ACA and Medicaid Expansion Increased Breast Pump Claims and Breastfeeding for Women with Public and Private Insurance

Hawkins, Summer Sherburne; Horváth, Krisztina; Noble, Alice; Baum, Christopher F.

doi:10.1016/j.whi.2021.10.005

Cited by 10 publications

(10 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We collected our data around the time that the Affordable Care Act, which mandated that health insurance companies cover breast pumps and supplies at no cost to pregnant or postpartum members, went into effect. 21 With potentially increased access to breast pumps, it is possible that more persons are currently using breast pumps than the present study estimates. Specific instruction can be given to persons using breast pumps to reinforce how to use, clean, and store breast pumps and associated parts properly.…”

Section: Characteristic Of Participants N (%)mentioning

confidence: 77%

Human milk expression in the first year postpartum among persons with low incomes

Nakayama

Marks

McGowan

et al. 2023

J Human Nutrition Diet

View full text Add to dashboard Cite

Background Expressing milk (i.e., human milk) is common in the USA, but practices are unknown among families in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). This study of a WIC population explores the practice of and reasons for expressing milk in the first year postpartum. Methods We analysed data from a longitudinal study to examine milk expression at 1, 3, 5, 7, 9, 11, and 13 months postpartum among breastfeeding persons enrolled in WIC with term singletons. We cross‐sectionally analysed the weighted prevalence of milk expression at each survey month and report reasons for milk expression in the first 7 months. Results Among the study participants who reported feeding human milk at Month 1, 70.4% expressed milk in the first 13 months postpartum. The prevalence of milk expression was 56.8% at Month 1 and decreased to 13.9% at Month 13 among those feeding any human milk that month. Reasons for expressing milk changed over time; in the first month, increasing milk supply, relieving engorgement, and having an emergency supply of milk were common. In later months, having a supply of milk available so that someone else could feed their infant was common. Conclusions Clinicians, health educators, WIC staff, and others working with WIC families can promote optimal expressed milk feeding and storage practices. Extra attention and support may be especially important in the first months postpartum when milk expression is common. Support for persons who are expressing milk can be tailored for reasons of milk expression.

show abstract

Section: Characteristic Of Participants N (%)mentioning

confidence: 77%

Human milk expression in the first year postpartum among persons with low incomes

Nakayama

Marks

McGowan

et al. 2023

J Human Nutrition Diet

View full text Add to dashboard Cite

show abstract

“…The results of this study demonstrate that the largescale linkage of Medicaid data with birth certificates and other data sources is feasible and has many potential applications to research, policy, and practice. Our literature review found that linked data have been used extensively by researchers to evaluate the impact of policies such as Medicaid expansion [18][19][20][21][22][23] and social services 24,25 on mothers and infants. Group discussions with states who link these data also identified key use cases involving policy analysis such as evaluating the maternal and infant health outcomes after postpartum Medicaid expansion or receipt of supplemental nutrition programs.…”

Section: Policy Implicationsmentioning

confidence: 99%

State Experiences Linking Medicaid Data With Birth Certificates and Other Data Sources

et al. 2023

View full text Add to dashboard Cite

Background: Many states link Medicaid claims with birth certificates or other data, often to inform programs and policies aimed at improving maternal and child health (MCH). Objectives: To develop an up-to-date understanding of the extent of the use of linked Medicaid claims for MCH research by state. Research Design: We completed a structured literature review, developed an inventory of linkage efforts, and facilitated semistructured discussions with representatives from 9 states with established Medicaid claims data linkages to understand the technical details of linkages, experiences creating and maintaining linkages, and barriers or facilitators to establishing linkages. Results: We identified 45 peer-reviewed journal articles representing 22 states that used linked Medicaid data to study MCH and 33 states and territories that publicly report on Medicaid data linkages for a total of 39 states with any in-scope linkage. Discussions revealed that linkages often arose from the desire to answer a specific question or evaluate a program but then expanded to other use cases and that most states enable external researchers to access data for analysis. Respondents provided a few examples of where linked birth certificate data were used for health outcomes research. Conclusion: Additional resources including technical assistance for identifying best practices along with interagency collaboration could overcome barriers and facilitate a coordinated and consolidated approach across states.

show abstract

“…Both were associated with improved individual patient outcomes and increased nationwide breastfeeding rates. 60,61 64 Ingram and Johnson, 65 Lassi et al 66 Peer counselor support (women, infants, and children) and CHW programs are successful at improving breastfeeding outcomes among low-income parents. At-home visitation and task-sharing models had the largest improvement in breastfeeding outcomes of various models.…”

Section: Efforts To Improve Breastfeeding Ratesmentioning

confidence: 99%

“…Evidences from the implementation of the Affordable Care Act (ACA) and Medicaid expansion in 2010 provide evidence of improved outcomes due to increased access to prenatal and postpartum health care as well as inclusion of breast pumps and lactation consultants in health plans. Both were associated with improved individual patient outcomes and increased nationwide breastfeeding rates 60,61 …”

Section: Efforts To Improve Breastfeeding Ratesmentioning

confidence: 99%

Breastfeeding: The Basics, the History, and Barriers in the Modern Day

Grundy

Hardin²,

Kuller

et al. 2022

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

Importance: The scientific benefits of breastfeeding for the parent and baby are clear, but the goal is often simplified to "breast is best." Patients' decisions to breastfeed are more nuanced than this approach implies, and it is essential for providers to understand other factors that contribute to this complex decision.Objective: We reviewed the current literature of the health benefits of breastfeeding, local and global breastfeeding trends and current disparities, and the historical, political, and social factors that influence a patient's decision to breastfeed.Evidence Acquisition: Original research articles, review articles, and guidelines on breastfeeding were reviewed.Results: Rates of breastfeeding have increased in the United States and globally after public health interventions, but significant disparities persist. Numerous factors influence a patient's decision to breastfeed including the medical benefits, formula marketing campaigns, historical connections to slavery and oppression, limited societal support for working parents, mental or physical health concerns, previous sexual abuse or trauma, gender identity, and others.Conclusions and Relevance: Understanding both the medical importance of breastfeeding and the various other factors that influence a patient's decision or ability to breastfeed is essential for counseling patients before delivery. Providers have a responsibility to navigate this complex conversation with patients to empower them to make an informed decision that works for them.Target Audience: Obstetricians and gynecologists, family physicians Learning Objectives: After participating in this activity, the provider should be better able to explain the health benefits of breastfeeding for parent and infant; describe trends in breastfeeding rates and identify current disparities in breastfeeding within the United States and globally; and discuss the nuances of historical, political, social, and personal experience with a patient and its influence on their decision to breastfeed.All authors, faculty, and staff have no relevant financial relationships with any ineligible organizations regarding this educational activity.

show abstract

ACA and Medicaid Expansion Increased Breast Pump Claims and Breastfeeding for Women with Public and Private Insurance

Cited by 10 publications

References 9 publications

Human milk expression in the first year postpartum among persons with low incomes

Human milk expression in the first year postpartum among persons with low incomes

State Experiences Linking Medicaid Data With Birth Certificates and Other Data Sources

Breastfeeding: The Basics, the History, and Barriers in the Modern Day

Contact Info

Product

Resources

About