Part 4, Chapter 7: Manual Exhibit 4-7-A

Q.  What are my options if I want to continue breastfeeding my infant when I return to work?

Returning to work or staying home with your baby is an important decision and should be thought through carefully.  Consider your options.  There may be job sharing, part-time, or work from home.  The transition back to work may be easier if you can ease back into work or start at the end of the week.  The Indian Health Service (IHS) has a Lactation Support Program for nursing mothers to pump and store breast milk at work.  Notify your immediate supervisor of your intent to breastfeed as soon as possible upon returning to work.

Q:  Can I pump?

Pumping is always an option, even at home.  Pumping needs to be the same frequency as you would feed your infant.  Practice pumping at home first.  Vacations and weekends will have you nursing more frequently and you will note an increased milk supply on the first days back to work.

Q.  Can I bring equipment to work to accomplish this?

Yes.  Plan ahead.  Obtain small freezer cooler packs, a small cooler, comfortable fitting clothes, extra clothes, a blanket or shawl, drinks, and snacks for yourself.

Q:  How long can I continue to pump in the work setting?

Exclusive breastfeeding is most desirable for the first 6 months of your infant's life.  Nursing mothers may participate in the IHS Lactation Support Program for a period of one year after the birth of their child.

Q:  What should I expect from my boss?

You can expect a discussion of the workplace policy to include work expectations and applicable leave regulations to allow you to pump and store milk while on duty.  You are expected to work undistracted and not disrupt the work setting.  If you find your breaks aren't long enough, discuss with your employer about taking vacation or unpaid leave or extending your work day to make up for the longer break.  It will be worth it.

Q:  What should I tell my coworkers?

Let your employer know that you plan to breastfeed before you deliver.  This is also an ideal time to let co-workers know.

Q:  Where do I pump my breasts?

The Patient Protection and Affordable Care Act requires employers to provide nursing mothers returning to work for a period of one year after the birth of her child to participate in the Lactation Support Program.  This program allows nursing mothers reasonable break times and a private designated space for pumping.  A bathroom or toilet stall is not an acceptable place.  The area may "float" or move according to space needs.