April 2017
Connecting for Collective Impact

What's Inside...

Director's Message:  Lessons Learned from 2017 CBC Summit, Baby-Friendly Hospitals update, Mother-Baby Friendly Workplace Awards
Take Action Now:  Sign the Petition "Respect The Breast: Amtrak Needs To Change Its Breastfeeding Policy"
Timely Opportunities:  USBC 2017 Coalition Conference Scholarships, USBC webinar, NACCHO Public Health Breastfeeding webinar, Mother-Baby Family Workplaces Nominations 
Tools for Change: Updated ABM Supplementation Protocols, Breast Massage video w/ Spanish captions, CDPH Infant Feeding Guide
Legislative Updates: Senate Bill 63/Jackson
Visual Sharing Table:  "The Sacred Hour and Beyond" Workshop by Healthy Mothers Healthy Babies Coalition of San Benito County
Advocate Voices: "The Shame of the Nursing Mother" by Megan Soto
News & Research:  Locally and Around the World
Mark Your Calendars:  Upcoming Events

This first quarter of the year has flown by! It is incredible to believe it's April and we are welcoming Spring.  We had a successful 7th annual California Breastfeeding Summit in Anaheim at the end of January with 500 attendees.
Thank you to everyone who attended, presente d, exhibited, and volunteered! Of the many ex periences and lessons we shared together, what emerged was a renewed  commitment to removing all barriers to breastfeeding specifically by identifying and addressing the root causes of racial breastfeeding disparities. Yes, it is easy to agree that we all want equitable breastfeeding support for all women in California. But to accomplish that, we have to spend the time examining the root causes for the disparities and inequities and be part of the solutions. This work is not easy and might be uncomfortable, but it is necessary. Frost said, "The only way out is through," and the only way through is together.  What are you doing in your communities to address the roots of racial breastfeeding disparities? Share - californiabreastfeeding@gmail.com

The 2017 Summit presentations are now posted on the CBC website.  Take advantage of this opportunity to view and download all of the great presentations from the Summit.

Since the summit we have three newly designated Baby-Friendly Hospitals. A big congratulations to Ronald Reagan UCLA Medical Center (January), Marin General Hospital (February), and Memorial Hospital of Gardena (February)! The Baby-Friendly Hospital Initiative is one of the solutions to creating breastfeeding equity in California.

May 23rd at the State Capitol is the Mother-Baby Family Workplace Award Ceremony. Please nominate businesses in your area that have a workplace lactation accommodation policy or guidelines, and who support their employees to continue breastfeeding when returning to work. More info available in this newsletter.

Please take time to read this newsletter and share your feedback with

Sign the Petition! Tell Amtrak to "get on board" with breastfeeding-supportive policies
On February 12, 2017, mother-of-three Moon Afrykayn Moon was traveling to Pittsburgh from Los Angeles on Amtrak and started to breastfeed her hungry child. She was not disruptive, and not doing anything illegal. Nonetheless, she was embarrassed, harassed, and had her legal rights violated by conductor Robert Baker and staff. They attempted to have her cover up and repeatedly told her to stop "exposing" herself on a "family-oriented train."  She was told to cover herself on "the conductor's train." 

Moon started a petition (initial goal of 50,000, then 100,000 signatures) to ask Amtrak:

1. Post on their website and social media sites  a detailed breastfeeding policy that reflects the federal and other state laws to protect the breastfeeding mother.
2.  Employees get infractions for violating the breastfeeding policy. The infractions/punishment increase with continuous violations of said policy.
3.  Conductor Robert Baker and the attendant publicly apologize to me for attempting to force me to cover up and speaking to me in a scolding manner. 

Read the full Huffington Post article here
Sign the petition here

Apply now - USBC accepting scholarship applications for 7th 
National Breastfeeding Coalitions Conference
The deadline to apply for scholarships for the 7th National Breastfeeding Coalitions Conference (NBCC) is Friday, May 5th, 2017. The conference will be held August 4-6 in Arlington, Virginia. The USBC is offering two scholarships: Legacy Scholarship awarded to 2 emerging coalition leaders, and Tribal/Native Trailblazer Scholarship awarded to emerging leaders in tribal/native communities.
The conference has a continued focus on enhancement of breastfeeding coalitions' capacity to implement The Surgeon General's Call to Action to Support Breastfeeding through policy and practice change, with an emphasis on racial equity and community engagement.

TODAY 11am-12noon, 1pm-2pm Participate in free webinar "Defining Cultural Competency" by D.C. Breastfeeding Coalition 

The  CDC Division of Nutrition and Physical Activity   and the    United States Breastfeeding Committee    co-host this series of Bi-Monthly S t a te Breastfeeding Coaliti ons Webinars, held every two months (in even numbere d months)  on the second Tuesday of the month. They bring together state/territorial/tribal breastfeeding coalitions to share best practices and news and to network and collaborate on issues of national significa nce.  Access to these webinars is open to all interested breastfeeding coalition members. 

When: Webinar TODAY April 12th, 11am-12pm PT (2-3pm ET)
              Post-webinar discussion 12-1pm PT (3-4pm ET)
What: "Defining Cultural Competency"
Who: Mudiwah Kadeshe, MSN, RN, CCE, IBCLC
           Vice President and Director of Programs/Grant Management. D.C.
           Breastfeeding Coalition 
More: Webinar presentation will explore the visible and non-visible aspects of culture, how cultural factors influence breastfeeding in the African-American community, and how to expand and sustain the reach of your Coalition. Serving a community of predominantly low-income families of color, with a lack of breastfeeding knowledge and limited support, the D.C. Breastfeeding Coalition is known for its ability to leverage funds to advance community breastfeeding goals.

Learn more about bi-monthly CDC-USBC coalition webinars here

NACCHO Webinar April 19th - "Breastfeeding in the Community: Moving From National Programs to Local Initiatives"

Join the National Association of County and City Health Officials (NACCHO) for the fifth webinar in their Public Health Breastfeeding Series on April 19th 11am-12:30pm. This  webinar will explore how breastfeeding has been woven into the performance measures of national public health programs, such as Title V, Healthy Start, Early Head Start, and Maternal Infant and Early Childhood and Home Visiting (MIECHV). The webinar will address how frontline public health professionals can engage these programs to advance breastfeeding initiatives at the community level. Presenters include:  Association of Maternal and Child Health Providers (AMCHP) Maternity Care Coalition (MCC), and the  Kansas Breastfeeding Coalition

Mother-Baby Friendly Workplace Awards - Call for Nominations!

On May 23rd at the State Capital, the California Breastfeeding Coalition will recognize businesses for their exemplary efforts to support lactating employees by creating breastfeeding policies, ensuring all staff are aware of their polices and talking with expectant mothers about accommodating their breastfeeding needs when they return to work. These criteria ensure compliance with existing California and Federal laws requiring employers to provide time and space for employees who want to express their milk.

Accepting nominations now!  Please nominate businesses in your area that have a workplace lactation accommodation policy or guidelines and support employees to continue breastfeeding when returning to work.

Updated Clinical Protocol on Supplementation from the Academy of Breastfeeding Medicine 
The Academy of Breastfeeding Medicine (ABM) released an updated Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Nefonate. A central goal of ABM is the development of clinical protocols for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care.

"The Basics of Breast Massage and Hand Expression" video by Maya Bolman & Ann Witt - available with Spanish captions
The "Basics of Breast Massage and Manual Expression" by Maya Bolman, IBCLC and Ann Witt, MD, FABM is a well-used resource for teaching mothers to use gentle massage techniques as empowered self-treatment of engorgement and plugged ducts. This video is also recommended for practitioners to hone their massage techniques. Translated with Spanish captions by Veronica Garea, MS, PhD, IBCLC, these videos are excellent teaching tools and resources for mothers and professionals alike. 

Read "Recapturing the Art of Therapeutic Breast Massage during Breastfeeding"  (Bolman, Saju, Oganesyan, Kondrashova, Witt)

California Infant Feeding Guide by the California Department of Public Health
Produced by the California Department of Public Health (Dec 2016) and authored by Suzanne Haydu, MPH, RD and Ryan Gamba, MPH, the California Infant Feeding Guide serves as a comprehensive resource for feeding children ages birth to one year. With exclusive breastfeeding as the key foundation and always through the lens of breastmilk-feeding, the guide covers a wide range of subjects such as human milk banking, cup or bottle feeding methods, feeding recommendations and nutrient needs according to development stages, food sensitivities, and indications of and safe preparation of commercial artificial milk substitutes.

Read online and download the guide here

On Tuesday, April 4th HMHB of San Benito hosted, "The Sacred Hour and Beyond" workshop at the San Juan Oaks Golf Club. Attended by 75 participants, the featured speaker was Raylene M. Phillips, MD, MA, IBCLC, FABM, FAAP. Dr. Phillips is an assistant professor of pediatrics at Loma Linda
 University Children's Hospital - Division of Neonatology. 
Dr. Phillips spoke about the sacred hour of uninterrupted skin-to-skin immediately after birth, and the many physiological and emotional benefits for mother and child, as well as its facilitation of an optimal start to exclusive breastfeeding. Dr. Phillips additionally spoke about the time "beyond the sacred hour," and what can be done to support exclusive breastfeeding in the early postpartum period. 
Attendee Rene Stewart RN, from workshop sponsor Hazel Hawkins Memorial Hospital, Women's Center shared, "It was an excellent workshop and beautiful venue. We are excited to implement the best care practices that were presented and look forward to more workshops in the future."

To learn more about this workshop and upcoming events, and to connect with the Healthy Mothers Healthy Babies Coalition of San Benito County, please see their feature on our website: Virtual Sharing Tables. For an article on skin-to-skin by Dr. Philips, click here.

What programs and events are you doing in your community? Let's shine the light on you! The CBC wants to feature your coalition work and share it with coalitions all over the state - stronger together! Please fill out a Virtual Sharing Table application or e-mail us at  californiabreastfeeding@gmail.com .

Left to right:  Jana Tomasini, RN, IBCLC, Hazel Hawkins, Lynn Mello, Director of Nursing/Public Health Administrator, San Benito County Public Health Services, Czarina Bowers, Birth & Postpartum Doula Services, Dr. Raylene Phillips, MD, FAAP, FABM, IBCLC, Loma Linda University Children's Hospital, Robbie Gonzalez-Dow, Regional Breastfeeding Liaison, Community Bridges WIC Program, Executive Director, California Breastfeeding Coalition, and Nancy Diehl, PHN, San Benito County Public Health Services

Legislation & Advocacy   
SB 63 / Jackson
The New Parent Leave Act would provide up to 12 weeks of job-protected maternity leave and paternity leave for more California employees.

The bill passed out of Senate Labor & Industrial Relations and Senate Judicial Committees. The bill is currently in Senate Appropriations waiting a for hearing date.

ACTION: The California Work & Family Coalition is organizing Senate District visits. They are seeking breastfeeding advocates to participate in these district visit. This is a great opportunity to educate your State Senator about how parental leave is a crucial part of breastfeeding support. Email californiabreastfeeding@gmail.com with subject line "Senate District Visit" to participate.

World Breastfeeding Week
The 2017  World Breastfeeding Week  (WBW) theme is "Sustaining Breastfeeding Together ." As always, WBW is celebrated internationally August 1-7, and here in the U.S. August is National Breastfeeding Month (NBM). We also celebrate Black Breastfeeding Week (BBW) on August 25-31.

August will be here before we know it! What events and celebrations are you planning in your community? Email 
californiabreastfeeding@gmail.com  and your event will be posted on our  event website page

We want to share your celebrations! Let us know so we can feature your coalition's WBW/NBM activities on the CBC website and here in the CBC Connection!

"The Shame of the Nursing Mother" Video Highlights The Kind Of Breastfeeding Shaming We Don't Really Talk About

Caroline Bologna, Huffington Post article
Megan Soto, "The Shame of the Nursing Mother" creator

Photographer Megan Soto is the mother of  a 6-year-old, 3-year-old and 22-month-old and has dealt with negative experiences during her  breastfeeding  journey, from both family and strangers. S oto decided to channel her struggles into a creative project. On March 15, she posted a powerful video called "The Shame of the Nursing Mother."  The photographer compiled a handful of those responses to make the video, which is nearing 75,000 views on Facebook.

"Hopefully this gives some perspective in terms of the isolation that breastfeeding mothers face," Soto told HuffPost. "I hope that it encourages people to be more inclusive both among their loved ones and among strangers. With this video I wanted to shine a light on how asking mothers hide while breastfeeding really looks and feels."

As the video captioning notes at the end, "No one ever asked me to miss out of life when I was formula feeding. Breastfeeding mothers deserve the same respect."

Locally and around the world
Visit the CBC Events Calendar Here

This page lists California continuing education programs presented by local and regional breastfeeding coalitions, community-based organizations, and health care and educational institutions. If you would like your program listed, please email Robbie at  robbiegd.cbc@gmail.com.

Together we are working towards a vision of no barriers to breastfeeding in California