10 things your dietician wants you to know about breastfeeding and work

Many moms struggle to balance breastfeeding and going back to work. Here’s how you can make it work.

“All women should be supported to continue to breastfeed when they return to work, and everyone should work together to ensure that breastfeeding mothers receive the support they need”, says the Association of Dietetics in South Africa (ADSA).

Most women don’t receive adequate maternity protection and returning to work is often a barrier to breastfeeding, because a mother is separated from her baby for long periods of time. Many mothers struggle to balance breastfeeding and paid work, therefore stopping breastfeeding earlier than they should.

ALSO SEE: 6 tips for breastfeeding moms returning to work

Here’s what you need to know about breastfeeding and going back to work:

  1. Optimal infant and young child feeding is defined by the World Health Organisation as ‘exclusive breastfeeding from birth for the first six months of life and starting from six months of age, feeding safe and appropriate complementary foods, along with continued breastfeeding for up to two years of age or beyond’.
  2. Breastfeeding mothers in South Africa are protected by the Basic Conditions of Employment Act  and are legally entitled to two 30-minute breaks per day for breastfeeding or expressing milk if their babies are younger than six months.
  3. In 2011, the Tshwane Declaration of Support for Breastfeeding in South Africa was signed by the Minister of Health and many other stakeholders. This stated that “the promotion, protection and support of breastfeeding requires commitment and action from all stakeholders, including government and legislators, community leaders, traditional leaders and healers, civil society, HCWs [health care workers] and managers, researchers, the private sector, employers, the women’s sector, the media and every citizen”.
  4. It is possible to create a breastfeeding-friendly work environment by having a breastfeeding-friendly room, corner or space in your workplace where mothers can breastfeed their babies or express milk, and ensuring that there are refrigeration facilities for mothers to store breast milk if they are expressing.
  5. Give your baby only breast milk for the first six months; no other food or drink is needed at this age. If a baby is given other food and drink, they will consume less breast milk and receive less nutrition.
  6. Babies are protected against infection when they are breastfed. In addition to containing all of the nutrients your baby needs for the first six months, breast milk also contains antibodies that help to protect your baby against illness.
  7. Dietitians are trained to help moms continue breastfeeding when they go back to work, and they are able to help you calculate how much milk you need to express during the day. Click here to find a registered dietitian in your area.
  8. Breastfeed your baby before you leave for work and as soon as you get home. If your baby is older than six months, make sure your nanny or caregiver doesn’t give your little one a big meal or snack before you get home. A smaller snack will be better so your little one is not full when it’s time to breastfeed.
  9. Know how to hand express and invest in a breastfeeding pump that suits your needs (different pumps are required depending on the number of hours you work, i.e. part-time vs full-time). Also, build up a milk supply before returning to work.
  10. Expressed breast milk can be stored. All milk should be dated before storing. Storing milk in 60 to 120 ml amounts may reduce waste. Refrigerated milk has more anti-infective properties than frozen milk. Cool fresh milk in the refrigerator before adding it to previously frozen milk. Preferably, human milk should be refrigerated or chilled right after it is expressed.

ALSO SEE: Tips for expressing and storing breast milk successfully

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