W&B%20Mother%20Info%20Sheets%20-%20Eng

mother’s information

the Breastfeeding Coalition of Washington, a program of Withinreach, www.withinreachwa.org

Breastfeeding...Baby’s Best Start!Keep It Up!

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You have taken care during your pregnancy to grow a healthy baby. You watched what you ate, went to your health care provider regularly and made good decisions to ensure your child has a strong start in life.

Mother’s milk has so many advantages over artificial milk and you can continue to give your baby the benefits of breastfeeding even if you have to return to work. In every community there are people who are waiting for your call, waiting to help you! Ask your health care provider or WIC counselor to help you find a lactation consultant, a breastfeeding class, breastpump or a support group. Or in Washington State, call the Family Health Hotline at 1-800-322-2588, where Information and Referral Specialists are available to help you find the resources you need.

Your breastmilk is the perfect food for your child and has many unique and special qualities that cannot be reproduced in artificial milk.

Did you know...Breastmilk enhances a baby’s health, growth and development. It is the ideal nutrition for your baby in the first six months of life and continues to protect and

nourish your baby after six months of life. It changes day to day meet your child’s changing nutritional needs.

•Breastmilk contains protective factors that help children fight against ear infections, lower respiratory infections, pneumonia and diarrhea.

•Breastfed babies are less likely to have chronic digestive diseases and food allergies for the first several years of life.

“I am teaching my baby, Isabel, that love and comfort are not only associated with food.” Pedro, father of 1-month-old Isabel.

•Breastfed babies smell fresher; spit-up and dirty diapers don’t smell bad and breastmilk does not stain clothes.

•Breastfeeding avoids the paper, plastic, tin or energy used for preparing, packaging or transporting formula.

•Breastfeeding produces special hormones in the mother that help her feel relaxed and loving towards her child.

•It’s free!

•Breastfeeding is associated with a decreased risk for maternal anemia, premenopausal breast cancer and ovarian cancers.

•Breastmilk helps your baby’s brain development and may improve your baby’s IQ.

•Breastfeeding provides an oppor-tunity for mother and child to have special time together.

•Breastmilk is always readily available; there are no bottles to wash or formula to prepare.

Photo by Roni Chastain, RN, FACCE

11000 Lake City Way ne, suite 301 • seattle, Wa 98125


the Breastfeeding Coalition of Washington, a program of Withinreach, www.withinreachwa.org 2 of 2



Returning to WorkContinue protecting and nourishing your baby through breastfeeding even after you return to work.

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Here are 15 tips that may help with your transition back to work:

1 During your pregnancy, dis- cuss with your employer a plan that will allow you time

to express your breastmilk. Some flexibility in your work routine, which allows time to express your breastmilk in a clean, comfortable and private location, is really all that is necessary. Help your em-ployer to understand the benefits he/she will receive when supporting breastfeeding employees. Give your boss the handouts in this packet that say “Employer’s Information” at the top of the page along with the “Dear Employer” letter.

2Explore the possibility of a gradual return to work (be- ginning midweek or starting

back part-time or job-sharing).

3Make a trial run a few days before you actually return to work. At this time, look

at the space you will be using and make sure it has an electrical outlet if you will be using an elec-tric breastpump. Also, make sure there is a refrigerator available for storing breastmilk and a sink for washing your hands and pump sup-plies. (Breastmilk can be stored in a community refrigerator such as

in a lunchroom. Label containers and/or keep in a bag). If you work on a farm, in a warehouse or other location where there is not a private place to pump, refrigeration, nor washing facilities, use whatever sanitary precautions you can, pump in your car and store breastmilk in a cooler.

4Try to arrange childcare at or near your work. Find someone you trust who is

supportive of breastfeeding to care for your child. Consider sharing childcare with another friend or family.

5Allow at least two weeks to prepare for the time when you will be away from

your baby. Express at least once a day and save your breastmilk for your care provider to give to your baby.

6Make it clear that you do not want your care provider to feed your child right

before you pick him up or before you arrive home as this is a good time to nurse him and it will help you keep a good milk supply.

7Remind your spouse, family and other support people that they can help you

relax during feedings by reducing outside distractions and by being supportive about breastfeeding.

8Make yourself comfortable before you begin expressing your milk. Try to use

some relaxation techniques such as deep breathing and thinking about your child. Sometimes it is helpful to bring your baby’s picture, blan-ket or special toy to work to help you relax.

9Wash your hands before expressing your breastmilk.

Bring an insulated container to transport the breastmilk you collect. It is important

to clean your breast-pump and col-lection bottles after each use.

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Try breastfeeding only and avoid bottles and formula when at home. Consider providing ex-

tra nursing time at night, days off, weekends and before and after work to help you keep a good milk sup-ply. If you think your supply is low, nurse more frequently when home.

Get plenty of rest and eat healthy food. Your diet should be well bal-anced and include lots

of fruits, vegetables, carbohydrates and fluids.

Consider sleeping near your baby. This helps some moms get more rest and makes night

nursing easier. It is normal for ba-bies to nurse at night. This provides valuable calories and comfort, plus it can help keep your milk supply up. Unlike taking a bottle to bed, it does not increase the risk of cavi-ties. Putting your baby to sleep on his back and sleeping in the same room as your baby decreases the risk of SIDS.

Form a support group with other working women who breast-feed.

Remember that some breastmilk is better than no breastmilk.

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“Giving Amy support and encouragement to breastfeed our children is one of the most important things I can do as a father.” Ken, father of Timothy and Lucy.

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MOTHER’S INFORMATION

The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org

Your Breastfed Infant in the Child Care SettingBy planning ahead you can choose a care provider who will meet your needs.

Returning to work and continuing to breastfeed can provide a close-ness and bond with your child while you are at work. Your baby will benefit if he or she can build a close relationship with the people in his or her life.

Allow plenty of time to interview potential provides. Consider start-ing the process while you are pregnant or as soon as you know you will be returning to work. You may have family members or friends who can help with child care, or you may choose a com-mercial child care center, home day care, sharing child care with a friend or a combination of these. Remember, many in home pro-viders and day care centers have waiting lists.

Allow at least two weeks to pre-pare for the time when you will be away from your baby. Express your breastmilk at least once a day and save it for your child care provider to give to your baby.

Consider the following when choosing a child care provider•Knowledgable about breastfeed-ing or willing to learn.

•Licensed to provide infant and child care.

•Provides a safe and clean place for your baby.

•The maximum ratio of infants to staff is four to one.

•The infant room has a rocking chair, cribs or other appropriate infant equipment and supplies.

•Encourages your visits to the child care location to breast-feed and play with your baby. Has an area where you are comfortable breast-feeding.

•Has a trained staff who have experience with infant care and who are nurturing and attentive to chil-dren and their care.

•Shares your belief that you can contin-ue to breastfeed after you return to work.

•Is a short distance from work if you are able to leave work to nurse your baby.

•Has a refrigerator and a freezer for properly storing breastmilk and warm water for warming or defrosting breastmilk. Note: Licensed child care providers have stricter guide-lines for breastmilk storage than what is advised for storing breastmilk in your own home.

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The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org

Practice child care visit(s)Practice visits are a way of transi-tioning your baby. The visits help your baby become used to the child care provider. It allows you time to coordinate your efforts in getting yourself and the baby ready in a way similar to the one you will be us-ing when you return to work. The practice visits could be once a week for four weeks, or for one feeding per day a week before you return to work. Keep track of your baby’s nor-mal feeding times and write them down for your child care provider.

You must be able to completely trust your care provider. If you feel uncomfortable about leaving your baby with the person you’ve selected, drop in unannounced

several times. If you sense anything wrong at any time, take your baby and leave and never go back. This applies to friends and relatives.

Make it clear that you do not want your child care provider to feed your child right before you pick him or her up or before you arrive home as this is a good time to nurse your baby and it will help you keep a good milk supply.

Other comforts

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Other things that may help provide comfort include a:

•Cloth or piece of clothing with your scent—babies have a good sense of smell.

•Tape recording of your voice sing-ing lullabies or reading.

•Windup musical toy or mobile.

Let the child care provider know how you hold your baby during feedings. This may help the baby relax.

Additional informationGrowth spurts occur with breastfed babies just as they do with formula fed babies, usually at six weeks, three months and six months. You, the breastfeeding mother, will no-tice the growth spurts more readily because they directly impact your schedule. During a growth spurt, your baby may be fussy and want to nurse longer or more frequently. This is normal. Increase the length of the feedings and try to nurse more often, if possible. Fussiness associated with growth spurts usu-ally last two to four days. The end result is your milk supply increases to meet your baby’s additional needs.

Nursing StrikesThis occurs when a baby suddenly refuses the breast. Sometimes a mother will think that her baby wants to wean, when in fact, the baby is becoming interested in her surroundings. This often happens around eight or nine months of age. Nursing strikes may have several causes, all of which can be handled

When your baby is away from you, it may be helpful to provide com-forts to help him or her feel secure. If your baby has a comfort object such as a stuffed animal or a special blanket, make sure it remains with him while he is away from you.


The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org 3 of 3

11000 Lake City Way NE, Suite 301 • Seattle, WA 98125

with patience and understanding of your baby’s needs. Some causes may be:

•Teething or gum soreness.

•Over stimulation from sights or sounds.

•Your baby is testing control of his environment.

•Flavor differences of breastmilk due to changes in the mother’s diet.

•Reaction to a change in routine.

•Normal developmental stage of being distracted and interested in other things.

Leaking

Mastitis

Use direct pressure over the nipple if you are unable to pump. Cross-ing your arms over your chest is a discreet way to do this. Breast pads can be used inside your bra. Avoid plastic coated pads that can trap moisture. Wearing patterned cloth-ing, a jacket, vests, sweaters or a long scarf may be helpful.

This is an infection due to incom-plete emptying of the breast, fatigue and stress. You are sick and need time to recover. If you feel achy or have flu-like symptoms, call your health care provider. You may need more time to rest, pump or express more often while away from your baby. It is very important to con-tinue to breastfeed while you have mastitis.

Engorgement

Photo by Denise Punger, MD, FAAP, IBCLC, www.twofloridadocs.com

This can occur if your baby skips feedings or you and the baby are separated. Your breasts may be warm and hard. You may need to pump more while at work. Warm compresses before feedings or pumping and gentle breast massage toward the nipple may help release your breastmilk and provide relief.

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Breastmilk can be expressed by hand or with the use of a breast-pump. There are many pumps to choose from and you may need to try several before you find the right one for you. A lactation consultant, La Leche League Leader or WIC counselor may be able to help you. In Washington State you can call the Family Health Hotline at 800-322-2588 to locate breastfeeding support in your community or to learn where to rent or buy a breast-pump.

If you are returning to work more than six weeks after your baby was born and you are working eight hours a day or more, you will need to pump your milk at least two to three times while you are separated from your baby. If you are return-ing to work earlier than six weeks, you may need to express more often to establish your milk sup-ply. You may also want to pump at home to help build up a milk supply. Pumping is a skill that takes time to develop. Whichever method(s) you choose, allow time to practice before returning to work.

BreastpumpsElectric: If you will be pumping 2-3 times a day and have little time, you may prefer an electric pump. An electric pump is faster and more efficient as it allows you to pump both sides at once and mim-ics a baby’s suck, which helps to establish and maintain your milk

Breastpumps and Milk Supply

supply. Many women rent rather than purchase these pumps.

Battery: This type of pump may work well for occasional use but isn’t recommend for the mother who returns to work full time. The suction lessens as the battery gets weaker. Some battery-operated pumps can be converted to electric with the use of an adapter.

Manual: You power the pump by pushing and pulling or squeezing a handle. Some manual pumps more closely simulate the baby’s suck and may be more effective than others. Because manual pumps in-volve a repetitive movement, your hands may tire and this method may take longer. Do not buy those that look like a bicycle horn, be-cause they can not be cleaned properly and milk may become contaminated.

Hand Expression: Some mothers prefer this as they feel it is more natural. This can be very conve-nient as there is nothing to buy, break, wash or carry. With practice some women become very efficient with this method.

How to solve possible breastpump problemsMany mothers experience some problems with breastpumps. A breastfeeding baby with a good suck can remove most of the milk from one breast in about 10-20 minutes. A good pump should do the same. If you are having prob-lems with your breastpump and you know you don’t have a defec-tive or weak pump try:

•Cleaning all parts of the pump that touch the milk with warm soapy water. If a part is gummy with dried milk, soak it in vinegar for several hours then wash and rinse well.

•Checking all parts for cracks. Are the parts attached properly and tightly? Hairline cracks can affect suction. Dou-ble-check pressure settings.

•If you are still having problems, call the person, clinic or company where you got your pump.

Photo courtesy of Medela, Inc.



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Meeting your baby’s nutritional needsYou can meet your baby’s nutri-tional needs while working and breastfeeding. Consider the follow-ing options:

1. While at work, express and refrig-erate your breastmilk for the next day’s feedings. Continue to breast-feed whenever you or your baby are together, or

2. Go to the care provider during your lunch break for feedings or have your care provider bring your baby to your worksite, or

3. If your baby is older and you have a good milk supply, nurse at home in the morning, evening, at nights and on the weekends. Have your child care provider feed your baby iron-fortified infant formula while you are at work. You may need to provide some formula on the week-end as your milk production may be low.

Ensuring your milk supplySome mothers are able to express only a few drops of milk their first try. Others express a few ounces. Expressing a small amount doesn’t necessarily mean your milk supply is low. A nursing baby is more effective than your hand or any pump. The amount of milk you express can change depending on many things: how long it has been since you last breastfed your baby or expressed your breasts, how comfortable you are in the setting where you are expressing, the time of day, your diet, the amount of

sleep or rest you are getting and if you are going through an unusually stressful time. Remember, pump-ing and hand expression improve with practice. Talk to other moms who have pumped, especially those who have had problems and listen to their solutions. If you plan to use birth control with hormones such as the pill or “the shot”, be sure to

tell your health care provider you are breastfeeding. Some types of contraceptives work better with breastfeeding than others. Your care provider can help you choose the best one for you.

The “let-down” occurs many times during a feeding or while pump-ing. Stimulating the “let-down” is important because it makes the milk in all parts of the breast ac-cessible for nursing or expressing. Some mothers let down their milk when they hear a crying baby or even at the thought of their own baby. Because pumping and hand expressing feel different compared to a nursing baby, you may need to encourage your let-down. This can be done in several ways:

•Find a comfortable, private or semi private setting such as an unused office, storage room or restroom lounge area.

•Limit other activities by taking the phone off the hook, listening to relaxing music and expressing in a familiar set-ting. This could be the same place each time, a comfortable chair or a familiar routine.

•Gently massage your breasts right be-fore expressing. Stimulate your nipples by rubbing or rolling them.

•Relax by taking a few deep breaths and imagining a pleasant place. You can also imagine your baby at your breast, look at a photo of your baby, feel and smell one of your baby’s blankets or listen to a recording of your baby’s voice.

•Encourage multiple let-downs, try sev-eral of these suggestions and massaging your breasts throughout the time you are pumping. When single pumping, switch

When selecting a pump consider these questions

•Is the pump easy and comfortable to use?

•Are the instructions easy to understand?

•Are single and double pumping options available?

•Are replacement parts available without having to buy an entire kit?

•Is the pump easy to clean?

•What is the cost of the pump?

•If considering a used pump, use your own tubing and realize a pump’s motor is not meant to last beyond a couple years of regular use.

Photo courtesy of Medela, Inc.



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breasts when the flow of milk lessens, expressing from both several times dur-ing each session.

Try pumping for 10-20 minutes per breast. Some breasts release milk more quickly than others. Complete emptying will signal the breast to make milk faster. Moth-ers make from ½ to 2 ounces of milk per hour per breast. The breasts make milk fast-est when they are “emptiest.” Milk left in the breast does not go bad. But it does signal the breasts to make less milk. It is important to pump at least every four hours.

Pump or express when your breasts feel full. For many women this is the first thing in the morning. With prac-tice, you may be able to pump while nursing your baby.

If you give your baby a pacifier, you will decrease your milk supply by limiting the number of times your baby sucks at the breast. Remem-ber, the more you nurse, the better your milk supply.

Nurse your baby whenever he shows signs of hunger such as rooting, mouthing and sucking on fingers or hands. Crying is a late sign of hunger. By that time your baby may be too fussy to eat easily.

Try breastfeeding only and avoid bottles and formula when at home. Consider providing extra nursing time at night, days off, weekends and before and after work to help you keep a good milk supply. If you think your supply is low, nurse more frequently when home.

Get plenty of rest, and eat ex-tra food and drink to maintain your health. Your diet should be well balanced and include lots of fruits, vegetables, carbohydrates and fluids. You need more calories breastfeeding than during preg-nancy.

Consider sleeping near your baby. This helps some moms get more rest and makes night nursing easier. It is normal for babies to nurse at night. This provides valuable calo-ries and comfort, plus it can help keep your milk supply up. Unlike taking a bottle to bed, it does not increase the risk of cavities. Putting your baby to sleep on his back and sleeping in the same room as your baby decreases the risk of SIDS.

Storage and handling breastmilkYou can keep your breastmilk clean and safe by following these suggestions:

Always wash your hands before ex-pressing or handling breastmilk.

Clean your breastpump and collec-tion bottles after each use with hot, soapy water. Rinse well with hot water and air dry.

Express breastmilk into clear glass or plastic bottles with caps. Freezer safe, plastic bottle liners may be used but can’t be filled to the top as

they may split open when frozen.

To avoid wasting breastmilk store it in 2-4 ounce quantities per container. Small amounts thaw and warm up more quickly, and less milk will be left if your baby does not take it all. You may need to combine several containers of breastmilk to equal the number of ounces your baby needs for each feeding

Label each container of breast-milk with your baby’s name, the

date expressed, and the number of ounces of milk.

Refrigerate breastmilk. If no refrig-erator is available, store with an ice pack or on ice until you’re able to refrigerate or freeze. Use an in-sulated container to transport the breastmilk you collect.

Thaw frozen breastmilk under warm running water or in a pan of warm water. Do Not Microwave breastmilk! Microwaving can de-stroy protective factors present in breastmilk and can create hot spots in the milk, which can burn your baby’s mouth.

Rotate storage containers so breast-milk with the earliest date is used first. Remind your child care pro-vider to do this too.



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Guidelines for storing Breastmilk

room temperature at 60° for 24 hrs; 66°-72 for 10 hrs; 79° for 4-6 hrs

refrigerator; fresh milk (32°-39° f or 0°-4° C) Up to 8 days

refrigerator; thawed milk (32°-39° f or 0°-4° C) 24 hours

freezer compartment inside refrigerator 2 weeks

freezer compartment above, below or next to refrigerator 3-6 months

Deep freezer less than 0° f 6-12 months

insulated cooler / ice packs (60° f or 15° C) 24 hours

Defrosted milk can be safely refrig-erated for up to 24 hours. It should not be refrozen. Talk to your health care provider about storing your breastmilk if your baby is ill or pre-mature.

Introducing a bottleIntroducing a bottle is easy for some babies but requires more time for others. Practice time with a bottle can begin anytime after breastfeeding has been successfully established, usually after breast-feeding 8-12 times a day every day during the first four to six weeks. If it is necessary to return to work before this time, you may need to begin introducing a bottle while you are still establishing your milk supply. The amount of milk you produce is determined by how often you nurse and how much your baby takes from the breast. Even if you pump your own milk, giving bottles too soon can cause the baby to suck the breast as he sucks the artificial nipple and this will not get enough milk out of your breasts. Nursing at the breast requires more active par-ticipation from a baby than taking liquid from a bottle. By waiting un-til your milk supply is established (four-six weeks) switching back and forth from breast to bottle should have little effect on your supply. Make sure that you nurse your baby at the breast when you are together and that you pump regularly.

Your baby may not like taking a bottle from you as he or she is used to breastfeeding. If this hap-pens, ask a family member, friend or neighbor to help introduce the bottle. At least one bottle per day with a few ounces of expressed breastmilk should get your baby fa-miliar with the bottle and shouldn’t interfere with breastfeeding. Your baby may like a bottle nipple that imitates the size and shape of a breast. You may need to try differ-ent nipples on the bottle, such as one’s with small “slow-flow” holes. Try offering the bottle before the baby is too hungry. Instead of push-ing the bottle nipple into the baby’s mouth, try laying it near his mouth and allowing him to pull it in him-self. Run warm water over the bottle nipple to bring it to body tempera-ture.

If your baby is still having trouble after several tries and you are be-coming frustrated, try a cup, or spoon. If your baby has a difficult time accepting a bottle, be patient; continue to offer the bottle and allow the baby to explore it at her own pace.

“It was very important to me to have sup-port from my employer so I could maintain my milk supply for my adopted daughter. Being able to breastfeed her provided a spe-cial closeness.” Karen, mother of Layla.



1 of 2The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org

MOTHER’s InfORMaTIOn

Support Services for Breastfeeding Women

Family Health Hotline, 1-800-322-2588(a program of WithinReach) www.withinreachwa.org A statewide toll-free hotline for health information. Breastfeeding information includes answers to com-monly asked questions, breastpump rental information and referrals to local lactation consultants. The Family Health Hotline also helps callers connect to the Women, Infants and Children Food and Nutrition (WIC) program and assists low-income families with obtaining medical insurance. Services are free and interpreters are available for non-English speaking callers.

La Leche League, 1-800-LA-LECHEwww.lalecheleague.org An international, nonprofit, nonsectarian organization dedicated to providing education, information, support and encouragement to women who want to breastfeed. Call or visit the website for information on monthly meeting times in your area.

WIC, 1-800-322-2588 The WIC supplemental food program offers eligible families nutrition education, supplemental foods, breast-feeding counseling and encourages regular well-child health care. Call to see if you qualify.

CARE Northwest, 1-888-616-8484Provides up-to-date information on the potential risks associated with exposures to drugs and other chemicals during pregnancy and lactation.

Helpful Phone Numbers and Services:

National Women’s Health Information Center,www.4woman.gov.breastfeedingA variety of information including a Breastfeeding Helpline (1-800-994-9662); information on how to make breastfeed-ing easier at home and work; coping with breastfeeding challenges, policy statements; breasfeeding legislation and more. Much of this information is available in a variety of languages.

2 of 2The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org

11000 Lake City Way nE, suite 301 • seattle, Wa 98125

MOTHER’s InfORMaTIOn

The National Business Group on Health,www.businessgrouphealth.orgRepresents over 200 employers, health care compa-nies, benefits consultants and vendors. This non-profit organization is devoted to finding innovative and for-ward-thinking solutions to health care and related benefit issues. The National Business Group on Health has an online resource to raise awareness of health and cost benefits of breastfeeding employers and business leaders with relevant information to support and en-courage breastfeeding among their workforce. Specific information about lactation programs and their costs is available an eight page issue brief entitled, Breastfeeding Support at the Workplace.

World Breastfeeding Alliance (WABA), www.waba.org.my

Information on global standards for appropriate labor/employer practices concerning breastfeeding. This site also contains a multitude of other Internet listings related to breastfeeding.

Promotion of Mothers Milk,

A Few Companies in Washington State with Lactation Programs:The following is a sample of the many employers with supportive lactation programs or polices in Washington State.Agilent Technologies2401 Mission Avenue EastLiberty Lake, WA 99019509-921-4242 • www.agilent.com Columbia Valley Community Health Services600 Orando Avenue, Suite 1Wenatchee, WA 98801509-664-4586 • www.cvhc.org

DaVita, Inc.1423 Pacific AvenueTacoma, WA 98402253-382-1761 • www.davita.com

Pay Plus Benefits1110 North Center Parkway, Suite BKennewick, WA 99336509-735-1143 • www.payplusbenefits.com

Russell Investment Group 909 A Street Tacoma, WA 98402 253-439-5757 • www.russell.com

University of Washington Benefits & Work/Life Department Box #355660 Seattle, WA 98105 206-685-1711 • www.washington.edu/admin/hr/benefits

www.promom.org

Comprehensive list of breastfeeding links, information for employers about implementing a breastfeeding support program for their company,

information about breastfeeding activism and legal issues.

Motherwear Inc., www.motherwear.com

Publishes and distributes free literature on breastfeeding and positive parenting.

Work and Pump, www.workandpump.com

Breastfeeding information for working mothers including back to work basics, message boards, common concerns, etc.

Books“Nursing Mother, Working Mother: The essential Guide for Breastfeeding and Staying Close to Your Baby After You Return to Work” Prior, G., 1995.

“The Nursing Mother’s Companion.” Huggins, K., 1995.

“The Ulitmate Book of Breastfeeding Answers.” Newman, J. and Pittman, T., 2006.

“The Womanly Art of Breastfeeding.” La Leche League In-ternational, 2004.

“Working Without Weaning.” Berggren, K., 2006.

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