Author: Lindsey Fields

As for Me and My Body

Candice McField is the founder of Candice McField Fitness and As for Me and My Body. She is a certified health coach, fitness educator and serves on the Kansas Governor’s Council on Fitness.  McField is passionate about teaching wellness solutions that help her clients strengthen their relationship with Christ and instruct clients on practical ways to keep their bodies mentally, physically, and emotionally healthy.

In her book, As for Me and My Body, McField invites churches to connect their spiritual and physical health to come to a deeper understanding that taking care of the body is an act of serving God. By incorporating relevant scripture, McField challenges readers to evaluate the body, mind, and spirit through professional insight, scriptural portions, and personal stories that are encouraging and easy for anyone to understand. McField guides clients through a personal, life-changing quest that will enable faith leaders to:

• Strengthen their relationship with Christ

• Increase joy, happiness, energy, and hope

• Stop dieting and live a healthy lifestyle

• Conquer health and fitness goals

The Health Fund has partnered with McField to lead groups of 20 Healthy Congregations members through the book over five weeks. Weekly discussions are Tuesdays at noon from January 9-February 2.

You are welcome to sign up as an individual or as a Healthy Congregations team, but each member should sign up individually.

The deadline to RSVP is December 28 or until filled. Each participant must complete a pre- and post-survey, and should commit to participating in all five sessions. The RSVP form is below.

Get vacation abs with Candice!
Join us this fall!

As for Me and My Body details

Participants receive:
-copy of the book
-5 virtual coaching sessions

To participate, individuals must:
-complete a pre- and post-survey

Session Dates:
Noon to 1 PM on Tuesdays 1/9, 1/16, 1/23, 1/30, and 2/6

Deadlines:
Open until filled.

Questions:
Dashinika Poindexter, dashinika@healthfund.org

All registration spaces for the 2024 As for Me and My Body have been filled. Thank you for your interest. Please contact Dashinika Poindexter, dashinika@healthfund.org if you would like to be placed on a waiting list.

ABC Phase II

Kansas ABC Project enters second phase

The relationships that infants and toddlers form with their caregivers are foundational. Through strong attachment and nurturance, children are better prepared for school and to hit developmental milestones on time.

The Attachment and Biobehavioral Catch-up (ABC) home visiting program mitigates the effects of toxic stress in infants and toddlers. The Health Fund co-funded a pilot program for Kansas infants to determine ABC’s effectiveness. The results showed healthier children, more confident caregivers, and stronger families overall.

The second phase of the pilot is underway and focuses on creating healthier futures for toddlers. Our evaluation will measure executive functioning and child well-being, which are both related to school readiness.

“Investing early is an opportunity to help have a profound impact on the health and economic well-being of children and families,” said David Jordan, Health Fund president. “For every $1 invested you see a $7 return. Ultimately, we all share the goal of having healthier kids and families. ABC helps us get there for some of the most vulnerable Kansans. The results are promising, and the future is bright.”

ABC OUTCOMES


PHASE I BACKGROUND


Four Kansas community mental health centers awarded transformative grant funding

Access to behavioral health is a top concern for all Kansans. We all benefit when behavioral health services are better integrated into our health care system.

For more than 30 years, Kansas has ensured that each county received safety net mental health services provided by a community mental health center. Community mental health centers have faced increased demand for services coupled with workforce shortages.

To better meet demand and serve their communities, community mental health centers will transition to an integrated care approach. The Certified Community Behavioral Health Clinic (CCBHC) model was designed so that all individuals can access coordinated comprehensive behavioral health care, such as outpatient mental health and substance use services. CCBHCs also provide care coordination to help patients navigate the health care and social services systems. CCBHCs must provide services regardless of where patients live or their ability to pay.

Transforming from a community mental health center to a CCBHC takes time, planning, and money. That takes capacity in the form of staff, resources, and knowledge. Rural communities typically have less capacity to apply for federal grants than metropolitan areas. Kansas is one of the 10 states with the most limited community capacity—it’s not surprising that Kansas ranks 47th in drawing down federal funds.

To create greater access to behavioral health services, especially in rural and under-served areas in Kansas, the United Methodist Health Ministry Fund (Health Fund) provided technical assistance to community mental health centers to bring back federal grant dollars to support their efforts as they seek CCBHC status.

The Substance Abuse and Mental Health Services Administration (SAMHSA) recently awarded CCBHC planning, development, and implementation (PDI) grants to 10 Kansas community health centers, including the following four that received technical assistance from the Health Fund:

  • Elizabeth Layton Center (ELC) in Ottawa was awarded $988,841 for its first year of CCBHC PDI funding. ELC serves Franklin and Miami counties in eastern Kansas. The SAMHSA grant will allow the ELC to expand access to comprehensive behavioral health services.
  • Iroquois Center for Human Development in Greensburg was awarded $1,000,000 for its first year of CCBHC PDI funding. Iroquois serves four rural counties in southwest Kansas. Its SAMHSA funding will allow it to increase access to comprehensive mental health services, especially among vulnerable farmers, the elderly, and veterans.
  • Southwest Guidance Center (SWGC) in Liberal was awarded $1,000,000 for its first year of CCBHC PDI funding. SWGC serves four frontier or rural southwest Kansas counties. Its SAMHSA grant will enable more individuals to successfully access comprehensive behavioral health services, especially within the Hispanic and veteran communities.
  • Spring River Mental Health & Wellness, Inc. in Riverton was awarded $955,314 for its first year of CCBHC PDI funding. Spring River serves Cherokee County in southeast Kansas. SAMHSA grant funding will support the expansion of Spring River’s services offered and the use of evidence-based practices.

Over the course of the four-year grants, we expect more than $15 million to return to Kansas to support these four community mental health centers as they transition to the CCBHC model.

“This is a big lift for community mental health centers to increase capacity to meet the new requirements,” said Kyle Kessler, Executive Director of the Association of Community Mental Health Centers of Kansas. “The grant funding awarded by the Substance Abuse and Mental Health Services Administration provides the support they need to recruit and retain staff, complete necessary trainings, and implement new programs. We are thankful to the United Methodist Health Ministry Fund for assisting our members to successfully apply for the grant funding; it is a huge win not only for the centers but most importantly for the communities they serve who will now have easier access to a broader array of behavioral health services.”

The Health Fund has been providing grants in Kansas for more than 35 years, but recently began providing technical assistance and grant writing support to partners working in our strategic areas of interest.  This new strategy leverages resources and expertise to bring crucial federal dollars back to Kansas to improve access to care and early childhood services while making the systems more financially sustainable.

Altogether, the Health’s Fund investments in technical assistance in 2021 and 2022 have helped bring back more than $30 million in federal funding to Kansas to improve access to health insurance and behavioral health services.

“The Health Fund is always working to leverage our resources most effectively to increase access to sustainable health care for Kansans,” said David Jordan, president and CEO of the United Methodist Health Ministry Fund. “These newest grants will strengthen access to behavioral health care and support an innovative delivery model—which represent two major priorities for the Health Fund. I’m proud we’re able to help bring critical funds back to Kansans to strengthen behavioral health care in rural communities and create a healthier future for all Kansans.”

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The United Methodist Health Ministry Fund is a statewide health foundation that facilitates conversation and action to improve the health and wholeness of Kansans—especially those in rural and under-served communities. Through funding programs and ideas, providing hands-on expertise, and convening influencers, the Health Fund advances innovative solutions to improve Kansans’ health for generations to come. Located in Hutchinson, Kansas, the Health Fund has provided more than $75 million in grants and program support since its inception in 1986.

Mental Health First Aid training opportunities

Mental Health First Aid training is a proven and effective resource that teaches lay people how to identify, understand and respond to signs of mental illnesses and substance use disorders in their community.

We are excited to offer online training sessions at no cost to interested Kansans. Many sessions have filled quickly, demonstrating a large interest in mental health training in our state.

You must register two weeks in advance of the training. You should register individually, even if multiple people from one organization are attending. We will not offer special trainings for individual organizations.

Spaces are limited and are filled on a first-come, first-served basis; please register early. Each virtual session will be from 9 AM – 3:30 PM (MHFA Adult) or 9 AM – 2:30 PM (MHFA Youth) with breaks, including a half-hour lunch break.

Please view our MHFA page for current schedules and additional information.

Telehealth in Kansas: Provider and Patient Experience During COVID-19 Cross-Study Report

The results of four phases of telehealth research during the COVID-19 pandemic are clear. Patients, providers, and administrators expressed that telehealth increased access to care and saw benefits beyond expanding access during the pandemic.

The United Methodist Health Ministry Fund and REACH Healthcare Foundation commissioned research on telehealth in Kansas to understand its use by consumers and providers, and to gain their perspectives on areas for improvement. The research included a statewide survey of providers, a statewide voter poll, health provider interviews and consumer focus groups.

Read the telehealth cross-study report.

Key takeaways include:

  • While providers were attuned to access and continuity of care, patients were attuned to benefits like convenience, savings of time and money, and the importance of choice between telehealth and in-person services.
  • Overall, patients and providers were satisfied with telehealth, though some reported specific bad experiences. Providers and patients agreed not all health services were suitable for telehealth and believed they knew when it was time for an in-person visit.
  • Patient access to devices and internet connectivity was generally good; the same was true for providers. Patients, particularly those who participated in the consumer poll, wanted rural broadband access to be increased to improve access to telehealth and improve health.

Learn more about the results in the full report or research brief.

Recording of 09/28/22 webinar, “Telehealth in Kansas: Provider and Patient Experience During COVID-19.”
Webinar slide
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Telehealth Resources

All telehealth materials can be found on our Kansas Telehealth page.

Consumer Focus Groups Find Kansans Want Telehealth to Stay

New consumer focus group research with Kansas patients demonstrates that telehealth has increased access to care, has room for improvement, and that patients want telehealth to be a permanent option. This research reinforces results from a 2021 consumer poll of Kansas voters—participants had positive experiences with telehealth, found it to be an important option, and wanted policymakers to support telehealth by increasing access, including broadband capabilities.

View the consumer focus group report

The consumer focus group qualitative research, conducted for the Health Fund and REACH Healthcare Foundation by the University of Kansas Medical Center during 2021 and 2022, included an oversampling of Black, Hispanic, Spanish-speaking and rural consumers to ensure sufficient sample sizes of minority populations.

Summary of Patients’ Perspectives

A summary of the patients’ perspectives on telehealth includes:

  • Many participants were enthusiastic about continuing to use telehealth—finding it easier, more convenient, safer and a time saver.
  • Potential cost savings related to spending less on gas and transportation and saving time, including missing less work, crossed socioeconomic backgrounds, genders, and parental or caregiver status.
  • Most suggestions for improvement focused on making telehealth a more integrated part of health care through better care coordination and greater standardization of scheduling, processes, and platforms. Patients wanted to see certainty in terms of costs and payor policies. They also recognized the need for better broadband internet access.
  • Telehealth allowed some patients to receive care that was many hours away or that they otherwise would not have been able to access.
  • Some participants did not have access to reliable transportation or to transportation at all.
  • Patients did not like that it was harder to show providers injuries or other visible health conditions on a telehealth videoconference.
  • Most participants reported using their smartphones for telehealth videoconferencing. Many also used laptops, and a few used iPads or other tablets.
  • Several participants noted specific barriers to utilizing telehealth regarding interpretation services, insurance coverage, and tech savviness.
  • Overall, caregivers of elderly parents and children alike found telehealth to be a convenient option that aided in better use of their time and generally lowered the burden of caregiving.

Kansans want telehealth to remain an option for care. An initial provider survey, a statewide poll of voters, also co-funded by the Health Fund and REACH Healthcare Foundation, in-depth provider interviews, and this consumer focus group research are evidence that telehealth can play a significant role in improving health care access for Kansans.

This was the fourth phase of telehealth research. Join us on Wednesday, September 28 at noon as we present the cross-study results during the Telehealth in Kansas: Provider and Patient Experience During COVID-19 live webinar.

Telehealth Resources

All telehealth materials can be found on our Kansas Telehealth page.

Diversifying the teacher workforce will benefit Kansas students

This commentary originally ran in the Kansas Reflector on August 30, 2022. About the authors: Dr. Tiffany Anderson, superintendent of Topeka USD 501, and Dr. Shannon Portillo, associate dean and professor at the University of Kansas, served as co-chairs of the Governor’s Commission on Racial Equity and Justice; David Jordan, president and CEO of the United Methodist Health Ministry Fund, chaired the subcommittee on health care.

All Kansas kids deserve a high-quality education.

The Governor’s Commission on Racial Equity and Justice examined how we can ensure greater equity in educational opportunities to set families up for success. Our work found that a culturally competent and diverse teaching workforce is a critical component in addressing equity in education and providing a high-quality education.

We have a significant racial and ethnic disparity in teacher diversity. In Kansas, 90% of public school teachers are white and non-Hispanic. As of 2020, just 66% of Kansas children under 18 are white and non-Hispanic.

Over the past 20 years, the Kansas population has grown more diverse, and that trend is expected to continue. In 2016, non-Hispanic whites made up 77.5% of the state population, a more than 6 percentage point dip compared with 2000. In fact, all population growth in that time was among minority populations. In the next 40 years, it’s predicted that Kansas will become a majority, minority state, meaning no group will make up more than 50% of the population.

As the demographics of Kansas change and become more diverse, it is more important than ever that our teacher diversity reflect the communities served, which is why the commission’s final report included recommendations for recruiting and retaining a diverse teacher workforce.

When students have teachers who look like them, it can increase their chances of succeeding academically. According to one longitudinal study, Black students who had at least one Black teacher in grades K-3 were 13% more likely to graduate from high school than their same-school, same-race peers.

Exposure to other backgrounds and cultures prepares students to live, work and serve in a culturally diverse society. Diversifying classrooms benefits students cognitively, emotionally, and socially.

According to a report by the United States Department of Education: “Diversity decreases at multiple points across the teacher pipeline in which teachers progress though postsecondary education, teacher preparation programs, and retention.” The report showed that nationally there’s less diversity among college graduates than high school graduates, most education majors are white, and degree completion is lower for Black and Hispanic students.

We need to change our approach to teacher education and retention if we want the benefits of a more diverse teacher workforce.

We can look to Historically Black Colleges and Universities (HBCUs) for ideas on how to attract education majors of color; although HBCUs comprise 3% of four-year colleges, their graduates include half of Black public school teachers.

Teachers of color often join the workforce through nontraditional routes. However, traditional student teaching programs require candidates to teach full days in schools for months without pay, which creates an economic hardship when a student also works while student teaching or has caregiving responsibilities.

To improve recruitment, we should increase flexibility in student teaching programs for nontraditional students who must work and student teach. This could include approaches such as updating student teaching models or providing work-study assistance to student teachers. We should ensure that policies at higher education institutions can be adapted for education students who have outside jobs, families or limited financial resources.

Kansas should encourage expansion of grow-your-own teacher programs that recruit and train school staff or community members to become educators. Recruitment from our own communities will ensure that local educators reflect their community’s diversity within schools, while also hiring individuals who have a deep understanding of local neighborhoods. School districts should incentivize teachers and staff to live in the district.

We should ensure that school districts that have greater needs receive equitable resources. Kansas should examine options to assist districts with large numbers of at-risk populations as measured by race, ethnicity and economics. Reducing class sizes, providing mentors to new teachers, fully funding special education and providing social-emotional staffing support to these districts could improve students’ classroom experience and teacher retention.

Every child deserves a learning environment where they feel welcome. School districts should create clear policies that address diversity, equity, and inclusion to support and protect diversity among students, teachers and staff.

To encourage greater diversity in our teacher workforce, we must be intentional. Let your school board, legislators and the Kansas Board of Regents know these issues are important to you and encourage them to act.

About this series

In June 2020, Gov. Laura Kelly signed Executive Order 20-48, forming the Governor’s Commission on Racial Equity and Justice. The Commission studied issues of racial equity and justice across systems in Kansas, focusing first on policing and law enforcement and then on economic systems, education, and health care. The Commission developed recommendations for state agencies, the Legislature, and local governments. Through the end of 2022, commissioners will dig deeper into the recommendations in a monthly series.

Related resources

Governor’s Commission on Racial Equity and Justice reports
Governor’s Commission on Racial Equity and Justice webinar series
2022 opinion series on commission recommendations

Black women breastfeed

This guest blog post was authored by Joyea Marshall-Crowley, CBS, Wichita Black Breastfeeding Coalition.

In the Wichita area, we have heard from Black and brown mothers that they are not even being asked about breastfeeding as an initial feeding choice, and that their healthcare providers assume they are formula-feeding their babies. This makes it difficult for Black and brown mothers to obtain breastfeeding resources, support, or information during pregnancy and upon delivery. It is imperative to have these supports for a woman’s breastfeeding journey, and it should be accessible to all mothers no matter their decision to breastfeed or not. 

The need for the Wichita Black Breastfeeding Coalition is clear.

Who is the Wichita Black Breastfeeding Coalition?

The Wichita Black Breastfeeding Coalition (WBBC) was formed in October 2020 under the non-profit organization Kansas Breastfeeding Coalition. The foundational vision for this local breastfeeding coalition is to help increase breastfeeding rates in the Black and brown communities of the Wichita Metropolitan Area.

The coalition currently houses six members. The outstanding members of the WBBC hold many titles, such as Certified Breastfeeding Specialist (currently on track to obtain their IBCLC), Certified Trained Doulas, Registered Nurse, Chocolate Milk Certified Trainer, Chiropractor, and Midwife, to name a few.

All WBBC members share the same passion for helping women of color gain the support, resources, and tools needed to reach their breastfeeding goals. We want mothers of color to have a safe space just for them to receive the breastfeeding support they need—and that is what they will get from the Wichita Black Breastfeeding Coalition.

“I Breastfed; This is My Legacy” 

Representation of Black women is so important when it comes to normalizing breastfeeding. This group is underrepresented, and there is already a stigma in the Black and brown community that breastfeeding is a “white” thing. When they see pictures and videos of breastfeeding mothers that heavily display white mothers as the focus it just reinforces the same message as the stigma and creates barriers. 

To dispel this myth, the Wichita Black Breastfeeding Coalition created a project called “Latched Legacy.” This project highlights and normalizes that Black women do indeed breastfeed. The campaign video shows Black mothers confidently sharing the statement “I Breastfed; This is My Legacy” while capturing them with their children and partners. The project’s goal is not only to increase breastfeeding initiation rates in the Wichita Metro Area but also to increase media representation for Black mothers regarding breastfeeding.

“Latched Legacy” campaign video

In conjunction with representation, this project has also allowed us to provide breastfeeding kits for pregnant and breastfeeding mothers of color. These kits include supplies and information to encourage them to initiate breastfeeding as their first choice upon delivery. As a result, we have a success rate of 95% of mothers who have received a kit while pregnant initiating breastfeeding as their first choice of feeding after delivery.  

Breastfeeding is for mothers of all backgrounds. We are changing the Black breastfeeding narrative one family at a time in the Wichita area. Every Kansas family should receive the resources and support they need to reach their breastfeeding goals. You can support new or expecting parents in your area by referring them to a local breastfeeding coalition or to an organization that provides breastfeeding resources.  

About the series

This is the final post in a series on breastfeeding in Kansas. Prior posts include:

How WIC supports breastfeeding

This guest blog post was authored by Heather Peterson RDN, LD, CLC, Reno County WIC Coordinator.

Every day, I look forward to going to work in WIC: we truly are the Happy, Healthy Baby People!

WIC is a supplemental food program that serves pregnant, breastfeeding, and postpartum women, infants, and children to age 5. Nearly half of all babies born in the United States are eligible for the WIC program. In Kansas, 40% of babies participate in WIC. This program has evolved over the past two decades from a formula handout to a reliable source of breastfeeding support. WIC promotes breastfeeding as the optimal way to nourish a newborn. All WIC staff encourage a pregnant woman’s decision to breastfeed. 

A vast majority of women express a high desire to breastfeed their babies. Unfortunately, many of the women WIC serves return to work within two weeks of delivery. This can sabotage a woman’s desire to breastfeed. WIC offers several sources of support for breastfeeding moms.

The WIC food package for an exclusively breastfeeding woman is larger than any other food package and contains additional protein foods, including canned salmon or tuna. These fishes are higher in Omega-3 fatty acids that are important for infant brain development and overall health for the mom. Exclusively breastfeeding women enjoy a $47 per month fruit and vegetable benefit that allows them to purchase fresh fruits and vegetables. Women who are exclusively breastfeeding qualify for WIC foods until they are one year postpartum. Exclusively breastfed infants receive a large food package starting at 6 months of age to support their continued growth and development. 

One major benefit of the program is that many local WIC agencies participate in the Breastfeeding Peer Counselor (BFPC) program. BFPCs are exactly what their name implies, women that have recently participated in the WIC program and breastfed their children. The BFPC usually communicates with women via text message, phone calls, and social media, and are even available to support breastfeeding parents outside of regular office hours. 

Peer counselors will reach out to women during their pregnancy and offer reliable information about preparing to breastfeed, surrounding themselves with breastfeeding advocates, how to obtain a breast pump from their insurance, and what to expect the first days after delivery. Peer counselors can be a “social event director,” connecting pregnant and breastfeeding women in their community. Peer counselors will seek activities that are free of charge, such as playing at the splash pad, attending library time, gift-wrapping parties, and moms’ movie night out. One of our most popular events was a cooking class hosted by a local church. The foods were donated and each family took home a chicken noodle casserole they learned to prepare. This social time allows pregnant women to see how normal breastfeeding happens out and about whether the breastfeeding mom chooses to be discreet or open. 

Photos from Breastfeeding Peer Counselor events.

In the near future, families will have another trusted breastfeeding resource. Soon, each WIC agency will be required to have a Designated Breastfeeding Expert. This person handles more challenging breastfeeding issues. Breastfeeding is a learned skill. For some families, this comes easily and for others, there are more bumps in the road. Many physician’s offices will refer patients to WIC because they know there is reliable breastfeeding help available. 

Sharing information about supports like WIC is something we can all do to support parents. It’s easy to determine WIC eligibility. Potential participants can find their local WIC office by visiting signupWIC.com and entering their ZIP code. To participate in the Kansas WIC program, families must reside in Kansas and meet income guidelines, which can be found at kdhe.ks.gov.

As a community, we can help families to meet their breastfeeding goals. Supporting paid maternity leave legislation, creating breastfeeding-friendly work environments, designating a private space for a woman to breastfeed if that is her preference, and learning about the amazing benefits of breastfeeding are all things we can do to create an environment that encourages breastfeeding success. 

About the series

This is the fourth post in a series on breastfeeding in Kansas. Other posts include:

Musings on the importance of breastfeeding and a review of current recommendations

This guest blog post was authored by Sonder Crane, MD, IBCLC, Pediatrician, Chapter Breastfeeding Coordinator-Kansas Chapter of the American Academy of Pediatrics.

“I think it’s time for mommy milk!” said my 5-year-old to my 2-year-old as their 1-month-old baby brother began to fuss. “Mommy milk” has always been the term for breast milk in our house, coined by our eldest when her sister was born. 

While celebrating National Breastfeeding Month, I remember my own breastfeeding experience. I was fortunate to successfully breastfeed all three of my children. I even had enough stored milk with my oldest two children that I was able to donate to a human milk bank.

My breastfeeding journey was relatively “painless” compared to others – if you don’t count the predicted engorgement, leaking, sore nipples, thrush for both me and my infant, and associated frustrations with finding appropriate times to pump while at work. (Thankfully, I had a very understanding employer.)

As a pediatrician and International Board Certified Lactation Consultant, I also have the privilege of being part of the breastfeeding/chestfeeding journey with many of my patients and their caregivers as they work to provide nutrition for their infants. Not all of their journeys were as “painless” as mine. One case in particular stands out – a mother who came to me with her 2-month-old infant. The case was referred to me due to the infant’s poor weight gain. I worked with the mother and child over the course of about 2 years. We tried different techniques to support weight gain including different ways to give expressed breast milk, different feeding routines, elimination diets for mom, creative ways to introduce solid foods, and so many other things. We involved specialists in different fields to help support the child and mother. Ultimately, the baby did well and was growing and thriving the last time that I saw her. Her mother worked tirelessly to provide the nutrition that she needed to ensure adequate growth, even though it was not the breastfeeding journey the mother would have imagined for herself.

Why breastfeed? The importance of human milk (in brief)

Physiological Benefits to the Infant

  • Human milk has been proven to be the optimal source of nutrition for infants.
  • There are multiple aspects in the dynamic properties of breast milk including antimicrobial, anti-inflammatory, and immunoregulatory agents which contribute to the developing immune system of the infant and help prevent infection.
  • Breastfeeding can reduce the risk of Sudden Infant Death Syndrome (SIDS), certain types of autoimmune disease (inflammatory bowel disease, diabetes mellitus, asthma, atopic dermatitis), leukemia, and obesity.

Physiological Benefits to the Mother

  • The act of breastfeeding can be beneficial to maternal health in helping mothers recover more quickly from childbirth, assisting with postpartum weight loss, reducing the risk of ovarian and breast cancer, reducing the risk of hypertension, and reducing risk of type 2 diabetes.

Intangible Benefits

  • Breastfeeding or chestfeeding facilitates maternal and infant bonding.
  • Breastfeeding can ultimately lead to a closer and more responsive infant/mother dyad.
  • It’s shown to reduce maternal stress and decrease cognitive and behavioral problems later in childhood.

What does the American Academy of Pediatrics say about breastfeeding and how do we promote and support breastfeeding mothers and their babies?

Here’s a summary of the most recently updated (July 2022) AAP Recommendations on Breastfeeding:

  • Exclusive breastfeeding for the first 6 months of life (consistent with guidelines provided by World Health Organization, American College of Obstetricians and Gynecologists, American Academy of Family Physicians, and Canadian Pediatric Society)
  • Continued breastfeeding along with appropriate complementary foods introduced at 6 months for as long as desired, 2+ years
  • Recognize that medical contraindications to breastfeeding are rare
  • Birth hospitals and centers should implement maternity care practices shown to improve breastfeeding initiation, duration, and exclusivity
  • National tracking of breastfeeding rates through age 2 years
  • Policies should be in place to protect breastfeeding
    • Universal paid maternity leave
    • Right to breastfeed in public
    • Insurance coverage for necessary items and care in breastfeeding
    • On-site child care in the workplace
    • Universal break time and adequate accommodations for human milk expression at work
  • Recognize that pediatricians (and all those caring for infants) play a critical role in breastfeeding success
    • Providing evidence-based information on feeding choices
    • Supporting early skin-to-skin contact and skilled lactation support while in the hospital
    • Using current resources to give guidance and minimize disruptions in breastfeeding when questions arise due to maternal medications, medical conditions, or vaccinations
    • Acquiring up-to-date information on the benefits of breastfeeding and how to provide breastfeeding care in the office and the community
    • Advocating for culturally sensitive and appropriate policies to promote breastfeeding
    • Assisting parents with preterm infants on establishing milk supply when infant is unable to feed at the breast and the use of pasteurized donor human milk

The graph above shows 2018 national breastfeeding rates for the infants in the breastfeeding dyad exclusively at 3 and 6 months of life, 6 and 12 months of life, and any breastfeeding at all throughout 0-12 months of life. Each age range is broken down into race and ethnicity at that stage. As evidenced above, we are making progress in supporting our lactating mothers and breastfeeding infants but there is always room for improvement. The education is ongoing as we strive to advocate for the breastfeeding dyad.

There are two excellent local upcoming opportunities for education as we welcome Dr. Joan Younger Meek to Grand Rounds at Wesley Medical Center in Wichita, KS, on September 15, and at the Kansas Chapter of the AAP Fall CME Meeting at Hyatt Regency Hotel in Wichita, KS, on September 16. Dr. Meek is the lead author of the new policy statement published July 2022 on “Breastfeeding and the Use of Human Milk” in the Journal of Pediatrics and a leading expert on breastfeeding and lactation. Please attend her presentations if you have the chance. In the meantime, Happy National Breastfeeding Month!

About the series

This is the third post in a series on breastfeeding in Kansas. Other posts include:

© United Methodist Health Ministry Fund