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NBM 2013 Week 3: Maternity Care Practices

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Tell Congress to Maintain Funding for CDC's "Hospitals Supporting Breastfeeding" Programs

Nearly all births in the United States occur in hospital settings, and most babies (77%) start out breastfeeding. Yet hospital practices and policies in maternity settings can undermine maternal and infant health by creating barriers to a mother's decision to breastfeed. Within the first two days, nearly one-quarter of breastfed babies have already been given formula, and by six months, less than half of babies are breastfeeding at all.[1] Hospitals can either help or hinder mothers and babies as they begin to breastfeed: maternity care policies and practices significantly impact whether a woman chooses to start breastfeeding and how long she continues.

The Baby-Friendly Hospital Initiative describes Ten Steps to Successful Breastfeeding that have been shown to increase breastfeeding rates by providing support to mothers. Unfortunately, most U.S. hospitals do not fully support breastfeeding: only 7% of births occur at Baby-Friendly designated facilities.[2]

National data from the ongoing CDC survey of Maternity Practices in Infant Nutrition and Care (mPINC), which assesses breastfeeding-related maternity practices in hospitals and birth centers across the United States, indicate that barriers to breastfeeding are widespread during labor, delivery, and postpartum care, as well as in hospital discharge planning. Results of the 2011 mPINC survey showed that, on average, U.S. hospitals scored 70 out of a possible 100 points on an overall measure of breastfeeding-related maternity care. Although still low, this is an increase from an overall national score of just 63 points in 2007 and 65 points in 2009, showing steady improvement with recent sustained investment in hospital support programs.[3]

The Surgeon General's Call to Action to Support Breastfeeding; the Institute of Medicine report, Accelerating Progress in Obesity Prevention; and the National Prevention Strategy each call for the implementation of maternity care practices that are fully supportive of breastfeeding.

In alignment with this substantial progress and national recognition of maternity care practice improvement as a priority, the Senate Appropriations Committee has approved funding for the third consecutive year to support the CDC's breastfeeding programs ($15 million in FY 2014). Yet in spite of this commitment, we can't celebrate just yet. The full U.S. Senate and House of Representatives still need to vote to keep this funding in the federal budget.

That's why we need your help demonstrating support for this funding to help hospitals and communities in YOUR state. Help us tell Congress how this small investment in breastfeeding is impacting constituents and creating big health care savings.

There are three easy ways to take action:

  1. Tweet key Congressional targets: Click on the "Tweet now" links below to send customized Twitter messages to key House/Senate leaders and members of the Appropriations Committees (along with the Twitter accounts for the Appropriations Committees themselves). With Twitter, you don't have to be limited to only your legislator: consider sending messages to legislators from several states in your region, or to those that are starred (key leaders or Labor/HHS sub-committee members). Note: If you don't already have a Twitter account, the links will first walk you through easy account setup steps.
  2. Tweet your Senators and Representative: We've preloaded messages in the second chart below customized for each state. Use our easy tool to Tweet your state's Congressional delegation with just a few clicks.
  3. Visit your legislators while they are home "in district" during the August Congressional recess: The USBC, MomsRising, National Partnership for Women & Families, and National WIC Association hosted the "Action for the Summer Recess" webinar on August 8. Access the recording, slides, and toolkit materials to find everything you'll need to prepare for a visit with your legislator.

Customized Twitter Message Tool

House Appropriations Committee:

Message 1: @HouseAppropsGOP #Breastfeeding saves billions = fund CDC $15M to help hospitals w/ #MaternityCare practices #NBM13

Message 2: @HouseAppropsGOP @Surgeon_General says to ensure #MaternityCare supports #breastfeeding http://1.usa.gov/O0SqkA #NBM13

Senate Appropriations Committee:

Message 1: @SenateApprops #Breastfeeding saves billions = keep CDC $15M to help hospitals w/ #MaternityCare practices #NBM13

Message 2: @SenateApprops @Surgeon_General says to ensure #MaternityCare supports #breastfeeding http://1.usa.gov/O0SqkA #NBM13

  Target Legislator State-District Twitter Handle

Message 1

Message 2

House Leadership

Rep. John Boehner  OH-08 @SpeakerBoehner Tweet now! Tweet now!
Rep. Eric Cantor  VA-07 @gopleader Tweet now! Tweet now!
Rep. Kevin McCarthy  CA-23 @GOPWhip Tweet now! Tweet now!
Rep. Cathy McMorris Rodgers  WA-05 @cathymcmorris Tweet now! Tweet now!
Rep. James Lankford  OK-05 @replankford Tweet now! Tweet now!
Rep. Nancy Pelosi  CA-12 @NancyPelosi Tweet now! Tweet now!
Rep. Steny Hoyer  MD-05 @whiphoyer Tweet now! Tweet now!
Rep. James Clyburn SC-06
@clyburn Tweet now! Tweet now!
Rep. Xavier Becerra  CA-34 @repbecerra Tweet now! Tweet now!

House Appropriations Committee Members

Rep. Harold Rogers KY-05 @RepHalRogers Tweet now! Tweet now!
  Rep. C.W. Bill Young FL-13 *doesn't use Twitter
  Rep. Frank Wolf VA-10 @RepWOLFPress Tweet now! Tweet now!
Rep. Jack Kingston
GA-01 @JackKingston Tweet now! Tweet now!
  Rep. Rodney Frelinghuysen
NJ-11 @USRepRodney
Tweet now! Tweet now!
  Rep. Tom Latham
IA-03 @TomLatham
Tweet now! Tweet now!
  Rep. Robert Aderholt
AL-04 @Robert_Aderholt Tweet now! Tweet now!
  Rep. Kay Granger
TX-12 @RepKayGranger Tweet now! Tweet now!
Rep. Michael Simpson
ID-02 @CongMikeSimpson Tweet now! Tweet now!
  Rep. John Culberson
TX-07 @congculberson Tweet now! Tweet now!
  Rep. Ander Crenshaw
FL-04 @AnderCrenshaw Tweet now! Tweet now!
  Rep. John Carter
TX-31 @JudgeCarter Tweet now! Tweet now!
Rep. Rodney Alexander
LA-05 @USRepAlexander
Tweet now! Tweet now!
  Rep. Ken Calvert
CA-42 @KenCalvert Tweet now! Tweet now!
  Rep. Jo Bonner AL-01 @repjobonner Tweet now! Tweet now!
  Rep. Tom Cole
OK-04 @tomcoleok04
Tweet now! Tweet now!
  Rep. Mario Diaz-Balart FL-25 @MarioDB Tweet now! Tweet now!
  Rep. Charles Dent PA-15 @DentPressShop Tweet now! Tweet now!
  Rep. Tom Graves
GA-14 @reptomgraves
Tweet now! Tweet now!
  Rep. Kevin Yoder
KS-03 @RepKevinYoder
Tweet now! Tweet now!
Rep. Steve Womack
AR-03 @Rep_SteveWomack
Tweet now! Tweet now!
  Rep. Alan Nunnelee
MS-01
@repalannunnelee Tweet now! Tweet now!
  Rep. Jeff Fortenberry
NE-01
@JeffFortenberry Tweet now! Tweet now!
  Rep. Tom Rooney
FL-17
@TomRooney Tweet now! Tweet now!
Rep. Chuck Fleischmann
TN-03
@RepChuck Tweet now! Tweet now!
  Rep. Jaime Herrera Beutler
WA-03
@herrarabeutler Tweet now! Tweet now!
Rep. David Joyce
OH-14
@RepDaveJoyce Tweet now! Tweet now!
  Rep. David Valadao
CA-21 @RepDavidValadao
Tweet now! Tweet now!
Rep. Andy Harris
MD-01 @RepAndyHarrisMD
Tweet now! Tweet now!
Rep. Nita Lowey
NY-17
@NitaLowey Tweet now! Tweet now!
  Rep. Marcy Kaptur
OH-09 @RepMarcyKaptur
Tweet now! Tweet now!
  Rep. Peter Visclosky
IN-01
@repvisclosky Tweet now! Tweet now!
  Rep. Jose Serrano
NY-15
@repjoseserrano Tweet now! Tweet now!
Rep. Rosa DeLauro
CT-03 @rosadelauro
Tweet now! Tweet now!
  Rep. James Moran
VA-08
@Jim_Moran Tweet now! Tweet now!
  Rep. Ed Pastor
AZ-07
*doesn't use Twitter   Send an e-mail
  Rep. David Price
NC-04
@RepDavidEPrice Tweet now! Tweet now!
Rep. Lucille Roybal-Allard
CA-40
@RepRoybalAllard Tweet now! Tweet now!
  Rep. Sam Farr
CA-20
@RepSamFarr Tweet now! Tweet now!
  Rep. Chaka Fattah
PA-02
@chakafattah Tweet now! Tweet now!
  Rep. Sanford Bishop
GA-02 @RepRobBishop
Tweet now! Tweet now!
Rep. Barbara Lee CA-13
@RepBarbaraLee Tweet now! Tweet now!
  Rep. Adam Schiff
CA-28
@RepAdamSchiff Tweet now! Tweet now!
Rep. Michael Honda
CA-17
@RepMikeHonda Tweet now! Tweet now!
  Rep. Betty McCollum
MN-04
@BettyMcCollum04 Tweet now! Tweet now!
  Rep. Tim Ryan
OH-13
@RepTimRyan Tweet now! Tweet now!
  Rep. Debbie Wasserman Schultz
FL-23 @DWStweets
Tweet now! Tweet now!
  Rep. Henry Cuellar
TX-28
@RepCuellar Tweet now! Tweet now!
  Rep. Chellie Pingree
ME-01
@chelliepingree Tweet now! Tweet now!
  Rep. Mike Quigley
IL-05
@RepMikeQuigley Tweet now! Tweet now!
  Rep. Bill Owens
NY-21 @BillOwensNY
Tweet now! Tweet now!

Senate Leadership

Senator Harry Reid NV @SenatorReid Tweet now! Tweet now!
Senator Charles Schumer NY @chuckschumer Tweet now! Tweet now!
Senator Mitch McConnell KY @McConnellPress Tweet now! Tweet now!
Senator John Cornyn TX @JohnCornyn Tweet now! Tweet now!
Senator John Thune SD @senjohnthune Tweet now! Tweet now!
Senator John Barrasso WY @SenJohnBarrasso Tweet now! Tweet now!

Senate Appropriations Commitee Members

Senator Barbara Mikulski

 MD @senatorbarb Tweet now! Tweet now! 
Senator Patrick Leahy  VT @SenatorLeahy Tweet now! Tweet now!
Senator Tom Harkin  IA @SenatorHarkin Tweet now! Tweet now!
Senator Patty Murray  WA @pattymurray Tweet now! Tweet now!
  Senator Dianne Feinstein  CA @senfeinstein Tweet now! Tweet now!
Senator Richard Durbin  IL @SenatorDurbin Tweet now! Tweet now!
  Senator Tim Johnson  SD @SenJohnsonSD Tweet now! Tweet now!
Senator Mary Landrieu  LA @senlandrieu Tweet now! Tweet now!
Senator Jack Reed  RI @SenJackReed Tweet now! Tweet now!
Senator Mark Pryor  AR @senmarkpryor Tweet now! Tweet now!
Senator Jon Tester  MT @jontester Tweet now! Tweet now!
  Senator Tom Udall  NM @SenatorTomUdall Tweet now! Tweet now!
Senator Jeanne Shaheen  NH @SenatorShaheen Tweet now! Tweet now!
Senator Jeff Merkley  OR @SenJeffMerkley Tweet now! Tweet now!
  Senator Mark Begich  AK @SenatorBegich Tweet now! Tweet now!
  Senator Chris Coons  DE @chriscoons Tweet now! Tweet now!
Senator Richard Shelby  AL @SenShelbyPress Tweet now! Tweet now!
Senator Thad Cochran  MS @SenThadCochran Tweet now! Tweet now!
  Senator Mitch McConnell  KY @McConnellPress Tweet now! Tweet now!
Senator Lamar Alexander  TN @senalexander Tweet now! Tweet now!
  Senator Susan Collins  ME @senatorcollins Tweet now! Tweet now!
  Senator Lisa Murkowski  AK @lisamurkowski Tweet now! Tweet now!
Senator Lindsey Graham  SC @GrahamBlog Tweet now! Tweet now!
Senator Mark Kirk  IL @SENATORKIRK Tweet now! Tweet now!
  Senator Dan Coats  IN @sendancoats Tweet now! Tweet now!
Senator Roy Blunt  MO @RoyBlunt Tweet now! Tweet now!
Senator Jerry Moran  KS @JerryMoran Tweet now! Tweet now!
  Senator John Hoeven  ND @SenJohnHoeven Tweet now! Tweet now!
Senator Mike Johanns  NE @Mike_Johanns Tweet now! Tweet now!
Senator John Boozman  AR @JohnBoozman Tweet now! Tweet now!

Tweet Members of YOUR State's Congressional Delegation

Instructions:

  1. Look up the Twitter account names of your state's Members of Congress by clicking "Find Twitter handles!" in your state's row in the chart below.
  2. Once you've noted down the Twitter handles you'd like to target, come back to the chart below and click the "Tweet Now!" link in your state's row.
  3. Replace the text "PasteTwitterHandleHere" with the handle of the Congressperson you want to Tweet (make sure there is still an "@" in front).
  4. Press the blue "Tweet" button and you're done!

mPINC Score Message: [State Abbreviation] scored a [Letter Grade] on #Breastfeeding & #MaternityCare survey http://1.usa.gov/14uYBB6 Keep CDC funds to help hospitals! #NBM13

BFB Hospitals Message: [State Abbreviation] has [number] hospitals in @CDCgov @NICHQ project 2 improve #Breastfeeding & #MaternityCare practices http://bit.ly/1dppnly #NBM13

State Find Congressional Tweeters
mPINC Score Tweet
BFB Hospitals Tweet
 Alabama Find Twitter handles!
Tweet now!
(update with a legislator's Twitter handle before you send)
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 Alaska Find Twitter handles! Tweet now!
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*not a BFB state
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*not a BFB state 
 Arkansas Find Twitter handles! Tweet now!
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 California Find Twitter handles! Tweet now!
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 Colorado Find Twitter handles! Tweet now!
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 Connecticut Find Twitter handles! Tweet now!
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 Delaware Find Twitter handles! Tweet now!
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 DC
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 Florida Find Twitter handles! Tweet now!
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 Georgia Find Twitter handles! Tweet now!
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 Guam Find Twitter handles! Tweet now!
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 Hawaii Find Twitter handles! Tweet now!
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 Idaho Find Twitter handles! Tweet now!
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 Illinois Find Twitter handles! Tweet now!
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 Indiana Find Twitter handles! Tweet now!
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 Iowa Find Twitter handles! Tweet now!
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 Kansas Find Twitter handles! Tweet now!
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 Kentucky Find Twitter handles! Tweet now!
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 Louisiana Find Twitter handles! Tweet now!
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 Maine Find Twitter handles! Tweet now!
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 Maryland Find Twitter handles! Tweet now!
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 Massachusetts Find Twitter handles! Tweet now!
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 Michigan Find Twitter handles! Tweet now!
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 Minnesota Find Twitter handles! Tweet now!
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 Mississippi Find Twitter handles! Tweet now!
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 Missouri Find Twitter handles! Tweet now!
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 Montana Find Twitter handles!  Tweet now!
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 Nebraska Find Twitter handles!  Tweet now!
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 Nevada Find Twitter handles!  Tweet now!
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 New Hampshire
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 *not a BFB state
 New Jersey
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 New Mexico
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 New York
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 North Carolina
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 North Dakota
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 Ohio Find Twitter handles!  Tweet now!
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 Oklahoma Find Twitter handles! Tweet now!
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 Oregon Find Twitter handles!  Tweet now!
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 Pennsylvania Find Twitter handles!  Tweet now!
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 Puerto Rico Find Twitter handles!  Tweet now!
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 Rhode Island
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 South Carolina
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 South Dakota
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 Tennessee Find Twitter handles!  Tweet now!
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 Texas Find Twitter handles!  Tweet now!
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 Utah Find Twitter handles!  Tweet now!
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 Virginia Find Twitter handles!  Tweet now!
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 Washington Find Twitter handles! Tweet now!
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 West Virginia
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 Wyoming Find Twitter handles!  Tweet now!
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[1] Centers for Disease Control and Prevention. Breastfeeding among U.S. children born 2000-2010, CDC National Immunization Survey. Centers for Disease Control and Prevention Web site. www.cdc.gov/breastfeeding/data/NIS_data/index.htm. Updated July 31, 2013. Accessed August 17, 2013.

[2] Baby-Friendly USA. Find Facilities: Designated Facilities as of June 2013. Baby-Friendly USA Web site. http://www.babyfriendlyusa.org/find-facilities. Updated June 2013. Accessed August 17, 2013.

[3] Centers for Disease Control and Prevention. National Survey of Maternity Practices in Infant Nutrition and Care. Centers for Disease Control and Prevention Web site. http://www.cdc.gov/breastfeeding/data/mpinc/index.htm. Updated May 7, 2013. Accessed August 17, 2013.