18 WABA ㈠ 2011 ㈡㈢ % ㈣ WABA WABA Women & Work Task Force,

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1 17 營造親善哺乳職場陳怡君 1* 郭淑珍 2 1 臺北醫學大學保健營養學系副教授 2 國防醫學院通識教育中心助理教授摘要 : 推廣哺育母乳以提升嬰幼兒之健康, 為台灣和世界各國重要的嬰幼兒健康議題在被支持與鼓勵的環境下, 婦女才能分泌充足的乳汁餵養寶寶並兼顧自己身心的健康產後需要恢復上班往往是婦女沒有哺乳或是提早斷奶的主要原因本文目的敘述國際與台灣工作場所中親善哺乳措施的實施現況和支持婦女持續哺乳之重要因素婦女產後休假的時間越長, 母乳哺育意願較高, 哺乳持續的時間也越久相較於其他國家而言, 台灣的產假時間較短, 因此職場環境是否能支持婦女兼顧工作與母乳哺育相當重要雖然有法定每天一小時的哺集乳時間, 但因工作忙碌或是無適當場所可以擠乳, 職場婦女要持續哺乳並不是件容易的事情職場中彈性的工作狀況具隱密性的擠乳空間主管的認同和同事的支持是營造友善母乳哺育工作場所的重要關鍵關鍵詞 : 母乳哺育親善哺乳措施職業婦女 1990 World Health Organization, WHO The United Nations Children s Fund, UNICEF Innocenti Declaration WHO & UNICEF, 1990 Amin et al., 2011; Tarrant et al., 2010; Weber, Janson, Nolan, Wen, & Rissel, Ogbuanu, Glover, Probst, Liu, & Hussey, Meek, 2001; Wyatt, The World Alliance for Breastfeeding Action, WABA The World Alliance for Breastfeeding Action, * yichun@tmu.edu.tw doi: /jn

間越長, 母乳哺育意願較高, 哺乳持續的時間也越久相較於其他國家而言, 台灣的產假時間較短, 因此職場環境是否能支持婦女兼顧工作與母乳哺育相當重要雖然有法定每天一小時的哺集乳時間, 但因工作忙碌或是無適當場所可以擠

2 18 WABA ㈠ 2011 ㈡㈢ % ㈣ WABA WABA Women & Work Task Force, WABA Women & Work Task Force, 2011 World Health Organization, WHO WHO, & UNICEF, 2003

2010 WABA WABA Women & Work Task Force, 2011 2011 180 12 12

3 Chuang et al., 2010; Ogbuanu et al., 2011; Zetterström, % % % Zetterström, Ogbuanu et al., Chuang et al., 2010 Mohrbacher, Stock, & Newton, Payne & Nicholls, 2010 Roe, Whittington, Fein, & Teisl, 1999 Chuang et al., 2010; Ogbuanu et al., 2011 Amin et al., 2011; Kosmala-Anderson & Wallace, 2006; Weber et al., 2011

4 20 Libbus & Bullock, 2002 Brown, Poag, & Kasprzycki, [Governing Breastfeeding in Public Places Act. (2010, November 24).]

5 &mp=1 [Executive Yuan, Taiwan, ROC. Directorate- General of Budget, Accounting and Statistics. (2011). Labor force participation rates of married women with/without children, by year. Retrieved from gov.tw/ct.asp?xitem=30165&ctnode=4987&mp=1] [Gender 1 5 [Gender Equality in Employment Act. (2011, January 5).] [Chen, Y. C. (2004). The effects of breastfeeding-friendly workplace on women s breastfeeding behavior (Unpublished doctoral dissertation). National Taiwan University, Taipei City, Taiwan, ROC.] [Labor Standards Act. (2011, June 29).] [Employment Insurance Act. (2011, December 19).] Amin, R. M., Said, Z. M., Sutan, R., Shah, S. A., Darus, A., & Shamsuddin, K. (2011). Work related determinants of breastfeeding discontinuation among employed mothers in Malaysia. International Breastfeeding Journal, 6(1), 4. doi: / Brown, C. A., Poag, S., & Kasprzycki, C. (2001). Exploring large employers and small employers knowledge, attitudes, and practices on breastfeeding support in the workplace. Journal of Human Lactation, 17(1), doi: / Chuang, C. H., Chang, P. J., Chen, Y. C., Hsieh, W. S., Hurng, B. S., Lin, S. J., & Chen, P. C. (2010). Maternal return to work and breastfeeding: A population-based cohort study. International Journal of Nursing Studies, 47(4), doi: /j.ijnurstu Kosmala-Anderson, J., & Wallace, L. M. (2006). Breastfeeding works: The role of employers in supporting women who wish to breastfeed and work in four organizations in England. Journal of Public Health, 28(3), doi: /pubmed/fdl012 Libbus, M. K., & Bullock, L. F. C. (2002). Breastfeeding and employment: An assessment of employer attitudes. Journal of Human Lactation, 18(3), doi: / Meek, J. Y. (2001). Breastfeeding in the workplace. Pediatric Clinics of North America, 48(2), , xvi. doi: /s (08) Mohrbacher, N., Stock, J., & Newton, E. (2007). The breastfeeding answer book (pp ). Schaumburg, IL: La Leche League International. Ogbuanu, C., Glover, S., Probst, J., Liu, J., & Hussey, J. (2011). The effect of maternity leave length and time of return to work on breastfeeding. Pediatrics, 127(6), e doi: /peds Payne, D., & Nicholls, D. A. (2010). Managing breastfeeding and work: A Foucauldian secondary analysis. Journal of Advanced Nursing, 66(8), doi: / j x Roe, B., Whittington, L. A., Fein, S. B., & Teisl, M. F. (1999). Is there competition between breast-feeding and maternal employment? Demography, 36(2), doi: / Tarrant, M., Fong, D. Y. T., Wu, K. M., Lee, I. L. Y., Wong, E. M. Y., Sham, A., Dodgson, J. E. (2010). Breastfeeding and weaning practices among Hong Kong mothers: A prospective study. BMC Pregnancy and Childbirth, 10, 27. doi: / The World Alliance for Breastfeeding Action. (1993). Women and work. Retrieved from htm WABA Women, & Work Task Force. (2011). Status of maternity protection by country. Retrieved from org.my/whatwedo/womenandwork/pdf/mpchart2011a.pdf Weber, D., Janson, A., Nolan, M., Wen, L. M., & Rissel, C. (2011). Female employees perceptions of organisational support for breastfeeding at work: Findings from an Australian health service workplace. International Breastfeeding Journal, 6, 19. doi: / WHO, & UNICEF. (2003) Global strategy for infant and young child feeding. Switzerland. World Health Organization, & The United Nations Children s Fund. (1990). Innocenti declaration. Retrieved from Wyatt, S. N. (2002). Challenges of the working breastfeeding mother. Workplace solutions. AAOHN Journal, 50(2), Zetterström, R. (1999). Breastfeeding and infant-mother interaction. Acta Paediatrica, 88(430, Suppl.), 1 6. doi: / j tb01293.x

xitem=30165&ctnode=4987&mp=1] 2011 1 5 [Gender 1 5 [Gender Equality in Employment Act. (2011, January 5).] 2004 2004 [Chen, Y. C. (2004).

6 22 Yi-Chun Chen 1 * Shu-Chen Kuo 2 1 PhD, Associate Professor, School of Nutrition and Health Sciences, Taipei Medical University; 2 PhD, Assistant Professor, Center for General Education, National Defense Medical Center. Abstract: Creating supportive environments that encourage mothers to breastfeed their children has emerged in recent years as a key health issue for women and children. Taiwan has a large and still growing number of new mothers in the workplace. Early postpartum return to work and inconvenient workplace conditions often discourage women from breastfeeding or cause early discontinuation. This study describes the current status of worksite breastfeeding-friendly policies in Taiwan and selected other countries and assesses the effects of work-related factors on working mother breastfeeding behavior. Although maternity leave has been positively correlated with breastfeeding duration, maternity leave in Taiwan remains significantly shorter than in other countries. Flexible working conditions, the provision of lactation rooms, and support from colleagues are critical components of promoting breastfeeding in the workplace. Key Words: breastfeeding, breastfeeding-friendly policy, working mothers. Accepted for publication: December 20, 2012 *Address correspondence to: Yi-Chun Chen, No. 250, Wu Hsing Street, Taipei City 11031, Taiwan, ROC. Tel: +886 (2) ext.6559 ; yichun@tmu.edu.tw

Taiwan has a large and still growing number of new mothers in the workplace.

台灣母乳哺育聯合學會會訊---九十七年第三期

台灣母乳哺育聯合學會會訊---九十七年第三期台灣母乳哺育聯合學會會訊 --- 九十七年第三期哺乳醫學新知...1 國際會議報告...2 臨床實務園地...4 活動預告...10 會務報告...10 哺乳醫學新知以純母乳哺育六個月對健康足月兒的鐵質有何影響? 青年診所楊靖瑩醫師摘要題目 :A

18 WABA ㈠ 2011 ㈡ ㈢ % ㈣ WABA WABA Women & Work Task Force,

18 WABA ㈠ 2011 ㈡㈢ % ㈣ WABA WABA Women & Work Task Force,