07/17/2026
ā”ļø ***** Michigan wasnāt included because data for the study period was not available for the state. ******
A new study just mapped breastfeeding initiation rates across the United Statesā¦and the differences are striking.
Grubesic et al. (2026) analyzed county-level breastfeeding initiation data for infants born in 2018ā2019. They found that breastfeeding initiation varies dramatically depending on where families live. Some counties had initiation rates above 90%, while others were as low as 22%. The study showed that factors like education, race, and whether a community is urban or rural consistently influence breastfeeding rates, but many local factors matter too.
The takeaway?
Breastfeeding success isnāt just about a motherās motivation.
Itās about whether she has access to skilled lactation support, accurate education, paid time to recover, family support, and a healthcare system that protects breastfeeding instead of undermining it.
The researchers specifically recommended:
ā¬ļø More access to lactation consultants in hospitals.
šŖš½ Stronger community breastfeeding support groups.
šExpanding access to breastfeeding support through WIC and other public health programs.
This is something lactation professionals have seen for years. When mothers receive timely, evidence-based support, breastfeeding outcomes improve. When support is missing, itās easy to mistake a systems problem for a personal failure.
This is one of the first studies to map breastfeeding initiation at the county level across nearly the entire United States, allowing public health officials to identify communities that may benefit most from targeted breastfeeding support⦠I guess we need to start somewhere⦠šš
Grubesic, T. H., Kang, W., Durbin, K. M., & Helderop, E. (2026). Spatial inequalities in breastfeeding initiation in the United States: A multiscale analysis of county-level determinants. PLOS Global Public Health, 6(7), e0005659.