Lactation Support Services and Breastfeeding Initiation: Evidence from the Affordable Care Act

Kapinos, Kandice A.; Bullinger, Lindsey Rose; Gurley-Calvez, Tami

doi:10.1111/1475-6773.12598

Cited by 27 publications

(25 citation statements)

References 54 publications

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“…In fact, it is evident from FITS 2016 data that breastmilk consumption was more prevalent than infant formula consumption among 12–14.9-month-olds which is encouraging news [ 34 ]. These are promising results, perhaps reflecting cultural or policy and system level changes in the acceptance and feasibility of breastfeeding and may be influenced by hospitals increasing “Baby Friendly” maternal care practices and improved lactation support through the Affordable Care Act [ 40 , 41 ]. Strategies to support and promote prolonged breastfeeding are needed, especially given the benefits not only to the child, but the mother as well [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Beverage Consumption Patterns among Infants and Young Children (0–47.9 Months): Data from the Feeding Infants and Toddlers Study, 2016

et al. 2018

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(1) Background: Data about early life beverage intake patterns is sparse. We describe beverage patterns among infants and young children from the Feeding Infants and Toddlers Study (FITS) 2016. (2) Methods: FITS 2016 is a cross-sectional survey of U.S. parents/caregivers of children 0–47.9 months (n = 3235). Food and beverage intakes were collected by 24-h dietary recalls to describe beverage consumption patterns including: a) prevalence of consumption, per capita and per consumer intake, b) contribution to intake of calories and key nutrients, and c) prevalence according to eating occasions. (3) Results: Breast milk and infant formula were commonly consumed among <12-month-olds. Among 12–23.9-month-olds, the most commonly consumed beverage was whole milk (67% consuming), followed by 100% juice (50% consuming). Plain drinking water was consumed by 70% of 12–23.9-month-olds and 78% of 24–47.9-month-olds. Among 12–47.9-month-olds, milks provided more energy and key nutrients than all other beverages. Across eating occasions, sugar-sweetened beverage (SSB) consumption, especially in the form of fruit-flavored drinks, was higher among 24–47.9 compared to 12–23.9-month-olds. Only 23–32% of ≥12-month-olds consumed milk or water at lunch or dinner. (4) Conclusions: Opportunities exist to improve beverage patterns. Future interventions may benefit from focusing on timely introduction of age-appropriate beverages and reducing consumption of SSBs.

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Section: Discussionmentioning

confidence: 99%

Beverage Consumption Patterns among Infants and Young Children (0–47.9 Months): Data from the Feeding Infants and Toddlers Study, 2016

et al. 2018

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“…Surgeon General's Call to Action to Support Breastfeeding recommends 8.6 International Board Certified Lactation Consultants per 1,000 live births. 24 In addition, under the Affordable Care Act of 2010, 25 all new health plans must cover up to six visits addressing ''comprehensive prenatal and postnatal lactation support [and] counseling'' without a copayment or other cost sharing. The large demand for IBCLCs by postpartum women and expanded coverage of IBCLCs for breastfeeding support under new insurance plans make them an ideal conduit for management of maternal cannabis use.…”

Section: International Board Certified Lactation Consultantsmentioning

confidence: 99%

Management of Cannabis Use in Breastfeeding Women: The Untapped Potential of International Board Certified Lactation Consultants

Skelton

Benjamin‐Neelon

Young-Wolff

2020

Breastfeeding Medicine

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Recent increases in maternal cannabis use, in combination with rapidly changing cannabis policies in the United States, pose a unique threat to maternal and child health. To date, 33 states and the District of Columbia (D.C.) have legalized medicinal cannabis, and 11 states and D.C. have legalized recreational cannabis. Many other states have decriminalized cannabis and are considering legalization. Recent data suggest that maternal cannabis use is increasing. Maternal cannabis use in the postpartum period, including breastfeeding women, may contribute to negative health outcomes in young children. Perinatal health professionals should work collaboratively to safeguard maternal and child health outcomes from potential adverse health effects of cannabis use. To that end, we highlight the critical role International Board Certified Lactation Consultants Ò (IBCLCs Ò) could play in postpartum management of cannabis use. IBCLCs have direct access to a large number of women shortly after delivery and throughout the postpartum period. They are an extremely well-positioned, but arguably underutilized, and are potential partners for postpartum management of cannabis use. Given the rapport IBCLCs frequently develop with their patients, these mothers may be especially willing to disclose cannabis use and be receptive to education and advice to quit cannabis use while breastfeeding. As such, we propose that the role of IBCLCs be promoted to support families with nonpunitive education about the potential risks, advice to not use cannabis while breastfeeding, and timely referral for treatment, when needed. This approach holds promise for improving the health and quality of life for breastfeeding women and their infants.

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“…21,22 Given the well-established health benefits of breastfeeding, there are opportunities for those who care for women and children to advocate for legislation that supports breastfeeding families. This includes paid parental leave policies, continued and enhanced support for lactation services and equipment (e.g., breast pumps) provided under the 2010 Affordable Care Act, 23 rights of breastfeeding mothers in the workplace and public spaces, and consistent standards and accommodations for breastfeeding in childcare facilities. There are also opportunities to better integrate lactation training into medical education 24 and evidence-based breastfeeding policies and lactation experts into medical delivery models.…”

Section: Discussionmentioning

confidence: 99%

“I Just Want to Do Everything Right:” Primiparous Women's Accounts of Early Breastfeeding via an App-Based Diary

Demirci¹,

Caplan²,

Murray³

et al. 2018

Journal of Pediatric Health Care

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Lactation Support Services and Breastfeeding Initiation: Evidence from the Affordable Care Act

Cited by 27 publications

References 54 publications

Beverage Consumption Patterns among Infants and Young Children (0–47.9 Months): Data from the Feeding Infants and Toddlers Study, 2016

Beverage Consumption Patterns among Infants and Young Children (0–47.9 Months): Data from the Feeding Infants and Toddlers Study, 2016

Management of Cannabis Use in Breastfeeding Women: The Untapped Potential of International Board Certified Lactation Consultants

“I Just Want to Do Everything Right:” Primiparous Women's Accounts of Early Breastfeeding via an App-Based Diary

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