This document is a presentation titled Skilled Support for Breastfeeding and Maternity Care: U.S. Experience and Current State of Affairs created by the Centers for Disease Control and Prevention (CDC) in August 2019. The presentation discusses the importance of skilled breastfeeding support in the United States, highlighting the current state of affairs and efforts to improve maternity care practices that support breastfeeding. It covers topics such as evidence-based hospital practices, the Ten Steps to Successful Breastfeeding, and CDC initiatives to enhance maternity practices and support breastfeeding.