1. Lactation Design: Facility Solutions for
Supporting Breastfeeding in the Hospital, the
Community and the Workplace
Institute for Patient-Centered Design, Inc.
2. The Mom Friendly Network
www.MomFriendly.org
The Mom Friendly Network was developed to
raise awareness in the facility design
community of the needs of mothers and
babies, and to educate the public on design
intervention steps that could accommodate
mothers and babies.
Funded in part by:
3. GSC Architects
(512) 433-2613
DeKalb Office
(770) 360-0240
Julie Zitter, IIDA
Senior Associate, Interior
Designer
Zitter@gscarchitects.com
Qena McCarty, BS, MPAff
Founder of Aqena, Inc.
qmccarty@aqena.com
Aqena, Inc.
(512) 699-1639
Melissa Morgan
Manager Dealer Design Services
mmorgan@dekalboffice.com
Lactation Design:
Presenters
4. Lactation Design:
Copyright
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Reproduction, distribution, display and use of the presentation without
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6. Lactation Design:
Healthcare Facilities
Lactation Design in Healthcare Facilities: Establishing a great start to breastfeeding
The Need: Research indicates that mothers discharged from birthing facilities with policies
and practices in place to promote breastfeeding are more likely to achieve longer
breastfeeding durations, thereby providing improved nutrition for their babies.
Our Vision: Our vision is for a healthcare environment with
no physical barriers to breastfeeding, allowing postpartum
mothers to feel more comfortable breastfeeding in the
hospital and eliminating physical separation between
mothers and babies.
7. Lactation Design:
Healthcare Facilities
Our Work: Our research paper entitled “Lactation Space
Design: Supporting Evidence-Based Practice and the
Baby-Friendly Hospital Initiative,” was published in the
Spring 2011 issue of the Health Environments Research
and Design (HERD) Journal. In this paper, we introduced
design techniques for improving lactation
accommodations in the hospital.
In our paper entitled “The Challenges of Extended
Postpartum Recovery for NICU Mothers: A proposed
architectural solution,” published in the Academy Journal,
we proposed solutions for mother-baby couplets
separated due to medical necessity
9. Lactation Design:
Healthcare Facilities
Case Study: Neonatal Couplet Care at Catholic Medical Center
Family Care Suites
Benefits of Neonatal Couplet Care
•Increases exclusive breastfeeding
•Increased amounts and durations of
kangaroo care
•Parents are more prepared at discharge
•High job satisfaction ratings (NDNQI
survey)
•Decreased staff turn over
•Decreased Length of Stay for NAS babies
Copyright Nicole Pendenza, RNC-NIC,BSN See the entire slideshow
and Tanya DiGeorge, RN, BSN
Catholic Medical Center | Manchester, NH
10. Lactation Design:
Healthcare Facilities
Case Study: University of Alabama (Birmingham)
Private NICU rooms promote
breastfeeding by allowing mothers
to room in with their infants
Labor Delivery Recovery Rooms
promote immediate skin to skin and
breastfeeding initiation
Private postpartum
rooms promote
mother-baby
rooming in
13. Section 7 of the Fair Labor Standards Act (“FLSA”)
“An employer shall provide—
- a reasonable break time for an employee to express breast
milk for her nursing child for 1 year after the child’s birth each
time such employee has need to express the milk; and
- a place, other than a bathroom, that is shielded from view
and free from intrusion from coworkers and the public,
which may be used by an employee to express breast milk.”
Effective as of March 23, 2010
(United States Department of Labor. [2010]
“Break Time for Nursing Mothers”
http://www.dol.gov/whd/nursingmothers)
Lactation Design:
Workplace Initiative
14. Break Time for Nursing Mothers
Employers must allow covered employees (non-exempt from overtime pay):
Break Time:
• Reasonable break time to express breast milk each time she has a need to express milk
• If paid breaks are available to employees, mothers may utilize these breaks to express
breast milk.
Milk Expression Space:
• Functional for expressing milk
• Shielded from view
• Free from intrusion
• Available as needed
• NOT in a bathroom
(United States Department of Labor. [2010]
“Break Time for Nursing Mothers”
http://www.dol.gov/whd/nursingmothers)
Individual Coverage of breastfeeding supplies:
http://www.hrsa.gov/womensguidelines/
Lactation Design:
Workplace Initiative
15. “New Standard”
Design
• Express Zone
• Barrier Zone
• Wash Zone
Building Program
Benefits
• Legal Compliance;
ADA
• Disease Prevention
• Optimal for
Multiple Users,
One User at a Time
• Easy custodial care
“Ergonomics for breastfeeding and
milk expression are not the same.
Milk expression needs upright
seating to help ensure pumping
equipment does not get milk
contamination during expression.
Recliners and rockers are more
suitable for breastfeeding an
infant” Qena McCarty, Aqena, Inc.
Application
• Large Health Care
• Large Employers
• Convention Ctr. &
Conference Ctr.
• Large Retail & Malls
• Airports &
Transportation Hubs
• Univ. & Schools
• Gov’t Assemblies
• Sports & Performing Arts
Venues
• Cafeterias & Restaurants
Lactation Design:
“New Standard” Milk Expression Console
17. Lactation Room Champion: Liz York, A.I.A., LEED AP; Chief Sustainability Officer, CDC
Author of “Lactation Room Design,“ published in AIA Best Practices, February 2008
“Lactation Rooms:
Employee to Station Ratio”
(Lactation room planning calculations
developed by the CDC)
Findings:
• For every 100 women in a building (or
200 employees, both male and female),
there should be one lactation station.
• 4 women can share one lactation station
each day.
Lactation Design:
Workplace Initiative
18. Component Notes:
*2-4 Walls Necessary to complete a full enclosure
*Entry door With locking capability
*Chair Tablet arm option for small spaces may replace a table
Ceiling Partitions may extend to the existing ceiling, or require a suspended ceiling where existing
space is exposed to structure. Acoustical privacy is necessary.
Table Sitting height for breast pump accessories
Communal storage Used for lactation reference materials and general supplies, such as paper towels, cups, etc.
Human milk storage In-room refrigerator or lockable milk storage bins that may be transported to the common
refrigerator
Personal storage Lockers for users to store personal supplies
Sink Recessed in counter for sanitizing supplies
Counter Standing height for assembling pump accessories and sanitizing
Microwave oven For sanitizing pump accessories in sterilization bags
AV capabilities Monitor and i-pod dock for playing videos and/or music
Privacy partitions or
curtains
This may be necessary in booth configurations that accommodate multiple users.
* Minimum Requirements
Lactation Design:
Workplace Initiative
19. Lactation Room Champion: Kiana Ayers RN; Case Manager, Amerigroup Community Care
Steps to creating a employee lactation program.
1) Approach Human Resources (HR) and explain the concept of
a lactation room and program. Provide information on existing
laws that protect nursing mothers in the workplace.
2) Search for a lactation support program to provide
education, resources and supplies.
3) Make a presentation for HR complete with proposals and an
estimated budget, highlighting the business case.
4) Set a timeline for the program to start and be persistent
with the decision makers so that the initiative is not lost.
5) Communicate to employees: Ask for posters or an
advertisement in the company newsletter. Try to make a
quarterly company wide announcement as a reminder to
prospective users.
Founder of Powerful Petals
free breastfeeding education series
and support group
Lactation Design:
Workplace Initiative
20. • Personal Storage
• Supply Storage
• Ergonomic Seating
• Technology
• Outlets
7 x 7 Solution
Description: This space offers accommodations for one user at a time. However, lockable storage has
been provided so that multiple users have dedicated personal space. In this smaller space the
following has been accommodated.
Lactation Design:
Workplace Initiative
21. • Personal Storage – multiple units
• Open Supply Storage
• Recliner – (Heat and Massage available)
• Technology
• ADA Sink
• PPE
• Trash Receptacles
• Refrigerator
• Mobile storage unit
.
8 x10 Solution
Description: This space offers accommodations for one user at a time. However, lockable storage has
been provided so that multiple users have dedicated personal space. A larger lactation space has been
provided with adequate storage and amenities including the following.
Lactation Design:
Workplace Initiative
22. • Personal Storage
• Supply Storage – Upper and Lower
• ADA Sink
• PPE
• Refrigerator
• Trash Receptacle
• Recliners in each space
• Privacy walls and Doors
• Media centers in each space
• Personal storage in each space
• Charging stations in each space
12 x 19 Solution
Description: This space offers accommodations for up to three users at a time. In this larger shared
space, individual lactation areas have been provided and will be private in nature with privacy walls and
sliding doors to close off each individual space. However, the amenities area will be a shared area, with
individual locking storage for individual accommodations.
Lactation Design:
Workplace Initiative
24. We appreciate your interest in
our programs.
Please join us on our mission. QUESTIONS?
Contact:
Tammy S. Thompson, RA, CLC, EDAC
Institute for Patient-Centered Design, Inc.
235 Peachtree Street, NE; Suite 400
Atlanta, GA 30303
tthompson@patientcentereddesign.org
www.patientcentereddesign.org
www.MomFriendly.org `
Institute for Patient-Centered Design, Inc. does not endorse or guarantee the
products or services shown during this presentation. The information
presented is for educational purposes only.
Credits:
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