Skip to main content

Understanding Breastfeeding Promotion, Initiation and Support Across the United States: An Analysis

Recently completed

A committee-supported project or activity that has been completed and for which output dissemination has begun. Its committee has been disbanded and closeout procedures are underway.

Under Congressional-mandate, the National Academies of Sciences, Engineering, and Medicine will convene an ad hoc committee of experts to conduct a consensus study on policies, programs, and investments to better understand the landscape of breastfeeding promotion, initiation, and support across the United States. The study will provide an evidence-based analysis of the macroeconomic, social, and health costs and benefits of the United States' current breastfeeding rates and goals; and will build on what is known about inequalities in breastfeeding rates and disparities. The Committee will identify existing knowledge gaps, needed research, and data collection challenges.

Description

The National Academies of Sciences, Engineering, and Medicine (NASEM) will convene an ad hoc committee of experts to leverage available data and literature to conduct a consensus study on policies, programs, and investments to better understand the landscape of breastfeeding promotion, initiation, and support across the United States. The study will provide an evidence-based analysis of the macroeconomic, social, and health costs and benefits of the United States' current breastfeeding rates and goals. The study will build on what is known about variances in breastfeeding rates and reducing differences in initiation and continuation. The committee will identify existing gaps in knowledge, areas for needed research, and will discuss challenges in data collection to address said gaps.
Based on available evidence, the committee will address the following issues and offer conclusions and recommendations:

  1. Best practices for clinicians, healthcare systems, and employers to encourage breastfeeding by new mothers and to support mothers who are currently breastfeeding, including mothers from populations and those experiencing poverty
  2. Macroeconomic, health, and social costs of current U.S. breastfeeding rates
  3. Funding mechanisms, state and federal policies, interventions, and systemic, cross-sector, or field innovations that can support exclusive breastfeeding through the first 6 months of life
  4. How insurers implement comprehensive lactation services, set standards to determine reimbursement rates for breastfeeding supplies and services, and provide coverage to help women breastfeed
  5. Contributing factors that impact breastfeeding rates and access to postpartum maternal care and supportive services (e.g., lactation consultant, doula support, registered dietitians)
  6. Leverage of available evidence to meet the Healthy People Maternal, Infant, and Child Health (MICH) breastfeeding goals by 2030

The statement of task was revised on June 3, 2025.

Collaborators

Committee

Co-Chair

Co-Chair

Member

Member

Member

Member

Member

Member

Member

Member

Member

Member

Member

Member

Member

Meredith Young

Staff Officer

Download all bios

Committee Membership Roster Comments

While still a provisional member, Dr. Chris Ruhm resigned from the committee for personal reasons unrelated to the project (3/6/24). Dr. Marianne Page was appointed to the committee on 5/7/24.

Sponsors

Department of Health and Human Services

Staff

Emily Backes

Lead

EBackes@nas.edu

Subscribe to Email from the National Academies
Keep up with all of the activities, publications, and events by subscribing to free updates by email.