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Breastfeeding and the Working Woman

Returning to work

Breastfeeding and the Working Woman Controversy still swirls around the issue of breast- versus bottle-feeding. If you're not sure which method to use, you can try starting with breast-feeding and switching later. Once you decide to bottle feed, however, you'll lose the breast-feeding option because your milk supply will dry up without the stimulation of your baby's sucking. Your success with breast-feeding once you return to work will depend upon your confidence with your decision, and how well you organize it.

Combining Breast-Feeding and Working
Combining breast-feeding with working takes careful planning and a determination to see it through. Remember that the demands of the job will continue in spite of your special circumstances. If you don't assume the responsibility for your feeding plan, no one else will. First, if possible, allow at least eight weeks before returning to work in order to:

• Recover from your child's birth
• Establish your milk supply
• Store a sufficient supply of expressed milk for the caregiver to use
• Become proficient at breast-feeding so that it's routine and easily manageable when you're working

If you want your baby to have only breast milk, prepare for the challenge of finding a good setting to express your milk during the day. Otherwise, you have to find a caregiver who is nearby and able to bring your baby to your work. A woman who works full time can expect to be away from her baby for up to ten hours, which equals two or three pumping sessions.

Overcoming the Challenges of Breast-Feeding While Working
As a working mother who is breast-feeding, you'll face a double challenge: how to implement an important personal commitment while maintaining your professional image. Even sympathetic, flexible employers will expect you to produce as much as before or to arrange for the objective to be met some other way. Try to face the task realistically:

• Make arrangements in advance—Don't assume that everyone will agree with your plans. Discuss the subject early, before you go on maternity leave. Evaluate your daily work schedule to find times when you will have the opportunity to nurse or express your milk. If you have to feed or express twice during your workday, you might suggest that your lunch hour be divided up or perhaps you could come in earlier or leave later to make up for your milk collection time.

  Your boss may be reluctant, in which case you need to emphasize the potential benefits to the company: (1) a breast-fed baby is healthier; therefore, you will not need to miss as many days because of illness, and (2) a happier mother is a more productive worker.

  Once you have approval, evaluate your daily work schedule to choose the best times when you will not be tense or rushed. Plan on a half an hour for a feeding or expressing; although expressing may be faster, it requires clean-up time.

• Speak with your coworkers—Always discuss your plans in advance to draw out any potential negative reactions. If they feel resentful because they have to take on some of your responsibilities, avoid getting defensive. Any inconvenience to them is temporary and they'll probably forget about it soon. Look for coworkers who have been or who are going through the experience and suggest forming a support group.
• Consider bringing baby to work—Under the proper conditions,this can be a good opportunity to visit with your baby during the day. Breast-feeding relaxes most women, after which they're eager to get back to work.

Other mothers, however, find that this option is just another painful separation and would prefer to avoid it. Some women enjoy keeping their babies with them throughout the workday, but such an arrangement puts extraordinary demands on a working mother and on colleagues. Nearby child care, if possible, can solve the problem of a long absence from baby.

Now that the basic decision has been made, it's time to arrange things in the office:

• Protect your privacy—This is important because you need to relax to allow your milk to flow freely. Pumping in an employee's lounge or a bathroom sometimes won't do. Instead, look for an empty office with a lock on the door (or use a Do Not Disturb sign), a supply closet, or a space in a health facility. As a last resort, use a conference room. Make sure there is an outlet for an electric pump, if you are using one, and a comfortable chair. You will also need a place to store your equipment during the day.
• Appoint someone to run interference—Ask a coworker nearby to stop anyone who is about to disturb you.
• Arrange for a substitute—Ask a coworker to fill in for you while you're breast-feeding or expressing with the understanding that you'll pay back the time when your baby is weaned.
• Keep your expressed breast milk cool—If no refrigerator is available at the office, bring an insulated cooler, filled with chill packs (refreezable, plastic containers of liquid), to store the milk. Relieve soreness by placing some cool compresses on your breasts. Or use a package of frozen peas or other vegetable as a quick substitute.

Tips for dressing and guidelines for travelDressing for Successful Breast-Feeding at Work
Wearing appropriate attire to work tells your employer and those you work with that you're serious about what you do and that you're dedicated to your job. That doesn't have to change when you become a nursing mother. It's still possible to appear professional, but it will take a little more effort.

Special fashions for the working nursing mother are available in many maternity shops, catalogs, and online retailers; however, you can also adapt your well-fitted, stylish clothes from the same wardrobe you usually wear. Just wear the ones that fit and fill in with some borrowed items. The following suggestions will help you maintain your appearance:

• Use easy-care clothes—Clothing that is washable and wrinkle-resistant is the best. Avoid solid colored tops and anything that is sheer. Brightly colored, printed tops will help camouflage milk stains if your full breasts leak, especially on days when meetings or presentations are scheduled.
• Wear plastic breast shields—They will help with leakage during these short periods of time. Wearing these shields for a long period of time can cause problems because of retained moisture on nipples (see "The Leakage Problem," below). A simple black dress with a scarf or a large necklace may help divert attention away from the leaks.
• Look for easily opened garments—Wear blouses as well as knit pullovers and sweaters. Garments that open at the waist or button down the front can easily be lifted or pulled aside. Try the new nursing-print tank tops under your non-nursing garments. Some of the more popular access options include dual side panels (central slits), crop over top (dual slits), vest front (dual slit or extended arm holes), and central pleat (dual slits).
• Keep a cover-up handy—Have a nursing cape or a loose-fitting cardigan, for example, at your desk. And don't overlook the cover-up possibilities of ponchos, jackets, scarves, and receiving blankets. A vest with a shorter shirt underneath gives you a polished look and eliminates fabric bunches.
• Wear a nursing bra—Nursing bras come in lots of different styles, from plain to lacy, and in black, white, and ivory. They are usually sold in medium or firm support (for larger breasts). Sizing is the same as for ordinary bras. Buy your nursing bra towards the very end of your pregnancy; otherwise the fit will be wrong after the birth.

  You'll need at least two or three nursing bras. Because you are constantly producing milk, you'll need to wash your bras frequently, even if you are using a breast pad to soak up the excess. Night time nursing bras are also available. They have all the design features of a nursing bra, but are lighter weight to wear.

  A cotton nursing bra will support your heavier-than-usual breasts and help prevent sagging and stretch marks. The best ones have wide straps of fabric, and drop fronts for quick convenience. If the bra becomes too tight once your milk production is high, buy an extender found in department stores or in maternity shops. Small-breasted women may be able to get by with a stretch bra, which can be lifted up above the breast.

• Use nursing pads—Always have a good supply at hand. Place a pad on one side while your baby is feeding at the other. Wear them as a precautionary measure when you anticipate leaking. Change pads frequently, and wash them as soon as possible in hot, soapy water. Dry them thoroughly before using again. If you use disposable pads, avoid the plastic-coated ones, which might cause a rash, or wear the plastic side out. You can make your own pads from disposable diapers, sanitary napkins, cloth, or gauze.

The Leakage Problem
The disadvantage of having an excellent milk supply is the problem of leaking breasts. This usually occurs just prior to feeding or expressing time, but it may also happen when you're just thinking about your baby. A working woman has to be especially inventive to avoid embarrassment. Here are some measures you can take:

• Stop the milk flow—When you feel the familiar tingle associated with milk letdown (or ejection), press against your nipples to prevent leaking. Cross your arms and press the heel of your hand, or one finger, against the nipple. If you're sitting down, rest your chin in your hand and press your breast into your arm.
• Keep extra supplies handy—Keep at least one breast pad in your pocket and a few more in your purse and desk drawer. Use a cutup diaper, handkerchief, or a sanitary pad in a pinch. Have an extra nursing bra at work in case one gets soaked. And don't forget to have a cover up or two.

FYI: Where to Go for Help with Breast-Feeding
Ask your pediatrician or childbirth instructor for help if you're having problems with feedings. Or contact your local La Leche League. Other helpful sources include the Red Cross, the YWCA, or a maternity center. There are books and videos that address this subject too. The International Board of Lactation Consultant Examiners certifies consultants who meet with clients, usually for a fee. Some insurance policies cover these consultations.

Guidelines While Traveling
During this breast-feeding period, it would be wise to avoid very lengthy business trips. They would have a negative effect on your milk supply and increase the difficulty of resuming a good feeding relationship with your baby on your return.

• Out-of-town trips—Some fortunate mothers can take their babies and caregiver with them when they travel. Most mothers, however, must leave their babies at home and express sufficient milk in advance to leave a good supply. If you're one of these working mothers, you'll have to travel with a breast pump to relieve your discomfort and, more importantly, to keep the milk flowing.

  You must allot sufficient time for expressing milk in an unhurried way. Try to pump as close to regular feeding times as possible. Because storing it would be next to impossible, this milk will probably be discarded. Nurse more frequently when you get home and your milk production should soon be back to normal.

• Short trips—If you will be bringing your baby along, prepare several chilled bottles of expressed milk for local trips of over three hours. Carry them in an insulated cooler with frozen chill packs. Individual foam soft drink can insulators or sever al layers of wet newspapers will do the trick at the last minute.

  Bring a thermos bottle filled with hot water for heating the milk. Simply pour hot water in the cup and set the bottle in it for several minutes. You can also use an electric bottle warmer that plugs directly into your cigarette lighter. Or bring measured amounts of formula powder and a thermos full of boiled water and combine them at feeding time. Ready-to-use, canned formula is another option. Take supplies with you-bottles, nipples, and a can opener-and just pour as you need it.