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Writer's pictureStephanie Bradley, CLC

Addressing Disparities in Postpartum Care and Promoting Breastfeeding in Black Communities

Updated: Jul 18, 2023

Touch of Gold is dedicated to promoting breastfeeding and postpartum care in Black communities. We are also deeply committed to addressing the disparities in healthcare experienced by Black individuals during the postpartum period. By providing support, education, and resources, we aim to empower Black parents to make informed decisions and ensure optimal health outcomes for both mothers and babies.


Disparities in Postpartum Care


The postpartum period, often referred to as the "fourth trimester," is a critical time for both the physical and emotional well-being of the mother and her infant. Unfortunately, Black communities face significant disparities in postpartum care. Studies have consistently shown that Black women are more likely to experience adverse maternal health outcomes compared to their white counterparts. These disparities are multifactorial and influenced by systemic racism, socioeconomic factors, implicit biases, and limited access to quality care.


Breastfeeding and Health Benefits


Breastfeeding is a fundamental aspect of postpartum care that provides numerous health benefits for both the mother and the baby. Breast milk serves as the ideal source of nutrition for infants, containing essential nutrients, antibodies, and enzymes that support their optimal growth and development. Breastfeeding has been associated with a reduced risk of various health conditions, including respiratory infections, gastrointestinal disorders, and chronic diseases later in life for the infant. For mothers, breastfeeding can lower the risk of postpartum depression, breast and ovarian cancers, and type 2 diabetes.

Barriers to Breastfeeding in Black Communities

Despite the well-documented benefits of breastfeeding, Black women face unique challenges that hinder their ability to initiate and sustain breastfeeding. These challenges include limited access to lactation support, lack of culturally sensitive education, early return to work without adequate support for pumping breast milk, and a historical legacy of formula feeding. Additionally, the prevalent marketing of infant formula within Black communities has perpetuated the misconception that formula feeding is a suitable alternative to breastfeeding.

Addressing Healthcare Disparities


To address the disparities faced by Black communities in postpartum care, it is crucial to acknowledge and confront the underlying systemic issues that contribute to these inequities. Systemic racism, implicit biases, and unequal access to healthcare services have long-standing effects on the health outcomes of Black individuals. Our organization actively works to dismantle these barriers and promote a more equitable healthcare system.


Collaboration and Partnerships


We recognize the importance of collaboration and partnerships in achieving our goals. We actively engage with providers, community organizations, policymakers, and other stakeholders to create a network of support for Black parents. By fostering these relationships, we aim to enhance the availability and accessibility of culturally appropriate postpartum care and breastfeeding support services.


Culturally Sensitive Approach


One of the key principles guiding our organization is the recognition of cultural diversity and the need for culturally sensitive care. We understand that cultural practices, beliefs, and experiences shape an individual's approach to parenting and healthcare decisions. By offering culturally sensitive education and support, we ensure that Black parents feel respected, heard, and empowered to make choices that align with their values and traditions.


Evidence-Based Practices


Our organization is committed to utilizing evidence-based practices in promoting breastfeeding and postpartum care. We stay updated on the latest research and guidelines related to lactation, infant feeding, and postpartum health. This allows us to provide accurate and reliable information to Black parents and providers, ensuring that our services are grounded in the best available evidence.


Measuring Impact and Continuous Improvement


We believe in the importance of measuring our impact and continuously improving our programs and services. By collecting data and evaluating our initiatives, we can assess the effectiveness of our interventions and identify areas for growth and refinement. This commitment to data-driven decision-making allows us to enhance the quality and reach of our services, ultimately improving outcomes for Black parents and their infants.


Our Mission


Our nonprofit organization is dedicated to addressing these barriers and promoting breastfeeding in Black communities. Our mission is threefold: to educate, support, and advocate for breastfeeding and postpartum care.


1. Education: We aim to provide comprehensive, culturally sensitive education on breastfeeding and postpartum care to Black parents, healthcare providers, and community members. By dispelling myths and misconceptions, we empower individuals with accurate information to make informed decisions about infant feeding.


2. Support: We offer a range of support services to ensure that Black parents have access to the resources they need for successful breastfeeding and an optimal perinatal environment. This includes lactation counseling, postpartum doula care, and culturally sensitive peer support. We also collaborate with other area providers and care givers to enhance their knowledge and skills in supporting breastfeeding mothers.


3. Advocacy: We advocate for policy changes at the local, state, and national levels to improve breastfeeding support and postpartum care for Black communities. We work to eliminate racial disparities in healthcare and promote equitable access to lactation services, paid parental leave, and workplace accommodations for breastfeeding mothers.


Overall, we are dedicated to addressing the disparities in postpartum care and promoting breastfeeding. We aim to eliminate the preventable causes of maternal and infant mortality in Black communities. We are committed to providing education, support, and advocacy to empower Black parents and ensure optimal health outcomes for both mothers and babies. By working collaboratively and addressing the systemic issues that contribute to healthcare disparities, we strive to create a future where Black communities have equitable access to culturally sensitive postpartum care and breastfeeding support. Together, we can make a positive impact and foster healthier generations to come.


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References:

1. Collins, J. W., David, R. J., Handler, A., Wall, S., & Andes, S. (2004). Very low birthweight in African American infants: the role of maternal exposure to interpersonal racial discrimination. American Journal of Public Health, 94(12), 2132-2138.

2. Johnson, A. M., & Kirk, R. (2018). Addressing racial disparities in breastfeeding: A systematic review of interventions. Journal of Racial and Ethnic Health Disparities, 5(6), 1107-1122.

3. Office on Women's Health. (2019). The Surgeon General's Call to Action to Support Breastfeeding. U.S. Department of Health and Human Services. Retrieved from https://www.womenshealth.gov/breastfeeding/policy-action

4. Peters, R. M., & Flack, J. M. (2020). Racial disparities in maternal cardiovascular-related pregnancy complications. American Journal of Obstetrics and Gynecology, 222(4), 293-295.

5. Spatz, D. L., & Edwards, T. M. (2017). Breastfeeding disparities and infant mortality: a call for action. Journal of Perinatal & Neonatal Nursing, 31(1), 1-4.

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