Every time Meagan Cavanaugh tries
to pump breast milk, she braces herself for the sound of a coworker’s knock on
the door. Her breastfeeding room is the same as the conference room at the national
non-profit she works for. She has to sign up for a time slot to use the room,
like everyone else in the office, to reserve pumping breaks for the next day.
“Two of three times I’m there, people
are trying to get in, completely disregarding that it’s reserved,” Cavanaugh
said. “To pump successfully you need to be mentally relaxed and it’s
challenging when people are always knocking.”
The Federal health care law, or
Obamacare, includes a provision that will allow women in Cavanaugh’s position to have access to private pumping rooms. The legislation requires employers to
provide a room other than a bathroom for women to pump milk and ample break
times to use the room.
Instead of forcing employers to
recognize the health needs of mothers and babies, the law has had little effect
on labor practices. Employers are either unaware of the law or fail to meet
minimal standards, such as privacy and cleanliness. The federal government has offered
state breastfeeding coalitions the funding needed to reach out to businesses
and inform them of the new law’s requirements.
Breastfeeding
became important to the health care law when it became labeled a preventative
health measure for both the mother and baby. Marsha Walker, lactation
consultant and registered nurse, said breastfeeding is vital for babies because
breast milk boosts the baby’s immune system to prevent sickness.
“It’s extremely important to
prevent leukemia, cancer and diabetes. It’s not just to prevent ear infections.
It’s protection from both common and serious illnesses,” Walker said.
Breastfeeding
also preserves the mother’s health, Walker said, because the chance reproductive
cancers and cardiac problems are more likely to occur when the body does not
express breast milk.
If better enforced, federal law
could level the playing field for mothers, especially low-income women who do
not always have the option of staying home after-baby. When the rate of
breastfeeding among women aged 19 to 35 was broken down among class, race and
education, a 2007 survey by the Centers for Disease Control found clear
disparities.
Black women, women with only a high
school degree or less and women receiving WIC, a nutritional program for low-income women, infants and children, breast-fed less than other groups.
Felina
Rakowski Gallagher, owner of The Upper Breast Side in Manhattan, a
breastfeeding consultation service, said she knows many working mothers resort
to strange methods in order to pump milk, such as pumping milk from inside an
electrical closet.
“I don’t
know what these employers are thinking,” she said. “They’re hiring women of
childbearing age and then they think the cost of maternity leave and all of
these other benefits are too high.”
Babies’ n’
Business LLC helps companies set up lactation rooms, purchase pumps and provide
supportive services. A registered nurse and lactation consultant at the
company, Jane Balkam Ph.D., said businesses with as many as 4,000 employees
need to be persuaded to give extra benefits.
“Once
companies know that it’s a win-win situation it’s not hard to persuade them to
make that effort. But there is a lack of understanding in the business
community about why they need to do it and why it is necessary,” Balkam said.
Balkam said
federal agencies account for a recent uptick in the number of employers
requesting services from Babies’ n’ Business. She said federal agencies that
are made aware of the new Obamacare provision are quick to adopt it but many
large private sector companies are not aware the law exists.
The law is a challenge for small
businesses as well said Laurel Pickering, spokesperson for the Northeast
Business Group on Health centered in Manhattan.
“For small
businesses, it’s just a matter of space. We are a small business here and we
have 30 to 35 people in the office. Until we redid the office, that was a
struggle for us. Now we have room for a breastfeeding privacy room,” Pickering
said.
Pisticci, an
Italian restaurant on La Salle Street in Manhattan, employs 33 people. Its manager,
Elizabeth Powell, was not aware the regulation existed but she said she does
keep a spare office room, which she said employees are free to use for
breastfeeding.
“It’s never
been an issue but if needed we would provide it,” Powell said.
Breastfeeding mothers have often
found their employers were willing to convert a room into a breastfeeding room
but the room did not always meet their needs due to a lack of privacy or
cleanliness.
Working
mothers find conditions are much less ideal because their employer offers scant
breaks and unclean places to pump milk.
An
assistant editor who works at a major television network said she routinely
uses co-worker’s offices when they are out or finds an empty neglected office
inhabited by mice. She did not want to be named for fear of angering her
employer.
“There
isn’t one place that is the pumping room for me. I use one room most of the time but last week
I found mouse droppings in there. No one should have to work with that,” she
said.
The 37
year-old assistant editor said it is difficult to work in a male-dominated
industry with mostly fathers who do not face the same parenting
responsibilities.
“It’s hard to be a woman in this
business. It’s a hard situation for moms because even my union doesn’t know how
to deal with it. It’s just society in
general that people think, ‘You just have to deal with it. It’s not my
pregnancy so its not my problem,’” she said.
Cassandra Adams, 23, gave birth to
her child a month ago and plans to return to work as a Walgreens beauty advisor
in Grand Island, New York. She said she knows she will have a sterile place to
pump breast milk but she will be expected to pump during the lunch and break
times she had before she gave birth. Adams said she is not sure she will be
able to continue pumping if she can’t balance the break times she has with the
pace of her job.
Though many new mothers have experienced
a lack of breaks and clean rooms in which to pump, there are a few exceptions. Lisa
Mou, a strategy group manager, works at American Express, a company well known
by breastfeeding advocates as one of a few companies that provide outstanding
benefits to new mothers.
The company
pays for breastfeeding seminars at nursing schools, offers support groups, and gives
employees 12 weeks of paid maternity leave. Once employees return, the company
helps them get in touch with lactation consultants. Mou also benefits from the
basic breaks and breastfeeding rooms required by law.
Mou said
she was touched by the company’s effort to reach out to new mothers because she
never expected the level of support she received. The company allows her to
take work home if she is feeling tired or overwhelmed.
“I had a hard time with my hours
and I thought it would be a difficult situation to explain it to them but
people were very supportive of it,” Mou said.
*I wrote this story last spring as I was attending graduate school and did not find the time to pitch it to as many magazines as I would have liked. However, I think it's an important problem facing working mothers, and it should be brought to people's attention, even in a limited space such as my personal blog or a feminist community forum.
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