Protecting, Promoting, and Supporting Breastfeeding among Women in the Labor Force

  • Marina Ferreira Rea
  • Ardythe L. Morrow
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 554)


The need to protect, promote, and support breastfeeding among women in the labor force is an important global issue that requires greater attention. An increasing proportion of women of child-bearing age are employed outside the home. Women who resume full-time work outside the home when their infants are young tend to have shorter durations of breastfeeding and less exclusive breastfeeding. However, evidence indicates that appropriate breastfeeding policy and support programs can help sustain breastfeeding among employed women. Effective strategies include delayed return to work, working part-time, improved conditions at work for breastfeeding, breastfeeding breaks during work hours, milk expression and storage, and access to breastfeeding counseling. In this chapter, we consider the special needs of women working outside the home; provide a brief overview of the literature; and address international policy regarding the protection, promotion, and support of breastfeeding among women who work outside the home.


Exclusive Breastfeed Maternity Leave Maternal Employment International Labor Organization Convention Gynaecol Obstet 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Arlotti JP, Cottrell BH, Lee SH, Curtin JJ. Breastfeeding among low-income women with and without peer support. J Community Health Nurs 1998;15:163–178.PubMedCrossRefGoogle Scholar
  2. Ashworth A, Awang H, Salleh AL. Determinants of breastfeeding duration in Peninsular Malaysia. Asia Pac J Public Health 2000;12:102–106.CrossRefGoogle Scholar
  3. Auerbach KG, Guss E. Maternal employment and breastfeeding: a study of 567 women’s experiences. Am J Dis Child 1984;138:958–960.PubMedGoogle Scholar
  4. Bridges CB, Frank DI, Curtin J. Employer attitudes toward breastfeeding in the workplace. J Hum Lact. 1997;13:215–219.PubMedCrossRefGoogle Scholar
  5. Cohen R, Mrtek MB. The impact of two corporate lactation programs on the incidence and duration of breastfeeding by employed mothers. Am J Health Promot 1994;8:436–441.PubMedCrossRefGoogle Scholar
  6. Cohen R, Mrtek MB, Mrtek RG. Comparison of maternal absenteeism and infant illness rates among breastfeeding and formula-feeding women in two corporations. Am J Health Promot 1995a;10:148–153.CrossRefGoogle Scholar
  7. Cohen, RJ, Haddix, K, Hurtado, E, Dewey KG. Maternal activity budgets: feasibility of exclusive breastfeeding for six months among urban women in Honduras. Soc Sci Med 1995b;41:527–536.CrossRefGoogle Scholar
  8. Dearden K, Altaye M, de Maza I, de Oliva M, Stone-Jimenez M, Morrow AL, Burkhalter BR. Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala. Rev Panam Salud Publica 2002; 12:185–192.PubMedCrossRefGoogle Scholar
  9. Fein SB, Roe B. The effect of work status on initiation and duration of breast-feeding. Am J Public Health 1998;88:1042–1046.PubMedCrossRefGoogle Scholar
  10. Gielen AC, Faden RR, O’Campo P, Brown CH, Paige DM. Maternal employment during the early postpartum period: effects on initiation and continuation of breast-feeding. Pediatrics 1991;87:298–305.PubMedGoogle Scholar
  11. Haider R, Begum S. Working women, maternity entitlements, and breastfeeding: a report from Bangladesh. J Hum Lact 1995;11:273–277.PubMedCrossRefGoogle Scholar
  12. Hills-Bonczyk SG, Avery MD, Savik K, Potter S, Duckett LJ. Women’s experiences with combining breastfeeding and employment. J Nurse Midwifery 1993;38:257–266.PubMedCrossRefGoogle Scholar
  13. Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding. Breastfeeding in the 1990s: A Global Initiative. WHO/UNICEF, Florence, Italy, 1990.Google Scholar
  14. International Labour Conference. Provisional Record 20. Eighty-seventh Session, Geneva, 1999.Google Scholar
  15. International Labour Organization. Report of the Committee on Maternity Protection. Committee report/ Proposed Conclusions/ Resolution; 1999.Google Scholar
  16. Katcher A, Lanese M. Breastfeeding by employed mothers: a reasonable accommodation in the work place. Pediatrics 1985;75:644–647.PubMedGoogle Scholar
  17. Kearney MH, Cronenwett L. Breastfeeding and employment. J Obstet Gynecol Neonatal Nurs 1991;20:471–480.PubMedCrossRefGoogle Scholar
  18. Kurinij N, Shiono PH, Ezrine SF, Rhoads GG. Does maternal employment affect breast-feeding? Am J Public Health 1989;79:1247–1250.PubMedCrossRefGoogle Scholar
  19. Kvale JK. To wean or not: Help from the workplace. J Hum Lact 1993;94:220–221.CrossRefGoogle Scholar
  20. Manoff RK. Social marketing: new imperative for public health. New York: Praeger, 1985.Google Scholar
  21. Manoff RK. Mass media and breastfeeding promotion. In: Jelliffe DB, Jelliffe EFP, editors. Programmes to Promote Breastfeeding. New York: Oxford University Press, 1988.Google Scholar
  22. Miller NH, Miller DJ, Chism M. Breastfeeding practices among resident physicians. Pediatrics 1996;98:434–437.PubMedGoogle Scholar
  23. O’Gara C, Canahuati J, Martin AM. Every mother is a working mother: Breastfeeding and women’s work. Int J Gynaecol Obstet 1994; 47:S33–38.PubMedCrossRefGoogle Scholar
  24. Rea MF. The Brazilian National Breastfeeding Promotion Program: A Success Story. Int J Gynaecol Obstet 1990;31:79–82.PubMedCrossRefGoogle Scholar
  25. Rea MF, Venancio SI, Batista LE, Greiner T. Determinants of the breastfeeding pattern among working women in sao paulo. Journal of human lactation. 1999;15:233–239.PubMedCrossRefGoogle Scholar
  26. Rea MF. Reflexões sobre a amamentação no Brasil: de corno passamos a 10 meses de duração. Cadernos de Saúde Pública, Rio de Janeiro 2003;19:109–118.Google Scholar
  27. Renfrew M, Fisher C, Arms S. Best Feeding: Getting Breastfeeding Right For You. Berkeley, CA: Celestial Arts, 1990; 225 pp.Google Scholar
  28. Roe B, Whittington LA, Fein SB, Teisl MF. Is there competition between breast-feeding and maternal employment? Demography 1999;36:157–171.PubMedCrossRefGoogle Scholar
  29. Sokol EJ. The Code Handbook. Penang, Malaysia: International Baby Food Action Network (IBFAN), 1997; 361 pp.Google Scholar
  30. The Innocenti Declaration: Progress and Achievements, Part I. Geneva: World Health Organization. Wkly Epidemiol Rec 1998;73:25–30Google Scholar
  31. Treffers PE. “Health aspects of maternity protection,” paper prepared for WHO, as a review of literature about Maternity Protection, 2000; mimeo, 8 pp.Google Scholar
  32. Valdes V, Pugin E, Schooley J, Catalan S, Aravena R. Clinical support can make the difference in exclusive breastfeeding success among working women. J Trop Pediatr 2000;46:149–154.PubMedCrossRefGoogle Scholar
  33. Visness CM, Kennedy KI. Maternal employment and breast-feeding: findings from the 1988 National Maternal and Infant Health Survey. Am J Public Health 1997;87:945–950.PubMedCrossRefGoogle Scholar
  34. WHO/UNICEF Breastfeeding Counselling: a training course, 1993.Google Scholar
  35. Yee V, Ranutunga D. The clearinghouse on infant feeding and maternal nutrition. Women’s rights to maternity protection. Am Public Health Assoc. 6, 10–11, 17–18, 24. 1996.Google Scholar
  36. Yilmaz G, Gurakan B, Akgun S, Ozbek N. Factors influencing breastfeeding for working mothers. Turk J Pediatr 2002;44:30–34.PubMedGoogle Scholar
  37. Yimyam S, Morrow M. Breastfeeding practices among employed Thai women in Chiang Mai. J Hum Lact 1999;15:225–232.PubMedCrossRefGoogle Scholar
  38. Zanon A, Formentin P, Bolesani C, Lago F, Errico G, Mastroprimiano S, Toffanin R, Sorgato R, De Giorgi G. [Breast feeding in the province of Padua from 1978 to 1993.] Minerva Pediatr 1997;49:39–48.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2004

Authors and Affiliations

  • Marina Ferreira Rea
    • 1
  • Ardythe L. Morrow
    • 2
  1. 1.Institute de Saude, Coordination of Institutes of ResearchSecretaria de Estado da Saude de Sã o PauloBrazil
  2. 2.Center for Epidemiology and BiostatisticsCincinnati Children’s Hospital Medical CenterCincinnatiUSA

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