Gender, Sexuality, and Law: Lactation Liberation

Harper Jean Tobin

            How would you feel if the woman sitting next to you at Starbucks suddenly opened her blouse and exposed her breasts to God and everyone? How would you feel if you were told not to eat in public? Not to feed your child?

            Breastfeeding provides infants with ideal nutrition, fights disease, promotes cognitive development, reduces distress, facilitates mother-child bonding, and is even reported to benefit the economy and the environment. A recent statement by the American Association of Pediatrics touts these benefits, and advises that "breastfeeding should be continued for at least the first year of life and beyond for as long as mutually desired by mother and child." But while the AAP reports that almost two thirds of new mothers attempt to start out breastfeeding, only 14 percent are still doing so at six months.

            One reason why: although doctors and public health programs urge breastfeeding, many people just don't want to see it. They may find it inappropriate, immodest, gross, and even obscene. Many a mother can recount tales of being asked to do that somewhere else, to go to the bathroom, to cover up – and many more have forgone breastfeeding in public or at work for fear of such responses. This mixed social message – being urged to breastfeed, yet censured for doing so in view of others – carries with it a hint of the outdated view that good mothers stay at home.

            Because of such concerns, the North Dakota legislature is currently considering a bill that states simply,

A woman may breastfeed her child in any location, public or private, where the woman and child are otherwise authorized to be, irrespective of whether the nipple of the woman's breast is uncovered during or incidental to the breastfeeding.

            Similar legislation was also recently introduced in Ohio.

            Most states now have some kind of statute addressing public breastfeeding. Some simply clarify that public indecency statutes do not apply to breastfeeding. In reality, prosecutions for breastfeeding are unheard of, but such amendments at least mean that no offended person can tell a breastfeeding mom she’s breaking the law.  Other state laws, like the North Dakota bill, go farther, providing legal protection from harassment. A similar federal law applies to federal property. Seventeen states currently have no laws regarding public breastfeeding, leaving businesses free to discriminate.

Unfortunately, harassment in public places is not uncommon even in those states whose laws protect public breast feeding. A Maryland woman was asked last summer by a Starbucks employee to stop breastfeeding or leave, even though a 2003 law stated that “a person may not restrict or limit the right of a mother to breastfeed her child.” Only after the incensed woman threatened a large “nurse-in” did the company issue an apology and promise to notify employees of the law.

            Another matter of serious concern for mothers is, of course, employment. A great many employers do not wish to accommodate breastfeeding on the job, and most states do not offer protections for breastfeeding employees. Since experts recommend breastfeeding for a year, two years, or more – and since, obviously, infants need to be fed several times a day – not being able to breastfeed or pump breast milk at work represents a serious problem for working mothers and their kids.

            Because it appears that no one actually gets prosecuted for breastfeeding, and because few mothers go to the trouble of litigating over breastfeeding harassment, there is relatively little case law on the subject. In other contexts, a number of courts have ruled that breasts are not “private parts” for the purpose of public indecency statutes.

            A few breastfeeding plaintiffs have asserted claims under the federal Pregnancy Discrimination Act, which expands sex discrimination to include discrimination on the basis of “pregnancy, childbirth, or related medical conditions.” Breastfeeding was not found to be a “related medical condition,” and these claims failed. Neither have moms prevailed under the theory of lactation as a disability under the Americans with Disabilities Act, or that of “sex-plus” discrimination (that is, discrimination on the basis of sex in combination with some other characteristic).

            Claims under state sex discrimination laws have been similarly unavailing. These include a case decided last summer in which a number of mothers sued Wal-Mart for insisting that they breastfeed in the restroom or leave. There, the Sixth Circuit ruled that a “sex-plus” discrimination analysis did not apply to breastfeeding women. The Court reasoned that “plaintiffs cannot make the requisite showing that they were treated differently from similarly situated members of the opposite gender” when there are no “similarly situated” men.

            The Fifth Circuit Court of Appeals has twice recognized that breastfeeding involved a constitutional privacy right, but it and the few other courts citing these precedents have nevertheless upheld serious restrictions on that right by public employers and prisons.

            Why all this controversy over breastfeeding? We live in a breast-obsessed society. Divorced from any notion of their nurturing function, breasts have become for Americans perhaps the ultimate symbol of our culture’s love-hate obsession with sex. The titillating display of breasts is a mainstay of our popular media, fashion, and body modification industries. Nevertheless, we can turn censorious over trifling displays of skin that wouldn’t raise an eyebrow in many other societies. The cultural messages that breasts are all about sex, and that sex is at once desirable and bad, form the basis for the bizarre conclusion that a mother feeding her child is somehow pornographic.

            While it remains doubtful that we’ll stop being hypocritical about sex anytime soon, it is possible to be more sanguine about society’s mixed messages on breastfeeding. Ohio and North Dakota are poised to follow an emerging legislative trend toward recognizing and protecting the right to breastfeed in public.  Perhaps soon, we’ll be able to turn our attention to more pressing issues, like outlawing the eating of raw oysters in public.  Now that’s gross.     

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