Impact of a breastfeeding-friendly workplace on an employed mother's intention to continue breastfeeding after returning to work.

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 breastfeeding-friendly 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.

[1]  James Hussey,et al.  The Effect of Maternity Leave Length and Time of Return to Work on Breastfeeding , 2011, Pediatrics.

[2]  B. Olson,et al.  Perspectives of Managers Toward Workplace Breastfeeding Support in the State of Michigan , 2011, Journal of human lactation : official journal of International Lactation Consultant Association.

[3]  D. Levine,et al.  Breastfeeding intentions of female physicians. , 2010, Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine.

[4]  Shio‐Jean Lin,et al.  Maternal return to work and breastfeeding: a population-based cohort study. , 2010, International journal of nursing studies.

[5]  S. Mills Workplace Lactation Programs , 2009 .

[6]  B. Rogers,et al.  The Family and Medical Leave Act: implications for occupational and environmental health nursing. , 2009, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[7]  S. Guendelman,et al.  Juggling Work and Breastfeeding: Effects of Maternity Leave and Occupational Characteristics , 2009, Pediatrics.

[8]  S. Mills Workplace lactation programs: a critical element for breastfeeding mothers' success. , 2009, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[9]  Chao-Hua Chuang,et al.  The combined effect of employment status and transcultural marriage on breast feeding: a population-based survey in Taiwan. , 2007, Paediatric and perinatal epidemiology.

[10]  S. Hawkins,et al.  Maternal employment and breast-feeding initiation: findings from the Millennium Cohort Study. , 2007, Paediatric and perinatal epidemiology.

[11]  T. Trikalinos,et al.  Breastfeeding and maternal and infant health outcomes in developed countries. , 2007, Evidence report/technology assessment.

[12]  Mary Beth Arensberg,et al.  The effect of employment status on breastfeeding in the United States. , 2006, Women's health issues : official publication of the Jacobs Institute of Women's Health.

[13]  L. Wallace,et al.  Breastfeeding works: the role of employers in supporting women who wish to breastfeed and work in four organizations in England. , 2006, Journal of public health.

[14]  W. Chie,et al.  Effects of work-related factors on the breastfeeding behavior of working mothers in a Taiwanese semiconductor manufacturer: a cross-sectional survey , 2006, BMC public health.

[15]  A. Croker,et al.  Breastfeeding friendly workplace accreditation. Creating supportive workplaces for breastfeeding women. , 2005, Breastfeeding review : professional publication of the Nursing Mothers' Association of Australia.

[16]  P. Kelly,et al.  Duration of breast milk expression among working mothers enrolled in an employer-sponsored lactation program. , 2004, Pediatric nursing.

[17]  T. Okuno,et al.  Cloxazolam treatment for patients with intractable epilepsy. , 2004, Pediatric neurology.

[18]  M Kay Libbus,et al.  Breastfeeding and Employment: An Assessment of Employer Attitudes , 2002, Journal of human lactation : official journal of International Lactation Consultant Association.

[19]  Stephanie N. Wyatt Challenges of the Working Breastfeeding Mother , 2002, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[20]  Christopher A. Brown,et al.  Exploring Large Employers’ and Small Employers’ Knowledge, Attitudes, and Practices on Breastfeeding Support in the Workplace , 2001, Journal of human lactation : official journal of International Lactation Consultant Association.

[21]  J. Gazmararian,et al.  Breast-feeding education and support: association with the decision to breast-feed. , 2000, Effective clinical practice : ECP.

[22]  S. Fein,et al.  The effect of work status on initiation and duration of breast-feeding. , 1998, American journal of public health.

[23]  K. Kennedy,et al.  Maternal employment and breast-feeding: findings from the 1988 National Maternal and Infant Health Survey. , 1997, American journal of public health.

[24]  M. B. Mrtek,et al.  The Impact of Two Corporate Lactation Programs on the Incidence and Duration of Breast-Feeding by Employed Mothers , 1994, American journal of health promotion : AJHP.

[25]  A. Gielen,et al.  Maternal employment during the early postpartum period: effects on initiation and continuation of breast-feeding. , 1991, Pediatrics.