7th

Symposium on Breastfeeding and Feminism

Considering Women in Advancing

the Surgeon General’s Call to Action

29-30 March 2012

Downtown Marriott

Greensboro, North Carolina

Sponsored by:

Center for Women’s Health and Wellness, UNC at Greensboro

Contact: Paige Hall Smith, PhD phsmith@uncg.edu http://www.uncg.edu/hhs/cwhw

Carolina Global Breastfeeding Institute, UNC at Chapel Hill

Contact: Miriam Labbok, MD, MPH labbok@unc.edu

http://cgbi.sph.unc.edu/

Center for Women’s Health and

Wellness School of Health and Human Sciences

To participants and presenters We welcome you to the 7th Breastfeeding and Feminism Symposium: Considering Women in Advancing the Surgeon General’s Call to Action. This symposium is a highlight of our year – the ideas and discussion are stimulating and we love the opportunity to reconnect with old friends and make new ones. We hope you feel the same. This year we have 13 graduate students who are presenting and an additional 18 (or so!) graduate students in attendance. This abundance of students is a good indication that there is a growing interest in breastfeeding research, practice and policy among the next generation. We also have a young faculty member onsite who is seeking to interview breastfeeding advocates for a research study. Paige is thrilled to be able to extend this courtesy, as someone who got her own research started by interviewing women at conferences and social gatherings. And of course, we have many in attendance who have decades of experience -- we hope you will all find time to meet and greet and take the opportunity to share with, and learn from, each other. We would like thank our staff for their hard work to make this symposium a reality:

Kristi Moore, a second year MPH student in the Department of Public Health Education and GA in the Center for Women’s Health and Wellness

Thea Calhoun-Smith, Business Services Coordinator, Carolina Global Breastfeeding Institute, Department of Maternal and Child Health,

We also extend a thank you to Adriene Heffner and Lynn Browning with the Greensboro Marriott for being so accommodating and patient. Finally we acknowledge that funding for this symposium is provided almost exclusively through registration fees with supplementary funding provided by the Doris S. Tanger Fund for the Center for Women’s Health and Wellness and from the Carolina Global Breastfeeding Institute. Welcome,

Paige Hall Smith, MPSH, PhD Miriam H Labbok, MD, MPH, FACPM, IBCLC, FABM Director, Center for Women’s Health and Wellness Professor, Department of Maternal and Child Health

Assistant Professor, Public Health Education Director, Carolina Global Breastfeeding Institute (CGBI)

Considering Women in Advancing the Surgeon General's Call To Action

7th

Breastfeeding and Feminism Symposium

Symposium Purpose

The US Surgeon General issued a Call to Action to Support Breastfeeding in 2011. Surgeon General Dr. Regina

Benjamin writes that she issued this call “because the time has come to set forth the important roles and

responsibilities of clinicians, employers, communities, researchers, and government leaders and to urge us all to take

on a commitment to enable mothers to meet their personal goals for breastfeeding”. This call to action sets forth 6

areas for action. The Call to Action addresses issues similar to those put forward by the European Union Blueprint for

Breastfeeding. Presenters, from the US beyond, will discuss the ways in which we can implement programs, policies,

research and other actions that engage women, empower women, build upon and value women’s knowledge and

experiences, and keep women’s needs and gender issues at the forefront as we advance the Call to Action.

This symposium seeks to identify and analyze how the Surgeon General’s Call to Action to Support Breastfeeding

might be advised by women’s viewpoints and feminist insights to support development of comprehensive, politically

knowledgeable, and culturally sensitive interventions.

Symposia Background

Academicians, practitioners, and evidence-based activists have gathered for a symposium on Breastfeeding and

Feminism nearly annually since 2005. Dr. Paige Hall Smith began this tradition as the Linda Arnold Carlisle Professor

of Women’s and Gender Studies at the University of North Carolina at Greensboro, inviting Bernice Hausman, author

of Mother’s Milk: Breastfeeding Controversies in American Culture, to give the keynote lecture at the inaugural event.

In 2006, when Dr. Miriam Labbok founded and became the director of the Carolina Global Breastfeeding Institute at

the Gillings School of Global Public Health at the University of North Carolina, Chapel Hill, CGBI became a co-

sponsor of the symposia. Two symposia received financial support from the United States Department of Health and

Human Services, Office of Women’s Health, and in 2011, the symposium partnered with the Coalition for Improving

Maternity Services annual meeting.

The six Breastfeeding and Feminism Symposia have stimulated a growth in public discourse and scholarship on the

sociocultural, economic, and political constraints to women’s infant feeding choices. In addition, the symposia have

focused attention on how public health approaches to breastfeeding must go beyond promoting health to include

serious consideration of the realities of women’s lives, which are complicated by structural inequities that feminists

investigate through gender, race, and class analysis.

Our view is that the public health goal to improve breastfeeding is intertwined with the feminist goal to improve the

status of women. Over the years presentations have covered a wide variety of topics offering historical, political, health

care, economic, public health, sociological, literary, and public policy perspectives on breastfeeding support, policy,

and practice. Through these symposia we seek to identify how we can improve the social, economic, political and

cultural environment that enables women to breastfeed and to continue their participation in social, economic,

community and political life.

Outcomes have included publications, such a special thematic issue on Reproductive Health, Rights and Justice in the

International Journal of Breastfeeding (August 2008), and an upcoming book from Rutgers Press, “Beyond Health

Beyond Choice: Breastfeeding Constraints and Realities.”

Approach:

The symposium is a transdisciplinary effort to address public health, economic, sociological, cultural, historical, and

feminist perspectives on breastfeeding. We seek to emphasize the impact that gendered power dynamics and

structured social stratification might offer for public health policies, priorities and approaches that are related to

breastfeeding. To this end, the symposium this year explores each of the major action areas proposed in the Call to

Action, and similar documents in other countries and regions.

Expected Outcomes: Invited experts will provide inputs on how we can best “consider women” through their presentations and in our group

discussion we will address applications and use of the information provided. A summary of the outcomes of this

meeting will be disseminated both to program participants, and beyond, to continue the dialog and discussion.

Acknowledgements:

The organizers would like to thank all presenters and participants, the Greensboro Marriott, the Doris Tanger Fund of the Center for Women’s Health and Wellness, and the Carolina Global Breastfeeding Institute. We offer a special thank you to Thea Calhoun-Smith of the Carolina Global Breastfeeding Institute and Kristi Moore of the Center for Women’s Health and Wellness for their hard work organizing this event. Continuing Education: 13.5 hours of L and 1 hour of E CERPs have been applied for and are under active consideration. We have also

applied to offer CEUs at an additional $15 on site.

Considering Women in Advancing the Surgeon General’s Call to Action

7th Breastfeeding and Feminism Symposium March 29-30, 2012 Downtown Marriott Greensboro, NC

Sponsored by Center for Women’s Health and Wellness, UNC-Greensboro

http://www.uncg.edu/hhs/cwhw and

Carolina Global Breastfeeding Institute, UNC-Chapel Hill http://tinyurl.com/CGBI-BFFem

Agenda

Day 1: March 29, 2012 – Virginia Room Thursday Morning

Activity Speaker Presentation Title

8:30AM Registration and Coffee 9:15AM Welcome Terry Shelton, PhD

Vice-Chancellor for Research and Economic Development UNC Greensboro

Paige Smith, PhD Miriam Labbok, MD, MPH, IBCLC

What should we expect to achieve in the next two days?

9:35AM Opening Address and Discussion

Suzanne Haynes, PhD Office of Women’s Health Representing the Surgeon General’s Office

Call to Action: Including women’s and families’ agendas in planning action on the Six Action Areas

10:20AM Break 10:40AM Keynote

and discussion

Jacqueline H. Wolf, PhD Professor and Chair, Department of Social Medicine, Ohio University

Effective (and Not So Effective) Breastfeeding Campaigns of Yesteryear

11:20 AM Address and discussion

Miriam Labbok, MD, MPH, IBCLC Carolina Global Breastfeeding Institute, Department of Maternal and Child Health, Gillings Global School of Public Health, UNC Chapel Hill

What is Breastfeeding? Addressing women’s interests in Call to Action activities

12:00 Lunch – Georgia Room

Thursday Afternoon

Activity Speaker Title

1:00PM

Panel and discussion: Supporting Mothers and Families

Deborah McCarter-Spaulding, PhD, Associate Professor of Nursing at Saint Anselm College

Moderator

Keren Epstein-Gilboa, PhD, MEd, BSN, FACCE, LCCE, IBCLC, RLC Private practice, Ryerson University

Systemic Interaction in families engaging in physiological breastfeeding

Center for Women’s Health and Wellness School of Health and Human Sciences

Jane Grassley, PhD, RN, IBCLC School of Nursing, Boise State University

Supporting adolescents as they initiate breastfeeding

Brittany Chamberlain, PhD Student Medical Anthropology University of North Carolina at Chapel Hill

African-American Mother’s Decision-Making: Qualitative data from the CPC Infant Care and Risk of Obesity Study

Erin A Wagner, MS Center for Interdisciplinary Research in Human Milk and Lactation, Cincinnati Children’s Hospital Medical Center

Challenges Facing First Time Mothers: Results from the Early Lactation Success Study

2:15PM 5 minute stretch

2:20PM Panel and discussion: Public Policy and Public Perspectives

Ursuline Singleton, MPH, RD HHS Office on Women’s Health

Moderator

Debra Prosnitz, MPH ICF International

Estimating impact on mortality: Increased BF rates = lives saved

Nathan C. Nickel, MPH, PhD Carolina Global Breastfeeding Institute, Department of Maternal and Child Health, Gillings Global School of Public Health, UNC Chapel Hill

The Ten steps to Successful Breastfeeding

Jennifer Yourkavitch, MPH, CLC, ICF International

NGOs Promote and Support Breastfeeding to Improve Child Survival Around the World

3:20PM Break 3:40PM Including discussion

Panel and discussion: Messages and communications

Jennifer Lucas, PhD Assistant Professor of Politics at Saint Anselm College

Moderator

Emily B. Anzicek, PhD Department of Communication, Bowling Green State University

Normalizing breastfeeding through television

Kathy Parry, LBMT, CEIM, MPH Candidate in MCH, 2012, Carolina Global Breastfeeding Institute, Gillings School of Global Public Health, UNC Chapel Hill

Discovering women’s understanding of infant formula advertising

Samantha Cohen Tamulis, PhD Candidate, Department of English, University of California, Irvine

Intimacy and the breast: Combating cultural impediments to successful breastfeeding relationships

4:40PM Closing Address

Nora Doyle, PhD Candidate in History UNC-Chapel Hill

Duty, Pleasure, and the Eroticization of Breastfeeding in Eighteenth- and Nineteenth-Century America

5:20PM Wrap up and discussion 5:30PM Poster

Reception

6:30PM Optional Group Dinner

Day 2: March 30, 2012 – Virginia Room Friday Activity Speaker Title 8:30AM Morning Refreshments 9:15AM Opening Paige Smith, PhD

Miriam Labbok, MD, MPH, IBCLC Burning Issues from Yesterday

9:30AM Keynote and discussion

Jennifer Swanberg, PhD, MMHS, OTR University of Kentucky

Work-Family Life Balance Innovations

10:15AM Break 10:30AM Panel and

discussion: Gender and Breast-feeding

Emily Taylor, MPH, LCCE, CD(DONA) Moderator Paige Hall Smith, PhD Center for Women's Health and Wellness, UNC Greensboro

The Boob or the Pump: Does the feeding method matter at work?

Ana M. Parrilla Rodríguez, MD, MPH, FABM, LCCE, School of Public Health, University of Puerto Rico

Birth and breastfeeding

Aimee R. Eden, MA, PhD Candidate University of South Florida

The Gendered Profession of Lactation Consulting: Implications for IBCLC Professionalization and Practice

11:30AM Group work Paige/Miriam Identify major themes that have emerged as basis for later discussion

12:00 LUNCH – Georgia Room

Friday Afternoon

Activity Speaker Title

1:00PM Concurrent Session A/B Panel A:

Mother Support: A Global and cultural Perspectives Virginia Room

Christina Smillie, MD Moderator Beverly Rossman, PhD, RN Rush University College of Nursing, Chicago, IL

The Rush Mother’s Milk Club: A comprehensive approach for the NICU

Adrienne Gilbert, MPH Candidate 2012, Rollins School of Public Health, Emory University, and CARE International

Barriers and Facilitators to Implementing Mother-to-Mother Support Groups to Promote Breastfeeding in Ayacucho and Apurimac, Peru

Molly Pilloton, MPH Candidate 2012 and William MacWright, MPH Candidate 2012, Rollins School of Public Health, Emory University, with CARE-USA

Evaluating functional and non-functional mother to mother support groups in promotion of optimal IYCF practices using the health belief model in Sierra Leone and Indonesia

Kerry Kelly, ARNP, MPH Children’s Nutrition Program of Haiti

Leveraging our Existing Program Base to Expand Breastfeeding Support and Education in Haiti

Panel B: Implementing the Business Case for Breast-feeding Carolina Room

Isadora Hare, MSW, LCSW Division of Healthy Start and Perinatal Services Maternal and Child Health Bureau, Health Resources and Services Administration, US DHHS

Moderator

Ursuline Singleton, MPH, RD US DHHS Office on Women’s Health

Business Case for Breastfeeding (BC4BF) Overview

Liz Marshall, MPH Paul D. Camp Community College, Franklin, VA; and Consortium for Infant and Child Health (CINCH)

Mothers’ Perspectives on Breastfeeding at Work: Small Group Discussions from the Business Case for Breastfeeding Implementation

Amy Paulson, BS, BA, MPH Consortium for Infant and Child Health (CINCH), Division of Community Health & Research, Department of Pediatrics, Eastern Virginia Medical School

Implementing the Business Case for Breastfeeding—Furthering Maternal and Child Health through Business and Other Partnerships

Cheza Garvin, PhD, MPH, MSW Consortium for Infant and Child Health (CINCH), Division of Community Health & Research, Department of Pediatrics, Eastern Virginia Medical School

Evaluating the Business Case for Breastfeeding Implementation Project – A Systems Change Approach

2:15PM Break 2:30PM

Concurrent Session C/D Panel C: Improving Health Care Response Virginia Room

Linda Smith, MPH, IBCLC Founder and CEO, Bright Future Lactation Resource Center

Moderator

Sharon Kay Corriveau, MSN, CFNP, RN, IBCLC, DNP Candidate University of Virginia Loudoun Pediatric Associates Leesburg, Virginia

A Nurse Practitioner led Evaluation of a Clinical Protocol in the Primary Care Setting to Increase the Exclusivity and Duration of Breastfeeding to Six Months of Age

Erica H. Anstey, MA, CLC PhD Candidate College of Public Health University of South Florida

From Margin to Center: Family-Centered Care as an Approach to Improve Breastfeeding Success

Karen Wambach, PhD, RN, IBCLC, University of Kansas School of Nursing

Experiences of exclusive breastfeeding among Latino women

Ellen Chetwynd, RN, BSN, IBCLC, MPH UNC Chapel Hill

Health insurance reimbursement for LC’s: Results from a national survey

Sherry Mukasa Matemachani, CHES Indiana University School of Nursing

Operation initiation: a look through the window of opportunity

Panel D: State-level Breast-feeding Initiatives and Improving the public health infrastructure Carolina Room

Ellen Schleicher Pliska, MHS, CPH Association of State and Territorial Health Officials (ASTHO)

Moderator

Lisa A. Davis, MBA, BSN, RN Deputy Commissioner CT Department of Public Health

Connecticut

Mariannette Miller-Meeks, MD Director, Iowa Department of Public Health

Iowa

Catherine Sullivan, MPH, RD, LDN, IBCLC, RLC Nutrition Services Branch, Division of Public Health, North Carolina Department of Health and Human Services

North Carolina

Emily Taylor, MPH, LCCE, CD(DONA) Carolina Global Breastfeeding

Interstate Collaborative to Support Widespread Implementation of the

Institute, Department of Maternal and Child Health, Gillings Global School of Public Health, UNC Chapel Hill

Ten Steps to Successful Breastfeeding

4:00PM Prepare for Working Group Exercise 4:15PM Structured Working Groups: Setting the Agenda for

Considering women in advancing the Surgeon General’s 6 Action Areas: Outcomes of the discussions

To ensure consideration of women’s issues, what do we recommend for those taking action on the Call?

5:15PM Report out and consensus Statement from Conference: all sign 6:00PM Wrap Up/ Closing