From a Black, Queer Birthworker: Creating Inclusive Lactation Spaces for Black Families

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Trigger Warning: Discussion of trauma to Black communities, racism, homophobia, transphobia, queerphobia, microaggressions, colonization.

Feeding our infants—whether through breastfeeding, chestfeeding, or body feeding—is a vital aspect of nurturing. Recently, there has been a significant shift in how lactation is viewed within Black communities, particularly during Black Breastfeeding Week, emphasizing the need for diversity and inclusion. Yet, many still cling to binary terms like “mother,” “mama,” or “daddy,” often overlooking the identities of those who don’t fit these traditional labels.

Within the Black community, we are working hard to highlight the challenges posed by predominantly white-led lactation spaces, which often perpetuate classism and racism, creating environments that can feel unsafe. It’s frustrating to see the persistence of anti-Blackness even as others profess that Black lives matter.

Moreover, issues of homophobia, queerphobia, and transphobia also affect our communities. Consider the experience of a Black queer or trans individual grappling with challenges like low milk supply or medical complications while facing judgment from lactation professionals who may not understand or respect their identity.

This is not just theory for me; I speak from my own experiences. As a Black queer, nonbinary parent, I have encountered discrimination from both white and Black lactation professionals. I was subjected to hurtful comments and jokes when I expressed my discomfort with being called “mommy” or “mama.” In one instance, I overheard medical staff mock my request for respectful language, which added to the pain of an already traumatic birthing experience.

Let’s be clear: Black bodies have historically faced ridicule and exploitation, often used as subjects in medical experimentation designed to benefit white lives. It’s essential to recognize this context when discussing the experiences of Black individuals, especially those who identify as queer or trans. Studies show that Black queer and trans individuals face higher levels of discrimination and mental health trauma than their non-LGBTQIA+ peers, largely due to a lack of accessible, inclusive resources.

The complexities continue for those who are disabled or come from nontraditional family structures, such as kinship or polyamorous arrangements. These narratives must be included in our discussions about lactation and support.

In light of Black Breastfeeding Week, it’s crucial to understand what inclusive and affirmative spaces look like. Many professionals lack awareness of how to support marginalized Black bodies, particularly those within the LGBTQIA+ community. This is where I come in, using my traumatic experiences as motivation to advocate for change. I’m committed to being a “perinatal table flipper,” challenging the status quo.

As a lactation professional, here’s how you can better support Black individuals in lactation:

1. Examine Your Biases: Research Black queer and trans perinatal professionals and support networks like The Queer Doula Network. Look for Black-led initiatives such as Mahogany Milk that prioritize the needs of Black queer and trans lactating individuals.
2. Dismantle Colonized Narratives: Pay Black professionals fairly and hire them for consulting, ensuring that your practices do not cause further harm. The story of the Fultz sisters illustrates the exploitation of Black bodies in medical contexts.
3. Practice Active Listening: Storytelling is vital in our communities. Focus on what is said during consultations rather than just completing paperwork.
4. Use Inclusive Language: Understand that not everyone identifies as a mother or woman. Avoid using terms like “mama” or “mommy” unless you are certain they are welcomed. The term “breastfeeding” is also inherently binary; recognize this and strive for language that is inclusive of all identities.
5. Address Systemic Barriers: By acknowledging and correcting biases, we can create spaces that foster healing and community support, dismantling the harmful narratives that persist in lactation.

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Summary: This article emphasizes the need for inclusive lactation spaces for Black families, particularly those identifying as queer or trans. It addresses the challenges faced by marginalized individuals in lactation settings and provides actionable steps for lactation professionals to create a more inclusive environment.