Judy Harris, MPH, RD, CD, IBCLC judyharris@Utah.gov EPICC Healthy Living through Environment, Policy, and Improved Clinical Care Workplace Breastfeeding Accommodations and Support Utah Worksite Wellness Conference March 3-4, 2016 Judy Harris, MPH, RD, CD, IBCLC judyharris@Utah.gov

Breastfeeding is Well-Being Emotional health Life Balance Intellectual Financial Family Social jharris

Objectives Are you compliant with both federal and state the law? SEC. 4207. REASONABLE BREAK TIME FOR NURSING MOTHERS.   Section 7 of the Fair Labor Standards Act of 1938 (29 U.S.C. 207) is amended by adding at the end the following: ‘‘(r)(1) An employer shall provide—breast milk for her nursing child for 1 year after the child’s birth each time such employee has need to express the milk; and ‘‘(B) a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk. ‘‘(2) An employer shall not be required to compensate an employee receiving reasonable break time under paragraph (1) for any work time spent for such purpose…………….

Objectives Create Policy & Environment jharris

Short Term Health Risks of Not Breastfeeding Ear infections Lung infections and respiratory illness (including RSV) Vomiting and diarrhea SIDS Prematurity related issues

Long Term Risk of Not Breastfeeding Childhood Leukemia Type I and Type II Diabetes Asthma Obesity Allergies Atopic dermatitis Poorer blood pressure & cholesterol values

Duration Rates Fall Working Mothers   Ever BF BF at 6 months BF at 12 months U.S. 79.2 49.4 26.7 Utah 89.6 63.1 40.7

Breastfeeding Well-Being jharris

Improved Breastfeeding Support in the Workplace Healthy People 2020 Objectives Improved Breastfeeding Support in the Workplace MICH-22: Increase the proportion of employers that have worksite lactation support programs from 25% baseline to 38%

Federal Law SEC. 4207. Reasonable Break Time for Nursing Mothers Section 7 of the Fair Labor Standards Act of 1938 (29 U.S.C.207)

Federal Law A Employer Shall Provide Reasonable break time A place, other than a bathroom Compensation not required for breaks jharris

Utah State Law State & Local Government Employee Policies Reiterates the federal law re time & place And: Adopt policies to support breastfeeding Prohibits a public employer from discriminating against an employee who is breastfeeding in the workplace

CDC / EPICC’s “Mini” Survey Q62 - Has a written policy on breastfeeding Yes 19% No 81% jharris

CDC / EPICC’s “Mini” Survey Q28 - Provides a private space (other than a restroom) that may be used by an employee to express Yes 58% No 42%

CDC / EPICC’s “Mini” Survey Q29 - Provides flexible paid or unpaid break times to allow mothers to pump breast milk Yes 72% No 28%

CDC / EPICC’s “Mini” Survey Q31 - Provides an on-site refrigerated space for breastmilk to be stored Yes 58% No 42% jharris

Utah Department of Health UDOH Policy Meeting Venues for UDOH sponsored events and conferences jharris

Child Care Well-Being Blending lifestyle well-being

Lifestyle Well-Being

Teams, Friendships Well-being

It Takes a Village…

National, World Wide Movement

Steps Towards Workplace Accommodations Step 1 - Develop a Policy Complies with federal and state laws Outlines practices Step 2 – Obtain the Space Private, not a bathroom Free from intrusion Step 3 – Train, Educate, Communicate Managers, supervisor, HR, wellness groups All Employees Step 4 – Atmosphere of Support Contributes to well-being Access to IBCLC