What I missed

You know you were (are) a Google Reader addict when you get back on after giving it up for Lent, and it's stopped counting new posts after "1000+". If I was going to be really true to my Lenten vow I would have marked them all as read and started afresh. But I did skim some of my faves. So while these links are probably old to everyone else, here are a few that jumped out at me:

Navelgazing Midwife on Touring L&D suites around the country and wondering what they say about what patients want...or are supposed to wait. I commented about how often hospitals seem to advertise "private rooms"... even in pretty dingy public hospitals I have yet to work with a doula client who got anything but a private room, whether L&D or postpartum. Is this just an advertising gimmick?

The Academy of Breastfeeding Medicine on audio galactagogues for mothers of babies in the NICU. I want to hand out little MP3 players to all the pumping NICU moms I see! It made me wonder whether a Hypnobirthing/Hypnobabies type of track targeted especially to NICU moms to listen to before or during milk expression would be helpful.

Alanna at Blood and Milk on how "helpful" postpartum visitors are a lot like "helpful" aid organizations.

Via Motherwear Breastfeeding Blog, a NY Times article on the deadly consequences of cultural beliefs that deprive babies of breastmilk in developing countries.

US Dept. of Labor offers guidelines on break time for nursing mothers

The U.S. Department of Labor's Wage and Hour Division has a fact sheet out for employers and employees, explaining more about the break time for pumping mandated in the health care reform law. Here's an excerpt on the space requirements:

Employers are required to provide a reasonable amount of break time to express milk as frequently as needed by the nursing mother. The frequency of breaks needed to express milk as well as the duration of each break will likely vary.

A bathroom, even if private, is not a permissible location under the Act. The location provided must be functional as a space for expressing breast milk. If the space is not dedicated to the nursing mother's use, it must be available when needed in order to meet the statutory requirement. A space temporarily created or converted into a space for expressing milk or made available when needed by the nursing mother is sufficient provided that the space is shielded from view, and free from any intrusion from co-workers and the public.

Read the rest here.

New protections for nursing mothers in Senate health bill

From the Wall Street Journal Health Blog:

Here’s a detail in the Senate health-care bill we hadn’t noticed until now: Employers would be required to give nursing mothers “a reasonable break time” to express breast milk during work.

Employers would also have to provide “a place, other than a bathroom, that is shielded from view and free from intrusion from co-workers and the public, which may be used by an employee to express breast milk,” the bill says.

Companies with fewer than 50 workers would be exempted from the requirements if the rules imposed “an undue hardship.” You can read the provision yourself on page 1239 of the Senate health-care bill. Similar legislation has been introduced in Congress for years, but has never become law.

More than 20 states already have laws in place to protect nursing mothers in the workplace, according to a Kaiser Health News story that highlights several provisions in the Senate bill that haven’t drawn much attention.

There's plenty to say about ignoring extended maternity leaves in favor of lukewarm pumping protection, but at least this would extend some extra protections to women working in states that don't currently protect their right to express milk. It also shows there's at least one prevention-minded initiative in the health care bill!

Thanks for the link go to Adriane, my classmate and policy guru extraodinaire!

P.S. I just realized this is my 200th post to Public Health Doula. Wow! Thank you for reading, commenting, and sharing.