Industry lies and the Code

“Even in the harshest of trade regimes, there is space for public interest laws to meet legitimate health objectives when they are founded on internationally adopted standards and recommendations such as the Code and subsequent relevant WHA resolutions.”– WHO, 2016

All three of my kids sport a similar look when they lie.  As soon as the fabrication tumbles out, their cheeks suck in ever so slightly toward pursed lips. Once they’ve heard themselves, their eyes widen a smidge and their bottom jaw drops just a few degrees. 

Most of us don’t like to be lied to, but usually the dishonesty we encounter can be considered trivial. “I didn’t do it!” when there’s crayon art on the kitchen walls. “Your hair looks great!” when you know it doesn’t. “Of course I remember you!” when you haven’t the slightest clue. 

Just as humans tend to react physiologically when we lie, we have an ability to detect when someone is lying to us. Inundated by the lies told by marketing companies on behalf of major industries though, detecting truth and falsehoods can be majorly challenging. There’s no lip biting, no shifting eyes, no perspiring to give it away. Instead the tactics industries use are cunning, targeted, sometimes irresistible and truly brilliant in many ways. The lies they tell are perpetual, and their claims have completely saturated our culture, influencing just about every facet of our lives, all for commercial gain.

There’s a promotional video featured by a cooking show that showcases a chef professing his allegiance to gas stoves. The video was created by a utilities provider though, and having worked aggressively with state legislatures “to block legislation that would provide cleaner, electric-based building codes,” their marketing got us to believe that cooking on a gas stove is somehow the best while simultaneously waging “war on local electrification initiatives all over the country.” [https://www.thresholdpodcast.org/season-4-episode-6-transcript]  

Here’s another example. Most of the seafood that we purchase and consume in the U.S. is mislabeled as something completely different. This “Seafood Fraud” is detailed in (Mis)labeled Fish

President of the  Center for Science in the Public Interest Peter G. Lurie, MD, MPH calls out unfounded claims of “healthy alcohol” in Peter’s Memo: The Jungle

Fossil fuel companies are greenwashing their efforts, helping to sow doubt about the fossil fuel industry’s role in the climate crisis. 

As explained on How to Save a Planet: “They’ve… done it indirectly, by funding organizations who lobby congress, launching fake grassroots campaigns, and perhaps most importantly, through advertising. These ads, according to Martin Watters at the nonprofit firm ClientEarth, are greenwashing.” 

The tobacco industry pushes “green” public relations too.

Now consider the baby milk substitute (BMS) industry. A recent WHO report examines the scope, techniques and impact of digital marketing strategies for the promotion of breast-milk substitutes which reveals how the $ 55 billion baby formula industry “insidiously and persistently” targets parents online through “tools like apps, virtual support groups or ‘baby-clubs’, paid social media influencers, promotions and competitions and advice forums or services, formula milk companies can buy or collect personal information and send personalized promotions to new pregnant women and mothers.” [https://www.who.int/news/item/28-04-2022-who-reveals-shocking-extent-of-exploitative-formula-milk-marketing

Their efforts have further adapted to target older children with their toddler milks and  formulas. Lurie again calls out false claims like  “Brain & eye development” and “Plant-based protein for toddlers.”

He writes: “The multibillion-dollar infant-formula industry is trying to convince parents that children older than 12 months need formula. They don’t. The beverages—made largely of fortified powdered soy or dairy milk, oil, and corn syrup solids or maltodextrin—typically supply added sugars. They certainly don’t beat a diet of healthy foods.” 

The WHO report confirms these concerns: “Science is a dominant theme in the marketing of formula milk across all eight countries, including scientific imagery, language and pseudo-scientific claims. Formula milks are positioned as close to, equivalent and sometimes superior to breast milk, presenting incomplete scientific evidence and inferring unsupported health outcomes. Ingredients, such as human milk oligosaccharides (HMOs) and docosahexaenoic acid (DHA), are advertised as ‘informed’ or ‘derived’ from breast milk and linked to child developmental outcomes. Examination of the scientific evidence cited does not support the validity of these claims.” (p. 9)

In response to the absurdity of BMS industry claims during Protecting Breastfeeding in the United States: Time for Action on The Code, David Clark, International Public Health and Human Rights Lawyer and Legal Advisor for the UNICEF Nutrition Programme (1995 to 2020), laughed “I don’t think I’ve seen anything so outrageous in my life.”

The marketing of formula products is different from other commodities because it impacts the survival, health and development of children and mothers; disrupts truthful information– an essential human right as noted by the Convention on the Rights of the Child; disregards the International Code of Marketing of Breast-milk Substitutes; and exploits the aspirations, vulnerabilities and fears at the birth and early years of our children solely for commercial gain. (WHO/UNICEF, 2022, p. x) 

Considering the current state of affairs– the industry’s guileful tactics, the permeation of their influence in every sphere of life, our nation’s lack of adoption of the International Code of Marketing of Breast-milk Substitutes/ subsequent WHA resolutions and any monitoring or enforcement systems– it’s easy to feel crushed as a maternal child health advocate, like the way forward is straight into the Apocalypse. 

Fear not. Researcher Britt Wray has suggestions on how to keep ourselves within our windows of tolerance in order to continue to mobilize. While Wray’s work focuses on the climate crisis, her findings are easily applied to maternal child health advocacy. Learn about these techniques here

There are also simple actions (and some bigger ones too) that we can employ to continue to move the needle.

Françoise Coudray of ADJ+ Allaitement Des Jumeaux et Plus offered this to health advocates attending the launch of WHO’s latest report : “The mosquito: small, small, but have one in your bedroom and you will have a very bad night; so do the mosquito, let us all do the mosquito.” 

  • On Facebook, find the three little dots in the upper right hand corner of the ad to locate the “Report ad” prompt.

    When marketed formula products on social media platforms, report them directly to the platform.

  • Make a presence at the Codex Committee on Contaminants in Foods Public Meetings. In April, individuals like Consumer Reports Senior Staff Scientist Mike Hansen, Ph.D, Environmental Defense Fund’s chemicals policy director Tom Neltner and Center for Science in the Public Interest’s Thomas Galligan, PhD made clear in brief comments that we need to rethink how toxin levels are approached at CCCF. Hansen pointed out that the current permitted levels are not sufficient to protect infants and young children. Echo these demands for safer products. [While we wait for more stringent requirements, consumers can check out the Clean Label Project to find information about food and products not available on their labels.]  
  • Join forces with other advocacy groups to put pressure on the enforcement agencies responsible for food safety. 
  • Check out this Indonesian model of a platform for reporting violations of the Code
  • Support relactation efforts. Artificial feeding does not have to be the default.  Ines Fernandez in the Philippines has a model for this work.  There is also information about this included in the Global Breastfeeding Collective’s recordings of Building Better Breastfeeding Counselling Programs
  • Get people fired up. Increase public interest participation using NACCHO’s flyer on advocacy and lobbying to drum up attention about how the Code benefits all babies, no matter their feeding method. This has been grossly overlooked and cannot be overstated as formula companies often attempt to pit breastfeeding advocates against those who do not breastfeed.
  • Support the Baby-Friendly Hospital Initiative (BFHI). In the U.S., this is the only “federal” program that is enforcing the Code, albeit voluntary participation.  
  • Encourage divestment. Check out Norwegian Secretary-General of Save the Children Tove Wang’s push for the Norwegian Government Petroleum Fund’s withdrawal from investments in companies aggressively pushing infant formula in developing countries. According to Save the Children’s Don’t Push It, “The largest global fund management firms have more than $110 billion invested in companies that market milk formula. As we have documented in this report, the profits these companies generate are fuelled in part by marketing practices that directly – and profoundly – harm children….Active investment funds have the power to wield huge influence over the boards of the companies they have a stake in.” (p44-45)  
  • Support the work of Baby Milk Action. Patti Rundall, Mike Brady and colleagues work tirelessly to uphold the Code and its resolutions including speaking at shareholder meetings.
  • Stay tuned for an engaging opportunity with the newly formed INFACT USA to uphold the Code here in the U.S.

Many of these immediate and long term actions are outlined in Constance Ching and colleague’s piece Old Tricks, New Opportunities: How Companies Violate the International Code of Marketing of Breast-Milk Substitutes and Undermine Maternal and Child Health during the COVID-19 Pandemic.

 

Add your name to #EndExploitativeMarketing here. Tell us about your efforts engaging with the Code. Email us at info@ourmilkyway.org.

Graduate student explores complexities of nutrition and health from cradle to grave

Originally from New Orleans, Erin Bannister, lab instructor and dietetic intern at Northern Illinois University, says that food is tied to her identity.  Bannister was ten when she first learned to make a roux. Those early skills prepared her for her later work as a chef, which she describes as a kind of manual labor with long, hot hours. 

Bannister shares with a laugh, that she started to wonder how she could work with food and continue to nourish people with weekends and holidays off. Eventually, she discovered the field of dietetics.

Photo by ja ma on Unsplash

Currently in the thick of her Master’s thesis, Bannister is exploring the metabolic energy needs in adults and determining whether the default equations we use are accurate in the populations they’re used in. 

For instance, it is widely accepted that an average allowance for a roughly 170 pound man is  2,300 kcal/day; for women, it is 1,900 kcal/day. We expect that pregnant and lactating people will have higher metabolic energy needs. 

As Bannister spends a swath of her days compiling and extracting data, she says she’s discovering that some of the accepted equations need to be delineated. 

“The real root of my thesis and the root of most of my studies and the goals that I have, is to use accurate evidence-based interventions in the populations that they are meant to be used in and to not remove ourselves from that evidence,” Bannister begins. “… Often times, things are taught and then they are believed because the person that taught it is an expert and the evidence gets lost on the way; don’t forget to review the evidence.” 

As Bannister continues to pursue this idea that we can do better than sludging through the status quo, she sought out the Lactation Counselor Training Course (LCTC). Although Bannister has great interest in the complexities of nutrition and health from cradle to grave, she says that there is a solid argument that the health of a population is highly correlated with the health of its mothers. 

Source: United States Breastfeeding Committee (USBC)

“[I want] to be as helpful and effective as possible… to have the knowledge to be able to contribute meaningfully, and the certification adds credibility,” she explains. “The training was quite eye-opening, almost embarrassing to say how little I knew about breastfeeding.” 

Bannister goes on that ultimately, she would like to work with nutrition intervention in low and middle income countries where the burden of improper nutrition is most severe. Currently, many countries worldwide face the double burden of malnutrition – characterized by the coexistence of undernutrition along with overweight, obesity or diet-related noncommunicable diseases (NCDs). In fact, nearly one in three people globally suffers from at least one form of malnutrition: wasting, stunting, vitamin and mineral deficiency, overweight or obesity and diet-related NCDs. (WHO 2017)

As Bannister buckles down at the end of the semester, she says, “I want to make sure I am utilizing all the forks I’ve got in the fire.” 

You can learn more about Bannister’s work by exploring the various topics she has presented on, ranging from potatoes to prison to poop. Connect with Bannister on Linkedin and Instagram @calibrating_palates.

Empathy in architecture

A friend of mine works in a healthcare building; her office, windowless. Stark white walls frame the shiny tiled floors in the also windowless laboratory that surrounds her office. Rectangular fluorescent lighting looms eerily overhead. Working in this space for the majority of her waking hours amounts to constant longing for sunshine and an overall agitated demeanor. I imagine the architect of this space wasn’t much of an empath.

Photo by Robert Katzki on Unsplash

This effect is being documented in a growing body of research demonstrating how color, texture and patterns affect human emotions.

Generally, humans are quite robot-like, performing our daily duties without a great deal of attention paid to the building structures, layouts or designs that we move through. 

“When we don’t notice the built environment, it’s silently affirming our right to be there, our value to society. When we do, too often it is because it’s telling us we don’t belong. Those messages can be so subtle that we don’t recognize them for what they are,” Kim Tingley writes, later quoting architect Joel Sanders: “‘We sleepwalk our way through the world…Unless a building interior is strikingly different or lavish or unusual, we are unaware of it.’” 

The first time I saw a lactation pod at an airport– unusual at the time– I had mixed emotions. Part of me became excited that this was an option for traveling, lactating, pumping, and breastfeeding people, but most of me scoffed, annoyed, thinking something along the lines of: “Of course breastfeeding moms would be given this messaging to go hide themselves away from the public eye.” 

What Tingley wrote, that our built environment affirms our right to be in a space, affirms our value to society, is certainly a powerful concept. 

The COVID pandemic has forced us to think more about the built spaces we move through, adding layers to this idea of how and what and who we value.  

In a recent episode of Uniquely Milwaukee Salam Fatayer of 88Nine Radio Milwaukee poses the question: “What could our city, neighborhoods and community spaces look like if they were created based on people’s emotional, psychological and social needs?”

Photo by Coasted Media on Unsplash

Local architects and scholars answer with ideas about how they’re supporting the users of the spaces they create, with the goal of making sure people feel safe, at peace and nurtured by those built environments. 

On Our Milky Way, we’ve had the honor of highlighting the work of those thinking about how built spaces affect birth, lactation and beyond. 

For example, in conjunction with the Institute of Patient-Centered Design, Inc., The MomFriendly Network created The Lactation Design program which consists of research and outreach projects to enable the Institute to contribute design resources that  improve accommodations to support breastfeeding. Read more about this project here: https://www.ourmilkyway.org/physical-environment-influences-breastfeeding-outcomes/ 

Renée Flacking and her colleagues’ work, Closeness and separation in neonatal intensive care, explores how architecture influences outcomes in neonatal units. Single-family room designs are increasingly replacing traditional open-bay units for reasons documented in their paper.

Source: United States Breastfeeding Committee (USBC)

“This architectural structure provides the family with an opportunity to be with their child in the neonatal intensive care unit day and night providing facilities for parents’ basic needs including the need for privacy. This design has been suggested to be associated with a lower rate of hospital-acquired infections, similar to single patient rooms in adult intensive care (48), earlier full enteral nutrition, higher breastfeeding rates and a more soothing environment with, for example, lower ambient sound levels (49). As this design has been shown to reduce the length of stay in hospital significantly, for example, by 10 days in preterm infant below 30 weeks of gestation in a Swedish study (50), it shortens the time of separation for the infant from the home and family. Parents have reported that they felt that a single family room design in a NICU facilitated their presence with their infant (51), but the increase in parent–infant closeness gained by a single family room model during hospital care is not well documented in scientific literature.”

Read Our Milky Way’s coverage on this concept here

In stark contrast, attorney Leah Margulies recently shared in Protecting Breastfeeding in the United States: Time for Action on The Code that formula companies provide architectural designs to maternity care facilities in a deliberate attempt to separate dyads, making bonding and breastfeeding difficult and consequently,  families more likely to become reliant on their artificial products. It’s a sickening example of how the industry saturates our systems, down to the skeletons of our buildings.

Photo credit: Henrico County Public Library

Venturing beyond the very early postpartum period, it’s exciting to explore how community spaces are supporting young families. The Henrico County Public Library – Fairfield Area Library is accommodating families with their Computer Work + Play Stations which were conceptualized by library staff and materialized by architects at Quinn Evans and TMC Furniture staff. Read more about that inspiration and process here

Supporting lactation and breastfeeding in the workplace is a vital part of ensuring that lactating individuals feel valued. Setting up lactation spaces sometimes calls for innovation and creativity. You can explore our collection of stories about workplace accommodations in the stories below: 

CLC advances breastfeeding protection and support in the workplace

Workplace supports breastfeeding mother of triplets

Making Breastfeeding the Norm through The Breastfeeding Family-Friendly Community Designation (BFCD)

Alameda sergeant improves lactation space and support in county

Artist celebrates working mothers with ‘Liquid Gold’ project

Worksite program caters to nursing moms

Photo credit: Meredith W. Gonçalves

 

Pulling back the lens further, the architecture of communities themselves influences well-being too. One of the effects of redlining is poor health outcomes. Part of this equation involves the placement of industrial buildings and factories. Vann R. Newkirk II points out in Trump’s EPA Concludes Environmental Racism Is Real that The National Center for Environmental Assessment released a study indicating that BIPOC are much more likely to live near polluters and breathe polluted air. “Specifically, the study finds that people in poverty are exposed to more fine particulate matter than people living above poverty,” he writes.  

NICHQ hosts a webinar The Residual Impact of Historical Structural Inequities: Connecting Residential Segregation and Mortgage Discrimination to Current Infant Mortality and Breastfeeding Rates where maternal child health experts including speakers Jaye Clement, MPH, MPP, Brittney Francis, MPH, Kiddada Green, MAT, Arthur James, MD and Jessica Roach, LPN, BA, MPH share examples for supporting efforts to reduce infant mortality and improve maternal and infant health. 

Circling back to Tingley’s piece, the article raises the concern that although we’re equipped with knowledge about how under-resourced populations are being affected by current structures and practices,  “funding earmarked for expanding inclusivity [may] be diverted toward making existing facilities safer for those they already privilege.” 

Drawing on Sanders’ work, Tingley writes,  “Throughout history… the built environment has reflected and reinforced inequality by physically separating one group from another, often in the presumed interests of health or safety. Women-only bathrooms, so designated by men, supposedly preserved their innocence and chastity; white-only bathrooms separated their users from supposedly less ‘clean’ black people. It’s no coincidence that Covid-19 has disproportionately sickened and killed members of demographic groups — people who are black, Indigenous and Latino; who are homeless; who are immigrants — that have been targets of systemic segregation that increased their vulnerability. It’s also not hard to imagine the pandemic, and a person’s relative risk of infection, being used to justify new versions of these discriminatory practices.”

Art by Liz Richter, Photo by Leslie Rodriguez
Find more of Richter’s art here: https://www.lizrichterart.com/public-art

In this vein, Glenn Gamboa details where some funding gets funneled in a piece published this spring. 

“Twelve national environmental grant makers awarded $1.34 billion to organizations in the Gulf and Midwest regions in 2016 and 2017, according to a 2020 study by The New School’s Tishman Environment and Design Center. But only about 1% of it — roughly $18 million — was awarded to groups that are dedicated to environmental justice.” 

The climate crisis is an accelerating threat that is both affected by and affects architecture. 

“Architecture has to mediate between the perceived needs of the moment versus the unknowable needs of the future; between the immediate needs of our bodies and the desire to create something that will outlast generations,” Tingley goes on to write. 

Across the globe, architects push to be “mindful of their projects’ environmental impacts and resilience, including an emphasis on upcycling, the use of solar power, better building practices, and, of course, structural longevity,” Alyssa Giacobbe writes.  [More on ecological design here.] 

Alongside resilience and sustainability, there must be a focus on design that specifically serves mothers and their children. Mothers are too often left out, unseen, underserved despite there being about two billion of us worldwide, with an increasing likelihood of women becoming mothers

Photo by Dimitry Anikin on Unsplash

Lisa Wong Macabasco puts it this way: “Although the experience of human reproduction touches all of us at least once in our lives, its effects remain taboo, under-researched and excluded from exhibitions and publications covering architecture and design history and practice. In these spheres, maternity is treated furtively or as unimportant, even as it defines the everyday experiences of many – some 6 million Americans are pregnant at any given time.” 

It isn’t surprising that “design for children, design for healthy spaces, design for those with disabilities, care of and for their colleagues – these discussions and follow through are happening largely through female-led firms and initiatives,”  Julia Gamolina comments in The Unspoken Burden on Women in Architecture

In an exciting development, Wong Macabasco describes design historians Amber Winick and Michelle Millar Fisher’s Designing Motherhood, “a first-of-its-kind exploration of the arc of human reproduction through the lens of design. Their endeavor encompasses a book, a series of exhibitions and public programs in Philadelphia, and a design curriculum taught at the University of Pennsylvania.” 

This is exciting, and it’s progress. But as Wong Macabasco quotes Juliana Rowen Barton– architecture and design historian and curator who also helped organize Designing Motherhood– “Progress is not the fact that this show happened – progress is these conversations continuing to happen.” 

Designing Motherhood is on view at the Mutter Museum in Philadelphia through this month of May 2022.

“She was living, but she wasn’t alive”: May 4th marks World Maternal Mental Health Day

“‘I have too much mental health and breastfeeding support,’ says no family EVER!” Felisha Floyd of The B.L.A.C.K. Course has accurately asserted. Around the world, as many as 1 in 5 new mothers experience some type of perinatal mood and anxiety disorder (PMADs).  Often, PMADs go unnoticed and/or untreated and can have tragic and long-term consequences to families and subsequently societies.

The World Maternal Mental Health (MMH) Campaign’s blog features the sometimes harrowing, sometimes triumphant stories of those enduring PMADs. 

“It didn’t look anything like what the brochures told me it would look like….For me, PPD/PPA was a sneaky vixen that tricked my mind into thinking that every new mom felt like this,” one contributor writes. “That I was living in a cruel joke of a world where no one tells you that as soon as that baby pops out, you will never feel the same way again. The sneaky vixen told me that we’d made a huge mistake. We weren’t supposed to have a baby. That what I thought I wanted more than anything my whole life, was something that just wasn’t for me. I didn’t feel like this baby I was holding was mine. It belonged to the universe but I wasn’t his mom.”

Another shares, “I would look into the mirror and wonder who was the person looking back at me.  She looked like me, but did not feel like me.  There was no spark in her eyes.  She was living, but she wasn’t alive.”  

May 4 marks World Maternal Mental Health Day, time to reflect on why we need to pay attention to maternal mental health, influence policy and drive social change, reducing the stigma of maternal mental health. 

Photo by Matthew Ball on Unsplash

The MMH Taskforce has curated a hub for individuals and organizations to find information about MMH and suggest a variety of ways to get involved including a social media toolkit with simple actions. 

Last year, the Maternal Mental Health Leadership Alliance (MMHLA) compiled the Perinatal Mental Health Advocacy Toolkit,  “designed to help perinatal mental health (PMH) advocates understand the importance of their voices in raising awareness and influencing public policy to better support the mental health of women and other birthing people during the perinatal timeframe. Recognizing that advocacy and lobbying may sound scary or feel overwhelming, this Toolkit provides information and tools to empower advocates to tell their stories effectively, to build an advocacy network, and to put advocacy into action.” The document is complete with worksheets so that participants can build their own Toolkits with items like talking points, scripts for telephone calls, sample emails and letters, and more.

This work is of critical importance as we know that the health of mothers influences the health of the entire family. 

Dr. Beryl Watnick, PhD has pointed out that the “mother infant bond is of profound importance. The brain patterns in babies can mirror the brain patterns in depressed mothers, but when women with depression are taught how to engage their babies in spite of their depression, their children’s depressed brain patterns can reverse themselves. This is the power of parenting.” 

Although it is true that there is a vast amount of work to do in order to de-stigmatize maternal mental health and better support mothers and their families, there are also simultaneously a great deal of successes to celebrate. There are effective and well-researched treatment options available to help women recover, like breastfeeding. Individuals can connect with knowledgeable providers using Postpartum Support International’s database

One such provider is Jabina Coleman, LSW, MSW, CLC, IBCLC aka The Lactation Therapist, providing clinical support, resources and tools for the start of a successful breastfeeding journey and adjustment into parenthood. 

“Everybody Wants to Hold the Baby, Who Will Hold the Mother?” Coleman’s poignant credo. On her website, she lays out how to effectively hold mothers, with an emphasis on addressing the maternal mortality crisis that affects Black women who are dying three to four times the rate of their white counterparts.

In addition to the resources provided by the MMH Taskforce, MMHLA, and The Lactation Therapist, there are a variety of other opportunities to learn about and support MMH.

The Michigan Breastfeeding Network is hosting “Human Lactation and Mental Health: Best Practices” with presenters Tameka Jackson-Dyer, BASc, IBCLC, CHW, Rosa Gardiner, RN, IBCLC, Mistel de Varona, IBCLC, and Kara Smith, BSN, RN, CLC, PMH-C. You can register for the webinar here

Kathleen Kendall Tackett’s, PhD, IBCLC, FAPA presentation Does Breastfeeding Protect Maternal Mental Health? The Role of Oxytocin and Stress is available here

The American Heart Association, with funding support from the Center for Disease Control and Prevention’s Racial and Ethnic Approaches to Community Health program, is hosting a webinar titled “Mixing Milk + Meds: Assessing Infant Risk during Breastfeeding” on Wednesday, June 15, at 2 p.m. ET. Speakers from the Infant Risk Center will discuss how to evaluate which medications are safe for breastfeeding patients.

22 in 2022: Unsung Sheroes/Heroes in maternal child health

Earlier this year, we compiled 22 Actions in 2022 for maternal child health advocates. The list was inspired by Life Kit’s 22 Tips for 2022, and we hope it provides inspiration for you to forge forward with this important work. Extending this theme, we have curated a list of 22 Unsung Sheroes/Heroes (The list was not easily narrowed to 22 individuals!)  to continue to draw inspiration from.

Source: United States Breastfeeding Committee (USBC)
  1. Nicolle L. Gonzales is a Navajo Nurse-Midwife and founder of the  Changing Woman Initiative
  2. Rickeshia Williams, CLS, CLC, BD, CBE is the Co Founder of Milk Like Mine along with colleague Stephanie Freeman, CLC, BD. Milk Like Mine is a breastfeeding coalition and also offers doula services. 
  3. TaNefer Camara is one of four instructors at The B.L.A.C.K. Course, a full scope lactation and breastfeeding education course made by and for Black People and folks. You may know Camara from her creative work producing breastfeeding songs.  
  4. Tawanda (Williams) Payne runs a breastfeeding-friendly child care center in Mississippi. 
  5. Nishka Bommareddy, MPH serves as a Public Health Project Coordinator for CityMatCH where she works to understand the Perinatal Periods of Risk approach and assist in analyzing real-time data.
  6. Doug Edwards is the founder and Director of Real Dads Forever
  7. Katharyn Head is an ASL interpreter postpartum doula and CLC.  
  8. Julie Avery, PhD RND LDN of the University of Alaska Fairbanks has an impressive list of marine mammal research and explorations.
  9. Teresa McGinnis is a dental hygienist at Dakota Dental who completed the Lactation Counselor Training Course (LCTC) to better serve her patients. 
  10. Brittany Isler, CLC continues her work in the Mississippi Delta, supporting families to reach their breastfeeding goals and ultimately working to help shape a breastfeeding-friendly culture. 
  11. Laura Asbury, MD, CLC is a pediatrician with Beacon’s Children’s Diagnostic Center in Chattanooga.
  12. Eau Claire, Wis. City Council Member Catherine Emmanuelle persevered after a ban was instituted to keep her  from breastfeeding at her seat during meetings. 
  13. Renae Green, IBCLC, CLC  developed the Healthy Start, Inc.’s Center for Urban Breastfeeding program initiative. 
  14. Cassie Calderone is a DONA certified birth doula, Co-Chair of Chicago Latina Moms, and Board Member of Chicago Volunteer Doulas. 
  15. Mariah Palrang is the co-owner and founder of the Omaha Baby Nest. The doula group provides scholarships to the Lactation Counselor Training Course (LCTC) with a mission to diversify the lactation field. 
  16. Tara DeWolfe is a physical therapist at Way to Grow Pediatric Therapy and also serves as a lactation educator. 
  17. Colleen Jesberger’s recent work looks at Maternal Self-Confidence and Breastfeeding after Participating in a Program about Infant Prone Positioning
  18. Tammy Rascon is the Maternity Care Coordinator at  Southern Arizona VA Health Care System(SAVAHCS). Rascon and her colleagues coordinate veteran maternity care among staff OB/GYN providers, MCC nurses, and community health providers. 
  19. Amber Crews is the chair of LGBTQ+ Human Milk Feeding with Breastfeeding Family Friendly Communities of Durham (BFFC).
  20.  Karin Cadwell, PhD, RN, FAAN, ANLC, CLC, IBCLC is the Executive Director and Lead Faculty of Healthy Children Project’s Center for Breastfeeding. 
  21. Lauren Melman, MD, IBCLC is a pediatrician and family medicine physician at Middlesex Health Family Medicine – Portland where she supports families in their healthy infant feeding goals and works to educate medical students on lactation and breastfeeding support. 
  22. Margaret Butler’s, MA, CLC recent work looks at Structural Racism and Barriers to Breastfeeding on Chicagoland’s South Side

We would love to hear from you. Who is doing quiet but mighty work in your area? Send us an email at info@ourmilkyway.org or comment below to nominate your unsung shero/hero.