IBLCE CERP Objectives and Outline Form

Racial Disparities in Infant Mortality, Breastfeeding, and Sleep Practices

Kathleen Kendall-Tackett, Ph.D., IBCLC

Objectives / Content Outline / CERP / Time / Speaker / Format
I.  Describe the disparities in infant mortality for ethnic-minority populations
II.  Identify the physiological effects of discrimination on women’s health In general and during pregnancy.
III.  Describe breastfeeding rates for white and ethnic minority families in the U.S., and the role of breastfeeding in lowering infant mortality rate worldwide.
IV.  Describe current policies on bedsharing, practices with in ethnic minority populations, and the role of unsafe sleep locations in infant mortality.
V.  Identify three strategies that can decrease infant mortality. / I.   Disparities in infant mortality for ethnic minority populations
A. Statistics in infant mortality rates in the U.S.
II.   The physiology of racism
A.   The human stress response
B.   Inflammatory response
C.   Physical impact of discrimination
D.   The impact on obesity
1.  Obesity rates for ethnic minorities
2.  Insulin resistance
3.  Pima Indians
E.   The impact of sleep problems
F.   Impact on pregnant women
1.  Low birthweight/premature babies
III.   Breastfeeding rates for the U.S. population
A. Rates for whites and ethnic minorities
B. Key factor in infant mortality world wide
IV.   Sleep Location and infant mortality
A. Ad campaigns against bedsharing particularly targeted at ethnic minority communities
B. Current AAP policy
C. Review of relevant literature
D. Safe sleep overview, even when bedsharing
E.  Ethnic minority differences in sleep practices
V.   What to do
A. Reduce inflammation in pregnancy and postpartum women
B. Support breastfeeding
C. Support safe sleep in all sleep locations / Eligible for E- or L-CERPs / 10 min
35 min
5 min
15 min
10 min / KKT / Lecture with PowerPoint and handouts