Introduction <p>There are many barriers a woman may encounter when trying to achieve her breastfeeding goals. Returning to the workplace poses one of the most significant obstacles faced by women. Human resource practices can either support or hinder breast milk expression in the workplace. However, there is limited research on the breastfeeding experiences and challenges faced by employees working for state government agencies.</p> Methods <p>Data were collected through a cross-sectional qualitative mixed-methods approach consisting of surveys and interviews with current female employees working for the State of Utah. The survey was sent to 10,033 employees, and 1,137 responded. However, 521 had breastfed during their employment, and 459 ultimately met the inclusion criteria for the analysis. Ten interviews were conducted with individuals randomly selected from a subset of the 459 participants who indicated their willingness to be interviewed. Analysis of the data consisted of thematic review and central tendency comparisons.</p> Results <p>The data analysis revealed that employee experiences may vary by agency. In general, employees expressed stress and anxiety related to pumping at work. Overall, more employees described negative experiences related to workplace environment, job responsibilities, or lack of supervisor support than those who had neutral or positive ones. Experiences have also improved at the State of Utah over time due to teleworking and paid parental leave, but more can be done to better accommodate its employees.</p> Conclusion <p>Employee breastfeeding experiences may be related to the agency culture, work environment, and employer support. Expressing milk at the workplace can generate stress and anxiety for breastfeeding employees. Employee-friendly policies may help improve these experiences.</p>