Breastfeeding in Seattle: “Would you eat your lunch in a public restroom?”


This week, the Seattle City Council unanimously approved legislation that protects breastfeeding mothers in Seattle from discrimination. Also this week, The Stranger published an article on this legislative victory that advocates have been pushing for – for over 9 months.

The new ordinance, which will likely take effect in May, will allow mothers to lodge discrimination complaints with the Seattle Office for Civil Rights, which will then investigate the alleged discriminatory businesses and collect statements from the mothers and witnesses. If the city finds a violation, it could impose fines of $750 or more, consistent with any other city discrimination charge (such as discrimination based on gender, race, or sexual orientation), and require that a business complete sensitivity training. In addition, a mother could seek claims of up to $10,000 in Seattle Municipal Court.

Leticia Brooks, one of the women advocating for this legislation (and quoted in The Stranger‘s article) shared her story at a Seattle City Council’s civil rights committee meeting last week. After having been forced to feed her child in a public restroom in the past, Ms. Brooks asked the committee, “Who wants to feed their child in a bathroom stall? … Would you eat your lunch in a public restroom?” (italics are mine). Local breastfeeding advocates – mothers, nutritionists, and doctors – have promoted the legal protection of women breastfeeding in public because, despite state-wide protection, women in Seattle continue to be discriminated against, stigmatized, and humiliated by employers, in restaurants, and by perfect strangers. These advocates argued their case by sharing that:

…nursing lowers child obesity rates, infection rates, and chronic diseases, while improving a mother’s mental and physical health (lowering breast- and ovarian-cancer risks, for example). They also pointed out that breast-feeding has been linked with reducing infant mortality rates.

Committee chair Bruce Harrell is the sponsor of this legislation. In the words of The Stranger‘s Cienna Madrid, Harrell “dismissed scattered opposition from sexed-up residents who squawked about the salaciousness of seeing a woman’s bare breast, saying simply, ‘This is a civil rights issue.'” To read the law itself, or to contact Seattle’s Office for Civil Rights with questions or to file a complaint, please visit their website.

Breastfeeding in Public


It has been proven that breastfeeding is healthy for mom, healthy for baby. Women who have breastfed their children have a lower risk for breast cancer, and breastfed children are at a lower risk of SIDS and have stronger immune systems as they grow.

Breastfeeding has become a protected public act in Washington state, and in 44 other states across the country. Women have legal protection that allow them to breastfeed in public or private spaces. In 2009, Governor Chris Gregoire signed HB1596 – a breastfeeding civil rights bill into law, amending “the state anti-discrimination statutes RCW 49.60.030 and 2007 c 187 s 3 to add the following civil right: (g) the right of a mother to breastfeed her child in any place of public resort, accommodation, assemblage, or amusement. In simple terms, this means a public place such as a park, fairground, etc. It does not provide any rights in relation to pumping or nursing at work.” But many women still feel pressure to hide their breastfeeding or when they pump breast milk, are called out in public, or don’t receive the necessary privacy and break-time to pump at work.

In the mid-1950s, only 1 in 5 babies in the U.S. ever latched their mother’s breast, but that number has climbed steadily since. Yet at six months, only 15 percent of newborns in 2011 were fed only breast milk.

The research supporting the health benefits of breastfeeding is clear. But stigma and discrimination against women breastfeeding in public still exists, and impacts a woman’s ability to continue breastfeeding her child if she returns to work, or her comfort in breastfeeding her child when they are out and about in the community.

So Seattle City Councilman Bruce Harrell, on behalf of the Seattle Women’s Commission, is trying to get Seattle to pass its own bill. If it becomes law, anyone who tells a nursing mother to button up or get out may have to pay fines in the thousands of dollars.

Read more about health and breastfeeding disparities in the Puget Sound Region, and to learn about what local nursing moms are doing to advocate for their right to breastfeed in public.

No-cost preventive services


This morning, the Kaiser Family Foundation published a press release and new fact sheet on the preventive services that private health plans must now cover, as directed by the Affordable Care Act (health care reform). These requirements went into effect August 1, 2011.

The preventive services that private health plans and insurance companies must now cover include:

  • Routine immunizations (influenza, HPV, tetanus, hepatitis A & B, and more)
  • Screenings for conditions like cancer and high cholesterol
  • Preventive services for children and youth (behavioral and developmental assessments, iron and fluoride supplements, and screening for autism, vision impairment, lipid disorders, tuberculosis, and certain genetic diseases)
  • Preventive services for women (annual well-woman check-ups, testing for STIs and HIV, support for breastfeeding, contraception methods, and screening and counseling for domestic violence)

On top of having to provide these health and screening services, private health plans and insurance companies may not charge co-payments, deductibles or co-insurance to patients. However, these requirements do not apply to any plan that maintains “grandfathered” status – meaning that the plan must have been in existence prior to March 23, 2010 and cannot have made significant changes to the plan’s coverage.

To read about these services and their impact in-depth, please check out the Kaiser Family Foundation’s fact sheet.

This is a follow-up to our post in early August, after the Department of Health and Human Services announced that women may now receive preventive health services at no additional cost.

Health Reform: Preventive Health Services for Women


In case you haven’t heard… the U.S. Department of Health and Human Services (HHS) announced recently that women may now receive preventive health services at no additional cost.

This means that we now have historic new guidelines that ensure that health insurance plans do not charge women a co-pay, co-insurance or deductible for critical health services like:

  • Breastfeeding support, supplies and counseling;
  • Domestic violence screening;
  • Contraception;
  • Mammograms;
  • Pap tests;
  • HIV screening and counseling, and more!

In a press release last week, HHS made this announcement, but also gave us a little context:

“Last summer, HHS released new insurance market rules under the Affordable Care Act requiring all new private health plans to cover several evidence-based preventive services like mammograms, colonoscopies, blood pressure checks, and childhood immunizations without charging a copayment, deductible or coinsurance. The Affordable Care Act also made recommended preventive services free for people on Medicare.”

But now, more progress has been made! Women now have greater access to preventive screening – making critical health services more accessible to a range women across the country. According to HHS, before these guidelines and before the Affordable Care Act (health reform), “too many Americans didn’t get the preventive health care they need to stay healthy, avoid or delay the onset of disease, lead productive lives, and reduce health care costs.  Often because of cost, Americans used preventive services at about half the recommended rate.” These new guidelines are pushing us in the right direction – more women will have access to screenings, which means that more women will get screened.

-Katie Barnett

May 10: Health Education at Westlake!


National Women's Health Week - May 8-14, 2011 - It's Your Time!

Join the Health Access Department on Tuesday, May 10, in Seattle’s Westlake Park to celebrate National Women’s Health Week!

From 10am-4pm, we are going to be all set up in Westlake Park, alongside Pine Street, with materials and resources on everything to do with women’s health – from breast health to heart health. We’ll be there to answer your questions and make referrals. We’ll even be there to help people sign up to join the 2011 Komen Puget Sound Race for the Cure!

It’s our goal to meet with women in an open, friendly outdoor space to help you easily and quickly learn about how to adopt healthy behaviors that will benefit you and their families. We’re all very excited to celebrate National Women’s Health Week by engaging women passing through Westlake and sharing health education and access information that speaks to your needs!

We plan to have materials available from many partner organizations, including AARTH, Susan G. Komen for the Cure Puget Sound Affiliate, the March of Dimes, the Women, Infants and Children (WIC) program, and more! See y’all there!

Katie Barnett

Funding for this activity was made possible in part by the HHS, Office on Women’s Health. The views expressed in written materials or publications and by speakers and moderators at HHS-sponsored conferences, do not necessarily reflect the official policies of the Department of Health and Human Services; nor does the mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Breastfeed them into an honor student


Who knew that breastfeeding your baby for at least six months will make your baby smarter? Well – at least help your child become a better student… according to a new study by the Telethon Institute for Child Health Research in Perth, Australia.

Infants who are breastfed for at least six months do better in school at 10 years old compared to 10 year olds who had been bottle-fed. Results from this study were significantly significant for boys who were breastfed for at least six months. These boys received higher grades in math, reading, spelling and writing; girls who were breastfed showed an increase (although statistically insignificant) in their reading scores.

Researchers adjusted for factors including family income, the mother’s education, and how much the child was read to at home.

A possible reason as to why breastfeeding impacted the boys in this study more than girls is that “a number of studies [have] found that boys are more reliant than girls on maternal attention and encouragement for the acquisition of cognitive and language skills. If breastfeeding facilitates mother-child interactions, then we would expect the positive effects of this bond to be greater in males compared with females, as we observed.”

Whether you have a boy or a girl, breastfeeding your child supports their early childhood development and gives them a great head start!

Doheny, Kathleen. (20 Dec 2010). Do Breast-Fed Baby Boys Grow Into Better Students? Retrieved from http://health.msn.com/kids-health/articlepage.aspx?cp-documentid=100268313.

-Katie Barnett