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Returning to work while breastfeeding.

Frances Biagioli1

  • 1Department of Family Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon, USA. biagioli@ohsu.edu

American Family Physician
|December 18, 2003
PubMed
Summary
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Working mothers can successfully breastfeed by overcoming workplace challenges. Choosing the right breast pump and creating a feeding plan are key to maintaining breastfeeding continuance after returning to work.

Area of Science:

  • Perinatal health
  • Lactation science
  • Occupational health

Background:

  • Breastfeeding initiation rates are similar for working and non-working mothers.
  • Breastfeeding continuance significantly declines upon mothers' return to work.
  • Workplace environments present unique obstacles for breastfeeding mothers.

Purpose of the Study:

  • To explore strategies for maintaining breastfeeding for mothers working outside the home.
  • To identify suitable breast pump types and milk storage guidelines.
  • To provide recommendations for a successful breastfeeding plan for working mothers.

Main Methods:

  • Review of available breast pump technologies (manual, battery-powered, electric diaphragm, electric piston, hospital-grade).
  • Analysis of breast milk storage recommendations at various temperatures.

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  • Discussion of the importance of a structured breastfeeding plan and optimal timing for return to work.

    • Main Results:

    • Electric piston pumps may be most suitable for mothers working >20 hours/week, but motivation is a key factor for success with any pump type.
    • Breast milk storage guidelines: 8 hours at room temperature, 8 days refrigerated, months when frozen.
    • Establishing a breastfeeding plan and delaying return to work until at least 4 weeks postpartum aids continuance.

    Conclusions:

    • Obstacles to breastfeeding for working mothers can be overcome with appropriate planning and resources.
    • Selection of appropriate breast pump technology and adherence to milk storage guidelines are crucial.
    • A delayed return to work, ideally after 4 weeks postpartum, supports sustained breastfeeding.