Are you covering a story about perinatal and infant health equity… and how it relates to equitable care, resilient climates, postpartum preparation, human milk access, and workforce development, or global-local cultural connection? We’re here to help.
Click below to connect with one of our expert team members and be the first to know about our press releases. If you’re on a deadline, we’ll get back to you ASAP.
We already knew that when parents hold their babies skin-to-skin right after birth, it helps prevent postpartum depression. But outside of hospital contexts, it was an open question whether simply carrying babies without skin-to-skin contact would help. Nurturely Founder Emily Little, PhD, and colleagues at Global Communities and UC Merced conducted a randomized intervention where half of the parents received a soft-structured baby carrier to use with their baby starting at birth (and half received the carrier later). When measured at six-weeks postpartum with the Edinburgh Postnatal Depression Scale, parents in the carrying intervention group had decreased symptoms of postpartum depression.
“Women randomly assigned to breastfeed were more sensitive to infant cues than women randomly assigned to bottle-feed. Prolactin levels did not differ between feeding groups, although prolactin was positively correlated with maternal sensitivity. Our results suggest that feeding milk directly from the breast (compared to bottle-feeding) increases maternal sensitivity towards infants, at least in the short term.”
The Nurturely Birthworker Hub not only trains aspiring doulas, we also raise awareness of the challenges faced by doulas working to make a sustainable career serving families.
“We have seen US federal and state governments begin to grapple with the fact that the climate crisis is having a significant impact on human health... But what we are not seeing is authorities getting resources to perinatal community health workers or doing the big scale information campaigns needed.”
- Aver Yakubu, MHA, MPH, Nurturely Program Director
The team will use a train-the-trainer model to teach home visitors on how to implement a carrier intervention and conduct a pilot study to assess the effectiveness of the intervention. This work has the potential to improve lactation and perinatal mental health in a population that faces high barriers to perinatal health equity.
Doulas are unique in that they make home visits, said Jessalyn Ballerano, a doula in Eugene, Oregon. “I’m seeing if air is clean and safe, if there are any dangers, if there is food in the fridge, if they are eating regularly, if they have enough water, if they have easy water access,” she said. “It takes some experience and skills to successfully investigate that in a collaborative way with the family.”
“I think we’ve gotten to a point where postpartum depression is so normalized. And while that’s good to reduce stigma around postpartum mental health challenges, it’s not ok just to say we’re never going to focus on prevention and we’re just going to accept that the word postpartum is synonymous with depression. Why are we stopping there? Why is that the reality that we are accepting?"
- Emily Little, PhD, Nurturely Founder
Difficulty breastfeeding, in combination with modern marketing pressure of buying and using infant formula, has created a culture in Western society that does not facilitate knowledge sharing for successful breastfeeding. ...Outside of other primates, there is no evidence of occurrence of breastfeeding difficulty in other mammals who nurse their infants. In fact, most mammalian young (e.g., kangaroos, pigs) are far more proactive during the latching and sucking process, requiring little or no help from the mother to instinctually reach the nipple and successfully begin suckling.