Juggling Work and Breastfeeding: Effects of Maternity Leave and Occupational Characteristics

Guendelman, Sylvia; Kosa, Jessica L.; Pearl, Michelle; Graham, Simon; Goodman, Julia M.; Kharrazi, Martin

doi:10.1542/peds.2008-2244

Cited by 212 publications

(197 citation statements)

References 29 publications

(31 reference statements)

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“…Juggling breastfeeding and paid work can be a challenge to breastfeeding success. One study 14 explicitly demonstrated that a maternity leave of 6 weeks or less or lasting 6-12 weeks after delivery was associated, respectively, with fourfold and twofold higher odds of failure to establish breastfeeding and an increased probability of cessation after successful establishment, relative to women not returning to work, after adjusting for covariates. The impact of a short postpartum leave on breastfeeding cessation was stronger among non-managers, women with inflexible jobs, and those with high psychosocial distress.…”

Section: Discussionmentioning

confidence: 99%

Impact of a Breastfeeding-Friendly Workplace on an Employed Mother's Intention to Continue Breastfeeding After Returning to Work

Tsai

2013

Breastfeeding Medicine

114

119

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Background: Ever-increasing populations of women in their childbearing years are choosing to become employed. Breastfeeding provides unique health advantages to both the infant and mother. A breastfeedingfriendly workplace might be an important factor for predicting breastfeeding rates among working women. To explore the impact of breastfeeding-friendly support on the intention of working mothers to continue breastfeeding, we conducted a survey at a female labor-intensive electronics manufacturer in Taiwan. Subjects and Methods: A structured questionnaire survey was administered to 715 working mothers employed in an electronics manufacturing plant in Tainan Science Park in Southern Taiwan. Questionnaire content included female employee demographics, employment characteristics, continued breastfeeding behavior after returning to work, access to lactation rooms, and employee perception of the breastfeeding policy and support when raising their most recently born child. Results: A higher education level (odds ratio [OR] = 2.66), lower work load (8 work hours/day) (OR = 2.66), lactation room with dedicated space (OR = 2.38), use of breast pumping breaks (OR = 61.6), and encouragement from colleagues (OR = 2.78) and supervisors (OR = 2.44) to use breast pumping breaks were significant predictors of continued breastfeeding for more than 6 months after returning to work. Conclusions: The findings of the present study suggest that to encourage and increase the rate of continued breastfeeding, workplaces should establish dedicated breastfeeding rooms and maintain a comfortable and clean environment. Furthermore, employers should provide encouragement and support for working mothers to continue breastfeeding after returning to work.

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Section: Discussionmentioning

confidence: 99%

Impact of a Breastfeeding-Friendly Workplace on an Employed Mother's Intention to Continue Breastfeeding After Returning to Work

Tsai

2013

Breastfeeding Medicine

114

119

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“…Other limitations included our use of breastfeeding data collected from survey respondents other than the biological mothers of the study subjects and the lack of detailed data on maternal employment. Early breastfeeding cessation has been associated with decreased maternity leave, 37 and employmentrelated challenges to breastfeeding may be more pronounced among younger mothers who lack job control, paid maternity leave, and the financial resources necessary to make use of the Family Medical Leave Act, which does not provide for paid leave.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Exclusive Breastfeeding in the United States

et al. 2011

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OBJECTIVES: To estimate the proportions of US infants who were breastfed exclusively for 6 months, according to characteristics of the mother, child, and household environment, and to compare associations between those characteristics and exclusive breastfeeding with associations between those characteristics and breastfeeding initiation. METHODS: Data were obtained from the 2007 National Survey of Children's Health, a nationally representative, cross-sectional survey. Multivariate logistic regression was used to calculate the adjusted odds ratios for breastfeeding among all infants and for breastfeeding exclusively for 6 months among infants who had initiated breastfeeding. All analyses were limited to children aged 6 months through 5 years for whom breastfeeding data were available (N = 25 197). RESULTS: Of the nearly 75% of children in the study who had ever been breastfed, 16.8% had been breastfed exclusively for 6 months. Non-Hispanic black children were significantly less likely to have ever been breastfed compared with their non-Hispanic white counterparts (adjusted odds ratio: 0.54 [95% confidence interval: 0.44–0.66]). However, no significant differences in the odds of exclusive breastfeeding according to race were observed. Children with birth weights of <1500 g were most likely to have ever been breastfed and least likely to have been breastfed exclusively. Maternal age was significantly associated with exclusive breastfeeding; however, maternal age was not associated with breastfeeding initiation. CONCLUSIONS: In the United States, the prevalence of exclusive breastfeeding for 6 months remains low among those who initiate breastfeeding. Factors associated with breastfeeding exclusively for 6 months differ from those associated with breastfeeding initiation.

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“…In the study done by Orun E et al, 25.2% women initiated the breast feeding within 1 hour of delivery, whereas 60.3% initiated it within 1-4 hrs. 12 In our study, pre-lacteals were given to babies by 27 (54%) from Group A and 2% from Group B. In a study done by Rasheed S et al, Prelacteal feeds were given by 18.5% to 27.8% of babies.…”

Section: Discussionmentioning

confidence: 54%