Breastfeeding and the Affordable Care Act

Hawkins, Summer Sherburne; Dow-Fleisner, Sarah; Noble, Alice

doi:10.1016/j.pcl.2015.05.002

Cited by 48 publications

(31 citation statements)

References 17 publications

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“…2 The literature supports the importance of human milk for infant and maternal health outcomes; moreover, supports on college and university campuses and places of employment have been identified as relevant in maximizing breastfeeding outcomes. Nonetheless, limited research has been completed about the extent of support for student mothers, and national legislation protecting the needs of lactating students does not yet exist.…”

Section: Introductionmentioning

confidence: 99%

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Do American Colleges and Universities Support the Lactation Needs of Students?

Bostick

Albrecht

Baghdadi

et al. 2016

Breastfeeding Medicine

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The vast majority of the sample did not have a policy for lactating students, and almost half of the schools did not have designated space for milk expression accessible to students. Lactating students will likely encounter challenges in simultaneously sustaining breastfeeding and meeting their educational goals in these contexts. To meet the recommendation of the American Academy of Pediatrics of 6 months of exclusive breastfeeding and continued breastfeeding for 1 year or more, American colleges and universities must establish not only designated spaces for milk expression but also policies to support lactating students.

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Section: Introductionmentioning

confidence: 99%

“…Student mothers are especially vulnerable to this transition because of the lack of protection by the Patient Protection and Affordable Care Act (ACA). 2 Furthermore, there is limited research regarding how student mothers manage to return to school and continue breastfeeding their infants.…”

Section: Introductionmentioning

confidence: 99%

Do American Colleges and Universities Support the Lactation Needs of Students?

Bostick

Albrecht

Baghdadi

et al. 2016

Breastfeeding Medicine

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“…Passed in 2010, the Affordable Care Act (ACA) requires insurers to provide coverage of breastfeeding supplies and support services (38). As some post-implementation analyses have shown, breastfeeding initiation rates did increase post-ACA implementation (39).…”

Section: Discussionmentioning

confidence: 99%

Childhood Obesity and Breastfeeding Rates in Pennsylvania Counties—Spatial Analysis of the Lactation Support Landscape

Blair¹,

MacGregor²,

Lee

2020

Front. Public Health

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Childhood obesity is a global public health issue. As the prevalence of childhood obesity continues to rise, identification of potential interventions by public health policy makers, and health care providers is imperative. Breastfeeding, the most optimal method of infant feeding, has been demonstrated to protect against childhood obesity. Lactation support providers (LSPs) play a key role in providing education, care, and support to families considering a feeding choice. Access to professional lactation care increases breastfeeding initiation, exclusivity, and duration rates, regardless of the credential that the LSP holds. The aims of the current study were to examine the relationship between childhood obesity and breastfeeding rates in Pennsylvania (PA) counties; to examine the relationship between geographic access to professional LSPs in PA counties and breastfeeding rates; and to examine the relationship between geographic access to professional LSPs and childhood obesity in PA counties. Data were collected on 617 professional LSPs in 67 PA counties. There are 608 Certified Lactation Counselors (CLCs) and 144 International Board Certified Lactation Consultants (IBCLCs) in PA. County-level breastfeeding rates, childhood obesity rates, and the number of CLCs and IBCLCs were tested for significance at the p < 0.01 level using a two-tailed significance test and bivariate Pearson's correlation. The results show a significant, inverse relationship between breastfeeding rates and childhood obesity prevalence at the county level, p < 0.01. There is also a significant, inverse relationship between the number of CLCs and the number of all professional LSPs and childhood obesity rates at the county level, p < 0.01. Thus, the availability of breastfeeding support is significantly related to breastfeeding rates and inversely related to childhood obesity rates across Pennsylvania.

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“…By amending Section 7 of the Fair Labor Standards Act (FLSA), the ACA also requires employers to provide reasonable break time and an appropriate place (that is not a bathroom) to express milk. While there are some noted limitations and gaps that do not address disparities, and while employers are not required to compensate nursing mothers during time spent breastfeeding [12], the ACA was a start to the increased support needed for mothers returning to work [13].…”

Section: Maternal and Child Health Prevention Effortsmentioning

confidence: 99%