Family Care Health Centers in Carondelet is celebrating an award it received this week from the U.S. Department of Agriculture for supporting mothers who breastfeed.
The health clinic is one of four Missouri Women, Infants and Children offices recognized for hiring people from the program's target population to serve as peer counselors for breastfeeding mothers. WIC serves many low-income and African American mothers who are statistically less likely to breastfeed.
鈥淭hese individuals have previous experience with WIC and with the breastfeeding journey,鈥� said Mary Nauert, a registered dietician and breastfeeding coordinator at the health clinic. 鈥淭hey're there to be that support system, be that person to support them along this journey.鈥�
Nauert said mothers can experience plenty of lactational problems after a baby is first born, which often discourages them from continuing to breastfeed.
鈥淚t's really important to be able to help with initiation of breastfeeding and also duration of breastfeeding, and to serve a gap in the gap in care in the community,鈥� she said.
Nauert said she鈥檚 grateful for the support and education Family Care Health Centers has been able to provide to mothers, but the work is still challenging.
In St. Louis, Nauert said language diversity and transportation deserts make it difficult for many WIC clinics to connect with mothers who need help breastfeeding.
鈥淚t鈥檚 something that our community wants,鈥� Nauert said. 鈥淲e see really high rates of initiation. And then as the months go on, breastfeeding rates tend to decrease or drop off.鈥�
According to the Missouri Department of Health and Senior Services, over 75% of Missouri WIC moms initiate breastfeeding, but most do not continue through the first year.
鈥淭hey may work in workplaces that are less supportive of breastfeeding where there are not a lot of places to pump," said state breastfeeding coordinator Lisa Schlientz. 鈥淥r they may feel that formula is more normalized or easier to make a part of their busy [lives].鈥�
expands protections for breastfeeding mothers, but Schlientz said more work needs to be done to make sure mothers鈥� rights are honored.
鈥淲e can always work on decreasing the stigma around breastfeeding. We can always work on increasing workplace support for our moms that would like to pump milk for their babies,鈥� she said.
Additionally, national WIC enrollment has been declining over the past decade, and Missouri鈥檚 participation during the COVID-19 pandemic.
Schlientz said it becomes harder to support breastfeeding mothers if they do not use WIC, because they cannot access peer support programs like the one at Family Care Health Centers.
Failing to support breastfeeding presents a public health issue, said Erin O鈥橰eilly, a certified lactation consultant and leader of the St. Louis La Leche League.
鈥淭he mother and baby both benefit [from breastfeeding]. So we're going to pay less health care dollars down the line,鈥� she said. 鈥淚t's one of our most potent public health tools.鈥�
O鈥橰eilly said human milk provides nutrients that reduce a baby鈥檚 risk for short-term and long-term illnesses, like diabetes and heart problems. Additionally, mothers who breastfeed are more than 25% less likely to be diagnosed with diabetes.
O鈥橰eilly said she is proud of Family Care Health Centers for winning an award, and she believes other WIC clinics should follow along, even though it will be hard to break down systemic barriers to breastfeeding.
鈥淲hat we need to do is pull back from the free formula and start making sure that every WIC clinic has a breastfeeding support team,鈥� she said.
