National Breastfeeding Conference & Convening Reimagined
As a result of the coronavirus (COVID-19) pandemic, this year's in-person National Breastfeeding Conference & Convening was postponed until 2021. Read the full cancellation notice.
Many outstanding presentations had already been selected by the Conference Program Committee, so our team has "reimagined" the event as a robust series of webcast sessions. The sessions will be released during the month of August and will be offered on-demand and free of charge. We are also applying for continuing education (status pending). More information about CEs will be coming soon.
We are thrilled to be able to offer these sessions to the field during National Breastfeeding Month (and beyond!). Thank you to all of the presenters who are participating in this exciting virtual series: "NBCC Reimagined!”
Monday, August 3, 2020
Transforming Systems through Law and Policy
Advancing Health Equity in Breastfeeding Through Transformative State and Local Policy, Systems, and Environmental Change
Presented by: Gabriela Garcia, Association of State and Territorial Health Officials (ASTHO), and Harumi Reis-Reilly, National Association of County and City Health Officials (NACCHO)
- The Association of State and Territorial Health Officials convened a five-year ASTHO Breastfeeding Learning Community comprised of 16 State Physical Activity and Nutrition (SPAN) recipients in partnership with the Centers for Disease Control and Prevention (CDC). The National Association of County and City Health Officials, with funding from CDC, supports 31 (Racial and Ethnic Approaches to Community Health) REACH recipients. This presentation will share how joint efforts from ASTHO and NACCHO have strengthened collaborative partnerships between local and state entities to foster sustainable and transformative policy, systems, and environmental change to improve equity in breastfeeding.
The Role of Advocacy in Supporting Breastfeeding Moms & Addressing Health Equity
- Presented by: Tina Sherman, MomsRising
- MomsRising will give an overview of the history of policies at the federal and state levels, like paid family and medical leave and workplace accommodations. This session will highlight studies that show the positive impact that these policies have on breastfeeding and health outcomes for mothers and babies, particularly in communities of color. Presenters will identify key stakeholders and discuss the best ways to engage them. By the end of the presentation, participants will understand how the implementation of paid family leave and other public policies can increase breastfeeding rates; know how storytelling can help shape public policy; and identify the best ways they can engage as individuals, as professionals/leaders, and as a community.
Monday, August 10, 2020
Centering Voices to Create Change
Centering Patients Voices and Organizational Readiness for Change: Lessons Learned from NYC Hospitals' Baby-Friendly Implementation
Presented by: Jenna McCready, Brittany Wright, and Debbie Tennant, New York City Department of Health and Mental Hygiene
A rapid increase in the number of maternity facilities participating in the Baby Friendly Hospital Initiative (BFHI) has demonstrated that efficacious implementation of the Ten Steps to Successful Breastfeeding and achieving safe and empowering perinatal care requires radical individual and systems-level transformation. Hospital cultures must change in order to cultivate positive staff attitudes and genuine humility, ensure equitable care, and respectfully place birthing parents at the center of care. The New York City (NYC) Breastfeeding Hospital Collaborative (BHC) aims to increase the number of Baby-Friendly Designated NYC maternity facilities. BHC is driven by a purpose: improve the health of NYC's birthing parents and babies and do so using an equity lens and mirror. Achieving and sustaining Baby-Friendly designation in a way that addresses inequity requires more than just reaching the 80% threshold in the Ten Steps. It requires amplifying birthing parents' voices and experiences, while increasing the commitment and ability of the staff. This presentation will highlight lessons learned from developing a set of user-friendly data collection tools that ensure the patient is the voice of the system. The presentation will also feature the results of the Carolina BKAP survey, modified to include equity principles, to measure participating hospital staff's knowledge, attitudes, practices, and "organizational readiness for change" to inform and reflect change over time. Participants will be introduced to ready-to-apply measurement methods, both for data-driven improvement efforts as well as evaluation of organizational readiness for change.
Big Ship Turning: Changing the Culture of Feeding Black Babies
Presented by: Renae Maree Green, Healthy Start, Inc.: Healthy Start Center for Urban Breastfeeding program
- This session will highlight the impact of creating a continuity of care model that extends from pregnancy throughout the postpartum period to support black families in their decision to breastfeed. While experts recognize that breastfeeding is overwhelmingly beneficial for babies, there are large differences in breastfeeding rates for African American women; many of whom don't have access to information, awareness of health benefits, or lack social support around sustaining breastfeeding through infancy and beyond. Establishing a program to support families in-home not only reduces barriers to receiving care externally but has been successful in sustaining breastfeeding duration rates.
Monday, August 17, 2020
Innovative Solutions for Coordinating Care
The Breastfeeding Toolkit: Utilizing a Rapid Innovative Process to Expand Lactation Resources in Rural Hawai'i
Presented by: Jennifer Elia, Krista Olson, Amber Granite, and Sasha Alexander, Hawaii Statewide Breastfeeding Workgroup
- "Yes You Can: A Breastfeeding Toolkit" puts concrete tools and guidance for breastfeeding support into the hands of families served by Federally Qualified Health Centers in rural Hawai'i. Developed by rural breastfeeding champions using a rapid innovation process, the Toolkit offers busy pediatric providers concrete resources for families experiencing breastfeeding challenges in the early weeks. This session will introduce participants to the innovative "Smallify Lab" process used to engage stakeholders to build a prototype toolkit to disrupt common causes of early breastfeeding cessation in low-resource communities. We will have hands-on opportunities to explore our "Toolkit" and a brief experience using rapid innovation tools to generate solutions to other consistent access to care challenges.
Outside the Box: The Virtual Baby-Bistro & Increasing Rural Access to Breastfeeding Support
- Presented by: Sara Nestor, Cassie Craft, and Terry Miller, Plains Montana Breastfeeding Task Force
- Montana is a largely rural state with a population of just over one million but is the fourth largest state in total square miles (145,545 square miles). The CDC indicates that infants born in rural areas are less likely to ever breastfeed than infants in urban areas. Increasing access to lactation support within Montana communities is key in increasing both initiation and duration rates for breastfeeding mothers and babies. Launched by a critical access hospital in rural Montana, the highly successful and interactive, Virtual-Baby Bistro, aimed to circumnavigate these access challenges by thinking outside the box and using the social media platform to provide quality breastfeeding support and education to their rural Montana community and beyond. The Virtual Baby-Bistro extends to families not just in their own community, but across Montana. This session will provide a "How- To" and highlight personal experiences of setting up this initiative.
Addressing Community Gaps in Breastfeeding: From Hospital to First Visit
Presented by: Jennifer McAllister, Robin Steffen, Suzanne W Crable, Erica Walters, Julie Ware, and Laura Ward, Cincinnati Children's Hospital Medical Center
- Although there is an increasing trend for more mothers to initiate breastfeeding in the US, there is a rapid decline after initiation, and racial disparities persist. Join us to learn how to "Steal Shamelessly and Share Generously" with Quality Improvement! This session will address the gaps in breastfeeding for those babies who initiate breastfeeding in the hospital but are no longer receiving any mother's milk at the first outpatient "Newborn Visit." A multidisciplinary team will review breastfeeding data identifying the disparity between initiation and continuation of breastfeeding. Key drivers have been identified to direct intervention efforts. Through maternal interviews, reasons for breastfeeding discontinuation were explored. Interventions will be described that have been instituted to address the gap.
Monday, August 24, 2020
Optimizing Support for All Populations
Breastfeeding Without Nursing: Evidence-Based Best Practices to Support Exclusive Milk Expression
- Presented by: Fiona Jardine, University of Maryland
- The number of breast/chestfeeders exclusively pumping is increasing, yet little research focuses on this community. This presentation will report the results from a survey of over 2,000 exclusive pumpers, focusing on why they started and ceased to exclusively pump, how long they exclusively pumped for, and the reactions they experienced. Evidence from this study and other literature will be presented so attendees can build a set of best practices for supporting exclusive pumpers.
Optimizing Lactation Care for Diverse Populations
- Presented by: Nina A. Juntereal and Diane Spatz, American Academy of Nursing
- The purpose of this session is to characterize the role of nurses as change agents in increasing access to lactation care for diverse populations. This session will assess the current system and policy level infrastructures in place and the mechanisms in which nurses intervene to support the needs of childbearing families pursuing breastfeeding. Nursing interventions discussed target vulnerable populations such as adolescents, same-sex female parents, and homeless individuals who are at high risk for suboptimal breastfeeding outcomes.
Evidence-Based Practice Guideline: Breastfeeding Support of the Active Duty Servicewoman
- Presented by: Heidi A. Koslo, Alaska Breastfeeding Coalition
- The session will cover the recent development of an evidence-based practice guideline (EBPG) for use in the military health system, ideally by the Defense Health Agency (DHA), representing and providing healthcare for the Department of Defense (DoD). The U.S. military is populated with families of child-bearing age; over one-third of the active duty (AD) forces in 2016 were aged 20 to 24 years. Strongly represented are groups that historically have not been well-supported in achieving successful breastfeeding, including Hispanic and African American women. Currently, existing policies, and advancement and coordination of such policies under an EBPG and over-arching policy within the DHA, should increase equity in support of military families attempting to meet their breastfeeding goals.
Monday, August 31, 2020
Advancing Breastfeeding Agency in the Community
Advancing Birth Equity Through Leadership Development for Community-Based Birth Workers
- Presented by: Brenda Reyes, Jaqueline Lambert, and Monica Esparza, HealthConnect One
- In 2017, with the support of the W.K. Kellogg Foundation, HealthConnect One developed the Birth Equity Leadership Academy (BELA) in order to develop and support grassroots leadership that will impact communities' capacity to analyze and understand maternal and child health issues, impact and ignite maternal child health (MCH) conversations through a grassroots platform of community-identified priorities, and strengthen grassroots voices around MCH/breastfeeding to change the environment and context that affects the health of children. This project included a multi-pronged approach to advance the leadership capacities of a network of 125 community leaders. This included mentoring, webinars, regional meetings, retreats, establishing partnerships with regional and national organizations, and funding for community projects. BELA is a pilot project that lifted many lessons that can be used to guide future iterations of leadership development for birth equity.
Analyzing Chocolate Milk: Evidence for narrative as a vehicle for behavior change and community building
- Presented by: Elizabeth Bayne, Graybayne Film/Media
- "Chocolate Milk: The Documentary" was instrumental in increasing community support for black breastfeeding mothers by galvanizing organizations, the public, and policymakers through the 253 community screenings of the film held in August 2019. In this session, the results of an audience survey and the overall findings from the national social impact campaign for the film will be presented, demonstrating the value of narrative in raising awareness and community support for breastfeeding.
Health Equity in WIC: Successes and Opportunities for Improved Services
- Presented by: Darlena Birch and Quinney Harris, National WIC Association
- The National WIC Association is working to bring attention to how the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) addresses issues of health equity while identifying opportunities for improved equity throughout the program. In 2019, NWA secured full funding for the Breastfeeding Peer Counseling Program at $90 million which will help to address the equity issues that often plague breastfeeding rates in the US. Additionally, two of the organization's task forces, the Infant Mortality Task Force and the Maternal Mortality Task Force, have worked to elevate two distinct issues that are deeply tied to equity. Lastly, the organization's advocacy priorities such as the Wise Investment in our Children (WIC) Act, would further strengthen the program and help address issues of equity.
Monday, October 5, 2020
Sleeping Safely While Breastfeeding
Combined Breastfeeding and Safe Sleep Messaging
- Presented by: Stacy Scott, National Action Partnership to Promote Safe Sleep Improvement and Innovation Network (NAPPSS-IIN)
- This session will take a deep dive into what it takes to create this shared national goal of reducing sleep-related infant deaths by looking at challenges and successes from the National Action Partnership to Promote Safe Sleep Improvement and Innovation Network (NAPPSS-IIN), a five-year project funded by the Health Resources and Services Administration Maternal and Child Health Bureau. NAPPSS-IIN is working to make safe infant sleep and breastfeeding a national norm by aligning stakeholders across multiple care settings to promote strategies that empower at-risk infant caregivers and families to follow recommended sleep and breastfeeding practices.
Bedsharing and Breastfeeding: recent Revision to ABM's Protocol #6
- Presented by: Kathleen Marinelli, Academy of Breastfeeding Medicine
- The revised ABM Clinical Protocol #6, "Bedsharing and Breastfeeding," is well-aligned with this year's USBC theme. It includes recent evidence supporting the statement that bedsharing promotes breastfeeding, as well as global evidence that bedsharing in the no-other-risk category may be done safely with guidance, even in the youngest age categories. Different cultures practice breastfeeding and safe sleep in diverse ways. Traditional sleep environments vary according to culture and provide opportunities for conversations to minimize the risk of Sudden Unexpected Infant Death (SUID) while promoting continued breastfeeding. Recognizing that bedsharing is common, it is important to engage families in trusted relationships so conditions that increase the risk of SUID when bedsharing can be discussed in a non-judgmental manner. The historical framework, epidemiological evidence, and strategies for counseling will be discussed.
Partial funding for this conference is provided by the Centers for Disease Control and Prevention.