Mississippi Today
Q&A with neonatologist Dr. Christina Glick on the science and stigma of breastfeeding
Note: This Q&A first published in Mississippi Today’s InformHer newsletter. Subscribe to our free women and girls newsletter to read stories like this monthly.
Dr. Christina Glick is a retired neonatologist who runs Mississippi Lactation Services, one of the only free-standing breastfeeding clinics in the Jackson area. She is an advocate of family-centered care, a system of practice that incorporates the family in therapeutic, management and even diagnostic decision-making, and a proponent of breastfeeding as medicine.
Research around breastfeeding – which lowers the incidence of numerous diseases, infections and depression in both mother and baby – has made strides in the last few decades. Still, Glick says she sometimes encounters colleagues who joke that she “quit practicing real medicine” when she opened her clinic in 2015.
With the highest rate of preterm birth, Mississippi could stand to benefit from increasing its breastfeeding rate – one of the lowest in the country. Mississippi Today spoke with Glick about the science and stigma of breastfeeding, the multi-billion dollar infant formula industry, and what would be needed to eradicate unnecessary pharmaceutical intervention in baby feeding practices.
Editor’s note: This Q&A has been edited for length and clarity.
Mississippi Today: How did you first get into breastfeeding research and, at the time, did you feel like it was a rather underappreciated or niche area?
Dr. Christina Glick: When I first did my training back in the early ‘80s, there was no breastfeeding training in medical school at all. It wasn’t even mentioned. And one of the things we were regularly losing babies from was malnutrition. So, the smallest babies were the hardest ones to be able to feed. And so there was some early work in the late ‘80s that breast milk was maybe a solution for some of our malnutrition issues in the tiniest, sickest babies who had chronic lung disease and just weren’t able to get enough nutrition. I got certified as a lactation consultant by the International Board of Certified Lactation Consultants, IBCLC, in the early 2000s. I started working with breastfeeding for my NICU patients at that time, and when I was in private practice I began to do a lot of breastfeeding medicine in the NICU.
When I opened my clinic, I thought ‘well I know a lot about breastfeeding and it’s going to be a pretty easy adjustment from intensive care medicine to lactation,’ and it was not – at all. I found that I knew very little about breastfeeding – and I’ve breastfed three children of my own. It’s a very confusing thing: you think it’s natural so it’s going to be simple, but it’s a very complex field of work. I have found that it’s absolutely critical to be able to coordinate the teamwork between the provider and the family to be able to successfully advocate for breastfeeding.
It is an extremely underrepresented field, still to this day. It’s getting more and more recognition but I still get people kidding me, ‘well, you quit practicing real medicine’ and stuff like that.
MT: Tell us a little bit about the research around breast milk and how breastfeeding has been shown to be mutually beneficial for mother and baby.
CG: There are so many aspects of breastfeeding that are just, seemingly magical. There’s the nutritional part of it – it’s the perfect food for the baby. So it’s exactly matched to the proteins that babies need. And we’ve found that breastfed babies actually need less volume, less protein, less calories when they’re fed breast milk – because it’s the perfect food.
Babies that are breastfed, we know, have a lower incidence of some of the diseases that are the most common causes of adult bad outcomes including cardiovascular disease, heart attack and stroke. So breastfed babies have less of that. And we always thought it was a nutritional thing but as we’ve been discovering, the human genome is actually affected by breastfeeding. So the epigenome, which is the part of our genetics that is changeable, is actually impacted greatly by breastfeeding. And so we think now that breastfeeding changes the likelihood of having heart attacks and strokes, based on the changes in the genome, not as a nutritional result – which I find pretty amazing. The breast milk actually turns off bad genes and turns on good genes.
And as we studied the microbiome, we found that breastfeeding dramatically changes the microbiome and probably has a really big effect on our overall long-term health as well as the epigenome. So breastfed babies have completely different colonies of bacteria in their gut and we think that affects their overall health and their immunological response to infections. So it’s not just the nutritional benefit but also the microbiome that helps fight infections.
MT: Aside from all the benefits for the baby, what are some of the benefits for the mother? Can it help with things like postpartum depression?
CG: Yes. And one of the confusing things about breastfeeding is that the first couple of weeks are usually pretty stressful. We always paint it as a time of bonding and rainbows and unicorns or whatever but establishing breastfeeding in the first couple of weeks can be extremely stressful.
And sometimes the first few weeks are so stressful that people imagine that postpartum depression is increased by breastfeeding – but the data shows that it’s actually protective. One of the best things that happens with breastfeeding is the hormonal changes that breastfeeding brings on are really unique. So, breastfeeding moms have really high levels of prolactin. And they have huge oxytocin surges which is what stimulates the transfer of milk to the baby. And it turns out that the oxytocin surges are pretty unique in breastfeeding mothers, and those oxytocin surges help reduce the incidence of cardiovascular disease long-term in the mother. So, we see less heart attacks and strokes in mothers who have breastfed for any significant time that is more than a matter of weeks.
In addition, breastfeeding helps reduce breast cancer. So breastfeeding mothers have a lower risk of developing breast cancer throughout the rest of their lives.
MT: Why do you think Mississippi has one of the lower rates of breastfeeding in the country?
CG: One of the things that gave formula such a strong foothold early on in the ‘50s and ‘60s was that it was called formula, so it was like the perfect scientific formulation of milk for a baby that was going to make babies healthier than breast milk. And so it became a socioeconomic incentive that well-off people can feed their babies with this new, special formulation of milk. So, it became a status symbol, if you will, that formula-fed babies are better off than breastfed babies. And that lingers in our culture today in America that it’s considered an advantage to be able to formula feed babies.
And one of the things that has happened is that one of the programs that serves lower socioeconomic groups, particularly single women, is the WIC program – Women, Infants and Children Program – and that has really translated to a sort of formula chain. There are some lactation consultants who work on supporting breastfeeding, but it’s not a perfect system and it tends to be sort of a knee-jerk to offer women formula instead of breastfeeding. It just seems easier, so if there’s any bump in the road they tend to switch to formula.
Breastfeeding is a cultural thing. If your mother breastfed you and your sisters and your cousins and everyone is breastfeeding their babies, then there is a lot of community support. If you come from a culture where everyone is formula feeding, there’s no one there who really understands. So when you hit problems, the answer is formula.
And unfortunately, the indigent population in Mississippi, and in the country as a whole, is still on the formula highway. There’s not support in our culture by a long history of breastfeeding. So, if you’re in a formula culture, you tend to formula feed and that is the case in Mississippi.
MT: Mississippi also has one of the highest rates of cesarean sections in the U.S. Are these two things, high rate of cesareans and high rate of formula use, connected?
CG: Right, great question. With a cesarean, there are a number of things that interfere with the initiation of breastfeeding. So, one of the big things is that a woman who has a C-section gets a big bolus of fluids, and that translates pretty quickly straight into the baby. So babies born of C-sections have higher water content in their bodies. And when we’re water overloaded what we do is pee it all out pretty quickly. And so babies born by C-section tend to lose weight really quickly. And we have this 10% cutoff, based on a terrible study that said that babies who lose more than 10% of their birth weight are in danger, and immediately supplement them with formula. So, just the weight loss piece of surgical deliveries makes them be at higher risk of formula supplementation recommendation right off the bat.
And then the second thing that happens is that surgical delivery delays the milk coming in. So, there’s breast milk and there’s colostrum. And normally, we transition from colostrum to regular milk by the second or third day, but with surgical deliveries that’s delayed to the fourth or fifth day. And oftentimes when a breastfed baby is only getting colostrum for four or five days, they’re pretty darn hungry by the time the milk comes in. And they’ve lost a lot of weight. So you have a crying, fussing baby who is acting unsatisfied and the natural response is to give the baby supplementation, instead of saying ‘it’s ok for that baby to cluster feed for 10 or 15 times a day to get that milk.’ And the data is that if you use more than four ounces of formula in a 24-hour period in the first month, it dramatically interferes with sustainability of breastfeeding in the long term.
MT: In your view, do you think more Americans are using formula than need it? What would be needed to shift the paradigm?
CG: Absolutely. That is completely, absolutely true. And one of the unfortunate things that has happened as a result of the move toward formula is the companies who have produced formula are very powerful political forces in this country. So it’s an economic incentive for hospitals and doctors to push formula. And that’s become a real driver in the supplementation of formula in our country. And breastfeeding is not a powerful money-making industry, right? So it’s very hard to fight the pharmaceutical intervention in infant feeding practices in our country.
We would need to strip the pharmaceutical power and make that not a factor anymore … Most mothers are given a sample of formula when they register at the prenatal clinic. So that’s a huge tool to get formula in your front door by sending you free formula. That should be banned. It should be illegal to do that.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Hospitals see danger in Medicaid spending cuts
Mississippi hospitals could lose up to $1 billion over the next decade under the sweeping, multitrillion-dollar tax and policy bill President Donald Trump signed into law last week, according to leaders at the Mississippi Hospital Association.
The leaders say the cuts could force some already-struggling rural hospitals to reduce services or close their doors.
The law includes the largest reduction in federal health and social safety net programs in history. It passed 218-214, with all Democrats voting against the measure and all but five Republicans voting for it.
In the short term, these cuts will make health care less accessible to poor Mississippians by making the eligibility requirements for Medicaid insurance stiffer, likely increasing people’s medical debt.
In the long run, the cuts could lead to worsening chronic health conditions such as diabetes and obesity for which Mississippi already leads the nation, and making private insurance more expensive for many people, experts say.
“We’ve got about a billion dollars that are potentially hanging in the balance over the next 10 years,” Mississippi Hospital Association President Richard Roberson said Wednesday during a panel discussion at his organization’s headquarters.
“If folks were being honest, the entire system depends on those rural hospitals,” he said.
Mississippi’s uninsured population could increase by 160,000 people as a combined result of the new law and the expiration of Biden-era enhanced subsidies that made marketplace insurance affordable – and which Trump is not expected to renew – according to KFF, a health policy research group.
That could make things even worse for those who are left on the marketplace plans.
“Younger, healthier people are going to leave the risk pool, and that’s going to mean it’s more expensive to insure the patients that remain,” said Lucy Dagneau, senior director of state and local campaigns at the American Cancer Society.
Among the biggest changes facing Medicaid-eligible patients are stiffer eligibility requirements, including proof of work. The new law requires able-bodied adults ages 19 to 64 to work, do community service or attend an educational program at least 80 hours a month to qualify for, or keep, Medicaid coverage and federal food aid.
Opponents say qualified recipients could be stripped of benefits if they lose a job or fail to complete paperwork attesting to their time commitment.
Georgia became the case study for work requirements with a program called Pathways to Coverage, which was touted as a conservative alternative to Medicaid expansion.
Ironically, the 54-year-old mechanic chosen by Georgia Gov. Brian Kemp to be the face of the program got so fed up with the work requirements he went from praising the program on television to saying “I’m done with it” after his benefits were allegedly cancelled twice due to red tape.
Roberson sent several letters to Mississippi’s congressional members in weeks leading up to the final vote on the sweeping federal legislation, sounding the alarm on what it would mean for hospitals and patients.
Among Roberson’s chief concerns is a change in the mechanism called state directed payments, which allows states to beef up Medicaid reimbursement rates – typically the lowest among insurance payors. The new law will reduce those enhanced rates to nearly as low as the Medicare rate, costing the state at least $500 million and putting rural hospitals in a bind, Roberson told Mississippi Today.
That change will happen over 10 years starting in 2028. That, in conjunction with the new law’s one-time payment program called the Rural Health Care Fund, means if the next few years look normal, it doesn’t mean Mississippi is safe, stakeholders warn.
“We’re going to have a sort of deceiving situation in Mississippi where we look a little flush with cash with the rural fund and the state directed payments in 2027 and 2028, and then all of a sudden our state directed payments start going down and that fund ends and then we’re going to start dipping,” said Leah Rupp Smith, vice president for policy and advocacy at the Mississippi Hospital Association.
Even with that buffer time, immediate changes are on the horizon for health care in Mississippi because of fear and uncertainty around ever-changing rules.
“Hospitals can’t budget when we have these one-off programs that start and stop and the rules change – and there’s a cost to administering a program like this,” Smith said.
Since hospitals are major employers – and they also provide a sense of safety for incoming businesses – their closure, especially in rural areas, affects not just patients but local economies and communities.
U.S. Rep. Bennie Thompson is the only Democrat in Mississippi’s congressional delegation. He voted against the bill, while the state’s two Republican senators and three Republican House members voted for it. Thompson said in a statement that the new law does not bode well for the Delta, one of the poorest regions in the U.S.
“For my district, this means closed hospitals, nursing homes, families struggling to afford groceries, and educational opportunities deferred,” Thompson said. “Republicans’ priorities are very simple: tax cuts for (the) wealthy and nothing for the people who make this country work.”
While still colloquially referred to as the One Big Beautiful Bill Act, the name was changed by Democrats invoking a maneuver that has been used by lawmakers in both chambers to oppose a bill on principle.
“Democrats are forcing Republicans to delete their farcical bill name,” Senate Democratic Leader Charles Schumer of New York said in a statement. “Nothing about this bill is beautiful — it’s a betrayal to American families and it’s undeserving of such a stupid name.”
The law is expected to add at least $3.3 trillion to the nation’s debt over the next 10 years, according to the most recent estimate from the Congressional Budget Office.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Hospitals see danger in Medicaid spending cuts appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Left
This article reports on the negative impacts of a major federal tax and policy bill on Medicaid funding and rural hospitals in Mississippi. While it presents factual details and statements from stakeholders, the tone and framing emphasize the harmful consequences for vulnerable populations and health care access, aligning with concerns typically raised by center-left perspectives. The article highlights opposition by Democrats and critiques the bill’s priorities, particularly its effect on poor and rural communities, suggesting sympathy toward social safety net preservation. However, it maintains mostly factual reporting without overt partisan language, resulting in a moderate center-left bias.
Crooked Letter Sports Podcast
Podcast: The Mississippi Sports Hall of Fame Class of ’25
The MSHOF will induct eight new members on Aug 2. Rick Cleveland has covered them all and he and son Tyler talk about what makes them all special.
Stream all episodes here.
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post Podcast: The Mississippi Sports Hall of Fame Class of '25 appeared first on mississippitoday.org
Mississippi Today
‘You’re not going to be able to do that anymore’: Jackson police chief visits food kitchen to discuss new public sleeping, panhandling laws
Diners turned watchful eyes to the stage as Jackson Police Chief Joseph Wade took to the podium. He visited Stewpot Community Services during its daily free lunch hour Thursday to discuss new state laws, which took effect two days earlier, targeting Mississippians experiencing homelessness.
“I understand that you are going through some hard times right now. That’s why I’m here,” Wade said to the crowd. “I felt it was important to come out here and speak with you directly.”
Wade laid out the three bills that passed earlier this year: House Bill 1197, the “Safe Solicitation Act,” HB 1200, the “Real Property Owners Protection Act” and HB 1203, a bill that prohibits camping on public property.
“Sleeping and laying in public places, you’re not going to be able to do that anymore,” he said. “There’s a law that has been passed that you can’t just set up encampments on public or private properties where it’s a public nuisance, it’s a problem.”
The “Real Property Owners Protection Act,” authored by Rep. Brent Powell, R-Brandon, is a bill that expedites the process of removing squatters. The “Safe Solicitation Act,” authored by Rep. Shanda Yates, I-Jackson, requires a permit for panhandling and allows people to be charged with a misdemeanor if they violate this law. The offense is punishable by a fine not to exceed $300 and an offender could face up to six months in jail. Wade said he’s currently working with his legal department to determine the best strategy for creating and issuing permits.
“We’re going to navigate these legal challenges, get some interpretations, not only from our legal department, but the Attorney General’s office to ensure that we are doing it legally and lawfully, because I understand that these are citizens,” he said. “I understand that they deserve to be treated with respect, and I understand that we are going to do this without violating their constitutional rights.”
Wade said the Jackson Police Department is steadily fielding reports of squatters in abandoned properties and the law change gives officers new power to remove them more quickly. The added challenge? Figuring out what to do with a person’s belongings.
“These people are carrying around what they own, but we are not a repository for all of their stuff,” he said. “So, when we make that arrest, we’ve got to have a strategic plan as to what we do with their stuff.”
Wade said there needs to be a deeper conversation around the issues that lead someone to becoming homeless.
“A lot of people that we’re running across that are homeless are also suffering from medical conditions, mental health issues, and they’re also suffering from drug addiction and substance abuse. We’ve got to have a strategic approach, but we also can’t log jam our jail down in Raymond,” Wade said.
He estimates that more than 800 people are currently incarcerated at the Raymond Detention Center, and any increase could strain the system as the laws continue to be enforced.
“I think there’s layers that we have to work through, there’s hurdles that we are going to overcome, but we’ve got to make sure that we do it and make sure that my team and JPD is consistent in how we enforce these laws,” Wade said.
Diners applauded Wade after he spoke, in between bites of fried chicken, salad, corn and 4th of July-themed packaged cakes. Wade offered to answer questions, but no one asked any.
Rev. Jill Buckley, executive director of Stewpot, said that the legislation is a good tool to address issues around homelessness and community needs. She doesn’t want to see people who are homeless be criminalized, but she also wants communities to be safe.
“I support people’s right to self determine, and we can’t impose our choices on other people, but there are some cases in which that impinges on community safety, and so to the extent that anyone who is camping or panhandling or squatting and is a danger to themselves and others, of course, I fully support that kind of law. I don’t support homelessness being criminalized as such,” Buckley said.
Many of the people Wade addressed while they ate Thursday said they have housing, don’t panhandle, and shouldn’t be directly impacted by the legislation. But Marcus Willis, 42, said it would make more sense if elected officials wanted to combat the negative impacts of homelessness that they help more people secure employment.
“There ain’t enough jobs,” said Willis, who was having lunch with his girlfriend Amber Ivy.
The two live in an apartment together nearby on Capitol Street, where Ivy landed after her mother, whom Ivy had been living with, suffered a stroke and lost the property. Similarly, Willis started coming to eat at Stewpot after his grandmother, whose house he used to visit for lunch, passed away.
Willis holds odd jobs – cutting grass, home and auto repair – so the income is inconsistent, and every opportunity for stable employment he said he’s found is outside of Jackson in the suburbs. The couple doesn’t have a car.
Making rent every month usually depends on their ability to find someone to help chip in, said Ivy, who is in recovery from substance abuse. She said she’s watched problems surrounding homelessness grow over the years in Jackson. Ivy grew up near Stewpot and has lived in various neighborhoods across the city – except for the times she moved out of state when things got too rough.
“There was just moments where I just had to leave,” Ivy said. “Sometimes if you hit a slump here, there’s almost no way for you to get out of it.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.
The post 'You're not going to be able to do that anymore': Jackson police chief visits food kitchen to discuss new public sleeping, panhandling laws appeared first on mississippitoday.org
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Center-Right
This article primarily reports on new laws in Jackson, Mississippi, targeting public sleeping, panhandling, and squatting, focusing on statements by Police Chief Joseph Wade and community perspectives. The coverage presents the legislative measures—authored by Republican and independent lawmakers—with a tone that emphasizes law enforcement challenges and community safety, reflecting a conservative approach to homelessness as a public order issue. While it includes voices concerned about criminalization and the need for social support, the overall framing centers on law enforcement and property protection. The article maintains factual reporting without overt editorializing but leans slightly toward a center-right perspective by highlighting legal enforcement as a solution.
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