Rates of breastfeeding in the U.S. have more than doubled since the mid-2000s but advocates pointed out racial inequities during Black Breastfeeding Week.

Initiating breastfeeding after birth has short- and long-term health benefits for babies and their mothers but rates of initiation vary widely by race, with rates for Black infants trailing others.

Janiya Mitnaul Williams, director of the lactation training program at North Carolina A&T State University, trains lactation consultants and has a term for when a new Black mother has someone in the room with shared lived experience: "The mirror-mirror effect."

"It's like one less thing that they have to explain when a person who looks like them steps into the room to help them with breastfeeding their baby," Williams pointed out.

According to the Centers for Disease Control and Prevention, breastfeeding was initiated for nearly 85% of white infants born in North Carolina in 2019, compared to only about 70% of Black infants; rates similar to national data.

Another barrier is what qualifies someone as a "medical professional." A doula, for example, provides support and advocacy for birthing parents, often early-on in pregnancy.

Brandi Collins-Calhoun, movement engagement manager for the National Committee for Responsible Philanthropy, said a lack of strict medical training means doulas and their peers are undervalued in traditional medical settings.

"While midwives are just getting their foot in the door, doulas are right behind them," Collins-Calhoun observed. "Lactation consultants are behind doulas."

Doulas and midwives have played important roles in communities of color for generations but Collins-Calhoun said they have been largely pushed aside by the medical industry.

Providing affordable training and mentorship are ways to help revive the practices.

Jamilla Walker, a certified nurse-midwife at Cone Health Hospital, said she hopes to see acceptance not just of these roles in the birthing space but also broader forms of community support.

"Birthing people deserve to have their people around them," Walker emphasized.

A bill headed to the State Senate floor this week would require California to start tracking discrimination in health care.

Assembly Bill 3161 asks the state Department of Public Health to collect self-reported patient demographics from complaints at hospitals and long-term care facilities.

Shaleta Smith, a patient from Corona, said she feels bias played a role in her treatment when she faced a life-threatening hemorrhage after childbirth at an Orange County hospital in 2007.

"The emergency room doctor basically told the nurse, 'We need her out of here. I want to discharge her.' She looked at me and she said, 'I'm scared for you.' And I said 'I'm scared for myself,'" Smith recounted. "Luckily, I was able to stay. And if I would have gone home, I would have bled to death. I wouldn't be here today."

The bill would also require hospital patient safety plans to specify methods to address racism and discrimination in health care, including procedures for staff to anonymously report instances of racial bias.

Raena Granberry, director of maternal and reproductive health for the California Black Women's Health Project, said she has heard of cases where patients felt staff ignored them or discounted their level of pain.

"Hearing a father come in and say, 'We've asked the doctors for seven hours to intervene,' and she laid there for seven hours and bled to death," Granberry recalled. "It is a pain that ripples through the community. It's crippling to our collective well-being to continue to experience these types of things."

Hospitals maintain they offer the same high level of care for all patients, regardless of race.

Onyemma Obiekea, policy director for the Black Women for Wellness Action Project, said the data, when broken down by race, will tell a different story.

"It's really important as well for patient safety plans to actually consider the role that some of our biases play in the quality of care that patients receive," Obiekea urged. "Particularly when they are people of color."


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Major League Baseball's All-Star week kicks off tonight at Globe Life Field in Arlington with the Swingman Classic featuring 50 student athletes from Historically Black Colleges and Universities.

The game is sponsored by the MLB-MLBPA Youth Development Foundation, which works to make baseball and softball more accessible for all kids. Its executive director, Jean Lee Batrus, said that after the game, some special athletes will be recognized.

"We have an MVP, which is focused on the skill and the talent," she said, "but we also have a character award, where it goes to another young student athlete, and we really want to recognize that young man's impact in their community, how they give back, their academic track record, and it's not solely based on how they're doing as a baseball player."

The students were picked by Hall of Famer Ken Griffey Jr., Major League Baseball representatives and scouts. Some of the schools represented include Prairie View A&M University, Texas Southern University and Florida A&M University.

The foundation is teaming up with the Mark Cuban Heroes Basketball Center for its "Suit Up Experience" that provides young men with suits, ties, shoes, socks and haircuts. Texas Rangers second baseman Marcus Semien said the classic is an event that could open many doors for some of the players.

"It's an opportunity for primarily Black baseball teams to come out here and play on TV, and play in front of a lot of people in a big-league stadium," he said. "Those opportunities have not always been there, maybe kids with more opportunities take for granted."

Today's festivities will also include a pregame ceremony with the Grandmother of Juneteenth, Dr. Opal Lee, an HBCU college fair and a Battle of the Bands between Texas Southern's "Ocean of Soul" and Prairie View A&M's "Marching Storm."


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Today is Juneteenth, the federal holiday recognizing this date in 1865 when slaves in Texas were told they were free, more than two years after the Emancipation Proclamation was signed.

Some migrated to Indiana and stayed until their death and were buried in segregated cemeteries. One site was recently uncovered at a proposed location for a new 20,000-seat sports stadium in Indianapolis. The discovery has paused the project for now.

Eunice Trotter, director of the Black Heritage Preservation Program for the nonprofit Indiana Landmarks, said the cemetery is one of many.

"All over Indiana, there are Black cemeteries that are attached, typically to AME churches," Trotter explained. "The African American population was buried in the city's first cemetery, which opened in 1821 in the area between Kentucky Avenue and White River. And of course, there was segregation then, like there is even still today."

The stadium proposal includes connecting the east and west bank to White River, with the future Henry Street Bridge across the lower southern area of the cemetery. City officials own almost two of 24 acres at the site. Trotter estimates at least 650 burials are there. The price tag for excavation and memorialization is $12 million.

As accusations grow of increased efforts to erase Black history in America, there are fears more segregated cemeteries nationwide are being eyed for future projects. Trotter noted these locations present the least resistance.

"They are in areas where the land is typically devalued, disinvestment, and abandonment," Trotter pointed out. "They become easy targets for development. Even here in Indiana, farmers who plant crops over cemeteries, when they are tending to their farm, they uncover headstones."

In 2020, Congress signed the African American Burial Grounds Network Act into law. The measure establishes a National Park Service program to provide grants and technical assistance to local partners to research, identify, survey and preserve Black cemeteries.