Tag: postpartum health

How WIC supports breastfeeding

Posted on by Lindsey Fields

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:

Black maternal health crisis conversation

Posted on by Lindsey Fields

Among industrialized countries, the United States has the highest maternal mortality rate. In Kansas, the maternal mortality rate is 14.8—meaning 14.8 women die for every 100,000 live births. Black women are more likely to die than white or Hispanic women.

Dr. Sharla Smith of the Kansas Birth Equity Network joined Health Fund CEO David Jordan for a conversation on the Black maternal health crisis.

Conversation with Dr. Sharla Smith of the Kansas Birth Equity Network

“Black women are two to three times more likely to die of childbirth-related issues than white women,” said Dr. Smith. “We’re seeing that crisis happen in the absence of the social determinants of health. So, Black women from the wealthiest communities still have worse outcomes. Black educated women still have worse outcomes than all other women.”

Wrapped in God’s Embrace: Maternal Health, Flourishing, and Building Communities of Care

Posted on by Lindsey Fields

The United Methodist Health Ministry Fund (Health Fund) is pleased to release a maternal health sermon guide. The Health Fund is committed to supporting the health and wholeness of all Kansans, including mothers. Maternal health intersects with two of our priority focus areas: Access to Care and Early Childhood Development.

Maternal and child health are early indicators of future public health challenges, which is why it is critical for mothers and children to have the healthiest start to life. Healthy mothers are important to building healthy families, but mothers often face mental and physical health issues that, without timely support and care, can impact not only their own well-being and quality of life but also present additional hurdles to the work of caring for children and loved ones. Infrastructure, supports, and communities of care for mothers are necessary for all Kansans to have the best start in life.

Research shows supporting a strong start to life for mothers and babies and investing early creates not only the best health outcomes, but also the greatest return on investment. At the Health Fund we are committed to ensuring mothers and our youngest Kansans enjoy nurturing family environments, so they are primed for healthy lives.

Beyond supporting program and policy investments, we want to create a loving and caring environment that supports maternal health, which is why we created this sermon guide.

This sermon guide, Wrapped in God’s Embrace: Maternal Health, Flourishing, and Building Communities of Care, acknowledges the vocation of motherhood and its impacts on family and community life. When considering maternal health, consider it as all issues related to the well-being of persons who give birth and/or take on the labor of motherhood in the lives of children. These issues include reproductive health, preventive care, mental health services, and emotional support services for mothers, as well as the points at which children’s health intersects with maternal health. This sermon guide will challenge readers to take a closer look at how mothers and their children are supported inside and outside of the church and the ways a child’s health is tied closely to their parent’s health and access to health care.

Through interpretative principles, this guide will address the often unseen struggles of motherhood, identify biblical text that will empower mothers, and will ultimately encourage readers to advocate and support for the health and legacy of motherhood and the well-being of the next generation.

Each week includes a call to worship, hymn selections, children’s sermon, call to action, and benediction, in addition to an exegesis and sermon notes section based on the week’s scripture passage. Week 1 introduces Mary’s birth story in the Gospel of Luke as a window into postpartum health and the supports women need in the first hours, days, and weeks of motherhood with a new child. Week 2 centers around the Canaanite Woman and the work of mothers as advocates for the well-being of the family, followed by Week 3 in which we witness how God guides Elijah, the Widow of Zarephath, and her son to form a community of care in the midst of hardship and crisis. The guide concludes in Week 4 with a return to Mary the Mother of the adult Jesus who, as a grown child, shows the fruit of secure attachment in early childhood.

Downloads
Sermon guide and Toolkit
Bulletin Insert 1 | Bulletin Insert 2
Bulletin Insert 3 | Bulletin Insert 4

Nationwide Resources

Kansas Resources

United Methodist and Faith-Based Resources:

We’d love to hear from you! Did you use the sermon guide and/or toolkit? Would you be willing to share your feedback and experiences? Questions or suggestions? Please email us at hcnews@healthfund.org.

Resources in this sermon guide

Week 1

Week 2

Week 3

Week 4

Social Media Tiles

Below are social media tiles to help you promote the series. We would love to know if you use the guide—please tag us on Twitter or Facebook (@umhealthfund).

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In Support of Postpartum Coverage

Posted on by Lindsey Fields

We support and invest in early childhood initiatives because research shows investing early creates the best health outcomes and the greatest return on investment. To ensure the healthiest start for Kansas kids, we also support policies that lead to healthier parents and healthier families.

Health Fund President David Jordan recently submitted testimony to both the Kansas House and Kansas Senate in support of extending postpartum KanCare coverage to 12 months, universal home visiting, and adding adult dental coverage to Medicaid benefits.

Extending postpartum Medicaid coverage in Kansas will improve health of mother and infant

Posted on by Lindsey Fields

This opinion piece by Health Fund President and CEO David Jordan and Topeka Public Schools Superintendent Tiffany Anderson originally appeared in the The Topeka Capital-Journal on December 21, 2021.

Kansas can improve future health outcomes for families by extending health care for new mothers and infants.

Unfortunately, significant racial disparities exist in maternal and child health. According to the Kaiser Family Foundation, national pregnancy-related mortality rates among Black and American Indian and Alaska Native women are more than three and two times higher, respectively, compared to the rate for White women.

In Kansas, non-white minority women are nearly twice as likely to die within a year of pregnancy as non-Hispanic white women.

To ensure mothers and babies have a healthy start to life and to reduce these inequities, we must ensure all mothers have health coverage for the first year of their child’s life.

In 2018, KanCare covered 39% of Kansas births. Before the COVID-19 public health emergency, each year over 9,000 mothers lost KanCare coverage 60 days postpartum.

Extending postpartum KanCare coverage to 12 months can save lives, improve health outcomes, prevent interaction with the child welfare system, reduce disparities and save the state money.

Recent federal policy change creates the opening for Kansas to extend postpartum coverage. Other states like Indiana and Tennessee are taking advantage of this opportunity.

A 2021 report released by the Governor’s Commission on Racial Equity & Justice detailed 13 recommendations for improving maternal and child health, including extending maternal Medicaid coverage to 12 months postpartum. The report recognized the important role of improving access to care in reducing health disparities.

Extending coverage can save lives. The U.S. Department of Health and Human Services reported 66% of all pregnancy-related deaths are preventable. The Kansas Maternal Mortality Review Committee found that between 2016 and 2018 nearly one-quarter of Kansas pregnancy-related deaths occurred between 43 days and one year postpartum. Nearly half of all pregnancy-associated deaths occurred in the same period.

A child’s health is tied closely to their parent’s health and access to health care. Parental enrollment in Medicaid is associated with a 29% higher probability that a child will receive an annual well-child visit.

Postpartum care provides mental health services as women gain services for clinical depression. Nearly 20% of Kansas women below 200% of the federal poverty level experienced postpartum depression in the year after giving birth.

According to the Kansas Department of Health and Environment, between fiscal years 2012 and 2017, parental substance use was the primary reason 70% of children under the age of one entered foster care. Extending postpartum coverage would enable mothers to access substance use services that could prevent interaction with the child welfare system.

Extended postpartum coverage is predicted to lead to a decrease in long-term Medicaid costs through the provision of early medical interventions and coordinated care, preventing postpartum complications and worsening chronic conditions resulting from delays in early identification and intervention.

Due to the public health emergency, Kansas cannot discontinue postpartum coverage after 60 days. This temporary policy change has enabled mothers to access critical health care and mental health services.

With new mothers experiencing isolation and mental health challenges due to the public health crisis, it’s critical to extend coverage to maintain postpartum checkups and treatment of chronic health conditions to prevent future adverse health outcomes.

The public health emergency is set to end this spring. The time to act is now, or each year 9,000 new Kansas mothers will lose KanCare coverage to the detriment of their health, their children’s health and long-term family stability.

Let’s create better outcomes for Kansas families by permanently extending postpartum Medicaid coverage to 12 months.

Tiffany Anderson is the superintendent of Topeka Public Schools and co-chair of the Governor’s Commission on Racial Equity and Justice. David Jordan is the president and CEO of the United Methodist Health Ministry Fund and a member of the commission.

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