Lactation/Wellness Room Design

Best Practices page 1 of 2

Lactation/Wellness Room Design Lactation Room Design The AIAContributed collects and bydisseminates Liz York, AIABest Practices as a service to AIA members without endorsement or recommendation. Appropriate use of the information provided is the responsibility of the reader.

The AIA collects and disseminates Best Practices as a service to AIA members without endorsement or recommendation. SUMMARYAppropriate use of the information provided is the responsibility of theimportant reader. to achieve auditory comfort in and around the space. Mothers returning to the workplace after childbirth face Walls, doors, and locks must be substantial and provide a good challengesSUMMARY to express medically beneficial breastmilk achievesense ofauditory security. co mfort Particularly in and around in public the accessspace. Walls,facilities, such doors, and locks must be substantial and provide a good whileMothers also reentering returning to the the workforce.workplace after Companies childbirth that as airports, conference centers, libraries, museums, college sense of security. provideare incredibly lactation driven rooms to inprovide the workplace for their new help babies these campuses, shopping malls, and hotels, nursing mothers need a employeesbut also achieve to be productive both of thesemembers goals. of thePublic workforce facilities. Lcalmactation environment rooms should to breastfeed provide, at their a minimum, babies and a lockable a secure space increasinglyCompanies provide that provide Lactation lactation and Mothers'rooms in therooms for doorwhere; a worktheir belongings,surface and suchchair ;as a asmall stroller, utility can-type be accommodated. sink; workplace help these employees achieve both of storage for cleaning supplies and paper towels; adequate nursing due to growing demand. Following the design these goals. Following the design guidelines given HVACWellness service rooms, including should provide, a thermostat at a ;minimum, and well- placeda lockable door; guidelines given here will yield a room layout that is here will yield a lactation room that is easy to use electricala work surfaceoutlets. andTelephone chair; aservice small andutility-type network sink; storage for easy to use and offers comfort and respect to mothers. and offers comfort and respect to mothers. connectionscleaning supplies for the roomand paper are also towels; recommended adequate to HVAC service, increase worker safety and productivity. Accessibility and well-placed electrical outlets. A refrigerator is desired in the BACKGROUND guidelinesworkplace. shou Accessibilityld be met for guidelines all the features should of thebe metroom. for all the The BACKGROUNDinflux of women in the workplace starting in the 1960s features of the room. The sample vignettes provide the space for Size was Thepartly influx attributable of women to in the the development workplace starting of infant in the formula. pumping milk as well as breastfeeding. Formula1960s gives was partlymothers attributable of newborn to theadded development freedom to of return infant to A minimum footprint of 7 feet by 7 feet is recommended as it allows for a 5-foot radius circle with 24-inch deep workformula. after childbirth. Formula gHowever,ives mothers in theof newbornpast 50 years,babies researchadded RECOMMENDATIONS findingsfreedom overwhelmingly to return to work in favorafter childbirth.of breast milk over formula counters on two walls. Other configurations such as 10 feet by 5 feet work well, too. haveHowever, instigated in athe marked past 40 increase years, research in the numberfindings of mothers Size choosingoverwhelmingly to nurse their in fa vorchildren of breast for milkthe firstover yearformula of lifehave or LocationA minimum footprint of 7 feet by 7 feet is recommended as it longer. The dramatic health benefits for infant and mother have instigated a marked increase in the number of mothers Mothers’allows for rooms a 5-foot should radius be located circle in with a safe a 24-incharea deep counter. influenced these mothers to dedicate long hours to pumping choosing to nurse their children for the first year of life or accessibleOther configurations to all. They should such asnot 10 be feetlocated by in5 feetareas work that well in and longer.storing Thebreast dramatic milk whenhealth theybenefits are fornot infant with andtheir mother babies. wouldoffices not and be suitablepublic facingfor the preparationfacilities where and storage more mothersof are Manyhave of theseinfluenced mothers these return mothers to work to dedicate after just long 6 toand 12 weeks, food.likely to be breastfeeding their babies. and tediousthey need hours a dedicated to pumping place and storwhereing theybreast can milk comfortably when and theyefficiently are not collect with their and babies store .breast Many milkof these in themoth workplace.ers PrivacyLocation Somereturn lactation to work rooms after may just also6 to 12be weeksused for, and wellness they need purposes a InstallEach abuilding user-operated should deadboltinclude a for minimum privacy. of The one best Wellness room. that dedicatedincorporate place other where functions they canin addition comfortably to lactation and support. locksAs a are rule indicator of thumb, dead a bratioolts tofhat one display room an for “occupied” every 100 female Designefficiently considerations collect and outlined store breast here milk are inprimarily the workplace. designed messageoccupants to discouragis recommended.e interruptions. Wellness rooms should be located around lactation needs, but other medical needs may also be in a safe area accessible to all. They should not be located in well served by these facilities. Soundareas that Privacy would not be suitable for the preparation and storage ROOM REQUIREMENTS Wofalls food. should reach up to the structure above to minimize ROOMSeveral REQUIREMENTS times a day, a nursing mother needs to retreat to a sound transmission over them into adjacent spaces. Install quiet, closed room to collect expressed milk. She needs a sound attenuation in walls to minimize sound Several times a day, a nursing mother needs a quiet, enclosed Privacy calm restful environment with all the required elements transmission. Install fabric panels, curtains, carpeting, or room to collect expressed milk. She needs a calm restful Install a user-operated lock with an indicator for privacy. The for an efficient and safe pumping session. environment for an efficient and safe pumping session. otherbest sound locks- dampeninginclude an materials indicator to that minimize displays echoes. an “occupied” A typical pumping session includes changing clothes, Chairmessage to discourage interruptions and still allows one hand A typicalsitting pumpingat a desk insession front ofincludes a pump changing for 15 to 30clothes, minutes, sitting operation for exiting the room in the case of emergency. Provide a task chair suitable for a workstation. Seat, back, at a placingwork surface milk in instorage front bottles, of a pump washing for bottles15 to 30and minutes, pump armrest, lumbar, tension, and height adjustments are placingparts milk and inpacking storage them bottles, away washing until the bottles next pumpingand pump parts and packing them away until the next pumping session, and preferable.Sound Privacy Casters are also important to allow the user session, and redressing and returning to work. At the end Walls should ideally reach up to the structure or install sound redressing and returning to work. At the end of the session, the freedom of movement when hands are occupied with of the session, the pumped milk must be stored in a pumped milk must be stored in a refrigerator or cooler. In an bottlesattenuation of milk inand walls pump to parts. minimize sound transmission (i.e. eight-hourrefrigerator work orday co twooler. or In three an eight pumping-hour sessionswork day are two normal. or minimum STC 45) over them into adjacent spaces. Carpeting three pumping sessions are normal. Table/Counteror other sound-dampening materials to minimize echoes is OtherOth considerationser considerations for for Lactation lactation rooms, orMothers’ mothers’ rooms, Providerecommended. a minimum 20-inch deep by 30-inch wide plastic or Wellnessrooms, include rooms theinclude need forthe actualneed forand actual perceived and privacy.perceived laminate or solid work surface for the pump and bottles to privacy.Pumps Working can be noisymothers so sound experience dampening a level is important of stress tofrom rest on in front of the task chair. Provide a 30-inch wide newborn babies, transitioning work and family life. In addition, equipment such as pumps can be noisy so sound dampening is © The AIA Knowledge gained from experience immediately applicable to a task at hand. BP 10.05.10 © The AIA Knowledge gained from experience immediately applicable to a task at hand. Revised 2019 Best Practices page 1 of 2

Chair RESOURCES Provide a task chair suitable for a workstation. Fabric or http://www.llli.org/ materialLactation designed for easy cleaning Room or wiping Design is recommended. https://www.cdc.gov/breastfeeding/promotion/research.htm Seat, back,Contributed armrest, lumbar, by Liz tension,York, Best AIA Prandactices height adjustments are http://www.womenshealth.gov/breastfeeding/employer- page 1 of 2 preferable. Casters are also important to allow the user freedom solutions/nursing-moms.html Best Practices page 2 of 2 of movement when hands are occupied with bottles of milk and pump parts.Theclear A AIA moreknee collects spacecomfortable and beneath disseminates thechair counter. could Best Provide also Practices be above placed as ain service to AIAFor members MoreFor Information withoutMore Informationendorsement on This oron Topicrecommendation. This Topic Appropriate clearuse of knee the space information beneath provided the counter. is the Provide responsibility above of the reader.For More Information on This Topic the room ifcounter mothers Lactationoutlets frequently at the work use area.the Room room If a telephone to breastfeed Design is their See also theSee 14th also editionthe 14th of edition the of the counter outlets at the work area. If a telephone is See also the 14th edition of the babies. provided,Contributed it should be by within Liz York,easy reach AIA of the work area. Handbook , which can be ordered from SUMMARY provided, it should be within easy reach of the work area.achieve Handbook auditoryHandbook, which co canmfort, which be inordered c andan be around orderedfrom the from space. Walls, the AIA Store by calling 800-242-3837 doorsthe AIA, and Storethe locks AIA by must callingStore be by 800-242-3837substantial calling 800 and-242 pro-3837vide a good MothersSink returning Sink t o the workplace after childbirth (option(option 4)4) oror byby emailemail atat Table/Counter sense(option of 4)security. or by email at Provideare a incredibly minimumProvide aThe sink Provide18-inchdriven AIA and collects fauceta todeep sink provide andcombinationby 32-inchdisseminatesfaucet for theircombination deepwide new Bestenough laminate babiesPractices deep to enoughor as a serviceto to AIA [email protected]@aia.org without endorsement. or recommendation. Appropriate use of the information provided is the [email protected]. of the reader. wash bottleswash and bottlespump parts.and pump Goose parts. neck Goose or kitchen neck typeor kitchen type solid butwork al sosurface to be at productive desk height members for the pump of the and workforce bottles to. 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To provide feedback on this article, please soothingoverwhelmingly environment.formula. in FTask faormulavor lighting of g breastives mothersshould milk over ofbe newborn provided formula babies haveover added Locationas it allowscontact for [email protected] a 5-foot radius circle. with 24-inch deep Accessories articles. To provide feedback on this article, please the sinkinstigated and the afreedom marked pump to increase area.return Roomto inwork the temperature afternumber childbirth. of mothers should be counterscontact on two [email protected]. walls. Other configurations such as 10 AccessoriesUseful accessories in a mothers’ room include a trash can,Mothers’contact [email protected] rKeyooms T shoulderms be located in a safe area maintainedchoosi ngyear-round to nurse theirat a comfortablychildren for thewarm first level year suchof life as or in feet by 5 feet work well, too. 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Rooms that are sized to accommodate more ROOM REQUIREMENTSefficiently collect and store breast milk in the workplace. messageSummer to discourag 2016 e interruptions. than one userRESOURCES may require a mid-sized or a large refrigerator, Walls should reach up to the structure above to minimize More Best Practices dependingSeveral on times frequency a RESOURCESday, of a use.nursing mother needs to retreat to a soundABOUTSound transmission THE Privacy CONTRIBUTORS ove r them into adjacent spaces. Install quiet,The closed following room AIAto collect Best Practices expressed provide milk. additionalShe needs a Liz York FAIA, Centers for Disease Control and Prevention ROOM REQUIREMENTS soundW attenuationalls should reachin walls up toto the minimize structure sound above to minimize informationMore related Best to this Practices topic: Ms. York is the Chief Sustainability Officer of the CDC and is a mother of three calm restfulSeveral environment times a day, with a allnursing the required mother needs elements to retreat to a transmisoundssion. transmission Install fabric ove rpanels, them in curtains,to adjacent carpeting spaces. Install, or Accessoriesfor an efficient andThe safefollowing pumping AIA sessionBest Practices. provide additional Useful accessoriesquiet, in closed a Wellness room to roomcollect include expressed a trashmilk. Shecan, needs a a othersound sound attenuation-dampening in materialswalls to minimize to minimize sound echoes. 10.05.08calm Ventilation restfulinformation environment for related Durability towith this in all topicResidential the :required Design elements Joyce Lee FAIA, IndigoJLD, University of Pennsylvania, CPHI & Urban Health Lab paperA towel typical dispenser, pumping asession coat rack includes or coat changing hooks, clothes, and a full- transmission. Install fabric panels, curtains, carpeting, or 10.05.33for anResource efficient Review: and safe Green pumping Guide session for Health. Care ChairMs. Leeother is the President sound -ofdampening IndigoJLD Green materials Health and toformer minimize Chief Architect echoes. of NYC OMB. lengthsitting mirror. at aEducational desk 10.05.08in front information ofVentilation a pump forfor for nursing 15Durability to 30 mothers minutes, in Resid can ential Design Provide a task chair suitable for a workstation. Seat, back, be putplacing on a bulletin milkA typicalin board.1storage0.05.3 pumping Storage3 bottles, Resource session spacewashing Review: includes for bottlespumping Green changing and Guide supplies pump clothes, for Health Care Chair sitting at a desk in front of a pump for 15 to 30 minutes, armrest,The authors lumbar, would like tension to thank, andthe advisory height committee: adjustments are is recommendedparts and packing in office them awayenvironmentvs until the next where pumping users visit the Provide a task chair suitable for a workstation. Seat, back, placing milk in storage bottles, washing bottles and pump preferable.Jane Kaufman, Casters University are of also Pennsylvania important School to allow of Nursing, the userAmy Spangler of roomsession, on a regular and redressing basis. Accessories and returning should to work. add to At a the calming end armrest, lumbar, tension, and height adjustments are parts and packing them away until the next pumping freedombaby gooroo, of Amandamovement Higgins, when General hands Services are occupied Administration, with Mara Baum of environmentof the session, and soothing the pumped wall milkcolor must palette. be stored If many in amothers preferable. Casters are also important to allow the user session, and redressing and returning to work. At the end bottlesHOK, Melissa of milk Walker, and Hiltonpump Hotels, parts. Kristen Suzda, Wallace Roberts & Todd. refrigerator or cooler. In an eight-hourSee work following day two pages or for: samples,freedom diagrams of movement and vigneetes. when hands are occupied with will be sharingof the the room,session, installing the pumped a milkscheduling must be storedsystem in ora three pumping sessions are normal. Designbottles assistance of milkis provided and pump by Yubei parts. Huang and Tong Niu from PennDesign at communication refrigeratorboard outside or co theoler. door In an could eight -facilitatehour work efficient day two or Table/Counter the University of Pennsylvania. use ofOth theer room. considerationsthree pumping for sessionslactation are rooms, normal. or mothers’ ProvideTable/Counter a minimum 20 -inch deep by 30-inch wide plastic rooms, includeOther the considerations need for actual for lactation and perceived rooms, orprivacy. mothers’ laminateProvide or solid a minimum work surface 20-inch for deep the by pump 30-inch and wid bottlese plastic to Pumps canr oomsbe noisy, include so sound the need dampening for actual is and important perceived to privacy. rest onlaminate in front or of solid the worktask chair.surface Provide for the pump a 30- inchand bottles wide to Pumps can be noisy so sound dampening is important to rest on in front of the task chair. Provide a 30-inch wide See following pages for: sample diagram and vignettes.

© The AIA Knowledge gained from experience immediately applicable to a task at hand. BP 10.05.10 © The AIA Knowledge gained from experience immediately applicable to a task at hand. BP 10.05.10 © The AIA © The Knowledge AIA gainedKnowledge from gained experience from experience immediately immediately applicable applicable to a task to aat task hand. at hand. BP Revised 10.05.1 02019 © The AIA Knowledge gained from experience immediately applicable to a task at hand. BP 10.05.10 Workplace Sample Layout 7'x7' Wellness Room Unit

3 1

9 2

5 4 8 6 1-1 plan

1. task chair 2. counter (fridge underneath) 3. counter for pump 4. sink (cold and hot water dispenser) 5. tilt mirror 6. paper towel dispenser (trash can underneath) 7. electrical outlet (above the counter) 8. coat hooks 9. door for privacy

1-2 perspective

© The AIA Knowledge gained from experience immediately applicable to a task at hand. Revised 2019 1-3 perspective INDIGOJLD green + health Public Facility Sample Layout 1. chair 2. coat hooks 10'x5' Wellness Room Unit 3. baby changing table 4. paper towel dispenser (trash can underneath) 5. sink (cold and hot water dispenser) 6. stroller storage 7. electrical outlet (above the counter) 8. counter for pump 9. door for privacy 10. full length mirror (at back of the door)

1.coach 2.coat hanger 3.pump 11 4.folded diaper changing table 3 5.hand dryer(trashcan underneath) 2 10 6.sink(cold and hot water) 1 2 1 7.tiltable mirror 6 8.frige underneath 9.sterilizer 10.stroller 11.electrical outlet 12.acoustic door 9 3

12 9 10 4 10'

11 Φ5’ 4 5

8 5 6 8

7 7

2-1 plan 2-2 perspective

© The AIA Knowledge gained from experience immediately applicable to a task at hand. Revised 2019 2-3 perspective INDIGOJLD green + health Double-Unit Sample Layout 1. task chair 2. nursing chair 10'x12' Wellness Room Unit 3. coat hooks 4. counter for pump 5. towel dispenser (trash can underneath) 6. sink (cold and hot water dispenser) 7. tilt mirror 8. cabinet or storage 9. electrical outlet (above the counter) 10. counter (fridge underneath) 11. door for privacy

9 9

2 1 4 4

3 3

6 10 8 9 7

3-1 plan 3-2 perspective

3-3 perspective INDIGOJLD green + health WELLNESS Best Practices page 1 of 2 Lactation/Wellness Room Addendum Lactation Room Design We thank allContributed those who responded by Liz York, to AIAthe AIA Best Practice Design Guidance (Summer 2016) document. With additional research and feedback we are in a position to share the addendum as follows:

The AIA collects and disseminates Best Practices as a service to AIA members without endorsement or recommendation. RESPONDINGAppropriate TO THE use SUSTAINABILITY of the information provided is the responsibilitywell of the as reader.materials including adhesives, sealants, and coatings. A CHALLENGE screening process for maintenance and cleaning products is also SUMMARY encouraged.achieve auditory A white copapermfort from in and the aroundAIA is herethe space. for reference.Walls, With drinkingMothers water returning quality to issuesthe workplace in parts afterof the childbirth world, doors, and locks must be substantial and provide a good sense of security. breastfeedingare incredibly emerges asdriven a more to providesustainable for theirinfant new feeding babies MULTI-UNITS ROOMS standard butthan al formula.so to be productiveIn an era of members measuring of vehicle the workforce miles . Lactation rooms should provide, at a minimum, a lockable Depending on the size of the organization, there may be a need traveled asCompanies a metric, formula that provide production lactation and transportation rooms in the add door; a work surface and chair; a small utility-type sink; for a multi-station lactation suite. A multi-station lactation suite significantlyworkplace to the carbonhelp these footprint employees that could achieve be substantially both of storage for cleaning supplies and paper towels; adequate is a group of stations. A suite concept may encourage a nursing eliminatedthese through goals. breastfeeding. Following the Reinforcing design guidelines sustainable given HVAC service, including a thermostat; and well-placed mother community, enhancing support for nursing mothers, as communityhere development,will yield a solidlactation waste roomreductionthat associatedis easy to with use electrical outlets. Telephone service and network well as reducing wait times and scheduling conflicts. On-demand diminishingand formula offers purchasecomfort isand both respect a community to mothers. and financial connections for the room are also recommended to access to lactation suites through multi-station suites may be benefit. increase worker safety and productivity. Accessibility particularlyguidelines important should be for met women for all with the featuresunpredictable of the room.schedules BACKGROUND or restricted break times. While suite rooms are encouraged EXPANDED RESEARCH FINDINGS Size The influx of women in the workplace starting in the in some large offices and institutions, a decentralized setting can Aalso minimum be considered footprint in ofa campus7 feet by setting.7 feet is An recommended indoor walking Breastfed1960s infantswas havepartly lower attributable rates ofto theSudden development Infant Death of infant routeas ofit allowsno more for than a 5- 5-7foot minutesradius circlefrom deskwith 24-to pumpinch deep is ideal as Syndrome,formula. acute ear Formula infections, gives gastrointestinalmothers of newborn infections, babies lower added bothcounters long routes on two and walls. outdoor Other routes configurations discourage suchuse. asEmployers 10 respiratoryfreedom infections, to return celiac to work disease, after allergies,childbirth. eczema, and shouldfeet furthermoreby 5 feet work considerwell, too. furnishing hospital grade pumps, leukemia.However, Furthermore, in the breastfeeding past 40 years, is research believed findings to have long term effects reducing the risk for obesity, type 2 diabetes, and to minimize time required and reduce the burden of transporting overwhelmingly in favor of breast milk over formula have Location asthma. For women, breastfeeding has health benefits including personal pumps. instigated a marked increase in the number of mothers reduced rates of breast and ovarian cancer, hypertension, and Mothers’ rooms should be located in a safe area choosing to nurse their children for the first year of life or diabetes. It also promotes healthy pregnancy spacing, which Someaccessible mothers to prefer all. They to multitask should notduring be located pumping in sessions.areas that We longer. The dramatic health benefits for infant and mother reduces health risks for subsequent children. recommendwould not a beminimum suitable of for 30 the foot preparation candles in and each storage of the of units. have influenced these mothers to dedicate long and In placesfood. where employees multitask, surfaces suitable for tedious hours to pumping and storing breast milk when CLARIFICATIONS laptops or phones should be available along with normal office they are not with their babies. Many of these mothers Privacy connectivity and/or Wi-Fi capabilities. Additional convenient While a minimumreturn to workof 1 spaceafter justper 6100 to 12women weeks or, and200 temployeeshey need a Install a user-operated deadbolt for privacy. The best counter height outlets may be necessary. We have created multi- (male or dedicatedfemale) is place a general where rulethey ofcan thumb comfortably recommendation and locks are indicator dead bolts that display an “occupied” station sample drawings responding to the needs of mothers. for Wellnessefficiently Room collectprogramming, and store thebreast numbermilk of in rooms the workplace. within message to discourage interruptions. a building should consider staff and visitor demographics and Sound Privacy expected ROOfrequencyM REQUIREMENTS of use. It is recommended that no more than 4 women per day be expected to share one lactation unit. Walls should reach up to the structure above to minimize Several times a day, a nursing mother needs to retreat to a sound transmission over them into adjacent spaces. Install quiet, closed room to collect expressed milk. She needs a Sound-dampening materials including curtains, rug and art, sound attenuation in walls to minimize sound calm restful environment with all the required elements are recommended to minimize echoes where appropriate. transmission. Install fabric panels, curtains, carpeting, or for an efficient and safe pumping session. other sound-dampening materials to minimize echoes. Wall-to-wall carpeting is not recommended beneath chairs, preparationA typical surfaces pumping or along session the includes path of changing wheelchair clothes, use. Chair However sittingcork, linoleum,at a desk inand front low-pile, of a pump easy-to-clean for 15 to 30carpet minutes, tile Provide a task chair suitable for a workstation. Seat, back, may be acceptableplacing milk for inthis storage application. bottles, Ease washing of maintenance bottles and ispump a armrest, lumbar, tension, and height adjustments are parts and packing them away until the next pumping consideration in high use areas. preferable. Casters are also important to allow the user session, and redressing and returning to work. At the end freedom of movement when hands are occupied with of the session, the pumped milk must be stored in a For women who wish to pump in their own office, do-not- bottles of milk and pump parts. disturb doorrefrigerator signs with or co theoler. internationalIn an eight -hoursymbol work for day lactation two or can be offered.three pumping Graphic sessionssamples are providednormal. in this addendum. Table/Counter Other considerations for lactation rooms, or mothers’ Provide a minimum 20-inch deep by 30-inch wide plastic Striving torooms enhance, include indoor the environmental need for actual quality, and perceived we encourage privacy. laminate or solid work surface for the pump and bottles to a materialPumps vetting can and be noisyselection so sound process dampening that addresses is important health to rest on in front of the task chair. Provide a 30-inch wide and toxicity issues for furnishings, cabinetry, and counters as INDIGOJLD green + health

RESOURCES SPECIAL THANKS TO:

Henry-MossLactation D, “Recommendations Room for a DesignBreastfeeding Amanda Higgins, General Services Administration; Friendly WorkplaceContributed at byPennLiz Medicine”, York, AIA (unpublished MPH Jane Kaufman (retired), University of North Carolina; Capstone report).University of Pennsylvania, 2017 Diane Spatz, University of Pennsylvania School of Nursing; Eidelman AI, Schanler RJ, Johnston M, et al. Breastfeeding and Mara Baum, HOK; Amy Spangler, babygooroo; the Use of HumanThe AIA Milk. collects Pediatrics and disseminates Best Practices as a serviceKristen to AIA Suzda, members WRT; without Melissa endorsement Walker, Hilton or recommendation. Hotels 2012;129:E827-E41.Appropriate use of the information provided is the responsibility of the reader. Froh EB, Spatz DL. Navigating Return to Work and AUTHORS BreastfeedingSUM MARYin a Hospital with a Comprehensive achieve auditory comfort in and around the space. Walls, EmployeeMothers Lactation returning Program: to Thethe workplaceVoices of Mothers. after childbirth J Hum Joyce doorsLee, FAIA,, and locks IndigoJLD must be Green substantial Health;Penn and pro Urbanvide a Health good Lab sense of security. Lact 2016;32:689-94.are incredibly driven to provide for their new babies Liz York, FAIA, Centers for Disease Control and Prevention Louden butL, Harrington also to be productiveM. Planning members for Diversity, of the Chartingworkforce . Lactation rooms should provide, at a minimum, a lockable New Territory.Companies Planning that for provide Higher lactation Education rooms Journal.V45N2 in the door; a work surface and chair; a small utility-type sink; 2017:16-24workplace help these employees achieve both of TEAMstorage for cleaning supplies and paper towels; adequate C. Vitora,these R. Bahl, goals. et Following al. Breastfeeding the design in the guidelines 21st century: given HVAC service, including a thermostat; and well-placed epidemiology,here will mechanisms, yield a lactation and lifelong room thateffect.is easyThe Lancetto use Aidanelectrical Ganzert, outlets.ORISE FellowTelephone service and network series: Breastfeedingand offers comfort 1, Lancet and 2016; respect 387: 475–90 to mothers. Yubei connectionsHuang, University for the ofroom Pennsylvania are also recommended School of Design to N. Rollins, N. Bhandari et al. Why invest, and what it will Tong Niu,increase Universityworker of safety Pennsylvania and productivity. School ofAccessibility Design take to improve breastfeeding practices? The Lancet series guidelines should be met for all the features of the room. BreastfeedingBACKGRO 2, LancetUND 2016; 387: 491–504 Size The influx of women in the workplace starting in the 1960s was partly attributable to the development of infant A minimum footprint of 7 feet by 7 feet is recommended formula. Formula gives mothers of newborn babies added as it allows for a 5-foot radius circle with 24-inch deep freedom to return to work after childbirth. counters on two walls. Other configurations such as 10 feet by 5 feet work well, too. However, in the past 40 years, research findings overwhelmingly in favor of breast milk over formula have Location instigated a marked increase in the number of mothers Mothers’ rooms should be located in a safe area choosing to nurse their children for the first year of life or accessible to all. They should not be located in areas that longer. The dramatic health benefits for infant and mother would not be suitable for the preparation and storage of have influenced these mothers to dedicate long and food. tedious hours to pumping and storing breast milk when they are not with their babies. Many of these mothers Privacy return to work after just 6 to 12 weeks, and they need a Install a user-operated deadbolt for privacy. The best dedicated place where they can comfortably and locks are indicator dead bolts that display an “occupied” efficiently collect and store breast milk in the workplace. message to discourage interruptions.

Sound Privacy ROOM REQUIREMENTS Walls should reach up to the structure above to minimize Several times a day, a nursing mother needs to retreat to a sound transmission over them into adjacent spaces. Install quiet, closed room to collect expressed milk. She needs a sound attenuation in walls to minimize sound calm restful environment with all the required elements transmission. Install fabric panels, curtains, carpeting, or for an efficient and safe pumping session. other sound-dampening materials to minimize echoes.

A typical pumping session includes changing clothes, Chair sitting at a desk in front of a pump for 15 to 30 minutes, Provide a task chair suitable for a workstation. Seat, back, placing milk in storage bottles, washing bottles and pump armrest, lumbar, tension, and height adjustments are parts and packing them away until the next pumping preferable. Casters are also important to allow the user session, and redressing and returning to work. At the end freedom of movement when hands are occupied with of the session, the pumped milk must be stored in a bottles of milk and pump parts. refrigerator or cooler. In an eight-hour work day two or three pumping sessions are normal. Table/Counter Other considerations for lactation rooms, or mothers’ Provide a minimum 20-inch deep by 30-inch wide plastic rooms, include the need for actual and perceived privacy. laminate or solid work surface for the pump and bottles to Pumps can be noisy so sound dampening is important to rest on in front of the task chair. Provide a 30-inch wide

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