Research findings on economic factors of extended maternity leave ... maternity leave provision and breastfeeding rates across European countries will be examined, as well as Our study aims to evaluate the effects …. This includes adequate paid maternity leave and sufficient breastfeeding breaks upon return to work. Public buildings need to have a room where women could breastfeed and pump milk for their babies. It is unclear if these services increase breastfeeding success.16 Rishel and Sweeney17 found that larger numbers of active duty mothers stop breastfeeding before 4 months of age compared with non–active duty mothers. a new study found. Navy personnel at the study site accounted for only 6.6% and 5.3% of personnel each year. These data support the benefit of extended maternity leave in the military and the need for future studies to validate findings at other military treatment facilities. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. The employability of pregnant and breastfeeding servicewomen. ... A number of studies have shown that maternity leave has a positive impact on breastfeeding duration. We conducted a retrospective cohort study using data collected from DoD electronic health care records (EHRs) of all infants born to active duty mothers who were delivered at BAMC during the calendar years 2014 and 2016. I speak from expericence and to take as much time as you can-especially if you plan on breastfeeding. In general, officers must have at least a college degree, whereas it is not required for enlisted personnel. increases in duration when maternity leave was extended. Pediatricians should encourage patients to take maternity leave and advocate for extending p … Although there were no significant changes noted among the military branches evaluated, it should be noted that the Army and AF were primarily represented. There were relatively few births among Navy, Marine, or Coast Guard personnel. CDC goals include infants ever receiving breast milk (goal: 81.9%; actual: 81.1%), infants receiving breast milk through 6 and 12 months (goal: 60.6% and 34.1%; actual: 51.8% and 30.7%, respectively), and infants exclusively breastfed through 3 and 6 months (goal: 46.2% and 25.5%; actual: 44.4% and 22.3%, respectively). As a consequence of the revision of the Law on Population and Family Planning which came into force in 2016, all female employees who give birth are entitled to anywhere from one to three months of additional maternity leave (to the nationwide 98 days). Breast milk is the nutritional gold standard for infant nutrition regarding growth and development and is universally recommended, with few medical exceptions.1 Infant formula is specifically designed to mimic breast milk but falls short when health benefits, such as reduced occurrence of obesity, diabetes, and childhood leukemia, are considered.2 Several global and national health policy organizations have issued recommendations that suggest targeted duration of breastfeeding. A primary limitation of this study is that it is a retrospective study that relied on a single MTF and accurate documentation of feeding methods in outpatient records. 33 That said, we focus on health indicators that are more plausibly related to breastfeeding and also by examining health outcomes in the child's second year of life when parental care is not very different pre- and post-reform. “These findings can be easily interpreted as Similar to the general composition of the military, the bulk of the personnel were enlisted. Yes. In addition to assisting a mother with extended breastfeeding, I personally feel that extended maternity leave benefits assists with anxiety and post postpartum depression, and healthy bonding between mother and child. Women with a maternity leave of 6 months led to a 30% increase in breastfeeding until 6 months postpartum. There was an increase in breastfeeding for the officer cohort between the 2- and 9-month data points; however, it did not achieve statistical significance. We noted a significant increase in NICU admissions in 2016 (20.7%; up from 12.1% [P = .003]). Paid parental leave supports breastfeeding and mother-infant relationship: a prospective investigation of maternal postpartum employment. 2014 to 2016, but the duration increased. Our results are contrary to those of the study by Colaizy and Morriss23 in that we had increased breast milk use in term infants admitted to the NICU. Our objective was to evaluate the prolongation of maternity leave on the initiation and duration of breastfeeding in active duty mothers. A similar study in which authors look at MTFs, with a primary focus on the Navy or Marine Corps, could be warranted. Maternity leave duration and full-time/part-time work status are associated with US mothers’ ability to meet breastfeeding intentions. Enter multiple addresses on separate lines or separate them with commas. The Secretary for Food and Health, Sophia Chan, in July 2020 commented that the increase of statutory maternity leave will support and encourage working women to adopt breastfeeding for a longer period of time and thus improve the health and development of their children. All parties, including the employee, supervisors and managers, and union representatives, are responsible for cooperating and communicating respectfully, and in a timely manner, in the search for accommodation in the workplace. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. To analyze the impact of the DoD’s longer maternity leave policy on breastfeeding, Civilian data regarding maternity leave universally shows longer maternity leave and delayed return to employment have a significant and favorable impact on the decision to provide breast milk and on overall breastfeeding success. Additionally, the base at which this study was conducted and the majority of the bases supported by large MTFs are mainly training commands. After exclusion, 423 dyads in 2014 and 434 dyads in 2016 were included for statistical evaluation. And paternity leave—not just maternity leave—is crucial for breastfeeding. If you're currently researching your maternity leave eligibility, don't stop at just the federally mandated FMLA. A t test revealed no differences in maternal age, gestational age, or BMI. Extended Maternity Leave (breastfeeding, daycare, milk, newborn) User Name: Remember Me: Password : Please register to participate in our discussions with 2 million other members - it's free and quick! Breastfeeding has been As per Article 53 of Federal Decree Law No.11 for the year 2008 on Human Resources in the Federal Government as amended by Federal Decree Law No. Just before the expiration of my maternity leave, I went to see a Chiroprachtor because my back was "hurting", so he extended my time. Documented establishment and duration of any breastfeeding increased at the 2- (72.4% vs 81.5%; P = .002), 4- (56.7% vs 72.2%; P < .001), 6- (46.5% vs 60.3%; P < .001), and 9-month (34.9% vs 45.4%; P = .003) visits in the 12-week leave cohort. 183 and the Maternity Protection Recommendation, 2000 (R191) and to enshrine this in national law. Breastfeeding in Active Duty 2014 vs 2016 by Visit. All data were de-identified during collection; therefore, mothers who delivered in both study years were included without any augmentation to the analysis. The good news is that American mothers are paying attention. Kenya joined the rest of the world in marking world breastfeeding week, ... Calls for maternity leave to be extended to 6 months renewed to allow for exclusive breastfeeding K24 TV. Infants were also excluded if they had a documented medical contraindication to breast milk or died before 12 months of age. There are no studies evaluating military active duty breastfeeding prior and after implementation of extended maternity leave policies. There has been a statistically significant increase in breastfeeding duration through 9 months and breastfeeding exclusivity through 6 months in active duty mothers since the change to a 12-week policy despite no change in breastfeeding initiation. Only year (HR = 1.23; P = .016) and rank (HR = 1.65; P < .001) remained significant in the multivariate proportional hazard regression model (Table 4). Examples of Maternity Leave Policies. ILOILO City – The newly approved law extending maternity leave to 105 days will bring many advantages to mothers and their children, according to the Department of Health (DOH) Region 6. As of the CDC 2018 report, several goal metrics were surpassed, including infants ever receiving breast milk, infants receiving breast milk at 1 year, and infants receiving breast milk exclusively at 3 months (83.2%, 35.9%, and 46.9%, respectively). These data are not tracked in the EHR, so it is impossible to know if a service member chose to do so. And paternity leave—not just maternity leave—is crucial for breastfeeding. When parents have been either exposed to, have symptoms of, or have COVID-19 decide to breastfeed, they should take precautions to avoid spreading the virus to their infant. Factors associated with breastfeeding duration and exclusivity in mothers returning to paid employment postpartum. E-mail: Copyright © 2019 by the American Academy of Pediatrics. Enter multiple addresses on separate lines or separate them with commas. However, despite the assumption that access to a breast pump would support breastfeeding success, there is no definitive literature to support this claim.24 Furthermore, we could not control for national trends occurring outside the hospital, such as increasing awareness and encouragement of breastfeeding, which have led to a nationwide increase in breastfeeding rates.4. It is interesting to note that despite the higher number of admissions, infants admitted to the NICU had better breastfeeding success in 2016 vs 2014. Enlisted personnel, however, increased breastfeeding at the 2- (66.2% vs 78.5%; P < .001), 4- (48.6% vs 64.4%; P < .001), 6- (38.5% vs 53.7%; P < .001), and 9-month (30.1% vs 39.3%; P = .023) visits. A mother needs lots of support to breastfeed her baby. 2020-05-09T16:45:39.552Z Ultimately, the highest affirmation of benefit for the military would be establishing if higher breastfeeding success translates into improved job satisfaction and military retention, as stated as an intention by Defense Secretary Ash Carter.19. I believe employers should provide extended maternity leave to make it easier for mothers to breastfeed. However, authors of future studies could evaluate these differences (ie, the number of infant sick visits for ear infections and asthma) to determine if better breastfeeding success correlates with lower health care use, a concept repeatedly borne out in the literature and supported by the American Academy of Pediatrics.2. Under Section 9 of the Maternity Protection (Amendment) Act 2004 certain women in employment who are breastfeeding are entitled to take time off work each day in order to breastfeed. On the basis of these results, a multivariate proportional hazard regression was performed, with adjustment for marital status, rank status, gestational age, and year. The primary outcomes were initiation and duration of breastfeeding and breastfeeding exclusivity evaluated throughout the first year of life. You will be redirected to aap.org to login or to create your account. Delayed return to work correlates with an increase in provision of breast milk and an increase in the duration of breastfeeding.6 Mothers employed postpartum are less likely to plan to exclusively breastfeed or continue breastfeeding after returning to work than mothers who are not formally employed.7–9 Delay in return to work, part-time employment, higher maternal education status, and established employer accommodations are associated with improved ability to combine employment and breastfeeding.10–13. Lactation accommodation in the workplace and duration of exclusive breastfeeding. Continuous variables were analyzed by using a t test. support. Exclusive breastfeeding is defined by The Joint Commission as “a newborn receiving only breast milk and no other liquids or solids except for…medicines.”21 We did not evaluate complementary food consumption or how it affected breast milk use. Exclusive breastfeeding increased at 2 (56.4% vs 47.2%; P = .007), 4 (47.5% vs 36.4%; P = .001), and 6 (37.3% vs 29.3%; P = .016) months. There was a trending increase (18.8% vs 25%; P = .08) at 12 months (Table 3). Breastfeeding experiences of active duty military women. Of the 952 infants reviewed, 3 were excluded medically, and 66 were excluded because of loss to follow-up in an MTF. Maternity leave mandates present an economic policy that could help achieve these goals. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. Postpartum maternity leave may have a positive effect on breastfeeding among full-time workers, particularly those who hold nonmanagerial positions, lack job flexibility, or experience psychosocial distress. However, only a singular mother-infant dyad was analyzed to maintain equal numbers of infants and mothers in the study. Paid maternity leave can be costly for the government and employers; however, an infant’s health and savings on health care costs must be considered. We study their efficacy focusing on a significant increase in maternity leave mandates in Canada. The CDC reports that infants receiving any breast milk and infants receiving breast milk exclusively at 6 months increased by 2.4% and 3.5%, respectively, from 2014 to 2016.4 At our facility, the same metrics increased by 13.8% and 8%, respectively, during the same time period. Maternity Leave Extension Letter #2 To: Joshua Carter Managing Partner Big Law Firm 123 Justice Ave. From: Stephanie Xavier Lawyer Date: December 10, 2009 Subject: Extended Maternity Leave Mr. Carter, I am writing to you today to ask for an extension in my current maternity leave. This measure applies to all employees who become mothers and the paid maternity leave period has been extended by two weeks, to be taken immediately after the legally stipulated period of suspension of the employment contract due to maternity. linked to health benefits for both women and children. And according to a report published by The New America Foundation, for optimal health of mother and baby, paid maternity leave should be … The Academy recommends exclusive breastfeeding for six months and continued breastfeeding Breast pumps became covered by Tricare, the military insurance provider, in late 2014. 19 Our purpose for this study was to determine if any change in breastfeeding initiation and duration occurred in active duty mothers at Brooke Army Medical Center … No personally identifiable data were collected, and all data were stored on secured government computers. Maternity Benefit is payable for the whole of this extended maternity leave. Comparisons of demographic data between the groups were evaluated by using a Wilcoxon rank test. Extended maternity leave policies and trade-offs for labour market demands ..... 13 3.1. breastfeeding rooms, among others. Studies from the USA and UK found that women with high-profile or managerial positions had a longer duration of breastfeeding as compared to women in other … As discussed previously, the Navy policy was in transition during most of 2016. Although officer and enlisted groups improved their breastfeeding duration with longer maternity leave, a larger increase was demonstrated in the enlisted population for both breastfeeding duration and exclusive breastfeeding. Exclusive breastfeeding also increased at the 2- (47.2% vs 56.4%; P = .007), 4- (36.4% vs 47.5%; P = .001), and 6-month (29.3% vs 37.3%; P = .016) visits. Demographic data were evaluated by using information that was reported in the literature to have an effect on breastfeeding success (eg, delivery method and maternal parity) (Table 1).9–13 The outpatient EHR was used to determine the type of feeding at the aforementioned well-child checks. As many of our readers might remember from our article on termination and severance pay in China, terminating a pregnant employee during their pregnancy, maternity leave, or breastfeeding period (a year counted from the … Although typically well documented, in the absence of explicit documentation, any ambiguous data were recorded as “no breast milk.” Parent questionnaires were not used at any point to determine feeding method or intentions. Hazard ratios (HRs) and their corresponding 95% confidence intervals were determined for these results.22 Because of loss to follow-up throughout the year (eg, separation from the military), each data point was analyzed by using only the number of infants still enrolled at any given point. The Kaplan-Meier analysis revealed a highly significant difference in time to cessation of breastfeeding for marital status and rank status (log-rank P < .001) as well as between 2014 and 2016 (log-rank P = .006). Thank you for your interest in spreading the word on American Academy of Pediatrics. These findings can be easily interpreted as generalizable to the workforce overall. Limited data exist regarding the impact of prolonged maternity leave. 6 Recent evidence from 38 low- and middle-income countries showed that the extension of maternity leave has the potential to reduce bar- Incentives to promote breastfeeding: a systematic review. While the NLSCY is not designed specifically as a health survey, it does ask a series of questions on birth outcomes and infant and mother's health. Feeding type was determined on the basis of documentation in the EHR at each time point. Study: Military mothers breastfed longer after leave extended, Copyright © 2019 American Academy of Pediatrics, Racism and Its Effect on Pediatric Health, Practice tools and educational materials for pediatricians and parents, Information for parents from HealthyChildren.org on breastfeeding. President Rodrigo Duterte last Wednesday signed Republic Act 11210, or […] An Examination of the Labour Market Trade-Offs for Extended Maternity Leave for Women. Back in 2014, active duty women were only allowed six weeks of maternity leave and in 2016 it was extended to 12. Maternity leave is defined as the pre- and post-natal break from work taken by mothers of newly-born children (Eurofound 2015a). Extended Maternity Leave and Breastfeeding in Active Duty Mothers Andrew Delle Donne, DO,a,b Alex Hatch, MD,b,c Nicholas R. Carr, DO,b James Aden, PhD,d Jonathan Shapiro, MDb BACKGROUND AND OBJECTIVES: In 2016, the Department of Defense extended maternity leave from 6 abstract to 12 weeks for active duty mothers to support breastfeeding initiation and duration. Breastfeeding: an overview of oral and general health benefits. Beyond extended recovery time for mothers to heal, paid family leave does wonders for the health and well-being of the baby. Back in 2014, active duty women were only allowed six weeks of maternity leave and in 2016 it was extended to 12. The primary branch represented in this study was the Air Force (AF), followed by the Army. researchers looked at electronic health records of just over 400 active duty mothers Although unchanged, the breastfeeding initiation rate of 95% in the military remained well above the CDC-reported national average of 83.2% of infants ever breastfed.5 Breastfeeding and breastfeeding exclusivity increased at all measured time points, surpassing several CDC Healthy People 2020 goals.4. Example – Your baby is born in week 30. Finally, these data affirm the DoD’s decision to allow longer maternity leave as it relates to breastfeeding. Maternity leave mandates present an economic policy that could help achieve these goals. No major changes related to breastfeeding support or breastfeeding policy occurred at BAMC during the study period. It also supports further studies to assess if this holds true at other locations in the DoD. Or Sign In to Email Alerts with your Email Address, Extended Maternity Leave and Breastfeeding in Active Duty Mothers, DOI: https://doi.org/10.1542/peds.2018-3795. Maternity, paternity and parental leave and policies to support breastfeeding in the workplace are fundamental parts of comprehensive social protection systems and early childhood development strategies. Breastfeeding in Active Duty Mothers,” (Delle Donne A, et al. Authors noted the women have more hazardous jobs than Cox Proportional Hazard Regression for Comparing Time to Cessation of Breastfeeding in Active Duty 2014 vs 2016, In 2016, there was a significant increase in breastfeeding duration and exclusive breastfeeding in the active duty population cared for at our facility. There was a trend toward improvement at the 9-month (20.6% vs 26.4%; P = .056) visit (Table 3). Texas Ten Step is a designation used to recognize hospitals that have implemented policies aligned with the World Health Organization Ten Steps to Successful Breastfeeding.20. The finding supports the Department of Defense’s (DoD’s) decision to extended maternity Additionally, Mao et al18 demonstrated that officers of all branches tend to have higher rates of breastfeeding than enlisted personnel. POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. We find very large increases in mothers' time away from work post-birth and in the attainment of critical breastfeeding duration thresholds. Among the 21 studies, 20 found that a longer maternity leave was associated with longer breastfeeding duration. Address correspondence to Andrew Delle Donne, LCDR, MC, USN, Department of Pediatrics, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708. The World Health Organization recommends exclusive breastfeeding for 6 months, with continued breastfeeding for up to 2 years of life.3 These well-documented improvements in maternal-infant health outcomes prompted the American Academy of Pediatrics to also recommend exclusive breastfeeding for 6 months, with continued breastfeeding for 1 year or longer.2, Targeted goals for breastfeeding are published by the Centers for Disease Control and Prevention (CDC) in the Healthy People 2020 initiative; the CDC also publishes periodic report cards using national data.4 The United States fell short of the established goals according to the CDC 2016 report. There is a paucity of literature in which authors look at MTFs, with no difference in breastfeeding initiation not!, in late 2014 general health benefits for both women and children =.003 ] ) equally distributed outcome... 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