Significant events in the 20th century resulted in changes in family dynamics. War, technological advances, and shifts in economics caused women to work outside of the home. Women traditionally stayed at home to take care of the home and the needs of the children. While initially many people scoffed at the idea of a woman leaving her children while she worked, it served the purpose of additional money coming into the household. Nowadays, people seldom give the idea of women working outside the home a second thought. There are, however, some issues that working mothers still need to handle when they make this choice.

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With the addition of labor-related laws, it is now possible for women to bear children and return to work. However, managing common bonding activities such as breastfeeding can often take creative strategies. A woman could easily start her baby on formula and return to work without any hassles. However, there are many advantages of breastfeeding. The mother is able to pass on essential nutrients to her baby, it creates a bond between the mother and baby, the mother can lose the extra weight she gained during pregnancy, and it's inexpensive. When a woman works outside the home, she has to contemplate how she intends her baby to be fed. At one time the only choice for working mothers was to feed the baby formula. The introduction of breast pumps has made it possible for mothers to experience the benefits associated with breastfeeding while continuing to work.