Summer Travel, Breastfeeding, and the PUMP Act: What Nursing Parents Need to Know

Summer is a season of family vacations, road trips, beach days, and travel adventures. For breastfeeding parents returning to work after the birth of a baby, summer can also bring unique challenges as they balance maintaining their milk supply while navigating airports, hotels, conference centers, and temporary work assignments.

Fortunately, recent federal protections have made it easier for many breastfeeding employees to continue providing human milk for their babies. The Providing Urgent Maternal Protections for Nursing Mothers (PUMP) Act expanded workplace protections for lactating employees and has important implications for working parents who travel during the summer months.

What Is the PUMP Act?

The PUMP for Nursing Mothers Act, commonly known as the PUMP Act, was signed into law in December 2022. The law expanded existing federal protections for breastfeeding employees by requiring most employers to provide:

  • Reasonable break time to express milk during the workday
  • A private space that is shielded from view and free from intrusion
  • Protection for millions of workers who were previously excluded from federal lactation accommodation laws
  • The ability for employees to seek legal remedies if employers fail to comply

Before the PUMP Act, many salaried workers had protections under the Affordable Care Act, but millions of employees—including teachers, nurses, agricultural workers, transportation workers, and many others—were not fully covered. The PUMP Act significantly broadened coverage, helping more families meet their breastfeeding goals.

Why Summer Travel Can Be Challenging

Maintaining lactation while traveling presents logistical hurdles even for experienced breastfeeding parents. Common concerns include:

Changes in Routine

Breastfeeding and milk production often thrive on consistency. Travel may disrupt normal feeding schedules, pumping sessions, sleep patterns, and meal times.

Long Flights and Layovers

Air travel can mean extended periods away from a comfortable pumping space. Delayed flights, crowded terminals, and unpredictable schedules may make it difficult to pump as frequently as needed.

Conferences and Business Travel

Many parents travel for work during the summer months. Conferences, training sessions, and off-site meetings can create challenges when finding appropriate times and locations for milk expression.

Hydration and Heat

Summer temperatures can increase fluid needs and contribute to fatigue. While hydration does not directly increase milk production beyond normal physiological needs, adequate fluid intake helps support overall maternal health and comfort.

How the PUMP Act Helps Traveling Employees

One of the most important aspects of the PUMP Act is that workplace lactation protections do not disappear simply because an employee is traveling for work.

If an employee is attending a conference, working at a temporary site, or participating in employer-sponsored travel, the employer generally remains responsible for providing reasonable break time and an appropriate pumping space.

This means that employers should make reasonable efforts to ensure nursing employees have access to:

  • Private lactation spaces at conference venues
  • Appropriate break schedules
  • Time to express milk during long meetings
  • Accommodations during work-related travel

Many conference centers, airports, and convention facilities now offer dedicated lactation rooms, reflecting growing recognition of breastfeeding families’ needs.

Here is a link to an article that can help mothers find these pumping pods at airports.

Air Travel and Breast Milk

Parents often worry about flying with expressed milk. The good news is that breast milk, infant formula, and feeding supplies receive special consideration through airport security procedures.

When traveling:

  • Inform security officers that you are carrying breast milk.
  • Breast milk may be transported in quantities greater than standard liquid limits.
  • Ice packs, freezer packs, and gel packs used to cool milk are generally permitted.
  • Review current transportation guidelines before travel, as procedures can change.

Many airports now provide lactation pods or nursing suites that offer private spaces for pumping or breastfeeding.

Tips for Protecting Your Milk Supply While Traveling

Plan Ahead

Before traveling, identify:

  • Airport lactation rooms
  • Hotel refrigeration options
  • Conference lactation facilities
  • Nearby locations where pumping can occur if needed

Maintain Your Pumping Schedule

Milk production operates on supply and demand. Attempting to maintain a schedule similar to your normal routine can help prevent discomfort and protect milk production.

Pack Extra Supplies

Consider bringing:

  • Extra pump parts
  • Additional milk storage bags
  • Cleaning supplies
  • Portable battery packs
  • Backup manual pumps

Unexpected travel delays are common during summer vacation season.

Learn to Hand Express (if you don’t already know)

This is another great reason to be sure you know how to hand express your milk. You can find information on hand expressing here.

Hand expression has no parts to pack and can be an easier way to maintain your expression schedule while traveling.

Know Your Rights

Employees should familiarize themselves with workplace lactation protections before traveling. Having a conversation with supervisors or human resources departments ahead of time can prevent misunderstandings and ensure appropriate accommodations are available.

Breastfeeding-Friendly Travel Benefits Everyone

Supporting breastfeeding employees is not simply a legal obligation—it is also good for families and workplaces. Research consistently demonstrates that breastfeeding is associated with improved maternal and infant health outcomes. When employees receive adequate lactation support, they often experience greater job satisfaction and are more likely to remain in the workforce.

The PUMP Act represents an important step toward recognizing that breastfeeding and employment can coexist successfully. As more workplaces, airports, hotels, and conference centers adopt lactation-friendly practices, traveling while breastfeeding becomes increasingly manageable.

Looking Ahead

Summer travel should be an opportunity for connection, professional growth, and family memories—not a source of anxiety about maintaining milk production. The protections established by the PUMP Act help ensure that nursing parents do not have to choose between their careers and their breastfeeding goals.

Whether you’re heading to a family reunion, attending a professional conference, or embarking on a summer vacation, preparation, knowledge of your rights, and access to supportive accommodations can help make the journey smoother.

Breastfeeding parents deserve the time, space, and support necessary to continue providing human milk for their babies and to continue their journies along the Milky Way—at home, at work, and wherever summer adventures may lead.

Green Feeding

Guest blog post collaboration with Donna Walls,  RN, BSN, IBCLC, CLC, ANLC

At its core, Green Feeding means taking action from birth to safeguard the health of humans and the environment.

Photo by Akil Mazumder

Green Feeding encompasses the promotion, protection and support of breastfeeding as the most valuable natural resource from 0 to 36 months of age.

In May 2019, the International Baby Foods Action Network (IBFAN) in partnership with the World Breastfeeding Trends Initiative (WBTi), published Green Feeding–climate action from birth, issuing a plea for awareness on the impact of infant feeding practices on the environment and to promote breastfeeding which nurtures a healthy population and planet.

Green Feeding practices should continue beyond exclusive breastfeeding. When complementary foods are introduced at six months of age, guidelines include:

  • foods which are naturally occurring foods (such as plants and animals),
  • minimizing processed (foods prepared with salt, sugar, oils such as canned fruits or vegetables or simple cheeses),
  • culturally appropriate, family foods which rarely contain concerning levels of sugar, salt, fats, and toxic additives,
  • and the avoidance of ultra processed foods (foods altered by processing and additives not normally found in foods like dyes, preservatives, stabilizers). Infant formulas fall into the category of ultra processed foods.

 

Human and planetary health interplay 

Breastfeeding is a frequently ignored topic by global climate action leaders despite it being an almost cost-neutral intervention with a huge impact on human and planetary health.

Photo by willsantt

“Recent studies have highlighted the environmental cost of decades of disinvestment in services to support breastfeeding,”  the authors of Support for breastfeeding is an environmental imperative write. “When breastfeeding is encouraged and supported the associated infant and maternal health outcomes produce healthier populations that use fewer healthcare resources.”

Authors of Why invest, and what it will take to improve breastfeeding practices? note that breastmilk is a “natural, renewable food” that is environmentally safe and produced and delivered to the consumer without pollution, unnecessary packaging, or waste.

By contrast, breastmilk substitutes leave an ecological footprint and require energy to manufacture, materials for packaging, fuel for transport distribution, and water, fuel, and cleaning agents for daily preparation and use, and numerous pollutants are generated across this pathway.

Human health is often sacrificed for business interests and profits; the “bottom line” is about dollars and not  families’ precious health.

The Green Feeding advocacy document continues to spell out the interplay between human and planetary health through the lens of healthy infant and young child feeding (IYCF).

As a renewable natural food resource, mother’s milk contributes to local food and water security and biodiversity.

Differently, the run-off of waste from dairy farming used in artificial milk development, threatens our water supply with contamination by toxic chemicals, pesticides and harmful microorganisms.

The global food system, from production through all stages of processing, distribution, food preparation and consumption, accounts for an estimated 19 to 29 percent of global anthropogenic greenhouse gas emissions. Animal-based food products generally have a higher climate impact than plant-based foods, due to emissions from feed production, manure management and, in the case of ruminant animals, enteric fermentation, as noted in The carbon footprint of breastmilk substitutes in comparison with breastfeeding.

Not breastfeeding poses the risk of multiple avenues for exposure to toxic heavy metals like contaminated foods and artificial baby milks and contaminated water.   Municipal tap water, groundwater or well water is used to reconstitute powdered formulas and cereal foods and can contain high levels of toxic chemicals. This same water is used for cleaning feeding equipment and for drinking. The risk is increased because powdered formulas and foods prepared with water are the sole or the major source of food and drink at the most vulnerable stage of infant and young child development.

“Exposure to toxic heavy metals causes permanent decreases in IQ, diminished future economic productivity. Toxic heavy metals endanger infant neurological development and long-term brain function,” according to a 2021 IBFAN report.

Plastic pollution is a huge environmental concern made worse by the need for bottle feeding supplies and consumption of single-use articles.

Green Feeding contributes to the work of social justice and poverty reduction, offering protection to the most vulnerable infants and their families, creating a “level playing field” for family budgets. It challenges inequalities in marginalized households and communities that are most negatively impacted by climate change. The high cost of infant formula and ultra-processed baby foods can overwhelm low and middle income households.

 

Green Feeding begins prenatally

There’s a growing body of research connecting prenatal and early life toxic exposures to poor health outcomes.

Photo by Thiago Borges

For example, high urinary metabolite concentrations for several prevalent phthalates were associated with greater odds of delivering preterm, and hypothetical interventions to reduce phthalate exposure levels were associated with fewer preterm births. The most consistent findings were for exposure to a phthalate that is used commonly in personal care products like nail polish and cosmetics, noted by the authors of Associations Between Prenatal Urinary Biomarkers of Phthalate Exposure and Preterm Birth: A Pooled Study of 16 US Cohorts. 

Things like air pollution, heavy metals, phthalates, plasticizers (PCB) and per- and poly-fluoroalkyl acids (PFASs) which are produced during industrial manufacturing and are widely used in consumer items such as food packaging and non-stick cookware have been known to lead to childhood liver disease, development of diabetes and developmental delays in children.

Endocrine disruptor exposure prenatally and early in life also present a major concern to children. Dozens of these endocrine disrupting chemicals are found in pesticides, personal care products, flame retardants and are found in the air, water and foods. They mimic the female hormone estrogen and thus interfere with the action of the body’s natural hormones which influence reproduction, immunity, metabolism and behavior. More on endocrine disruptors can be found in Endocrine disrupting chemicals and the battle to ban them.

In studies from the University of Rochester Medical School, it was found that wistar rats exposed prenatally to environmental estrogens resulted in damage to the alveolar cells of the breast to the extent that the mother rats were unable to nourish their offspring, as documented in Dioxins In Food Chain Linked To Breastfeeding Ills. 

Authors LaPlante and Vandenberg note reduced milk production in mice exposed to 17α-ethinyl estradiol, and less “mothering behaviors” in rats exposed to environmental estrogens, including reduced nesting behaviors and pup retrieval have also been documented.  These, and other studies, show a concerning trend in the future care of offspring.

 

Eliciting change from the top down 

UNICEF’s 2022 report Places and Spaces: Environments and Children’s Well-Being calls on national, regional, and local governments to make protection of children’s environmental health a priority. Clean air, water and food make up an essential foundation for infant and childhood health. Creating a cleaner, healthier environment begins with the cleanest first food, breastfeeding, and continues with toxic-free foods throughout childhood and adolescence. Taking these steps now reduces the risk of food-induced illnesses including childhood obesity, diabetes, hypertension, asthma, neurodevelopmental delays and immune dysfunction. While we continue to see the predatory marketing of altered foods claiming to offer health benefits, there is no evidence that any of these are superior in any way to clean, naturally occurring foods.

 

Eliciting change from the bottom up 

Anthropologist Margaret Mead said, “Never doubt that a small thoughtful, committed group of citizens can change the world: indeed it is the only thing that ever has.”

Photo by Nandhu Kumar

Advocate for breastfeeding. Join local breastfeeding support groups and talk about the risks of not breastfeeding for mother, infant, and the environment. Connect with “breastfeeding adjacent” groups such as breast cancer advocates or prenatal and infant information groups or toddler play groups.

Talk with local stores selling maternity or infant care products about the opportunity to present this information to customers. Use social media to help spread the word.

Stay politically aware of legislation and contact your local, state or federal representatives and let them know why and how you support breastfeeding and climate-friendly actions. The United States Breastfeeding Committee (USBC) is a great launching pad for this type of activism.

If you, your family or friends need to use infant feeding bottles, teats and other products, find safer alternatives like non-plastic infant feeding bottles and plant-based food storage containers.

Connect with local health food or natural food stores, local organic farms or community assisted agriculture groups to brainstorm ways to distribute recipes and meal ideas for cleaner, healthier foods. Local food pantries can also be a great starting point to connect with community resources to encourage healthier family foods.

Local childbirth education and doula groups can also be a great resource for connecting with pregnant or new families to discuss feeding choices.

Many local gardening groups may have information on growing and preparing natural, organic foods.

Join food cooperatives wherever possible and offer education to families on breastfeeding, clean foods and safer food storage/preparing/serving utensils.

Join civic groups in starting community gardens in public spaces, schools, churches and housing complexes.

 

Additional resources to explore 

Safely Fed Canada

Assessing the environmental impact of powdered baby formula sold in North America

The Unseen Dangers of Ultra Processed Foods

Breastfeeding for the Health and Future of our Nation 

Carbon Footprints Due to Milk Formula. A study from selected countries of the Asia Pacific region

Ultra-Processed Foods and Health Outcomes: A Narrative Review

Food safety, climate change, and the role of WHO

Food safety considerations for commercial complementary foods from global operational guidance on infant and young child feeding in emergencies

Plastic-free parenting 

Ensuring Safe and Toxic-Free Foods Act of 2022

Protecting Brain Development in Children: Neurotoxic Effects of Phthalates and Need for Critical Policy Reform webinar

 

Human milk banks around the world

Of all the known approaches to saving infant lives, human milk has the greatest potential impact on child survival. (PATH) When direct breastfeeding or mother’s expressed milk is not available, donor human milk is the next best option.

Photo by Samer Daboul

As such, the 2018 WHO/UNICEF implementation guidance on the Baby-friendly Hospital Initiative stated that “Infants who cannot be fed their mother’s own milk, or who need to be supplemented, especially low-birthweight infants, including those with very low birth weight and other vulnerable infants, should be fed donor human milk.” The American Academy of Pediatrics, the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition, and other national and global policy groups also call for use of donor human milk as the feeding of choice, if mother’s own milk is insufficient, unavailable or contraindicated. (WHO)

Now, WHO is in the process of developing guidelines on donor human milk banking.

The ISRHML Trainee Interest Group recently presented A Global View of Human Milk Banking with Kimberly Mansen (PATH), Dr. Victoria Nakibuuka (Nsambya Hospital), Debbie Stone (Rogers Hixon Ontario Human Milk Bank), and Dr. Maryanne Perrin (The University of North Carolina Greensboro) which brought to light several, wonderful resources and is the inspiration for  this week’s post.

Let’s take a look at some human milk banks around the world.

This tableau map depicts publicly known human milk banks. If you know of a milk bank that is not shown on the map, you can fill out this form and/or email kamundson@path.org or humanmilkbankmap@gmail.com.

Brazil 

Donor milk banking thrives in countries such as Brazil, where there has been a concerted effort at the Health Ministry level to incorporate milk banks into health policy. (Arnold, 2006)

 

Uganda

In commemoration of World Prematurity Day, Uganda introduced its first human milk bank at Nsambya Hospital on the 26th of November 2021 at Pope Square. [More here.]

 

Canada 

The Rogers Hixon Ontario Human Milk Bank in Ontario has dispensed over 1 million ounces of human milk. The Rogers Hixon Ontario Human Milk Bank is a non-profit organization and a joint initiative of Mount Sinai Hospital, The Hospital for Sick Children (SickKids) and Sunnybrook Health Sciences Centre. It is a member of the Human Milk Banking Association of North America.

 

Ukraine 

The first and currently only Ukrainian Human Milk Bank was established in Kiev at the Perinatal Centre where approximately 80 percent of all premature babies in the city are born.

 

South Africa

The South African Breastmilk Reserve (SABR) has set up a total of 44 in-hospital human milk banks in public and private hospitals across South Africa.

 

Vietnam

The first human milk bank in Vietnam was officially opened on February 17, 2017, at the Danang Hospital for Women and Children. This facility is supported by the Vietnam Ministry of Health and the Danang Provincial Department of Health, and is the first human milk bank in Vietnam to be operated within the public health system and to international standards. (PATH)

Take a virtual tour of the bank here.

Also consult:

Efforts to curtail dubious marketing practices of commercial milk formula industry

The commercial milk formula (CMF) industry uses marketing tactics similar to those of the tobacco, alcohol, and ultra-processed food industries.

Photo Credit: Boston Public Library
Date: ca. 1870–1900 https://ark.digitalcommonwealth.org/ark:/50959/3b591d51p Please visit Digital Commonwealth to view more images: https://www.digitalcommonwealth.org.

Earlier this winter, the Lancet published a three-paper series outlining the multifaceted and highly effective strategies used by commercial formula manufacturers to target parents, health-care professionals, and policy-makers.

“The industry’s dubious marketing practices—in breach of the breastfeeding Code—are compounded by lobbying of governments, often covertly via trade associations and front groups, against strengthening breastfeeding protection laws and challenging food standard regulations,” the Lancet summarizes.

Two new publications corroborate WHO findings on the digital marketing of commercial milk formulas in Mexico:

In another recent publication, Pediatricians’ Reports of Interaction with Infant Formula Companies, the authors found that: “Of 200 participants, the majority reported a formula company representative visit to their clinic (85.5%) and receiving free formula samples (90%). Representatives were more likely to visit areas with higher-income patients (median = $100K versus $60K, p < 0.001). They tended to visit and sponsor meals for pediatricians at private practices and in suburban areas. Most of the reported conferences attended (64%) were formula company-sponsored.”

The authors write that “Seventy percent of countries follow the World Health Organization International Code of Marketing Breast Milk Substitutes that prohibits infant formula companies (IFC) from providing free products to health care facilities, providing gifts to health care staff, or sponsoring meetings. The United States rejects this code, which may impact breastfeeding rates in certain areas.”

The Lancet series authors provide recommendations to restrict the marketing of CMF to protect the health and wellness of mothers and babies, and ultimately society and the planet.

  • Curtail the power and political activities of the CMF industry
  • End state practices that do not uphold, or that violate, the rights of women and children
  • Recognise, resource, and redistribute women’s care work burdens in support of breastfeeding
  •  Address structural deficiencies and commercial conflicts of interest in health systems
  •  Increase public finance and correct the misalignment between private and public interests
  • Mobilise and resource advocacy coalitions to generate political commitment for breastfeeding

In Mexico, UNICEF and Instituto Nacional de Salud Pública have designed infographics for policymakers as well as parents and caregivers to educate on the impact of digital marketing.

The partners are also working on proposed modifications to current Mexican regulations that involve commercial formula milk and ultra processed food marketing to infants and young children. Further, development is underway for a mobile app tool for monitoring the Code in Mexico.

Legislation in El Salvador was recently passed–“Love Converted into Food Law, for the Promotion, Protection, and Support of Breastfeeding.”

PAHO is monitoring the implementation of the Baby-friendly Hospital Initiative in the Americas BFHI requires full compliance with the Code and subsequent WHA resolutions.

In other efforts to protect parents and babies, Breastfeeding Advocacy Australia released a video on how the organization monitors predatory marketing. Find it here. You can find their Facebook group here.

Also read:

Follow IBFAN’s coverage of the 43rd Codex Nutrition Session of the Committee on Nutrition and Foods for Special Dietary Uses here.

Breastfeeding is ours. Breastfeeding belongs to us.

–This post is part of our 10-year anniversary series “Breastfeeding is…” When we initially curated this series, we planned for 10 weeks, but breastfeeding is so many things that we just couldn’t fit it all in, which means we have two bonus weeks in our anniversary series.–

Breastfeeding is ours. Breastfeeding belongs to us.

Nicole Starr Photography Originally featured on Our Milky Way in ‘ Non-profit Julia’s Way proves babies with Down syndrome can breastfeed’

For decades, the 55 billion dollar formula milk industry has positioned itself as an ally to parents. 

Through conniving tactics, like the distortion of science to legitimize their claims, the systematic targeting of health professionals to promote their products, and the undermining of parents’ confidence in breastfeeding, the industry impacts the survival, health and development of children and mothers, disrupts truthful information– an essential human right as noted by the Convention on the Rights of the Child, disregards the International Code of Marketing of Breast-milk Substitutes, and exploits the aspirations, vulnerabilities and fears at the birth and early years of our children solely for commercial gain. (WHO/UNICEF, 2022, p. x) [More at WHO report exposes formula milk marketing, offers steps forward] 

Far before the advent of formula milks and their subsequent marketing campaigns, breastfeeding sustained the human species. When breastfeeding wasn’t possible, wet nursing was the primary alternative feeding option. [Stevens, et al 2009] 

For generations, cultures across the globe have honored breastfeeding as a central part of their identities, and now they’re reclaiming these traditions after being challenged by the formula milk industry and other forces.

Photo by Mehmet Turgut Kirkgoz : https://www.pexels.com/photo/a-woman-breastfeeding-her-son-12359528/

HealthConnect One’s program manager Brenda Reyes, RN, CLC describes that reclamation of Latino/Hispanic birth and breastfeeding traditions in Reclaiming Latino/Hispanic birth and breastfeeding traditions for instance. 

In It’s Asian American Native Hawaiian and Pacific Islander (AANHPI) Week: “Reclaiming Our Tradition”, To-Wen Tseng covers just what the title suggests. 

Navajo Breastfeeding Coalition/Dine Doula Collective, Amanda Singer, CLC discusses the revitalization of Indigenous breastfeeding in Honoring Indigenous Milk Medicine Week: “Nourishing Our Futures”. 

Hispanic Health Council’s Breastfeeding Heritage and Pride (BHP) Program manager and lactation consultant Cody Cuni, IBCLC, BS reminds us in Hispanic Health Council’s Breastfeeding Heritage and Pride (BHP) Program heals, empowers and celebrates through peer counseling model that breastfeeding has always belonged to the people.

Photo by willsantt: https://www.pexels.com/photo/woman-breastfeeding-her-toddler-under-the-tree-2714618/

Cuni offers commentary on her and her colleague’s responsibility to help facilitate breastfeeding without capitalizing, claiming and dominating. She sees her role as an empowerer. 

Without diminishing the need for larger structural supports, let us also remember and celebrate the innate power we hold as individuals who can nourish and nurture our young and ourselves through breastfeeding. 

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Our 10-year anniversary giveaway has ended. Thank you to everyone who participated!