mother’s information
Breastfeeding... Baby’s Best Start! Keep It Up!
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.
nourish your baby after six months of life. It changes day to day meet your child’s changing nutritional needs.
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 1-800322-2588, where Information and Referral Specialists are available to help you find the resources you need.
protective factors that help children fight against ear infections, lower respiratory infections, pneumonia and diarrhea.
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
•Breastmilk contains
•Breastfed babies are less
likely to have chronic digestive diseases and food allergies for the first several years of life.
Photo by Roni Chastain, RN, FACCE
“I am teaching my baby, Isabel, that love and comfort are not only associated with food.” Pedro, father of 1month-old Isabel.
•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.
•Breastfed babies smell fresher; spitup 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!
The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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mother’s information
11000 Lake City Way NE, Suite 301 • Seattle, WA 98125 The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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mother’s information
Returning to Work
Continue protecting and nourishing your baby through breastfeeding even after you return to work. Here are 15 tips that may help with your transition back to work:
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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 employer 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.
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Explore the possibility of a gradual return to work (beginning midweek or starting back part-time or job-sharing). Make 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 electric breastpump. Also, make sure there is a refrigerator available for storing breastmilk and a sink for washing your hands and pump supplies. (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.
4
Try 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.
5
Allow 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.
6
Make 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.
7
Remind 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.
8
Make 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, blanket or special toy to work to help you relax.
9
Wash your hands before expressing your breastmilk.
10
Bring an insulated container to transport the breastmilk you collect. It is important to clean your breast-pump and collection bottles after each use.
The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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mother’s information
11
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.
12
Get plenty of rest and eat healthy food. Your diet should be well balanced and include lots of fruits, vegetables, carbohydrates and fluids.
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Form a support group with other working women who breastfeed.
Remember that some breastmilk is better than no breastmilk.
13
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 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 cavities. Putting your baby to sleep on his back and sleeping in the same room as your baby decreases the risk of SIDS.
“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.
11000 Lake City Way NE, Suite 301 • Seattle, WA 98125 The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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MOTHER’S INFORMATION
Your Breastfed Infant in the Child Care Setting
By planning ahead you can choose a care provider who will meet your needs. Returning to work and continuing to breastfeed can provide a closeness 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.
•Licensed to provide infant and
Allow plenty of time to interview potential provides. Consider starting 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 commercial child care center, home day care, sharing child care with a friend or a combination of these. Remember, many in home providers and day care centers have waiting lists.
•The infant room has a rocking
Allow at least two weeks to prepare 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 breastfeeding or willing to learn.
child care.
•Provides a safe and clean place for your baby.
•The maximum ratio of infants to staff is four to one.
•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 guidelines for breastmilk storage than what is advised for storing breastmilk in your own home.
chair, cribs or other appropriate infant equipment and supplies.
•Encourages your
visits to the child care location to breastfeed and play with your baby. Has an area where you are comfortable breastfeeding.
•Has a trained staff
who have experience with infant care and who are nurturing and attentive to children and their care.
•Shares your belief
that you can continue to breastfeed after you return to work.
•Is a short distance
from work if you are able to leave work to nurse your baby.
The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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MOTHER’S INFORMATION
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 singing 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 information
Practice child care visit(s) Practice visits are a way of transitioning 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 using 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 normal 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
When your baby is away from you, it may be helpful to provide comforts 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.
Growth 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 notice 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 usually last two to four days. The end result is your milk supply increases to meet your baby’s additional needs. Nursing Strikes This 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
The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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MOTHER’S INFORMATION
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
Mastitis This is an infection due to incomplete 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 continue to breastfeed while you have mastitis.
Engorgement 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.
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 Use direct pressure over the nipple if you are unable to pump. Crossing 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 clothing, a jacket, vests, sweaters or a long scarf may be helpful.
Photo by Denise Punger, MD, FAAP, IBCLC, www.twofloridadocs.com
11000 Lake City Way NE, Suite 301 • Seattle, WA 98125 The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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mother’s information
Breastpumps and Milk Supply Breastmilk can be expressed by hand or with the use of a breastpump. 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 800322-2588 to locate breastfeeding support in your community or to learn where to rent or buy a breastpump. 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 returning to work earlier than six weeks, you may need to express more often to establish your milk supply. 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.
Breastpumps Electric: 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 mimics a baby’s suck, which helps to establish and maintain your milk
How to solve possible breastpump problems
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 involve a repetitive movement, your hands may tire and this method may take longer. Do not buy those that look like a bicycle horn, because 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 convenient as there is nothing to buy, break, wash or carry. With practice some women become very efficient with this method.
Many 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 problems with your breastpump and you know you don’t have a defective 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. Double-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.
The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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mother’s information
Meeting your baby’s nutritional needs You can meet your baby’s nutritional needs while working and breastfeeding. Consider the following options: 1. While at work, express and refrigerate your breastmilk for the next day’s feedings. Continue to breastfeed whenever you or your baby are together, or
sleep or rest you are getting and if you are going through an unusually stressful time. Remember, pumping 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
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 setting. This could be the same place each time, a comfortable chair or a familiar routine.
•
Gently massage your breasts right before expressing. Stimulate your nipples by rubbing or rolling them.
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 weekend as your milk production may be low.
•
•
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.
• Photo courtesy of Medela, Inc.
Ensuring your milk supply
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.
Some 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
The “let-down” occurs many times during a feeding or while pumping. Stimulating the “let-down” is important because it makes the milk in all parts of the breast accessible 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:
Encourage multiple let-downs, try several 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.
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breasts when the flow of milk lessens, expressing from both several times during 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. Mothers make from ½ to 2 ounces of milk per hour per breast. The breasts make milk fastest 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 practice, 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. Remember, 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 extra 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 pregnancy.
Clean your breastpump and collection 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
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 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 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 breastmilk You can keep your breastmilk clean and safe by following these suggestions: Always wash your hands before expressing or handling breastmilk.
Label each container of breastmilk with your baby’s name, the date expressed, and the number of ounces of milk. Refrigerate breastmilk. If no refrigerator is available, store with an ice pack or on ice until you’re able to refrigerate or freeze. Use an insulated 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 destroy protective factors present in breastmilk and can create hot spots in the milk, which can burn your baby’s mouth. Rotate storage containers so breastmilk with the earliest date is used first. Remind your child care provider to do this too.
The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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Defrosted milk can be safely refrigerated 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 premature.
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) Refrigerator; thawed milk (32°-39° F or 0°-4° C) Freezer compartment inside refrigerator
Up to 8 days 24 hours 2 weeks
Introducing a bottle
Freezer compartment above, below or next to refrigerator 3-6 months
Introducing 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 breastfeeding 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 participation from a baby than taking liquid from a bottle. By waiting until 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.
Deep freezer less than 0° F
6-12 months
Insulated cooler / ice packs (60° F or 15° C)
Your baby may not like taking a bottle from you as he or she is used to breastfeeding. If this happens, 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 familiar 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 different 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 pushing the bottle nipple into the baby’s mouth, try laying it near his mouth and allowing him to pull it in himself. Run warm water over the bottle nipple to bring it to body temperature.
24 hours
If your baby is still having trouble after several tries and you are becoming 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 support from my employer so I could maintain my milk supply for my adopted daughter. Being able to breastfeed her provided a special closeness.” Karen, mother of Layla.
11000 Lake City Way NE, Suite 301 • Seattle, WA 98125 The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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MOTHER’s Information
Support Services for Breastfeeding Women Helpful Phone Numbers and Services: 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 commonly 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-LECHE www.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, breastfeeding counseling and encourages regular well-child health care. Call to see if you qualify.
CARE Northwest, 1-888-616-8484 Provides up-to-date information on the potential risks associated with exposures to drugs and other chemicals during pregnancy and lactation.
National Women’s Health Information Center, www.4woman.gov.breastfeeding A variety of information including a Breastfeeding Helpline (1-800-994-9662); information on how to make breastfeeding 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.
The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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MOTHER’s Information The National Business Group on Health, www.businessgrouphealth.org Represents over 200 employers, health care companies, benefits consultants and vendors. This non-profit organization is devoted to finding innovative and forward-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 encourage 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, 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 International, 2004. “Working Without Weaning.” Berggren, K., 2006.
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 Technologies Pay Plus Benefits 2401 Mission Avenue East 1110 North Center Parkway, Suite B Liberty Lake, WA 99019 Kennewick, WA 99336 509-921-4242 • www.agilent.com 509-735-1143 • www.payplusbenefits.com Columbia Valley Community Health Services 600 Orando Avenue, Suite 1 Wenatchee, WA 98801 509-664-4586 • www.cvhc.org DaVita, Inc. 1423 Pacific Avenue Tacoma, WA 98402 253-382-1761 • www.davita.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
11000 Lake City Way NE, Suite 301 • Seattle, Wa 98125 The Breastfeeding Coalition of Washington, a program of WithinReach, www.withinreachwa.org
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