Author's abstract:Breastfeeding laws are expected to positively effect social and physical environments by creating opportunities and supportive environments for mothers to breastfeed, increasing access to available lactation resources, and expanding breastfeeding rights, to name but a few pathways. Positive effects of breastfeeding laws can improve breastfeeding outcomes, including those of neonates. This study examined whether state breastfeeding policies influenced breastfeeding initiation and duration among U.S. women with a live birth from 2004 to 2016.

The rate of breastfeeding in the United States has risen and fallen over time as a result of changing lifestyles and the availability of substitutes for human milk. However, since the 1970s the rates of breastfeeding initiation and duration have increased, in part due to the increasing medical evidence of the significant health benefits both to mothers and children. The federal government's Health Objectives for 2010 are for 75% of mothers to initiate breastfeeding at the time of birth and for 50% to continue breastfeeding until their infants reach 6 months of age. Current rates are about 69.5% at the time of hospital discharge and 32.5% at 6 months of age. The health benefits to the infant include the high nutritional quality of human milk, and a decrease in various infectious and other diseases of infancy that are reduced by the anti-microbial, anti-inflammatory and immunological-stimulating agents present. Mothers seem to benefit with a more rapid return to the pre-pregnancy state of their bodies, improved glucose and lipid metabolism, delayed ovulation, and the possible reduction of certain cancers. This new book examines the impact on health, employment and society, laws and government support of this important health action.

"For nearly all infants, breastfeeding is the best source of infant nutrition and immunologic protection, and it provides remarkable health benefits to mothers as well. Babies who are breastfed are less likely to become overweight and obese. Many mothers in the United States want to breastfeed, and most try. And yet within only three months after giving birth, more than two-thirds of breastfeeding mothers have already begun using formula. By six months postpartum, more than half of mothers have given up on breastfeeding, and mothers who breastfeed one-yearolds or toddlers are a rarity in our society. October 2010 marked the 10th anniversary of the release of the HHS Blueprint for Action on Breastfeeding, in which former Surgeon General David Satcher, M.D., Ph. D., reiterated the commitment of previous Surgeons General to support breastfeeding as a public health goal. This was the first comprehensive framework for national action on breastfeeding. It was created through collaboration among representatives from medical, business, women's health, and advocacy groups as well as academic communities. The Blueprint provided specific action steps for the health care system, researchers, employers, and communities to better protect, promote, and support breastfeeding. I have issued this Call to Action because the time has come to set forth the important roles and responsibilities of clinicians, employers, communities, researchers, and government leaders and to urge us all to take on a commitment to enable mothers to meet their personal goals for breastfeeding. Mothers are acutely aware of and devoted to their responsibilities when it comes to feeding their children, but the responsibilities of others must be identified so that all mothers can obtain the information, help, and support they deserve when they breastfeed their infants. Identifying the support systems that are needed to help mothers meet their personal breastfeeding goals will allow them to stop feeling guilty and alone when problems with breastfeeding arise. All too often, mothers who wish to breastfeed encounter daunting challenges in moving through the health care system. Furthermore, there is often an incompatibility between employment and breastfeeding, but with help this is not impossible to overcome. Even so, because the barriers can seem insurmountable at times, many mothers stop breastfeeding. In addition, families are often unable to find the support they need in their communities to make breastfeeding work for them. From a societal perspective, many research questions related to breastfeeding remain unanswered, and for too long, breastfeeding has received insufficient national attention as a public health issue. This Call to Action describes in detail how different people and organizations can contribute to the health of mothers and their children. Rarely are we given the chance to make such a profound and lasting difference in the lives of so many. I am confident that this Call to Action will spark countless imaginative, effective, and mutually supportive endeavors that improve support for breastfeeding mothers and children in our nation."--Page v.

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) began 40 years ago as a pilot program and has since grown to serve over 8 million pregnant women, and mothers of and their infants and young children. Today the program serves more than a quarter of the pregnant women and half of the infants in the United States, at an annual cost of about $6.2 billion. Through its contribution to the nutritional needs of pregnant, breastfeeding, and post-partum women; infants; and children under 5 years of age; this federally supported nutrition assistance program is integral to meeting national nutrition policy goals for a significant portion of the U.S. population. To assure the continued success of the WIC, Congress mandated that the Food and Nutrition Service of the U.S. Department of Agriculture (USDA) reevaluate the program's food packages every 10 years. In 2014, the USDA asked the Institute of Medicine to undertake this reevaluation to ensure continued alignment with the goals of the Dietary Guidelines for Americans. This, the second report of this series, provides a summary of the work of phase I of the study, and serves as the analytical underpinning for phase II in which the committee will report its final conclusions and recommendations.

This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates.

Breastfeeding Rights in the United States shows that the right to breastfeed in this country exists only in a negative sense: you can do it unless someone takes you to court. Kedrowski and Lipscomb catalog and analyze all the laws, policies, judicial opinions, cultural mores, and public attitudes that bear on breastfeeding in America. They then explore the classic double bind: social norms promulgated by the medical and public health establishment say breast is best; but social practices in the workplace and in public spaces make breastfeeding difficult. Aggravating the double bind is the prominence of the breast in American culture as a sexual object. The double bind creates coercively structured choices that are incompatible with the meaningful exercise of rights. The authors conclude that the solution to this problem requires new theory and new strategy. They posit a new democratic, feminist theory of the breastfeeding right that is predicated on the following distinctions: DT It is not a right to breastfeed, but a right to choose to breastfeed. DT It is a woman's right to choose, not a baby's right to be breastfeed. DT It is a right, not a duty. The authors predict that framing the breastfeeding right in this way provides the basis for a new strategic coalition between breastfeeding advocates and liberal feminists, who have historically been wary of one another's rhetoric. Breastfeeding Rights in the United States represents an important advance toward policy change.