practitioners in your area.) She either gets information that confirms what her practitioner says and she goes back and has a cesarean that she feels really positively about or she learns that she may have more options and choices. A well done second opinion is rarely a bad thing.
  4.  Listen: What’s going on in your area? What are people saying about the data? Do you see hospitals talking about their rates in a more positive way? Perhaps they are feeling really great about their efforts and want to redouble them, but perhaps they aren’t reacting at all. Ask them about it. What about the practitioners in your area? How are they responding? Is this an opening for you to go in and talk to them some more about lowering the cesarean rates? (This includes raising the VBAC rates.)
  5.  Act: This is not the time to get complacent. This is the time to keep on keepin’ on. Teach childbirth classes, take on doula clients, talk to everyone you can about this data and other data. Talk about the primary cesarean rate, talk about the VBAC rates, talk about what the impact is on breastfeeding… Find your area of expertise and talk about how this effects that topic. Teach. Write letters. Blog. Twitter. Whatever it is you do, do it.

While a single data point doesn’t tell us much, while you may be tempted to be disappointed that there was basically no change, remember this: The cesarean rates have been hurtling upwards for over a decade, a year where there is numerically speaking very little movement in the number is effectively a huge change. We can’t tell by looking at this number why the cesarean rates didn’t continue to rise. We have plenty of guesses, including the extraordinary efforts on the part of mothers and birth activists, but I’m going to say that we will likely find that we have allies.

How will you keep on keepin’ on in the mean time? Share your ideas and stories in the comments.

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Cesarean Rate is Down Slightly After Years of Rising

Today we see the new CDC data on the cesarean section rate. The national rate for 2010 (preliminary data) is 32.8%. Here’s how that breaks down by state. What’s your state’s rate?

Hamilton BE, Martin JA, Ventura SJ. Births: Preliminary data for 2010. National vital statistics reports web release; vol 60 no 2. Hyattsville, MD: National Center for Health Statistics. 2011.

Posted in Cesarean Section | Tagged , , , | 1 Comment

Milwaukee’s Safe Sleep Campaign is Based on Scare Tactics

by A Concerned Local Citizen
 
On a blustery November day in Milwaukee, Wisconsin the public health department and the mayor announced plans to reduce infant mortality in the city. That’s good. The way they’re going about it—not so good.

The ad campaign is terrifying. Babies and meat cleavers, in bed together, one baby even touching the knife’s handle. What were they thinking? They were thinking that since their last scare tactics didn’t work (the headboard of a parent’s bed as a tombstone, mattresses with outlines of dead babies on them placed at intersections in our inner city)  they needed to do something to really scare the hell out of parents. Next week they will cover the city with these ads that equate the bodies of parents with murder weapons.

Since when does “just say no” work? Hasn’t this been gone over and over in public health? The sad thing is that while they are telling Milwaukee parents that you will kill your baby if you sleep with him/her, they are not saying what constitutes safe and unsafe sleep. I have heard that the public health department and the city believe that the women of the inner city (re: black women) can’t “get” what that means. Therefore, the scare tactics.

They have scared numerous parents out of sleeping in their own beds with their babies and now those moms are sleeping on sofas with them, where the baby is 7 times more likely to become entrapped. No information on how to make a sleep environment safe is being made available. Just don’t do it. I’m trying to imagine being that overly-tired new mom, who wants to do the right thing. Whose baby wants to sleep on her, with her. Who is exhausted from a baby who won’t sleep anywhere else. Who knows from the city of Milwaukee ad campaigns that sleeping in bed with your baby is dangerous so she won’t do that. Who then lays down on the sofa, baby on her chest, praying for a little break. Just a little sleep. Who finally sleeps so soundly that she cannot believe it, who then awkens to find her sweet baby not breathing, situated between sofa cushions. But she did what she was told: she didn’t bring her baby into bed with her. And we blame her. For being stupid. For being human. For being a bad mother.

Babies sleeping alone. That’s not the biological norm. That’s our society’s label in the last few years. Dr. James McKenna of Notre Dame has made that crystal clear. The evidence is there that bed-sharing can be safe under the right circumstances. And the guidelines exist for what those are. And for what they are not. Sleep has to be safe—-wherever it occurs—in a crib, parent’s bed, carseat or a parent’s arms. Period.

When is the Public Health Department going to “get it?” Information is power, not dangerous.  Assuming that people are not smart enough to do the right thing has got to end. Give us a little credit for wanting our babies to be safe and healthy. I think the city has a role here: in my opinion they are implicated by their refusal to share information that could help prevent further deaths. They are guilty of being elitist, paternalistic and foolish. I ask the head of the health department and the mayor: how do you sleep at night knowing that you aren’t telling the whole truth.

 Please share this and urge discussions at all levels.

Posted in activism, Baby, Co-sleeping, mothering, parenting | Tagged , , | 4 Comments

Pregnancy Depression in Men

by Allison Gamble

When a baby is born, it’s usually seen as an exciting event for both the parents and extended family. However, with the new bundle of joy come a host of other responsibilities such as the stress of meeting additional financial obligations, the loss of sleep and sometimes a redefining of one’s identity as a parent. While most mothers and fathers greet their new children with excitement and gladness, it doesn’t take a psychology degree to understand how some parents might experience a period of sadness after their babies are born. If you’ve just had a baby and you find that you aren’t feeling quite like your usual self, you may be suffering from a common disorder known as postpartum depression.

Depression takes many forms and manifests in many different ways. After the birth of a baby, some parents experience postpartum depression, characterized as an emotional distress or sadness brought on by major life changes and additional responsibilities associated with becoming a parent. According to the American Psychological Association (APA), 9 to 16 percent of mothers will experience some degree of postpartum depression. These sort of depression doesn’t just effect first-time parents, but can also impact parents who’ve already had children before. The APA also reports that parents who suffered from postpartum depression during their first pregnancy are 41 percent more likely to experience the disorder during subsequent pregnancies.

Most people associate postpartum depression with motherhood, and might be surprised to learn that it affects fathers as well. According to researchers from the Eastern Virginia Medical School, 10.4 percent of fathers become depressed after the birth of their children. Unlike postpartum depression in mothers, which is thought to be closely related to hormone fluctuation after childbirth, fathers who suffer from postpartum depressive episodes could be negatively impacted by sleep deprivation, friction with their partners, isolation from friends and family, and a sudden loss of intimacy with their partners due to the new presence of a baby.

Generally speaking, most parents expect the first year of their children’s lives to be a challenge as they learn to cope with the demands of a fluctuating feeding, sleeping, and changing schedule. Many are prepared for months of sleepless nights with the new baby. As parents develop these schedules and fine-tune their new parenting skills, many have to sacrifice personal relationships and their own wants and needs in order to provide stability for their new babies. As parents give up more and more of their own personal lives, they can subconsciously begin to harbor feelings of unhappiness that can sometimes develop into full-blown depression. In many cases, these types of feelings are exacerbated when parents experience disturbance in their sleep and eating routines, or feel especially stressed.

The Eastern Virginia Medical School researchers reported symptoms in men’s postpartum depression differ from those mothers experience. For instance, depressed fathers are more likely to exhibit hostility and sometimes even outright aggression. While some men also reported feeling overwhelmed by the expectations of fatherhood, other men reported feeling trapped by the responsibilities of becoming a family man. Women, on the other hand, are more likely to simply become depressed or sad rather than hostile.

How do you know if you are suffering from postpartum depression, or how serious it is? According to The Mayo Clinic, if you experience these types of feelings after the birth of your child, and they don’t begin to fade after two weeks, or if you feel as though it’s too hard for you to care for your baby, you may need the assistance of a therapist. Thoughts of harming oneself or one’s baby could be symptoms of postpartum psychosis, a very serious condition which requires the immediate help of a mental health professional.

There are many resources available to help parents cope and treat postpartum depression. New dads should begin by sharing their feelings with their partners. Together, you can choose to speak with a counselor or psychologist who will help you sort through your feelings and advise clinical treatment if necessary. If you’re wary of talking with a mental health professional, try talking to a personal mentor or a trusted adviser who might be able to recommend coping skills to help you deal with your feelings.

Parents should be aware that caring for a new baby can be challenging and even frustrating at times, but these feelings shouldn’t be totally overwhelming. Be sure to talk to your partner about your feelings and take time for yourself as best you can. While the vast majority of the attention given to postpartum depression focuses on women, society tends to forget that fathers share many of the same burdens and stresses after the birth of their children. Above all else, men should not hesitate and should not feel ashamed to reach out for help if they feel overwhelmed by the responsibilities of parenthood.

Allison Gamble has been a curious student of psychology since high school. She brings her understanding of the mind to work in the weird world of internet marketing with psychologydegree.net.

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Homebirth Summit Underway

The Homebirth Summit is underway today in Virginia. You can see a list of delegates or read more about the process.  You can also follow along on the Twitter feed with the hashtag: #hbcs

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It Takes 500 Inductions of Labor…

When near the 40 week mark, and sometimes before, many practitioners start talking about the risks of continuing the pregnancy.  There are many things that simply aren’t known, bu there is a neat document that puts it all together and it says:

“Based on the observed absolute risk difference in the meta-analysis, at least 500 inductions are necessary to prevent one perinatal death.”

You can read all about the ins and outs of the perceived and potentially real benefits of various induction methods, fetal testing and more at: Management of Prolonged Pregnancy

 

Posted in Induction, Informed Consent, Labor and Birth | Tagged | Leave a comment