►
Description
COVID-19 poses unique challenges in all aspects of life nowadays, and it can be an especially difficult time for new parents with infants, or couples or individuals that are currently expecting. In this meeting, we will discuss prominent issues faced by new and expecting parents: pregnancy, birthing, and maternal and infant health.
You will hear from area providers, lactation/breastfeeding specialists, doulas and care coordinators.
A
A
We
welcome
all
of
our
attendees
today,
whether
you're
watching
on
zoom
facebook
or
youtube,
to
share
your
questions
via
the
chat
and
as
we
proceed
and
during
the
q
a
we
will
share.
All
of
those
that
have
not
been
already
discussed
during
our
panels
presentation,
and
so
before
we
begin,
I
would
like
to
open
the
floor
to
have
all
of
our
panelists
introduce
themselves
and
with
that
we
will
start
with
denise.
B
C
D
My
name
is
kimberly
williams.
I
am
a
breastfeeding
peer
counselor
with
wic
on
cox
avenue,
and
I
will
be
speaking
on
how
to
work
in
a
community
with
breastfeeding.
E
F
I'm
georgiana
cogburn,
I'm
the
region,
one
lactation
trainer.
I
work
at
the
mountain
area,
health,
education
center
and
train
people
throughout
western
north
carolina
to
support
breastfeeding
mothers.
A
We
also
have
joining
with
us
today,
although
she
is
not
on
video.
Oh
wonderful,
nikita.
A
Welcome
we're
so
glad
to
have
all
of
our
panelists
on
and
before
we
have.
Our
first
presenter
wanted
to
share
some
numbers
on
what,
whether
you
know
are
we
heading
for
a
baby
boom
or
a
baby
bust,
which
is
a
you
know,
means
that
you
know
we're
seeing
less
bursts
than
we
typically
would
anticipate.
A
So
so
far
for
2020,
we
in
buncombe
county
have
had
at
least
registered
births,
and
so
these
are
births
that
have
actually
been
registered
through
our
vital
records
department,
2724,
and
this
is
from
january
through
september,
and
so
what
that
looks
like
in
prior
years.
So
looking
back
to
2019
by
this
time
we
would
have
seen
2844
and
in
the
years
prior
for
2018,
that
was
2880
and
in
2017.
A
2668.,
there's
lots
of
information
into
you
know
why
we
may
be
seeing
what
looks
like
a
slight
dip
from
2019,
it's
possible
that
many
families
opted
to
have
a
home
birth
and
have
yet
to
register
their
birth
as
sometimes
that
can
take
up
to
a
year.
A
It's
possible
that
this.
You
know
many
families
have
possibly
decided
not
to
or
possibly
did
not
have
yet
to
you
know,
register
their
birth
among
others,
and
so
we
will
know
much
more
about
those
numbers
in
the
coming
months
and
in
the
coming
months,
we'll
see
some
of
our
first
babies
that
were
actually
conceived
following
our
local
covid
shutdown.
So
we
may
see
some.
A
You
know
those
numbers
increase
quite
considerably,
as
many
of
us
have
been
home
much
more
so
with
that,
I
will
now
give
the
floor
to
our
first
presenter,
denise
beckett,
again,
a
pregnancy
care
manager
with
the
core
coordinate
care
coordination,
team
for
bunking,
county
denise.
Welcome.
B
Hi
everyone
again,
my
name
is
denise
and
I
am
a
pregnancy
care
manager
again
working
for
the
department
of
health
and
human
services.
Pregnancy
care
management
is
a
program.
It's
from
the
state
of
north
carolina,
it's
out
of
every
100
counties
in
the
state
in
buncombe
county.
We
are
in
every
practice
in
this
county.
Basically,
our
goal
is
to
make
sure
that
we
can
help
women
have
a
full
term.
Pregnancy
outcome.
B
B
So
what
we
do
is
we
meet
with
you
and
we
try
to
have.
We
try
to
do
an
assessment
with
you
when
we
first
meet
with
you
and
also
develop
a
care
plan,
we
get
referrals
from
a
couple
of
different
places.
We
get
those
referrals
from
the
prenatal
provider,
you
can
also
self-refer.
B
So
after
we
meet
with
you,
what
we
do
is
we
develop
a
care
plan.
After
that
care
plan
is
after
that
care
plan
is
developed,
we
will
meet
with
you
either
weekly
monthly
or
we
will
meet
with
you.
Every
couple
of
months
or
so-
and
this
depends
on
what
we
get
out
of
that
meeting
now-
we
normally
would
meet
with
you
during
the
visit
to
your
doctor's
office
during
covet
19,
not
so
much
so
there
are
phone
calls
that
are
made
also,
we
would
normally
do
home
visits.
B
G
B
B
We
want
to
make
sure
that
you're
able
to
get
your
medications
that
you're
being
prescribed
and
we
want
to
coordinate
your
medical
visits
and
most
of
all,
we
want
to
address
that
care
plan.
If
there
are
things
that
aren't
happening
that
need
to
happen,
we
want
to
help
you
with
that.
B
We
also
make
referrals
to
several
resources,
depending
on
what
we
discussed
in
that
care
plan.
It's
different
with
every
single
woman,
so
one
visit
isn't
the
same
as
another
visit.
So
there
are
numerous
resources
out
there.
There's
wic
food
stamps,
childbirth
classes,
breastfeeding.
We
refer
to
duelists
nurse
family
partnership,
transportation
among
other
resources.
B
So
we
will
also
advocate
for
you.
There
are
several
ways
to
do
that.
Again.
I
want
to
go
back
to
the
fact
that
it's
individualized,
so
what
happens
with
one
woman?
Isn't
what
happens
to
another
woman?
So
again,
care
managers
are
embedded
in
these
practices.
So
we
have
contacts
with
the
providers,
so
that
makes
it
a
little
more
easier
for
us
to
advocate
for
you.
B
If,
for
instance,
you
want
to
see
the
same
provider,
then
we
can
advocate
for
that,
if
you're
having
difficulty
getting
in
for
your
visit,
then
we
can
advocate
for
you
and
so
on
and
so
forth.
So
we
also
can
advocate
for
you
with
the
pharmacy.
B
B
We
also
address
things
in
the
community,
such
as
housing,
child
care,
other
things
we
provide
additional
referrals
as
well
to
fiscal
legal
services,
help
make
2-1-1
to
food
banks,
pantries
local
shelters.
If
that's
what
you
may
need,
we
also
assist
with
getting
things
for
your
baby.
Bear
closet,
safe
kids.
A
B
A
C
Hello
everybody
welcome,
like
I
said,
my
name
is
claire
fontana,
I'm
a
registered
nurse
with
nurse
family
partnership
of
buncombe
county,
I'm
honored
to
be
on
this
panel
and
just
want
to
give
a
shout
out
to
all
the
amazing
community
partners,
I'm
seeing
on
the
screen
and
ones
that
aren't
here
with
us
today,
I'm
speaking
from
a
home
visiting
perspective-
and
I
also
just
want
to
acknowledge
so
many
home
visiting
programs
working
with
families
in
our
community
mother
love,
burner,
project,
math,
cbsa,
just
to
name
a
few.
C
So
nurse
family,
partnership
or
nfp
for
short,
is
an
evidence-based
program
that
began
in
the
70s.
It's
a
voluntary
program.
It
pairs
a
first-time
mom
with
a
specialty
trained
nurse
and
to
conduct
regular
home
visits
through
pregnancy
and
then
until
the
child's
second
birthday,
the
program.
It's
a
strength-based
program.
We
recognize
the
client
as
the
expert
of
their
own
life
and
our
focus
is
on
the
client's
life
goals,
their
families,
health
and
well-being,
and
we
honor
and
follow
the
client's
heart
desire.
C
C
Three
years
ago
we
expanded
our
program
beyond
first-time
moms
and
now
can
serve
families
with
other
children,
we're
a
team
of
ten,
so
there's
eight
nurses,
each
nurse
works
works
with
25
families
and
at
full
capacity
we
serve
200
plus
families
to
participate
in
nfp,
it's
a
voluntary
program,
so
a
client
would
enroll
and
they
need
to
enroll
in
the
prenatal
period
and
they
need
to
be
eligible
for
medicaid
or
wic,
and
it's
a
free
program
as
well.
C
C
Spanish-Speaking
families,
russian-speaking
families
and
beyond
nfp
is
primarily
a
home
visitation
program,
and
so
you
know
we'd
meet
clients
at
their
homes
or
a
location
of
their
choice.
I've
done
visits
in
ingles
at
parks
and
schools,
sort
of
all
over
bus
stops
family
friends
houses.
C
So
in
march,
when
covid,
you
know,
really
became
the
crisis
in
our
community,
we
were
able
to
quickly
pivot
from
home,
visiting
to
like
a
telehealth
model.
Previously
we've
been
able
to
utilize
telehealth
on
like
some
occasions,
but
it
became
clear.
This
would
be
our
primary
way
of
doing
visits
and
the
national
service
office
of
nurse
family
partnership
has
really
offered
guidance
to
proceed
with
only
telehealth
for
now
to
for
the
health
and
safety
of
families
enrolled
in
the
program.
C
But
we've
really
been
able
to
stay
well
connected
with
clients
through
phone
calls
texting
face
time.
We
have
access,
we
started
using
a
hipaa
compliant
platform
called
doxy
me
to
do
virtual
visits,
and
also
just
recognizing.
Maintaining
telehealth
can
be
difficult,
as
many
families
in
our
county
have
limited
financial
resources
for
sale
and
internet
service.
C
Coven
19
also
has
placed
an
increased
hardship
for
families
in
meeting
their
basic
needs.
More
families
in
our
program
have
needed.
Support
with
food
housing
and
essential
supplies,
as
well
as
increase
for
emotional
and
psychological
support
working
with
our
community
partners,
we've
been
able
to
help
families
get
food.
Diapers
wipes
masks
infant
supplies,
as
well
as
just
helping
link
them
with
resources
regarding
housing,
child
care,
mental
health
support
to
name
a
few
on
average,
we're
delivering
to
50
or
more
families
a
week.
C
The
warm
weather
in
the
spring
and
summer
has
been
nice
and
provided
some
opportunity
to
be
outside
at
a
distance
when
we
make
drop-offs
like
wearing
a
mask
and
at
least
connect
briefly,
which
has
been
really
nice,
we've
been
able
to
provide
some
nursing
assessment
as
well,
so
maybe
weighing
some
infants
to
monitor
babies,
growth.
If
there's
some
concern
and
just
checking
in
some
blood
pressure
checks
for
pregnant
and
postpartum
women
that
are
high
risk,
and
you
know
we
continue
to
work
with
community
providers.
C
Doctors,
offices
so
many
other
resources,
we've
adjusted
our
service
delivery
model
like
many
other
health
care
providers.
However,
it's
important
that
we
acknowledge
that
our
changes
and
the
changes
for
other
providers
are
part
of
a
larger
disruption
in
the
lives
of
families.
We
serve,
for
example,
and
you
know,
a
lot
of
support
is
around
things
like
this.
Like
clients
we
work
with
are
have
can
sometimes
have
trouble
accessing
prenatal
care
or
health
care
in
general.
C
While
we
don't
have
answers-
and
we
can't
change
that,
just
listening
and
acknowledging
that
change
is
huge.
I
think,
and
also
some
families
have
been
quarantined
and
in
isolation
needing
food
and
essential
supplies
delivered
because
they
can't
leave
home.
C
C
C
We
see
an
overall
increase
in
family
stress,
there's
a
lot
of
parent
shoulders
through
this
mothers
aren't
always
easy
fast
solutions,
there's
value
in
listening
and
hearing
and
there's
a
lot
of
value
in
honoring
the
resilience
families
continue
to
express
and
build,
and
at
nfp
through
buncombe
county
we're
dedicated
to
walking
with
families
through
this
time.
So
thank
you.
A
Well,
thank
you
claire,
and
it
sounds
like
you
all
are
really
helping
address
the
need
for
connectivity
for
some
of
our
families,
who
you
know,
may
face
some
challenges.
Could
you
please
share
again
the
virtual
platform
that
you
all
are
using
as
a
as
you
know,
the
bridge
for
telehealth
in
nfp.
C
Yeah,
it's
called
doxy
me
and
it's
hipaa
compliant,
I
think
they're
using
they
started
using
it
at
the
health
department
and
in
the
clinic-
and
I
have
my
I
haven't
done
it
yet
with
a
client,
but
I
have
my
first
one
this
week
and
we're
gonna
work
on
cpr
together
through
the
videos
chat.
So
I
think
that
would
be
like
a
nice
way
to
try
to
do
it.
I
don't
know.
A
Well,
you
know,
having
seen
you
work
in
the
community
and
work
with
clients,
I'm
sure
that
you'll
do
well
and
I'm
excited
to
hear
that
this
doc
cme
is
also
being
used
in
other
aspects
within
the
buncombe
county,
public
health
services.
So
thank
you
so
much
for
that
update
and
so
continuing
along
another
familiar
voice
in
community
health,
particularly
in
infants
in
maternal
health,
is
none
other
than
nikita
smart,
so
nikita,
I
will
now
open
the
floor
for
you
and
before
we
again
ask
you
to
please
unmute.
A
So
all
of
our
viewers
can
hear
what
you
have
to
tell
us
about
the
state
of
a
doula
sisters,
caring
for
sisters
and
your
work
during
covid.
G
Hi
everybody:
let's
see
how
do
I
start
this?
Let's
start
with
what
is
a
doula,
so
a
doula
primarily
is
a
trained
certified
professional
labor
support
person
and
we
typically
offer
four
pillars
for
our
moms
and
those
pillars
are
evidence-based
education,
preserving
the
memory.
So
that's
like
helping
her
take
pictures
during
her
birth
comfort
measures
and
physical
measures.
So
that's
like
hip,
squeezes
massages
foot
massages,
whatever
that
looks
like
for
mom
and.
G
Our
fourth
one
is
emotional
support,
so
that
emotional
support
sometimes
can
come
in
the
form
of
supporting
mom
partner,
a
family
member,
we're
typically
there
for
moms,
but
we
provide
the
emotional
support
for
partners
and
family
members
also,
what
makes
a
doula
I
think
a
lot
makes
the
doula,
because
what
happens
is
doulas.
Help
scientifically
doulas
help
decrease
cesarean
rates.
We
help
lower
the
pitocin
intake
for
moms.
G
We
work
with
nurse
family
partnership.
We
make
referrals
to
them.
We
get
referrals
to
them,
because
this
is
really
all
about
supporting
our
moms
and
the
community.
During
this
time,
covets
hit
hard
for
a
lot
of
these
moms
and
they
are
not
really
understanding
how
to
deal
but
with
resiliency
they're
doing
the
best
that
they
can
so
sometimes
a
pregnant
mom
can
get
stressed
out
and
not
even
know
that
she's,
just
that
stressed
out,
we've
been
doing
this
for
a
while.
We
started
in
the
community
in
2016.
G
G
G
Changes
in
my
work
since
covet
like
it's
been
hard
because,
with
the
covet
restrictions
for
a
while,
we
weren't
allowed
at
the
doctor's
appointments
we
weren't
allowed
in
the
hospitals
and
because
we
know
the
maternal
and
infant
rates
for
african-american
women
and
children.
We
were
scared
not
only
for
ourselves
but
for
our
moms
that
were
delivering
during
this
time.
G
So
what
I'm
very
happy
about
right
now
is
that
mission
has
started
letting
us
back
in
the
hospital
it's
giving
some
of
our
moms
a
little
assurance
that
they're
knowing
they're
there.
I
just
spent
my
first
prenatal
inside
of
mayhem
with
the
mom
and
she
was
so
excited.
She's,
like
I
haven't,
had
anybody
with
me
at
all
these
appointments,
and
now
somebody
gets
to
come
yeah.
I
don't
have
to
be
alone
anymore,
and
those
are
the
things
that
we
like
to
support.
A
Well,
thank
you
to
you
nikita.
It's
very
clear
that
a
doula's
work
is
never
done,
and
congratulations
to
you
for
this
first
milestone
of
getting
this
first
in-hospital
prenatal
visit
following
some
of
those
restrictions
that
many
of
our
providers
had
to
adhere
to
during
covid.
A
Also,
I
wanted
to
circle
back
on
something
that
nikita
did
bring
up
around
the
infant
mortality
rate
for
all
of
those
who
are
joining
today's
conversation,
who
may
not
be
aware
buncombe,
county
health
and
human
services
through
our
community
health
improvement
and
health
assessment
cycle
are
working
with
our
partners
and
nikita
is
very
much
connected
to
many
of
those
efforts,
as
all
of
our
other
panelists
in
helping
us
reduce
the
racial
infant
mortality.
A
Disparity
between
black
and
white
babies
in
bunken
county
black
babies
are
3.8
times
more
likely
to
die
within
the
first
year
of
life,
and
our
county,
along
with
our
partners,
are
all
working
through
collective
effort
to
reduce
and
hopefully
eliminate
this
disparity.
And
so
we
thank
nikita.
We
know
doulas
are
very
important
strategy
in
this
and,
as
is
breastfeeding,
care
coordination
and
home
visiting
as
all
of
our
contributors
are
here
today,
and
so
with
that.
A
We
are
here
wanting
to
hear
at
least
from
someone
who
has
actually
recently
had
a
baby
during
this
time
in
covid
and
welcome
chris
christina,
who
can
tell
us
a
little
bit
more
about
what
that
experience
has
been
like
as
a
mom
and
also
for
the
family,
and
you
know
we'll
hear
about
what
it's
been
like
to
experience,
some
of
those
milestones
and
memories
during
covet,
19.,
okay,.
E
E
I
just
gave
birth
three
weeks
ago
to
my
second
child,
my
husband
and
I
have
a
four
and
a
half
year
old
and
it
was
a
very
different
experience
this
time
around
you've
all
actually
kind
of
touched
on
being
there
for
mothers
and
with
my
second
one
I
felt
with
kovid
I
would
just
well.
I
was
in
my
second
trimester
just
starting
my
second
trimester
when
we
kind
of
went
into
isolation
and
things
really
changed.
E
I
was
set
to
have
care
with
the
wnc
birth
center
and,
of
course,
they
went
to
telemed
for
most
of
their
appointments,
and
I
felt
alone
for
a
lot
of
what
I
went
through.
You
know
it
was
different
than
my
first,
where
my
husband
got
to
come
with
me.
We
chose
the
birth
center
because
it
was
family
oriented.
E
I
could
bring
my
daughter,
and
you
know,
have
my
kind
of
birth
team
with
me
kind
of
the
whole
way
through
and
when
covet
hit,
that
kind
of
went
away,
and
it
was
just
me
and
I
felt
really
like
okay,
I
can
do
this,
but
I
did
I
I
really
felt
like
I
was
by
myself.
E
This
pregnancy
was
my
own
and
my
own
to
carry,
and
it
was
when
I
went
for
my
ultrasound
by
myself
that
I
just
kind
of
broke
down,
and
I
was
like
this
is
too
much,
but
luckily
I
had
a
doula
and
I
called
her
and
I
was
like
I
am.
Oh
look,
sorry
getting
a
little
anyway
yeah
it
was
my
doula
who
just
was
able
to
be
there
for
me
and
listen.
E
My
midwives
were
also
there
to
listen,
and
I
really
just
needed
a
lot
of
listening
with
this
pregnancy
and
the
need
to
to
connect
was
huge
because
I
definitely
felt
like
I
couldn't
connect
to
my
family
and
friends
like
I
did
and
have
been
doing
with
life
prior
to
coping.
I
guess
I'm
a
school
teacher
as
well,
and
that
was
really
just
a
huge
shift
to
try
and
reach
all
of
my
my
students
too,
as
much
as
I
care
for
them.
E
So
much
and
you
know,
being
a
mother,
pregnant
and
teaching
was
just.
I
just
want
to
give
another
shout
out
to
everyone,
helping
mothers
right
now
and
pregnant
mothers,
of
course.
So
anyway,
I
was
hoping
to
give
birth
at
the
birth
center,
but
this
little
one
did
not
want
to
come.
E
E
I
was
really
surprised
actually,
because
that
was
the
last
place
I
wanted
to
give
birth.
I
would
have
rather
have
a
home
birth
than
go
to
the
hospital,
and
mostly
again
that
was
because
of
the
fear
of
copiod,
but
my
my
first
birth
was
at
the
hospital,
so
I
had
some
experience
there
and
it
was
wonderful
and
again
the
second
one
was
wonderful.
E
I
had
a
very
healthy
birth
and
I
just
want
to
say
that
you
know
if
you're,
a
mom
and
expecting
a
baby,
please
don't
be
afraid
to
reach
out.
I
felt
like
I
couldn't
at
first
I
was
tough,
I'm
strong,
I'm
independent,
but
the
best
thing
I
did
for
myself
was
reach
out
and
yeah.
You
have
these
wonderful
organizations,
wonderful
people
willing
to
work,
no
matter
what
to
help
meet
your
needs.
Despite
having
a
pandemic
surrounding
you,
so
yeah.
A
Well,
we
congratulate
you
and
chris,
you
know
thank
you
for
being
for
your
willingness
to
be
vulnerable
on
this
platform
and
also
to
really
bring
that
very
fresh.
You
know
direct
personal
experience
to
this
conversation,
and
you
know
I
think
one
one
thing
that
very
much
stands
out
for
me
and
perhaps
others
that
are
that
we're
listening
is
the
art
of
listening
and
how
that
is
a
very
key
component
to
the
birthing
and
the
pregnancy
experience.
A
So
I'm
glad
to
hear
that
at
least
you
were
able
to
get
some
of
that,
and
so
with
that.
I
think
that
this
is
perfect
time
for
us
to
welcome
someone
who
is
very
attuned
to
listening,
and
that
is
kimberly
williams,
who
is
a
breastfeeding
peer,
counselor
kimberly
the
floor
is
yours,.
D
Hello,
everyone-
I
am
kimberly
williams.
I
am
a
breastfeeding
peer
counselor
with
wic.
I
have
been
doing
this
job
for
the
last
two
and
a
half
years.
I
very
much
enjoy
it.
A
peer
counselor
is
someone
who
is
experienced.
I
have
two
children
of
my
own
and
I
breastfed
them
both,
and
I
am
also
a
woman
of
the
buncombe
county
community.
I
was
born
and
raised
in
asheville,
attended,
asheville
high,
hey
cougars.
D
D
Help
support
mothers
and
not
just
problems
and
trouble
that
comes
with
breastfeeding,
but
I
was
a
cheerleader
and
I'm
still
a
cheerleader,
because
I
like
to
cheer
my
participants
on,
I
want
them
to
feel
empowered.
I
want
them
to
feel
confident
and
make
informed
and
well-educated
decisions
when
it
comes
to
how,
when
and
where
they
decide
to
breastfeed.
D
A
lot
of
struggles
that
we
have
with
breastfeeding
is
how
long
to
breastfeed
what
to
do
when
a
mother
returns
back
to
work,
and
so
these
are
the
things
that
I
would
be
counseling.
My
mothers
on
since
covet
19.
Everything
I've
done
is
over
the
telephone.
D
I
do
do
lots
of
referrals
to
other
organizations
such
as
nfp
the
mission
breastfeeding
center.
We
also
work
closely
with
sisters
caring
for
sisters,
because
prenatal
education
is
just
as
important
as
postnatal
education,
so
we
all
like
to
coordinate
with
one
another,
because
we
like
to
double
triple
quadruple.
The
support
down
on
all
of
the
women
in
our
communities,
so
that
we
have
a
very
healthy
community
and
working
with
wic
wic
is
supporting
them
through
having
a
peer
counselor
on
site.
D
It
is
also
a
supplemental
nutrition
program,
so
when
families
are
having
struggles
with
trying
to
provide
food
in
their
homes,
these
are
the
mothers
that
we
want
to
come
in,
so
that
we
can
help
with
these
types
of
problems
so
that
everyone
feels
like
they're
being
well
taken
care
of,
especially
the
children
in
our
community,
and
these
are
very
nutritious
foods
that
come
in
with
packages,
and
so
when
people
are
discussing
well,
I
can't
eat
healthy,
because
it's
too
expensive,
that's
what
wick
is
there
for.
We
want
to
be
able
to
help.
D
D
We
did
struggle
a
little
bit,
but
because
I
was
a
weak
participant,
I
was
able
to
go
in
and
receive
a
breast
pump,
so
we
do
have
those
available
as
well,
and
a
lot
of
mothers
call
us
about
them
all
the
time,
and
so
we
try
to
meet
that
need
when
that
need
is
given
to
us
to
handle.
We
want
to
make
sure
that
if
you
plan
to
breastfeed,
you
are
able
to
do
it
and
we
want
you
to
be
successful
with
it.
D
I
am
also
very
well
connected
in
our
community.
My
father
is
in
the
manager
over
at
the
what
used
to
be
reed
center.
It
is
now
the
eddington
center.
My
sister
works
for
the
county
as
well.
D
My
mother
used
to
work
for
the
county,
so
I
am
very
much
rooted
in
my
community
to
help
my
community,
so
I'm
hoping
that
the
women
that
see
this,
if
they
see
me
out
in
the
streets
a
lot
of
my
mothers
have
and
they
say,
hey
breastfeeding,
lady,
that's
what
I
don't
mind,
that's
a
nickname
I
could
take
to
the
grave.
Definitely
I
love
love
love
the
fact
that
mothers
want
their
babies
to
be
healthy
and
they've
chosen
breastfeeding
as
they
help
this
baby
feed
their
babies.
A
F
A
Some
little
ones
as
well,
I'm
hearing
too,
that
there
are
lots
of
opportunities
where
moms
can
get
actually
some
additional
support,
who
are
on
wic
that
they
may
not
even
be
aware
of.
Can
you
speak
just
just
briefly
on
that.
D
As
far
as
care
coordinators
go,
we
refer
out
to
georgiana
who's
up
next,
very
much
because
I'm
not
allowed
to
see
my
participants
at
the
moment
and
usually
I
do
a
lot
of
hands-on
work
with
them
when
there
are
problems,
but
at
the
moment
I
can't
so.
I
have
to
farm
everything
out
to
someone
else
and
hope
that
they
can
do
as
good
a
job
as
I
do
also
with
wic.
D
We
have
lots
and
lots
of
incentives,
so
when
parents
have
things
such
as
baby
utensils
when
children
are
growing
and
they
are
starting
to
learn
how
to
eat
and
you
eat
table
food,
we
have
different
incentives
to
not
only
keep
our
participants
in
the
program
but
to
help
them
out
in
their
homes,
giving
them
tips
on
what
to
feed
baby,
giving
them
tips
on
how
to
stay
healthy,
keeping
up
with
the
exercise
drinking
lots
of
water.
D
We
have
many
different
breast
pumps
that
we
are
able
to
issue
out
to
our
participants,
and
so
we
ask
them.
You
know,
as
they're,
going
through
their
breastfeeding
journey.
What
they're
going
to
be
doing,
because
we
want
to
help
support
them,
so
they
can
continue
and
get
all
the
way
through
the
amount
of
time
that
they
want
to
breastfeed
and
it's
up
to
the
participant.
D
But
we
want
to
be
there
to
help
you
get
all
the
way
there
and
not
stop
before
and
feel
like.
I
didn't
do
what
I
should
have
done
and
we
don't
want
to
make
them
feel
as
if
they're
a
failure
if
they
do
stop,
because
even
if
you
stop,
I'm
like
you've
tried
it,
and
that
is
something
to
be
proud
of
in
itself,
and
so
from
that
goes
forward
and
more
and
more
and
the
longer
and
longer
they
go
the
better.
They
feel
the
more
confident
they
feel
the
more
empowered
they
feel.
A
Well,
thank
you
so
much
kimberly
for
sharing
all
of
your
experiences
around
being
a
peer,
breastfeeding
counselor
and
next
we
are
so
honored
to
welcome
one
of
our
regional
leaders.
Actually,
the
public
health
region
number
north
carolina
lactation
region,
one
leader,
joey,
janet
cogburn,
welcome.
F
F
A
lot
of
these
things
we
were
hearing
early
on
have
changed,
so
I
want
to
share
with
y'all
some
of
the
key
messages
that
we
should
be
giving
our
patients
now
in
relation
to
breastfeeding.
We
should
be
supporting
breastfeeding
and
encouraging
breastfeeding
for
all
infants,
whether
it's
newborns
or
an
older
infant
from
the
beginning.
F
Everything
was
like
well
in
the
hospital.
Mom
and
baby
should
be
separated,
they
shouldn't
be
together,
and
what
we
know
now
is
the
best
place
for
mom,
and
babies
is
together
unless
that
mom
is
too
sick
to
care
for
her
infant.
That
mom
and
babies
need
to
be
together
in
the
hospital
and
that
they
should
be
encouraged
and
supported
to
breastfeed.
F
The
infant
should
be
placed
immediately
skin
to
skin,
with
the
mom
after
delivery
and
could
should
stay
there
till
after
their
first
feeding
or
for
that
first
hour
after
delivery
that
is
so
important
to
our
infants.
It
maintains
their
body
temperature,
it
controls
their
blood
glucose
levels,
it
maintains
their
respiration
and
they
should
continue
to
do
skin
to
skin
care
throughout
their
hospital
stay
and
the
only
time
this
should
be
interrupted
is
if
mom
and
baby
are
too
sick
to
be
together.
F
F
F
At
one
point,
there
was
information
coming
out
about
if
mom
coughs
she
needs
to
wash
her
breast.
That
is
only
if
her
breast
is
uncovered.
So
if
she
has
on
her
shirt,
then
what
happens
is
her.
Breast
is
protected
and
she
would
only
need
to
wash
her
breasts
if
she
coughed
and
the
breast
was
uncovered
and
if
the
parent
happens
to
be
too
sick
to
breastfeed
her
in
for
instant
or
to
provide
care
for
her
infant.
F
That
parent
should
be
provided
with
a
dedicated
breast
pump
to
be
able
to
express
breast
milk,
so
that
someone
who
is
in
the
household,
who
is
not
too
sick
to
help
care
for
the
infant,
is
able
to
provide
that
express
breast
milk
to
the
infant.
That's
where
knowing
your
resources
come
in
like
knowing
that
wic
has
electric
breast
pumps
for
our
moms
or
knowing
that,
if
they're
not
on
wic
that
they
can
get
it
from
the
hospital
making.
F
Sure
parents
know
where
to
get
those
resources
and
making
sure
that
the
mom
knows
to
stay
with
baby
unless
she
is
too
sick
to
feed
the
baby
using
the
respiratory
hygiene
and
the
hand
washing
care,
and
we
want
to
make
sure
that
we
know
where
to
connect
our
families
to
in
our
community
for
support
to
the
wic
program
to
the
breastfeeding
center.
That's
affiliated
with
the
hospitals
in
our
communities.
F
A
la
leche
league
has
an
online
support
group
classes
through
community
groups
such
as
homegrown
families
and
then,
if
you're,
a
health,
professional
and
you're
going.
I
don't
know
enough
to
be
able
to
answer
our
patients
questions
to
guide
them
through
mayheck.
We
do
provide
ongoing
breastfeeding
education
for
health
professionals,
which
so,
if
you've
got
co-workers,
you're
saying
I
don't
know
how
to
answer
these
questions
from
our
parents.
Please
connect
them
with
the
training
and
education.
That's
available.
A
Thank
you
so
much
for
all
of
that
georgiana.
I
do
have
another
question,
so
I
know
you've
talked
about
what
obviously,
some
of
the
best
practice,
whether
it's
from
world
world
health
organization
or
the
cdc
that
families
and
moms
can
you
share
a
little
bit
more
about
any
recommendations
or
at
least
appoint
our
viewers
and
listeners
today
where
they
might
get
support
if
they
are
a
business
owner
or
an
employer
and
how
they
can
actually
help
those
women
and
families
or
possibly
even
their
customers
who
are
breastfeeding.
F
So
yeah,
so
the
same
things
that
we
just
went
over
really
apply
to
business
owners
that
it's
your
job
as
a
business
owner
if
you
have
an
employee
to
provide
them
with
the
the
place
and
the
time
to
be
able
to
pump
or
to
nurse
their
infant
and
to
provide
a
safe
place
to
do
that
work.
Well.
North
carolina
has
a
lot
of
resources
for
employers
to
walk
you
through
establishing
a
place
for
women
to
be
able
to
breastfeed,
setting
up
policies
to
be
able
to
do
that.
A
Wonderful,
that
is
very,
very
helpful,
and
so
that
is
all
of
our
panelists.
For
now
and
with
that
we'd
like
to
open
up
the
conversation
to
address
some
of
the
questions
that
are
coming
in
from
the
chat.
So
the
first
question
that
we
have-
and
this
is
a
question
for
anyone
or
all
of
our
panelists-
really
the
question
is
as
a
community.
A
G
G
D
I
was
my
tiny
chihuahua
has
decided
to
chime
in
for
me
from
a
breastfeeding
mother's
standpoint.
I
would
say:
definitely
when
you
see
them
out
in
the
community
to
not
overcrowd
them.
I
know
people
love
to
see
babies,
but
we
would
really,
rather
you
not
be
up
close
to
the
children.
You
still
need
to
be
six
feet
apart.
D
Please
don't
make
them
feel
uncomfortable.
We
have
the
hardest
time
with
our
mothers
wanting
to
go
out
with
their
children
because
they
don't
feel
comfortable
breastfeeding
give
them.
The
okay
is
what
they
want.
They
want
that
eye
that
says
you're
doing
good.
Instead
of
the
eye
that
says,
what
are
you
doing?
That
would
go
a
very
long
way
to
a
breastfeeding
mother
to
help
her
feel
very
confident
and
very
comfortable
with
what
she's
trying
to
do
to
keep
her
child
healthy
and
strong.
F
I
think
the
message
that
we
are
tasked
as
public
health
to
give
to
everybody
of
using
our
our
wearing
our
face,
mask
waiting
the
six
feet.
Apart,
washing
our
hands,
it
protects
everybody,
it
protects
our
pregnant
women,
it
protects
our
children,
it
protects
our
babies
and
that's
the
message.
The
public
health
message
that
we
need
to
be
getting
out
there
to
everybody.
A
Thank
you
so
much
do
we
have
anyone
else
that
has
anything
that
they
see,
at
least
from
their
work
site,
or
at
least
personally,
that
you
know
they'd
like
to
share
with
the
public.
C
I
would
agree
to
like
maintain
oh
wait,
maintain
the
three
w's
and
then
also
just
recognizing,
like
the
long-term
effects
of
covid
and
the
stress
and
the
toll
it
takes
on
families
on
their
health,
and
I
think,
as
we
move
forward
and
we
recover
through
this,
you
know
supporting
policies
that
support
families,
that
center
equity,
social
justice
and
center.
The
voices
of
people
most
affected
by
kobit
in
our
community,
as
we
move
forward,
is
important
and
families.
C
A
Wonderful,
thank
you,
and
so
I
do
want
to
share
that.
We
have
had
a
comment.
That's
been
shared
from
one
of
our
participants
who's
viewing
online,
and
this
is
from
a
natasha
bowden.
She
is
with
buncombe
county
partnership
for
children
and
what
she's
sharing
is
that
for
any
businesses
or
child
care
centers
who
are
interested
in
creating
a
breastfeeding
friendly
environment
or
policies
that
she's
available
and
she
can
be
emailed
at
natasha
bunkum.
A
We
do
have
another
question
that
has
come
in
and
this
is
and
I'll
I'll
leave
it
to
all
of
our
panelists
who
may
be
able
to
chime
in
especially
those
who
are
seeing
patients
is
that,
for
some
covet,
19
has
meant
weight
gain.
What
are
you
all
seeing
with
your
clients
or
personally,
as
we
know,
moms
often
face
cravings?
So
that's
a
little
bit
more
on
the
maternal
side,
but
it's
definitely
much
lighter
than
some
of
the
subjects
that
we've
covered
today.
B
Our
pregnant
women
are
still
encouraged
to
exercise
outdoors
safely.
Of
course,
this
isn't
a
time
to
lose
weight,
but
to
maintain
on
that
25
to
30
pound
weight
gain
during
pregnancy.
Even
though
covet
is
a
difficult
time
during
covert
with
weight
gain
that
hasn't
changed
as
far
as
pregnancy
is
concerned.
F
And
from
the
nutritionist
standpoint,
when
that
question
comes
up
is
think
about
the
food
choices
that
you're
making,
can
you
make
a
healthier
food
choice
like
a
fresh
piece
of
fruit
versus
a
bag
of
chips?
Making
the
healthier
food
choice
will
also
help
with
not
packing
on
those
extra
pounds.
During
a
time
that
you
may
be
more
sedentary.
E
I'll
chime
in
from
being
pregnant
and
craving
donuts
every
day
did
not
have
donuts
every
day,
but
I
definitely
allowed
myself
a
donut,
but
I'd
also
get
outside
and
move
and
not
only
getting
outside
safely
and
moving
helped
with
dietary
and
weight
gain
issues.
But
it
also
helped
with
my
stress.
A
D
I
encourage
my
prenatals
very
much
so
to
sit
in
on
the
museum
if
they
don't
want
to
talk
or
show
their
video
only
because
it
gets
them
information
that
they
need,
but
also
they
can
see
what
other
people
are
thinking
and
and
getting
answers
to,
and
sometimes
it
is
a
connection
because
you
see
someone
else
on
there
and
you're
like
this
person
lives
close
by
me.
I
would
like
to
get
to
know
them
so
that
we
can
talk
about
this,
especially
if
they're
very
close
into
their
due
dates.
D
Knowing
another
mother
is
having
a
baby
around
the
same
time
that
you
are
can
very
much
help
when
you're
talking
to
them,
because
you
get
to
bounce
these
different
ideas
off
of
each
other.
You
get
to
tell
each
other
how
you're
feeling
and
that
the
one
person
you
know
is
probably
going
to
understand
what
you're
going
through.
A
And
so
this
question-
I
don't
know
if
there's
anyone
who
you
know
has
actually
had
this
experience
themselves.
This
is
for
women
returning
to
the
workplace
following
a
birth.
What
changes,
if
any,
have
you
seen
with
employers
doing
covet?
So
this
is
somewhat
related
to
that
prior
question:
around
employers
and
they're
supporting
breastfeeding.
A
G
For
moms
that
have
like
a
high-risk
job
like
if
they're
working
in
a
real
public
place
or
if
they're
working
in
a
nursing
home
a
lot
of
moms,
aren't
wanting
to
go
back
to
work
because
they're
not
wanting
that
extra
exposure
for
their
families
or
that
newborn
that's
at
home.
So
what's
happening
is
a
lot
of
moms,
are
having
babies
and
then
they're
just
staying
home,
because
in
the
industry
that
they're
working
in
the
community,
moms
and
industries
that
they're
working
in
are
high
risk
and
they
don't
want
the
exposure.
G
F
Yeah
nikita
I've
heard
that
a
lot
too,
and
I've
also
heard
that
in
the
past,
where
they
would
have
been
going
back
to
work
and
stopping
breastfeeding,
a
lot
of
them
are
opting
for
longer
term
breastfeeding
for
the
protection
that
it
gives
to
their
baby.
The
health
benefits
for
their
baby,
but
I'm
hearing
a
lot
of
parents
aren't
wanting
to
go
back
to
work
that
they're
deferring
that
and
in
in
some
situations
where
they're
able
to
telecommute
or
work
from
home
that
they're
doing
that.
C
I
also
want
to
add-
and
I
totally
100
agree
and
hear,
hear
that
and
also
if
child
care
is
involved,
you
know
the
new
policies
would
drop
off
of
like
you
don't
go
in
so
you
leave
your
kid.
You
know
like
because
of
covet,
so
you
know
it's
already
like
a
big
shift
to
go
back
to
work
and
then
you
know
finding
child
care,
that's
open
that
feels
safe,
but
also
you
know
it's
hard
to
make
that
transition.
So.
A
Yeah,
so
I'm
aware
of
the
time-
and
I
see
that
we
are
close
to
the
kind
of
final
minute
of
our
conversation
and
want
to
add
one
before
we
get
one
kind
of
parting
takeaway
from
each
of
our
panelists
wanted
to
share
that.
A
B
Want
to
say
thank
you
for
tuning
in
just
know
that
we're
here
for
you.
If
you
need
us
pregnancy
care
managers,
are
here
in
buncombe
county
in
just
about
every
practice
here,
and
you
can
ask
for
us,
through
your
provider
or
again
at
buncombe
county
department
of
health
and
human
services,
we're
here
to
help
you.
You
want
to
make
sure
that
you,
ladies,
have
a
full
healthy
pregnancy
outcome
and
we
do
whatever
it
takes
to
make
sure
that
happens.
C
Yes,
thank
you,
everyone
for
tuning.
In
and
same
I
mean
we're
here.
Nurse
family
partnership
is
here
we're
accepting
referrals
and
just
want
to
give
all
the
love
and
support
to
families
out
in
our
community
right
now-
and
this
is
random
from
another
question,
but
I
also
want
to
say,
I
think,
homegrown
families,
maybe
is
doing
some
virtual
meeting
spaces
for
families
to
connect.
C
So
I
wanted
to
look
it
up
real
quick,
but
I
think
it's
happening
too
so
just
another
option
but-
and
I
just
want
to
say
too
that
I
just
the
community-
I
feel
like
it's
such
a
good-
how
we
support
each
other
too
through
this
work.
So
I
honor
that
very
much.
G
Okay,
I'm
sorry,
no,
my
takeaway
would
be
support,
support
support
like
there's
so
many
beautiful
women
on
this
panel,
and
we
all
work
to
support
the
same
thing
for
our
moms
and
our
babies
to
be
healthy
and
have
the
best
experience
possible.
So
anything
in
the
community
to
do
can
do
to
support
the
work
of
these
women
and
the
work
of
our
moms
would
just
be.
A
E
Chris
chris
driver,
thank
you
all
for
allowing
me
to
be
a
part
of
this
panel.
It's
mom
and
yeah
to
all
you
expecting
mothers
and
anyone
who
is
going
forth
with
motherhood
during
this
time
is
you're
awesome.
We
got
this
and
you
obviously
we
have
a
community
more
than
willing
to
help
and
support
us.
D
Sorry,
thank
you
all
for
tuning
in
definitely
go
out
and
be
supportive
to
each
other,
be
supportive
to
breastfeeding
mothers
and
any
woman
in
this
community
that
you
feel
like
you
can
give
a
helping
hand.
F
F
Yeah,
I
think,
as
when
I
think
of
our
take
home
message
that
support
for
all
of
our
families
for
breastfeeding
for
childbirth,
for
anything
that
they
need
that
they're
going
through
and
knowing
those
resources
in
our
community
can
to
connect
those
parents
with
because
right
now
is
such
a
hard
time
connecting.
Families
with
those
resources
is
of
utmost
importance.
A
Well,
thank
you
all,
and
you
know
we
appreciate
everything
that
was
offered
during
this
panel
in
terms
of
the
deep
listening
the
connection
and
the
resources,
as
we
know
that
they're
really
key
to
ensuring
maternal
health
and
infant
health,
and
so
the
conversation
does
continue
in
the
coming
weeks.
A
We
will
also
hold
follow-up
conversations
where
we'll
hear
from
other
community
contributors
around
early
childhood
education
and
later
this
fall
we'll
be
hearing
from
our
area,
students
on
where
we'll
have
actually
a
student-moderated
conversation
to
hear
from
youth
voices,
as
we
follow
a
live
course
projection
in
this.
Let's
talk
code
conversation,
so
I
thank
you
all
to
all
of
our
participants.
We
encourage
you
to
please
we
share
this
conversation,
it's
available
on
facebook,
it's
available
on
youtube
and
remember
as
part
of
our
commitment
to
language
justice.