Infant Mortality and Nursing in Public

OK, I’m not making a claim that nursing in public protects against infant mortality (but hey, it’s certainly plausible, on the public health level at least.) No, I’m writing about these two topics today because I’m hoping you’ll go read my two guest posts, hosted on two of my favorite blogs.

Over on Giving Birth With Confidence, I wrote a post called, From the Bedroom to the Board Room: How I learned to nurse in public. It’s about the fact that early in my mothering, I actually breastfed at the board room table while presenting a report to Lamaze’s Board of Directors. And it totally shaped my perception on breastfeeding, my body, and family-friendly policies:

I look back on this time now and I realize how fortunate I was. My earliest experiences of opening my baby’s and my universe to others reinforced that nursing is normal, joyful, and important. In a way, it was totally unremarkable to nurse my baby while addressing my supervisor and her Board of Directors. But at the same time, it was something to be celebrated. The people at the table weren’t weirded out that I was breastfeeding. They loved it – reveled in it. We even talked about how it is important to have babies at our conferences. Our work affects them!

That post is part of the Nursing in Public Blog Carnival. The carnival coordinators got so many great posts, they started a new (amazing!) web site, Nursing Freedom. Go spread the word!

I also have a new post up at RH Reality Check about disparities in infant mortality. I challenge birth advocates to get behind prenatal care models that are effective and proven to reduce preterm birth and close the gap between blacks and whites. I discuss my own experiences withincredible prenatal care from my home birth midwives, and come to the chilling conclusion:

THIS is how prenatal care should be. Right? Well, not necessarily. Unless and until there is a major upheaval in healthcare financing and staffing patterns, having this kind of prenatal care is a privilege. And I don’t mean privilege like “I’m so lucky.” I mean privilege in the sense that I can’t have that kind of care unless others are deprived of it.

If everyone woke up tomorrow and realized that they deserved to have every question answered, every fear and concern explored, every test/procedure/diagnosis explained, we would quickly run out of midwives to provide that care. That is, if our solution was to provide one-to-one care on the traditional prenatal schedule. In short, that kind of prenatal care, however great it is, is not scalable to levels that could benefit all women and babies.

I also discuss CenteringPregnancy, an evidence-based, relationship-centered model of group prenatal care that has shown to reduce preterm birth rates, especially among African American mothers.

I wrote that post as part of Courtroom Mama’s blog carnival at The Unnecesarean. Check out the link to read through the other important posts.

And for those of you who are interested in learning more about infant mortality and disparities in perinatal care, here are a couple of great resources.

This widget from Kids Count, a project of the Annie E. Casey Foundation, let’s you see data for any U.S. state or territory on different indicators including the infant mortality rate, child poverty rate, and teen pregnancy rate.

And here’s a fantastic recent documentary on disparities in infant mortality in Tennessee, one of the states with the highest infant mortality rates, and where funding to address the problem was recently on the chopping block. (Mercifully, the programs seem to have been spared in budget cuts.)

28 Comments

Infant Mortality and Nursing in Public

July 6, 2010 07:00 AM by Dou-la-la
"OK, Iím not making a claim that nursing in public protects against infant mortality," But doesn't it, indirectly? When you consider the fact that many women cite anxiety about nursing in public as a major reason they didn't breastfeed, or had to discontinue breastfeeding? And then factor in the risks of formula feeding, especially for babies with medical risks (as discussed in the Melissa Bartick study earlier this year)? I'd say it is at least a small but legitimate factor. My SOLE criticism of "Crisis in the Crib" is that there was no mention of breastfeeding, especially considering that prematurity is an enormous part of the problem. Great post(s), as per always!

Infant Mortality and Nursing in Public

July 6, 2010 07:00 AM by Amy M. Romano, RN,CNM
@Dou-la-la Completely! I just wanted to make sure no one thought I was saying that nursing your own baby in public decreases the baby's risk of dying (though I could certainly buy that possibility, too). But a culture that was 100% cool with public breastfeeding, in my mind, would definitely have better infant health outcomes, including lower mortality. Maternal health would probably benefit, too. I never actually thought of the two things together until I sat down to write this post.

Infant Mortality and Nursing in Public

July 8, 2010 07:00 AM by Veronica Jacobsen, BA, CD(DONA), CLC, CPST, LCCE, FACCE
I've been thinking about this for the last couple of weeks after hearing some moms' birth stories, but I really wish we had more information on outcomes of CenteringPregnancy programs. Anecdotal evidence makes me really question what the limits of this program are. While I can believe that it can reduce preterm birth rates in some populations, doesn't any increased amount of prenatal care (for example, visiting nurse programs) improve preterm birth rates? I would like to see if there is a difference in intervention rates and cesarean rates, especially if the mothers in the CenteringPregnancy groups forgo traditional childbirth classes. I'm just not convinced they will prove to be solution they promise to be.

Infant Mortality and Nursing in Public

July 9, 2010 07:00 AM by Kate
@Veronica Actually, there are multiple studies about the effectiveness of CenteringPregnancy, including this randomized controlled trial published in 2007: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2276878/. There isn't very good or reliable data for the impact that childbirth classes, have, on the other hand - at least not that I've found. I work at an outpatient clinic that utilizes CenteringPregnancy with teen and adult moms, and our data shows a significant impact on birth weight, preterm birth, Cesarean birth, and breastfeeding initiation, as well as patient and provider satisfaction. We've been using the model for over 10 years. One of the crucial components of Centering is the group and peer support that women receive. It's not a very high-tech model of care, which is what makes it so amazing. It's cost-effective AND it works! I agree that many programs (like nurse home visitation programs) make differences in addition to Centering, but wouldn't it be great to see the positive synergistic effects that utilizing all of the tools in the toolbox could have? Wow - what fantastic outcomes we might achieve!

Infant Mortality and Nursing in Public

July 9, 2010 07:00 AM by Amy M. Romano, RN,CNM
@Kate Thanks Kate for weighing in. I was going to make similar points to Veronica's concerns. I also want to make the point that in many although certainly not all settings that have adopted Centering, the women don't have the resources to attend good quality childbirth education classes, so Centering in that context is not siphoning off CBE attendance - it's actually giving women far more education than they would have otherwise had. I am also aware of Centering sites that are co-facilitated by Lamaze-certified childbirth educators, and at least one site (Magee Women's Hospital) where they added doula support for Centering participants. I think that the cesarean epidemic won't be solved with models of prenatal care or birth education (although they can certainly contribute). The reasons for the cesarean rate have much more to do with hospital practices and protocols and bigger picture issues such as fear of liability and payment incentives. That Centering hasn't reduced the c-section rate in the published studies shouldn't be a deterrent from adopting it. And anecdotal evidence like Kate's tells us that in some settings, Centering does impact intrapartum interventions. Thanks to both of you for your comments!

Herbs to get you pregnant fast

April 9, 2017 10:54 AM by Ariana

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April 9, 2017 10:55 AM by NINA

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NATURAL HERBS THAT GET ME PREGNANT

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May 25, 2017 12:17 AM by martha gaircia

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Great testimony on how i conceive of twins after Dr.Azuba cast a twins pregnancy spell

May 30, 2017 10:28 PM by Rebbeca

i remember when i was ttc, i had pcos ever since i was 17 and one of my tubes were block also ,then ,i just new it was going to be hard for me to raise my family, until i actually discovered a very powerful spell caster and a spiritualist after trying for 5years with no result, i then contact this spell caster online and told him my situation , and advice me onthe best spell to use was a cleanse spell and then a pregnancy spell, i did it and within 8weeks i notice and did a test and i was pregnant ever since then all my other babies just came in to the world simple without any stress, my advice is to contact Dr.Azuba if you need any help before its too late contact Dr.Azuba via email : azubaspelltemple@gmail.com,or cell phone +2348149271063 ,wishing you all blessing and joy of carrying your babies. 

Thanks to the great Dr.Azuba who help me in conceiving

May 30, 2017 10:33 PM by Emily

my name are emily i want to share my great tsetimony to every one,in this life some persons are spiritually gifted ,,i never believed in spirituality or anything of such ,am emily an assistant nurse here in canada, i have been married and looking for baby for more than 11years now and i have done everything and health and so ,,but no good result i was diagoned with pcos and also i have over weight ,,so the doctor said its not possbile for me to get pregnant and my age is already 39, i then saw online of the great work of azuba on other persons , i then decided to contact azuba and to cut long story short after i did all the cleanse ,pregnancy spell and so , i had intercourse with my husband and i didnt notice the pregnancy sign after 2months because i didnt want to be let down,, then when i did the test i found out i was already pregnant and i delivered saftly twins , and now two years later me and my husband just decided to try again and again am also pregnant am xo xo happy without any stress ,, i tell you all out there pcos or no pcos dont give up untill you have contacted azuba,,for your cleanse and pregnancy spell...this world is spiriual when science cant help you then turn to azuba ,,,,i will leave her contact for i dont noo i migh be helping someone out there name:azubaspelltemple: azubaspelltemple@gmail.com or cell phone +2348149271063 thanks all baby dusk on you all emily lopez

thanks DR.Azuba for the great help you have rather to me and my family

June 20, 2017 03:39 PM by Tiffany

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GET YOUR EX LOVER BACK WITH THE HELP OF A POWERFUL SPELL CASTER

June 23, 2017 03:50 AM by CHERRY LUGARD
GET YOUR EX LOVER BACK WITH THE HELP OF A POWERFUL SPELL CASTER CALLED (DR. BEN) email him on benherbaltemple@gmail.com 
 
What a miracle to have my ex back,my name is Cherry Lugard
 and i need to share this great testimony... I just want to say thanks(DR. BEN) for taking time to help me cast the spell that brings back my ex lover {now my husband},who suddenly lost interest in me after six month of engagement,but today we are married and we are more happier than never before, I am really short of words and joyful, and i don't know how much to convey my appreciation to you doctor BEN you are a God sent to restore broken relationship.he deeply enjoy helping people achieve their desires, find true love,getting their ex lovers back,stop abusive relationships,find success,attract happiness,find soul mates and more,contact him today. and let him show you the wonders and amazement of his Love Spell System. He deliver results at his best in real spell casting, email him for help on benherbaltemple@gmail.com Via websitehttp://benherbaltemple.webs.com/   you can also call him on +1(310)-220-0075.

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June 24, 2017 08:22 AM by Jessica Andrienne

I went in search of a solution for my problem when My husband wants to divorce me. we married for 13 years and we have been through a lot, he has cheated on me before but I forgave him because I love him and moved on but later again he started misbehaving, he was in love with another woman, he said he wants a divorce, for me I don’t because I still loved him I know this must sound stupid but never wanted him go. I tried to make him see he is making a mistake but everything went wrong, I loved him so much but he refused to change his mind, i waited for him to come his senses but nothing worked i hurried in search of help, i was out of option and suddenly i came across this Email dr_mack@yahoo.com to help me to get my husband back and finally i came to the spot of getting him back which was awesome, my husband came back home, It felt good to have my lover back, Dr Mack is real!!!!

HOW DR BUDE HELPED MY RELATIONSHIP AND LIFE

June 26, 2017 07:40 AM by EDITE LUCAS

Life without love is not a life but an existence in pain and penury. I am using this medium to let the world know of Dr Bude a true spell caster that gave me results in just 3 days. I know that most of this spell casters online are not able to cast powerful spell, they only charge extravagant and yet don't deliver because  tried several of them before i met Dr Bude and he brought the love that i desire to my life. Today i live a very happy life with my spouse and am grateful to him. If you need love in your life or the help of a real spell caster contact him on his email:
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GET WHAT SO EVER YOU WANT IN DR BUDE`s TEMPLE

June 27, 2017 10:27 PM by I GOT BACK MY JOB WITH A PROMOTION THAT I HAVE LOST FOR 3 YEARS WITH DR BUDE SPELL CASTING

I think this testimony of mine is worth sharing. My name is Samuel Jason and I live in Canada. I lost my job in a stoke brooking firm some years ago. All efforts to get a new one proved abortive and for 3 years I was feeding on my savings and for the past 1 year I have been borrowing to feed. I went to several churches and I was told that they were forces working against my getting a job which I believed but none of them could help me get out. I never believed a psychic can cast a good spell to help me get my job back as I have always been skeptical about them. I saw Dr Bude online and I read his article: “how to know a fake spell caster” after which he dropped his email contact DRETIOSA@YAHOO.COM. I contacted him after reading the article and lo and behold, he told me some things to do. I obeyed him with full faith and believed and it took me just 7days to get my old job back with a promotion. Now I am a floor manager in my office, thanks to Dr Bude. I know you all have your doubts but I assure you that contacting Dr Bude will make you see the difference. He is real friends, he is wonderful. He also does love spells, beauty charms, he can help you get your ex back, he does property charms and many more. I introduced my friends to him and he has proven to be reliable and genuine. His contact is
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DR BUDE IS THE BEST YOU CAN I HAVE SEEN U TRY AND SEE HIS!!!!!!!

June 29, 2017 07:40 AM by Victoria Luis

Thanks to Dr Bude for bring back my lover, am not here to tell you much story but i want to inform you when ever you are passing through emotional problem Dr Bude is the tested and trusted i am a living witness of it contact him on budespelltemple@hotmail.com his the only man that help me out when i was in problem with my lover.contact him now without no delay for your problem to be solve once and for all.
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HOW I GOT PREGNANT WITH THE HELP OF DR. OLU FERTILITY SPELL

June 30, 2017 11:49 AM by JAMES HELEN, HELEN, PEPSI

I'm JAMES Helen from United States and i want to used these great chance to share my testimony and thank great DR. OLU on this site who help me to fall pregnant after 5 year me and my partner was married,i had my first pregnancy and 6 month time i had a miscarriage and since then will have been trying to get a baby.then will desire to go to the family hospital and the doctor said every thing was okay with me and my partner. i went home and start thinking about my life, i became a laughing stock to my inlaws who wanted my husband to divorce me and marry another woman. one faithful day i was searching through the internet for a result when i saw a lot of testimony about DR. OLU and i said to myself let me give a try and when i contacted him,he said that my pregnancy issue is not a physical one,but a spiritual case,he told me to buy some items and i bought them and after the purification and the cleanse of the pregnancy spell, behold i was pregnant after 8weeks when i had sex with my husband as instricted by DR. OLU. if you know that you want to be a mother so desperate kindly contact him via email: drolusolutiontemple@yahoo.com or call him at +2349036604757 als add him on whatsapp for your healing and solution.

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HOW I GOT PREGNANT WITH THE HELP OF DR. OLU FERTILITY SPELL

June 30, 2017 11:50 AM by JAMES HELEN, HELEN, PEPSI

I'm JAMES Helen from United States and i want to used these great chance to share my testimony and thank great DR. OLU on this site who help me to fall pregnant after 5 year me and my partner was married,i had my first pregnancy and 6 month time i had a miscarriage and since then will have been trying to get a baby.then will desire to go to the family hospital and the doctor said every thing was okay with me and my partner. i went home and start thinking about my life, i became a laughing stock to my inlaws who wanted my husband to divorce me and marry another woman. one faithful day i was searching through the internet for a result when i saw a lot of testimony about DR. OLU and i said to myself let me give a try and when i contacted him,he said that my pregnancy issue is not a physical one,but a spiritual case,he told me to buy some items and i bought them and after the purification and the cleanse of the pregnancy spell, behold i was pregnant after 8weeks when i had sex with my husband as instricted by DR. OLU. if you know that you want to be a mother so desperate kindly contact him via email: drolusolutiontemple@yahoo.com or call him at +2349036604757 als add him on whatsapp for your healing and solution.

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THANKS

July 22, 2017 11:09 AM by Daisy Mendoza

I will like to share my testimony to you all.i got married to my husband about three year ago we start having problems after two years of the marriage, like we stop sleeping on the same bed, fighting about little things he always comes home late at night, drinking too much and sleeping with other women outside, i have never love any man in my life except him, he is the father of my two children and I don't want to loose him because we have worked so hard together to become what we are and have today, few months ago he now decided to live me and the kids, being a single mother can be hard sometimes and so I have nobody to turn to, I was heart broken.i called my mom and explain every thing to her, my mother told me about Dr Ehighaloa, how he helped her solve the problems between her and my dad, my dad always snow at night, if he is sleeping at night, his snowing will even wake our neighbors, it became a big problem in my hood, that led to the brake up between my parents, I was surprise when my mom told me that Dr Ehighaloa had helped him stop his snowing, and brought them together, i was surprise about it because they have been without each other for three and half years and it was like a miracle how they came back to each other, and how my dad stop snoring, that was how i was directed to Dr Ehighaloa, and explain everything to him, so he promise me not to worry that he will cast a spell and make things come back to how we where so much in love again and that it was another lady that cast a spell on him, that was controlling my husband, he told me that my problem will be solved within 30 hours if I believe I said yes, So he cast a spell for me and after 29 hours my love came back asking me to forgive him.i Am so happy now, so that why I decided to share my experience and testimony with every body that have such problems contact him email. drehighaloaspelltemple@gmail.com you can as well call him on his number +2348134548904 or wathsapp him on +2349060123572
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GETTING YOUR EX LOVER BACK.
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BREAKING OF GENERATION COURSE.
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HIV CURE.
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MONEY SPELL.
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At the process these are the things he told me he can do for any person who is interested .. contact him on his private email and explain what you want him to do for you i assure you he shall help,His email is drehighaloaspelltemple@gmail.com or http://drehighaloaspelltemple.webs.com/

Thanks to the great Dr.Azuba who help me with his pregnancy spell

July 25, 2017 06:23 AM by Thelma

I have been trying for 10 years to get pregnant and needed help! Been going to the doctors but still nothing. the doctor said me and my husband are fine , I don’t know where else to turn. until one day I read how SPELL TEMPLE helped others get pregnant ONLINE i then contacted the great spell caster azuba via email and azuba cast a pregnancy spell for me and gave me a 2months sure guarantee that i will become pregnant , and exactly 6weeks later I went to check and i was pregnant and later on i gave birth and i named my child Ashley so that i can never forget the great spell caster that azuba who opened my blessings of conceiving today its marking 5years Ashley was born and i also have a baby boy josh who is one and half years old, i want to use this medium to tell other women out there who is having pregnancy issues not to wait for years like i did contact azuba today and be happy this its contact email :azubaspelltemple@gmail.com or cell phone +2348149271063

OMG waht a wonderful man is Dr Akereco thank you for everything

August 1, 2017 01:19 PM by Nancy Babar

My name is Nancy Babar am from Australia, this is to inform you that i have found a true spell caster who brought back my divorce husband in just two days after 3years of separation we are now happy indeed. You are a man of your word Dr Akereco you are really a father, my lover is now the kind of man i want him to be my times of tears are over now. please contact him on his email: drakerecospellcaster@gmail.com his still on Facebook Andrew, His Facebook name {Andrew Akereco} anyone who has problem in his or her relationship his the right place to go and it is 100% sure and guarantee you that your lover will surely come back just 48 hours so please contact him now on his USA number  +16503343969 his whatsapp number +2349064026626.

Contact the Great Mother

August 19, 2017 06:01 AM by Ella Kim Bruce

I made a promise to tell my testimony all over the globe once my man come back to me and my husband came just as Great Mother told me when she helped me. I made the right choice to have contacted Great Mother the great spell caster who is capable of helping you solve your problems. My man left me to suffer and i never believed that he will come back to me again but when i contacted Great Mother she assured me that my man will come again. She gave me some list of items to buy but i could not get them in my country and so i sent her the money and she bought the items and prepared the perfect love spell. My husband ran back to me in 3 days time begging for forgiveness THIS IS SO REAL AND GENUINE. NO SCAMS. I was so surprise that the spell worked just as she told me. This is so amazing and i want you to believe because Great Mother is so real and i urge you contact her now on her email so that she can also help you the way she helped me. Her email is Greatmotherofsolutiontemple@yahoo.com   and you can also contact her with her phone number on whats app  +2348078359876  you can also check and contact her on

How my lover came back to me miraculously

August 27, 2017 01:31 AM by Andrew Ryan, Ryan, Mr
Good day everyone. I have something to share with you.. My name is Andrew Ryan USA, my girlfriend and I were separated for a long period due to some misunderstanding, I came across different spell casters and they were all unable to bring my lover back. I was so sad and almost gave up on him when i met a spell caster called Great Doctor Omoluyi who helped me get my lover back. Ever since then i have been so happy and couldn't believe it would happen. He also helped me with success spell, I have been living happily with my lover now and will be getting married soon. Here is his contact Email: [ Doctoromoluyispelltemple@gmail.com ] if you need his help on getting your ex back, stop your marriage from crumbling or you need success in every aspect of your life. He is really a good spell caster.

Email: [ Doctoromoluyispelltemple@gmail.com ]
Cell Number: +1 (914) 517-3229

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thank you dr alexzander for saving my marriage

October 17, 2017 02:59 PM by caroline nicole grilli, 0925
Good day everybody my name is Mrs Caroline Gilli am here to share with you my life experience how a great man called Dr Alexzander saved me and my marriage.I have been Married & Barren for for 5 years i had no child. i have never been pregnant i was a subject of laughter from my Friends & neighbors, i almost lost my marriage because of this issue.i was so confused that i did not know what to do until i came across this great Dr online and i contacted him at once i was scared weather it was going to work because i never believed things like this before, so i decided to give it a try and i did all what Dr Alexzander asked of me and today to my greatest surprise i took in the first time and i gave birth to a bouncing baby boy and now my marriage that was about crashing before is now restored. my husband now love and want me better, Am so happy for everything that have been happening my life since i met this Dr Alexzander.
I want to tell all the women out there who have a similar situatio like that the world is not over YET they should dry up their tears and contact this great man and their problem will be gone or are you also having other problems you can also contact Dr Alexzander, here is how you can contact him alexzanderhightemple@gmail.com Or Contact him via his whats-app number +2348075823891.
Thank Dr Alexzander for everything you did in my marriage.
Thanks
Caroline Grilli

thank you dr alexzander for saving my marriage

October 17, 2017 02:59 PM by caroline nicole grilli, 0925
Good day everybody my name is Mrs Caroline Gilli am here to share with you my life experience how a great man called Dr Alexzander saved me and my marriage.I have been Married & Barren for for 5 years i had no child. i have never been pregnant i was a subject of laughter from my Friends & neighbors, i almost lost my marriage because of this issue.i was so confused that i did not know what to do until i came across this great Dr online and i contacted him at once i was scared weather it was going to work because i never believed things like this before, so i decided to give it a try and i did all what Dr Alexzander asked of me and today to my greatest surprise i took in the first time and i gave birth to a bouncing baby boy and now my marriage that was about crashing before is now restored. my husband now love and want me better, Am so happy for everything that have been happening my life since i met this Dr Alexzander.
I want to tell all the women out there who have a similar situatio like that the world is not over YET they should dry up their tears and contact this great man and their problem will be gone or are you also having other problems you can also contact Dr Alexzander, here is how you can contact him alexzanderhightemple@gmail.com Or Contact him via his whats-app number +2348075823891.
Thank Dr Alexzander for everything you did in my marriage.
Thanks
Caroline Grilli

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