Abbey Donnell, founder and CEO of Work & Mother, shares how the pandemic's return-to-work policies are affecting new moms. Courtesy of Work & Mother

Consensus seems to indicate that working from home has proven more effective than previously believed, though most would also agree that there is still a need for an office outside the home.

By now, I've received about a million different emails with guides on how to reopen businesses safely amidst COVID-19: how to protect employees, social distancing in the workplace, the future of office space and the effects on commercial real estate…the list goes on and on.

The majority of these guidelines include some version of:

Employers should discontinue use of common spaces such as lunchrooms, breakrooms, meeting rooms and other gathering spaces to avoid unnecessary person-to-person exposure.

This is surely wise. After all, the place with the most germs in the office is usually the faucet of the break room sink.

However, what these recommendations have all failed to consider, what not a single one has even mentioned, is the mother's room.

The majority of mother's rooms, unfortunately, double as some sort of communal wellness or other multi-purpose room. This should not be the case even during non-pandemic times, for a variety of reasons, which you can read about here. But now with COVID-19, for obvious reasons they should not be one and the same. There is a real issue at hand — one with long lasting repercussions for not only working mothers, but their employers too.

The majority of in-office mother's rooms do not have a sink. Therefore, women are forced to carry their used pump parts to the break room or bathroom sink, exposing themselves not only to scrutiny and often even harassment, but also to germs. So, what happens if this common area break room, this already subpar solution, is closed? What do mothers do then?

What about the cleaning and sanitizing of the room? What about room usagee schedules to ensure proper distancing and cleaning between each use? What about including not only hand sanitizer and surface disinfectant wipes, but also the proper pump part cleaning and sanitizing supplies?

What if the mother's room itself is closed, as that too is considered a "communal space?" (Though let us not forget that there are federal and state requirements for the majority of employers to provide a mother's room.)

Fortunately, many offices are implementing more flexible work policies, allowing many to work from home. But, I worry that this "option" will end up becoming a forced "solution" for working mothers. Oh, you're pumping? Just stay home.

On the one hand, great! If you're lucky enough to have in-home childcare, you will actually be able to take breaks and breastfeed your baby. Win! Even if your little one is in daycare, you can at least pump in the privacy of your own home. Win!

However, here's the problem: This approach may actually hurt women's careers and exacerbate the already brutal motherhood penalty. When an employee works completely remotely, particularly if their job isn't intended to be fully remote, or the rest of their team isn't remote, there are serious side effects:

Passed up for promotions and projects
Sometimes this occurs intentionally: "Oh, she shouldn't work on this because it requires in-office time so we'll assign it to someone else." Sometimes it's unintional — simply, out of sight out of mind. If some members of the team are in the office and others aren't, those who are not there often miss casual conversations or spur of the moment brainstorming sessions that leave them behind and in the dark.

Cessation of learning
When cut off from the rest of the team, it's hard to be exposed to learning opportunities. As soon as the learning and growing stops, the dissatisfaction, restlessness, and turnover begins.

Loss of fidelity
Without contact with the rest of the team or organization, we often lose the connection to our cause. We could be working for anyone. Loyalty suffers when there isn't a meaningful connection.

Loss of leadership
Most experts agree that 70 to 93 percent of all communication is nonverbal. Leadership and culture is often most effectively conveyed via modeling behavior. How do you grow your next generation of leaders if they can't see leadership behavior for themselves?

The turnover rate for new mothers is already high — 43 percent — despite the fact that over 75 percent of women want to remain in the workforce to remain in the workforce after becoming mothers, according to an April 2013 article in The Atlantic. This should signal to all employers that they are failing at providing the proper facilities and support for new mothers returning to work. So, what happens when we close the already lacking mother's resources?

This isn't just a women's issue. It's a business issue. Replacing an experienced employee who leaves after childbirth can cost anywhere from 20 to 213 percent of the employee's annual salary. Companies with at least 30 percent management positions held by women tend to be 15 percent more profitable than those without.

Companies such as Goldman Sachs have taken note. They now require at least one woman on the boards of their companies before they can go public. Therefore, employers need to ensure that they can keep top female talent beyond childbearing years. It's worth nothing that according to the CDC, birthrates in the US are declining for all age brackets with the exception of slight gains for women in their 30s and 40s. Meaning, women are waiting longer, until they're more established in their careers, to begin having children. Translation to employers: a more valuable employee you're at risk to lose.

Now, let me be clear about something: I am NOT advocating for a full return to the office for strict, structured working hours. Nor am I saying that women need to run right back to the office right after delivery. Quite the contrary. In fact, I am a firm believer in better parental leave policies and general workplace flexibility with the option of working remotely.

I believe flexibility is actually the very key to leveling the playing field for working mothers. However, to assume that the mother's room is no longer necessary because moms can just stay home, is discrimination, plain and simple. It's the same assumption that's been setting women back for years. "Oh, she probably wants to have kids soon, so she won't want this promotion that will require travel." Or, "oh she's probably just going to get pregnant and quit so I'm not going to hire her."

If a mom chooses to work from home but needs to come in for a meeting, for example, there still needs to be a safe, appropriate facility for her. At a minimum, organizations must create a protocol for this. It is not the mother's job to advocate for this. It is the employer's responsibility to proactively provide for it. This should be an active conversation with landlords.

If mother's needs are not part of this vital return to work safety conversation, women may be left behind. So let's start the conversation.

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Abbey Donnell is a lactation counselor and the founder and CEO of Work & Mother.

A Houston mom is working hard on her startup so that next summer, breastfeeding moms can swim in style and worry free. Courtesy of Orolait

New mom-designed swimwear line makes a splash in Houston

mommy made

Houston mom Ana Carolina Rojas Bastidas feels there's been an oversight in the fashion industry when it comes to women who are in the breastfeeding stage of motherhood. With her new swimwear line, she hopes to spark a movement for women's fashion.

Bastidas, founder and CEO of Orolait, launched the swimwear line in September 2018 specifically for breastfeeding individuals. Orolait, which floats the tagline "by a mama for mamas," aims to give breastfeeding individuals back the dignity they deserve with bathing suit options.

"I decided to build this company to challenge and change the way we depict one's breastfeeding journey," Bastidas says on the website. "I stand on the pillars of advocacy, education, and inclusion. You will see the sizing and advertising featuring all shapes, sizes, and shades because each of us is so different and that is what makes us so incredible and I am going to unapologetically celebrate that in the most ethical way I know how."

Bastidas, originally from Bogota, Colombia, has been blogging about postpartum body positivity on her platform PowerToPrevail since 2015, sharing her personal journey with her children.

"I was spending a lot of time by the pool and water parks with my two older children," her website states. "I had a big fear of public breastfeeding, but I had a life to live and memories to make with my kids."

Orolait currently offers four different types of bathing suits, each designed to make breastfeeding easier. The suits range from $36 per piece to $72 for a full suit. The suits are designed manufactured by MIYH Design Services, a local business owned by adjunct Art Institute of Houston professor David Dang.

Bastidas tells InnovationMap that she noticed the need for specifically designed suits after experiencing discomfort herself, explaining that traditional suits were not accommodating for swollen milk ducts with the cut and wiring. Bastidas surveyed mothers across all walks of life to see what they struggled with when finding a bathing suit and found that the list was endless. She tells InnovationMap that they got 100 responses in three days.

Her survey found that moms worried about body image, functionality, confidence, feeling fashionable, and comfort, all when looking for a bikini. It became clear to Bastidas that the current market was not working for moms and causing even more stress.

"Our goal is not to be modest," says Bastidas. "I don't believe in modesty when it comes to breastfeeding, but I do believe that people are at different levels and we need to meet them where they are at."

This past November, Orolait launched their first-ever equity crowdfunding campaign through LetsLaunch, a platform based out of Houston, with a goal of raising $250,000. The company reached 10 percent of its goal within its first few days of going life.

"Our goal is to help women who decide that breastfeeding is a journey that they would like to take, to be able to take that journey," says Bastidas. "There are so many obstacles that are already in our way biologically, that to have a lack of product be the reason why you become so discouraged is unacceptable."

Bastidas tells InnovationMap that her goal for the company is to eventually expand offerings in addition to bathing suits and move into brick and mortar retail spaces. She hopes that Orolait will be a representation of all varieties of breastfeeding journeys.

"We want to make sure we represent those moms who are never represented," says Bastidas.

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Houston researchers report promising first in-human trial for implantable cancer therapy

cancer breakthrough

When it comes to cancer remedies, the treatment can be as challenging for the body as its cause. But what if immunotherapy could be localized? That’s precisely what a Houston team may soon make a reality.

Rice University researchers, in partnership with MD Anderson Cancer Center, recently published their findings from the first in-human trial of an implantable cancer-fighting treatment in the journal Clinical Cancer Research. The paper details testing of AVB-001, encapsulated cells engineered to release interleukin-2 (IL-2)—a naturally occurring signaling protein that boosts immunity—in the peritoneal cavities of 14 patients. The goal is to avoid the toxicity usually experienced with less targeted treatments, as well as find a solution to IL-2s’ abbreviated half-lives.

“Traditional IL-2 therapy has shown potent antitumor activity, but its clinical use has been limited by severe side effects and delivery challenges,” Omid Veiseh, director of the Rice Biotech Launch Pad, professor of bioengineering at Rice and a senior author on the study, said in a press release. “This platform allows us to localize and sustain cytokine exposure directly where tumors reside while minimizing systemic toxicity.”

Serous ovarian carcinoma is especially well-suited to the use of AVB-001 because it tends to spread throughout the abdomen. After a minimally invasive laparoscopic procedure, patients implanted with the cells were noted to tolerate the treatment well. Half of the enrolled patients’ cancer was stabilized, with several among them reporting extended signs of benefit. No maximum tolerated dose was reached and there were no life-threatening events tied to the study.

If that sounds like less-than-earth-shaking results, this is only the beginning. The capsules were implanted for about one week because IL-2 activity drops off after that. The researchers now know that further testing should include either higher levels, repeated doses, or a combination thereof, in order to create stronger advances.

The team has already made early headway on this next step. Preclinical studies in nonhuman primates were not only tolerated well, but without added toxicity, the apes had consistent pharmacological effects.

“This is a foundational step,” Veiseh explained. “We now have evidence that the platform is safe, biologically active and potentially scalable. The next phase is optimizing dosing and exploring combination therapies to unlock its full clinical potential.”

The combination would also include a checkpoint inhibitor, which might improve AVB-001’s tumor-fighting power. “What is exciting is that we are not just delivering a drug, we are programming a microenvironment,” added Dr. Amir Jazaeri, professor of gynecologic oncology at MD Anderson, member of the Rice Biotech Launch Pad’s clinical advisory board and a senior author on the study. “This opens the door to combination strategies that could amplify immune responses in ways that have not been feasible before.”

Houston startup raises $6M to scale home-based healthcare platform

fresh funding

As healthcare systems race to expand care beyond hospitals and into the home, investors are placing bigger bets on the infrastructure needed to make that shift possible.

This month, Rosarium Health announced it has raised $6 million in seed funding led by Kalos Ventures, with participation from ResilienceVC, Rock Health Capital, Symphonic Capital, Black Tech Nations Ventures and others.

The investment will help the Houston-based startup continue to build its platform, which features a national network of 800-plus clinicians and 3,000-plus contractors to coordinate home accessibility upgrades and modifications for seniors and people living with disabilities.

For founder and CEO Cameron Carter, the company’s mission grew out of firsthand caregiving experiences.

“From my own personal caregiving experiences, I realized that the benefits exist on paper, but not in reality,” Carter said in a news release. “Families are being left to figure out the paperwork and installations all on their own, which shouldn’t be how this works.”

While Medicare Advantage and Medicaid plans have expanded coverage for home-based services and accessibility modifications, the logistics behind delivering those services often remain fragmented.

Rosarium’s platform coordinates the entire process, from clinical assessments and referrals to contractor management, documentation, reimbursement and installation.

“A clinician can document that a home isn’t safe and a plan can approve a benefit, but there’s no one that’s responsible for making sure the work actually gets done,” Carter says. “We built the missing piece.”

The company was founded in 2021 as Rose Health and was a 2023 participant in the Texas Medical Center’s Accelerator for HealthTech program. It has scaled quickly, building a network of more than 800 clinicians and 3,000 contractors across 34 states.

Rosarium is currently in-network for 1.2 million Medicare and Medicaid lives, with projected coverage expected to reach nearly 4 million by the end of the year, according to the release.

“We’re excited to back Cameron because he and the team at Rosarium are building the infrastructure healthcare needs right now to make the home a safe and comfortable place of care,” Kate Ballinger, investor at Kalos Ventures, added in the release.

As part of the recent investment, Ballinger will join Rosarium’s board of directors.

With eyes on the future, Rosarium plans to grow its partnerships with Medicaid and Medicare Advantage plans, including CalViva and Community Health Plan of Imperial Valley, strengthening its presence in California while expanding access to underserved communities.

Additionally, Carter predicts that home-based healthcare will be part of a broader transformation happening across the industry.

“There’s a growing recognition that health outcomes are shaped by what happens in the home,” he said in the release. “The future of healthcare isn’t just treating people after something goes wrong. It’s creating environments that help prevent those problems in the first place.”