Prevalence of ‘Mother/Infant Friendly Worksite Designations’ and state laws regulating workplace breastfeeding support in the United States

  • Elizabeth HilliardEmail author
  • Allison Schneidermann
Original Article


Human milk is the normative infant feeding standard. Yet breastfeeding rates in the United States are suboptimal as many women discontinue breastfeeding upon return to work. As a result, the Unites States Congress included the Break time for Nursing Mothers law in the Patient Protection and Affordable Care Act of 2010 (ACA). The law mandates that employers provide break time and a private space for employees to express breastmilk. This federal legislation does not cover all employees. The purpose of this project was to identify state legislation and Mother/Infant Friendly Worksite Designations (MIFWD) that provide additional protections to working, breastfeeding mothers. We reviewed websites from the United States Breastfeeding Committee and state health departments, and found 27 states have legislation related to breastfeeding in the workplace, and eight states have active MIFWD program. State laws and designation programs are important additions to federal legislation to support employees not covered by the ACA provision.


Legislation Breastfeeding Working Promotion Public policy Health U.S. 



American Academy of Pediatrics


Patient Protection and Affordable Care Act of 2010


Fair Labor Standards Act of 1938


Mother/Infant Friendly Worksite Designations


Sudden Infant Death Syndrome


United Nations International Children’s Emergency Fund


United States


United States Breastfeeding Committee


World Health Organization



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Copyright information

© Springer Nature Limited 2019

Authors and Affiliations

  1. 1.North Dakota State UniversityFargoUSA

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