The impact of maternal employment on breast-feeding duration in the UK Millennium Cohort Study
- 1 September 2007
- journal article
- research article
- Published by Cambridge University Press (CUP) in Public Health Nutrition
- Vol. 10 (9), 891-896
- https://doi.org/10.1017/s1368980007226096
Abstract
Objective: To examine the relationship of maternal employment characteristics, day care arrangements and the type of maternity leave pay to breast-feeding for at least 4 months.Design: Cohort study.Setting: Babies aged 9 months in the Millennium Cohort Study, born between September 2000 and January 2002.Subjects: A total of 6917 British/Irish white employed mothers with singleton babies.Results: Mothers employed part-time or self-employed were more likely to breast-feed for at least 4 months than those employed full-time (adjusted rate ratio (aRR) and 95% confidence interval (CI) 1.30 (1.17–1.44) and 1.74 (1.46–2.07), respectively). The longer a mother delayed her return to work postpartum, the more likely she was to breast-feed for at least 4 months (P for trend < 0.001). Mothers were less likely to breast-feed for at least 4 months if they returned to work for financial reasons (aRR 0.86, 95% CI 0.80–0.93) or used informal day care arrangements rather than care by themselves or their partner (aRR 0.81, 95% CI 0.71–0.91). Mothers were more likely to breastfeed for at least 4 months if their employer offered family-friendly (aRR 1.14, 95% CI 1.02–1.27) or flexible work arrangements (aRR 1.24, 95% CI 1.00–1.55), or they received Statutory Maternity Pay (SMP) plus additional pay during their maternity leave rather than SMP alone (aRR 1.13, 95% CI 1.02–1.26). These findings were independent of confounding factors, such as socio-economic status and maternal education.Conclusions: Current policies may encourage mothers to enter or return to employment postpartum, but this may result in widening inequalities in breast-feeding and persistence of low rates. Policies should aim to increase financial support and incentives for employers to offer supportive work arrangements.This publication has 18 references indexed in Scilit:
- The Validity and Reliability of Maternal Recall of Breastfeeding PracticeNutrition Reviews, 2005
- A Researcher's Guide to the National Statistics Socio-economic ClassificationPublished by SAGE Publications ,2003
- Child health: An underplayed variable in parental leave policy debates?Community, Work & Family, 2002
- The Economic Impact of BreastfeedingPediatric Clinics of North America, 2001
- What influences the uptake and early cessation of breast feeding?Midwifery, 1998
- The effect of work status on initiation and duration of breast-feeding.American Journal of Public Health, 1998
- Maternal employment and breast-feeding: findings from the 1988 National Maternal and Infant Health Survey.American Journal of Public Health, 1997
- Women's Decisions about Breastfeeding and Maternal EmploymentJournal of Marriage and Family, 1996
- The Impact of Two Corporate Lactation Programs on the Incidence and Duration of Breast-Feeding by Employed MothersAmerican Journal of Health Promotion, 1994
- On Chi-Squared Tests for Multiway Contingency Tables with Cell Proportions Estimated from Survey DataThe Annals of Statistics, 1984