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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 [email protected] http://www.uncg.edu/hhs/cwhw
Carolina Global Breastfeeding Institute, UNC at Chapel Hill
Contact: Miriam Labbok, MD, MPH [email protected]
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