Workplace Leave and Breastfeeding Duration Among Postpartum Women, 2016–2018

Author:

Kortsmit Katherine1,Li Rui1,Cox Shanna1,Shapiro-Mendoza Carrie K.1,Perrine Cria G.1,D’Angelo Denise V.1,Barfield Wanda D.1,Shulman Holly B.1,Garfield Craig F.1,Warner Lee1

Affiliation:

1. Katherine Kortsmit, Rui Li, Shanna Cox, Carrie K. Shapiro-Mendoza, Denise V. D’Angelo, Wanda D. Barfield, Holly B. Shulman, and Lee Warner are with the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA. Cria G. Perrine is with the Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion. Craig F. Garfield is with the Departments of...

Abstract

Objectives. To examine associations of workplace leave length with breastfeeding initiation and continuation at 1, 2, and 3 months. Methods. We analyzed 2016 to 2018 data for 10 sites in the United States from the Pregnancy Risk Assessment Monitoring System, a site-specific, population-based surveillance system that samples women with a recent live birth 2 to 6 months after birth. Using multivariable logistic regression, we examined associations of leave length (< 3 vs ≥ 3 months) with breastfeeding outcomes. Results. Among 12 301 postpartum women who planned to or had returned to the job they had during pregnancy, 42.1% reported taking unpaid leave, 37.5% reported paid leave, 18.2% reported both unpaid and paid leave, and 2.2% reported no leave. Approximately two thirds (66.2%) of women reported taking less than 3 months of leave. Although 91.2% of women initiated breastfeeding, 81.2%, 72.1%, and 65.3% of women continued breastfeeding at 1, 2, and 3 months, respectively. Shorter leave length (< 3 months), whether paid or unpaid, was associated with lower prevalence of breastfeeding at 2 and 3 months compared with 3 or more months of leave. Conclusions. Women with less than 3 months of leave reported shorter breastfeeding duration than did women with 3 or more months of leave. (Am J Public Health. 2021;111(11):2036–2045. https://doi.org/10.2105/AJPH.2021.306484 )

Publisher

American Public Health Association

Subject

Public Health, Environmental and Occupational Health

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