The responses to the survey are frustrated and angry, and they paint an unflattering picture of life as a breastfeeding physician. MedTwitter
found rates as low as 34%. Nearly half of respondents in the 2018 study reported that they would have breastfed flonger had their jobs been more accommodating.Federal law requires employers to provide"reasonable" break time to express breastmilk and also to provide a private space to do so that is not a bathroom. But the law only applies to employers that have more than 50 employees and allows break times to be unpaid. Some states have passed additional laws with further protections.
Gul Madison, MD, an infectious disease physician at Mercy Fitzgerald Hospital near Philadelphia, has breastfed three children and says she found that breastfeeding the third was the most difficult, owing to her work situation. At the time, she was part of a private practice and conducted rounds in seven hospitals. Time and space were hard to find.
"There's a disconnect," Madison believes,"in terms of what we recommend vs whether we apply that to our lives or not."A few months after returning from maternity leave with her second child, Rebecca Shatsky, MD, received a troubling email from her hospital administration. She was seeing fewer patients, and this was a problem. Shatsky, who is a medical oncologist specializing inat the University of California San Diego Health, does not have a fixed salary.
"I think that as a whole, the profession is starting to wake up and realize that we need to be taking care of ourselves," Kellams says."And the investment in young families, making accommodations for them, being flexible with scheduling, and supporting maternity leave, paternity leave, and childcare are going to be what helps us get there.
"It's been a huge win for trying to maintain our breastfeeding culture," Hughes says."That case actually spurred us to have a conversation as a department. And now my department funds wearable breast pumps for any of our providers, our residents, PAs, NPs, and attendings who come back from leave, if they want them."
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