A lactation credit model to support breastfeeding in radiology: The new gold standard to support “liquid gold”


      Breastfeeding has medical and economic benefits and providing an environment supportive of breastfeeding should be a priority in radiology to promote diversity, equity and inclusion. Most breastfeeding radiologists do not meet their breastfeeding goals and inadequate time for pumping is the most commonly cited barrier. The UCSF lactation credit model sets the standard for breastfeeding support in medicine by providing protected time without productivity penalties and it should be adapted and implemented across radiology practices to more fully support breastfeeding radiologists and radiation oncologists.


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        • Mehan Jr., W.A.
        • Schaefer P.W.
        • Hirsch J.A.
        Academic performance-based compensation models.
        J Am Coll Radiol. 2019; 16: 1621-1627
      1. Section 7(r) of the fair labor standards act – break time for nursing mothers provision.
        (Available at:)
        • Kramer M.S.
        • Kakuma R.
        Optimal duration of exclusive breastfeeding.
        Cochrane Database Syst Rev. 2012;
        • Victora C.G.
        • Bahl R.
        • Barros A.J.D.
        • et al.
        Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect.
        Lancet. 2016; 387: 475-490
        • UpToDate
        Maternal and economic benefits of breastfeeding.
        (Available at:)
        • UpToDate
        Infant benefits of breastfeeding.
        (Available at:)
      2. The first weeks: why breast milk is liquid gold.
        (Available at:)
      3. Goldfarb IT. Wondering about COVID-19 vaccines if you're pregnant or considering pregnancy? Available at:,against%20COVID%2D19. Harvard Health Publishing. Updated March 11, 2021. Accessed March 15, 2021.

      4. Breastfeeding and the use of human milk.
        Pediatrics. 2012; 129: e827-e841
        • Sriraman N.K.
        • Kellams A.
        Breastfeeding: what are the barriers? Why women struggle to achieve their goals.
        J Womens Health (Larchmt). 2016; 25: 714-722
        • Walters D.D.
        • Phan L.T.H.
        • Mathisen R.
        The cost of not breastfeeding: global results from a new tool.
        Health Policy Plan. 2019; 34: 407-417
      5. The business case for breastfeeding.
        (Available at:)
        • Cohen R.
        • Mrtek M.B.
        • Mrtek R.G.
        Comparison of maternal absenteeism and infant illness rates among breast-feeding and formula-feeding women in two corporations.
        Am J Health Promot. 1995; 10: 148-153
        • Center for Disease Control and Prevention
        Key breastfeeding indicators.
        (Available at:)
        • Rollins N.C.
        • Bhandari N.
        • Hajeebhoy N.
        • et al.
        Why invest, and what it will take to improve breastfeeding practices?.
        Lancet. 2016; 387: 491-504
        • Harrington S.G.
        • Wood M.
        • Porter K.K.
        • et al.
        Promoting lactation support: challenges and solutions to supporting breastfeeding radiologists.
        Acad Radiol. 2020; S1076-6332: 30644-30649
        • Odom E.
        • Li R.
        • Scanlon K.
        • Perrine C.
        • Grummer-Strawn L.
        Reasons for earlier than desired cessation of breastfeeding.
        Pediatrics. 2013; 131: e726-e732
      6. The business case for breastfeeding: easy steps to supporting breastfeeding employees.
        (Available at:)