Recent focus on health disparities and institutional and structural supports for new breast/chestfeeding families reveals an ugly truth, in countries around the world: Marginalization of oppressed groups (example: racism) makes people sicker today. The same people whose allostatic load of biologic stress, accrued over many generations of oppression and colonialism, made them sicker to begin with. In the USA, black women die at three times the rate of white women in the first year after childbirth. Breastfeeding and human milk use can shift the script on this public health crisis, and this Jeopardy-style game show sheds light on the clinical, ethical, and legal obligations to use cultural congruence/sensitivity in lactation care. If I am “color-blind” in my care for patients, isn’t that proof that I offer equitable care? Is it “too late” to learn how to provide inclusive care, if I have been doing this work for decades? Why are we dealing with this “downstream;” isn’t the answer to make sure folks just get a good education or better-paying jobs? If I can’t speak the first language of my patient, isn’t using the hospital translation service over the phone what I need to do? How can I help my colleague to see that their well-meaning comments to a patient were demeaning or patronizing? This session gets everyone involved in a game show where we apply the practice-guiding and policy-guiding documents that shape IBCLC practice, and figure out which ones help in ethics- and culturally-cloudy scenarios like those described above. Attendees will walk away (with prizes!, and) with a better understanding of public health policies in play, phrases to use in inclusive clinical care, and providing lactation care that is empowering to the parents.
This session meets requirements for E-CERP approval, for material covering Ethical and Legal Issues, and Public Health and Advocacy, coming under Section VII. Clinical Skills of the IBLCE Detailed Content Outline. After the session the learner will be able to:
(1) Identify 3 mandatory or voluntary professional practice documents, that provide a legal and ethical basis for inclusive care, by the IBCLC, or other healthcare providers (HCPs)
(2) Identify 3 evidence-based websites addressing health disparities and structural racism, with resources for the HCP to use in clinical care of families
(3) Describe 3 phrases that promote inclusivity when discussing breastfeeding/chestfeeding and human milk use with families, and clinical situations with colleagues