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    Breastfeeding 9 to 5

    Going back to work doesn't mean giving up breastfeeding. Here's what to do.
    WebMD Feature

    Once upon a time, nursing a baby involved few if any complications. Since most women were stay-at-home moms, keeping up with feedings was relatively easy.

    Not so today. As more women fuel the workforce, more new mothers must now deal with breastfeeding issues and career demands at the same time.

    "Seventy percent of employed mothers have children under age 3 -- with one-third returning to work just three months after giving birth, and two-thirds returning within six months," says Suzanne Haynes, PhD, chairwoman of the subcommittee on breastfeeding for the Department of Health and Human Services.

    "This is a huge chunk of women whose breastfeeding needs must be accommodated," notes Haynes, who helped develop a Blueprint for Breastfeeding, the first federal ad campaign to promote the importance of breastfeeding.

    Although many new mothers believe they must choose between breastfeeding and returning to work, the two activities can peacefully coexist. However, experts warn not to wait until you are back at work to begin.

    The first step to successfully combining breastfeeding and working takes place during the first four weeks after your baby is born -- a time when you are setting a feeding schedule and establishing your milk supply.

    "If a woman gives herself and her baby about four weeks of quiet nursing time -- without talking on the phone or working on the computer or in any way being distracted -- then she will not only be setting up a definite feeding pattern, which can help with milk expression later on, but she is also helping to build a strong milk supply within her breasts," says Linda Hanna, program coordinator, Lactation and Prenatal Education Services, Cedars-Sinai Medical Center, Los Angeles.

    "This will continue to flourish even when she goes back to work," Hanna adds.

    Once back at work, you can ensure a continuing milk supply by expressing your milk on the same schedule you kept when breastfeeding your baby, she says.

    Pumping Breast Milk on the Job

    Talk over your plans with your employer long before you return to work, even before your baby is born, suggest experts.

    "Don't be afraid to mention that you will need a clean and private area -- with a lock on the door -- where you can pump your milk. If you don't have your own office space, ask if you can use a supervisor's office during certain times, or if you can have access to a clean, clutter-free private corner of a storage room," says Haynes.

    If you sense any resistance on the part of your employer, The American College of Obstetricians and Gynecologists suggests asking your doctor to write a short letter to your boss citing the health benefits of breastfeeding for both you and your baby. Your doctor might also want to detail what your needs are for breastfeeding -- such as a clean, private environment -- and offer a few suggestions on how these conditions can easily be met in your workplace

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