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When Alex White had her first child, she was 18 years old. She remembers her experience with breastfeeding her son as unpleasant. 鈥淚 didn鈥檛 know how I would pump or express [milk] once I went back to school,鈥� White recalls. So when she woke up one morning with her shirt soaked in leaking milk, that confirmed her decision to stop nursing. It had only been two weeks.

White says no one ever told her about the challenges that come with breastfeeding鈥攏either her relatives nor the health care professionals at the hospital where she gave birth. 鈥淭he hospital gave me lots of formula, but didn鈥檛 really emphasize breastfeeding,鈥� she shared. That lack of support left her unprepared.

By six months, only 35.3 percent of Black women are still breastfeeding.

For Black mothers, insufficient  make it so they鈥檙e less likely to breastfeed than their White counterparts鈥攁nd any other women of color (data on Native breastfeeding are scarce, however). Research shows just percent of Black mothers initiate breastfeeding, and the average duration is 6.4 weeks among those who do. By six months, only  percent of Black women are still breastfeeding. Perhaps because of this, Black moms are  times more likely to be offered formula by hospitals than Whites, according to Jennifer Hahn-Holbrook, assistant professor in psychology at Chapman University and co-author of the study 鈥淩acial and Ethnic Differences in Breastfeeding.鈥�

These obstacles are so common that birth workers Kiddada Green, Kimberly Seals Allers, and Anayah Sangodele-Ayoka established a national week of recognition to support Black breastfeeding moms:  was created in 2012 to acknowledge the racial disparity in breastfeeding that has existed for more than 40 years.

During Aug. 25鈥�31, the founders of Black Breastfeeding Week shine a light on systemic factors that contribute to a high infant mortality rate among Black babies and a general lack of wellness: diet-related diseases, culturally incompetent lactation support, the historical trauma of wet nursing, and food deserts.

Black Breastfeeding Week is about awareness, support, and sisterhood.

Information disseminated by the Black Breastfeeding Week movement has given Alex White the determination and encouragement to succeed.

鈥淢y passion for nutrition and health for my family is number one,鈥� she says. Also, after studying nutrition in school, she feels much more prepared with her first child. But White is one of many Black mothers who lacked support for breastfeeding. In a nation that does so little to support Black breastfeeding mothers, there is more work to be done.

Nikia Lawson, a doula whose advocacy and educational efforts in communities of color are helping one mom at a time, is familiar with women like White. She believes Black Breastfeeding Week is about awareness, support, and sisterhood. 鈥淚t gives us an opportunity to educate, engage, and support Black women around a concept that can not only help change mindsets around breastfeeding, but might even save their and their babies鈥� lives,鈥� she said.

Lawson offers five ways to support Black breastfeeding mothers.

1. Learn the history

Slavery complicated breastfeeding and left many Black women with a negative association that hasn鈥檛 yet dissipated. Black women haven鈥檛 always had a choice in breastfeeding, particularly when they were White babies as wet nurses, at times unintentionally letting their own children starve.

鈥淏lack babies weren鈥檛 getting the nutrients they needed, while White babies were thriving from a Black breast,鈥� Lawson said. There were severe consequences of being caught feeding a Black baby from a White child’s supply. 鈥淭heir baby could be sold or killed if caught, and it created a very negative energy around breastfeeding,鈥� she added.

It is also important to consider the way  is advertised, and what it offers psychologically to Black women. Marketing around the mass production of baby formula claimed it was better than breast milk. For many women, it 鈥渨as reflective of social status鈥攊f you could afford formula, you had arrived,鈥� Lawson said. Formula companies still highlight the freedom and sophistication associated with their product and associate breastfeeding with domesticity and poverty.

Lawson believes it is particularly important to acknowledge that formula allowed women to avoid the lower-class stigma associated with breastfeeding, especially true for Black women who may feel further behind in social status.

2. Don鈥檛 make assumptions

Lawson believes many birth workers lack this sort of cultural awareness. 鈥淭he Black breastfeeding experience can be crippled when White birth workers bring biases and unintentional microaggressions to those who need their help,鈥� she says. And with so few birth workers of color, it鈥檚 common for Black mothers to receive help from White birth workers who lack cultural competence.

It is important that White birth workers take the time to educate themselves on the complexities of Black mothers and breastfeeding, instead of . 鈥淢any believe they are doing Black women a favor by offering them formula,鈥� Lawson said.

3. Don鈥檛 shame

The stigma Black women face when breastfeeding is multidimensional. On the one hand, it鈥檚 associated with the lower classes. On the other, society has sexualized breasts to the point that nursing is considered unnatural. White points out that the natural functions associated with breastfeeding can be a source of ridicule and embarrassment. Shaming mothers for 鈥減ump鈥� breaks, being inconsiderate of diet restrictions, and forcing mothers to feed in enclosed areas all play into reduced rates of breastfeeding in the Black community.

鈥淢y motto is, human babies deserve human milk,鈥� Lawson said. She says one of the easiest ways to support breastfeeding mothers is to call out individuals who give disgusted glances.

4. Encourage

Even within the Black community, people make comments that can discourage mothers from breastfeeding. 鈥淚t becomes 10 times harder to continue breastfeeding when you have no support and are constantly hearing that it鈥檚 dirty or nasty and hearing ignorance-based comments,鈥� Lawson said. So if someone dear to you is breastfeeding, educate yourself on some of the struggles they may face. Offer encouragement and show your interest. Consider accompanying them to breastfeeding classes, or give them resources鈥攂ooks, websites on breastfeeding.

5. Advocate for nursing legislation

Only states have laws that address breastfeeding at work. In addition to maternity leave issues, many women have employers that lack clear rules related to pumping breaks or designated areas to pump.  means this is more of a burden for Black women and other women of color. Wage gaps and unfair hiring practices lead to Black women being overrepresented in lower-level positions that do not offer maternity and breastfeeding protections. The best way to support Black breastfeeding mothers is to support legislation that protects them from hiring discrimination and provides maternity and breastfeeding accommodations for all women.