Lactation/Wellness Room Design Lactation Room Design

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Best Practicespage 1 of 2Lactation/Wellness Room DesignLactation Room DesignThe AIAContributedcollects andbydisseminatesBest Practices as a service to AIA members without endorsement or recommendation. AppropriateLiz York, AIAuse 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.Appropriate use of the information provided is the responsibility of thereader. to achieve auditory comfort in and around the space.SUMMARYimportantMothers returning to the workplace after childbirth faceSUMMARYchallengesto express medically beneficial breastmilkMothersreturning tothethe workforce.workplace afterchildbirththatwhilealso reenteringCompaniesare incrediblyto inprovidefor their newbabiesprovidelactationdrivenroomsthe eworkforce.employees achieve both of these goals. Public facilitiesCompanies that provide lactation rooms in theincreasingly provide Lactation and Mothers' rooms forworkplace help these employees achieve both ofnursing due to growing demand. Following the designthese goals. Following the design guidelines givenguidelines given here will yield a room layout that ishere will yield a lactation room that is easy to useeasyandto useand offers comfort and respect to mothers.offers comfort and respect to mothers.BACKGROUNDThe BACKGROUNDinflux of women in the workplace starting in the 1960sinfluxof womentointhethedevelopmentworkplace startingin thewas Thepartlyattributableof infantformula.1960sgiveswas partlyattributableto thedevelopmentinfant toFormulamothersof newbornaddedfreedom toofreturnFormula givesmothersof newbornbabies researchaddedworkformula.after childbirth.However,in thepast 50 years,freedomto return to workafter ofchildbirth.findingsoverwhelminglyin favorbreast milk over formulahaveHowever,instigatedmarkedin the numberin athepast 40increaseyears, researchfindings of motherschoosingtonursetheirchildrenforthefirstof lifeoverwhelmingly in favor of breast milk over orinfantandmotherinstigated a marked increase in the number of mothers haveinfluencedthesemothersdedicatehourschoosingto nursetheir tochildrenfor longthe firstyeartoofpumpinglife orand motherbabies.dramatic health benefits for infant e influenced these mothers to dedicate long and weeks,and tediousthey needa dedicatedplacewhere theycomfortablyhoursto pumpingand storingbreastcanmilkwhenand theyefficientlyandbabies.store breastin theworkplace.are notcollectwith theirMany milkof thesemothersreturnto workaftermayjust also6 to 12they needaSomelactationroomsbe weeks,used forandwellnesspurposesplacewherethey cancomfortablyand support.that dedicatedincorporateotherfunctionsin additionto lactationefficientlycollect andstore breastthe workplace.Designconsiderationsoutlinedheremilkare inprimarilydesignedaround lactation needs, but other medical needs may also bewell served by these facilities.ROOM REQUIREMENTSSeveral times a day, a nursing mother needs to retreat to aquiet, closed room to collect expressed milk. She needs aSeveral times a day, a nursing mother needs a quiet, enclosedcalm restful environment with all the required elementsroom to collect expressed milk. She needs a calm restfulfor an efficient and safe pumping session.environment for an efficient and safe pumping session.A typical pumping session includes changing clothes,A gat a desk infront ofa pumpchangingfor 15 to 30minutes,at a placingwork surfacefrontbottles,of a pumpfor bottles15 to 30milk in ottles,washingand pump partspartsmilkandinpackingawayuntil thebottlesnext pumpingand packing them away until the next pumping session, andsession, and redressing and returning to work. At the endredressing and returning to work. At the end of the session, theof the session, the pumped milk must be stored in apumped milk must be stored in a refrigerator or cooler. In anrefrigeratorcooler.an eight-hourwork dayaretwooreight-hourwork ordaytwo orInthreepumping sessionsnormal.three pumping sessions are normal.ROOM ers’Otherconsiderationslactation rooms,rooms, ormothers’rooms,or Wellnessroomsincludetheneedforactualand privacy.perceivedrooms, include the need for actual and tressfromPumps can be noisy so sound dampening is important tonewborn babies, transitioning work and family life. In addition,equipment such as pumps can be noisy so sound dampening is The AIAThe AIAWalls, doors, and locks must be substantial and provide a goodachieveauditorycomfortin and aroundthe accessspace. Walls,sense ofsecurity.Particularlyin publicfacilities, suchdoors, and locks must be substantial and provide a goodas airports, conference centers, libraries, museums, collegesense of security.campuses, shopping malls, and hotels, nursing mothers need acalm environmentto breastfeedbabies anda secure spaceLactationrooms shouldprovide, attheira minimum,a lockabledoor;a worksurface and suchchair;asa asmallutility-typesink;wheretheir belongings,stroller,can be accommodated.storage for cleaning supplies and paper towels; adequateHVACservice,includinga thermostat;and well-placedWellnessroomsshould provide,at a minimum,a lockable door;electricaloutlets. andTelephonenetworksink; storage fora work surfacechair; aservicesmall andutility-typeconnectionsfor the roomare alsorecommendedcleaning suppliesand papertowels;adequatetoHVAC ibilityand well-placed electrical outlets. A refrigeratoris desired in theguidelinesshouldbemetforallthefeaturesof theroom.workplace. Accessibility guidelines shouldbe metfor all thefeatures of the room. The sample vignettes provide the space forSizepumping milk as well as breastfeeding.A minimum footprint of 7 feet by 7 feet is recommendedas it allows for a 5-foot radius circle with 24-inch deepRECOMMENDATIONScounters on two walls. Other configurations such as 10feet by 5 feet work well, too.SizeA minimum footprint of 7 feet by 7 feet is recommended as itLocationallows fora 5-footradiuscircleinwitha 24-inchdeep counter.Mothers’roomsshouldbe locateda ssible to all. They should not be located in areasworkthat well inofficespublic facingfacilities wheremore mothersarewouldnotandbe suitablefor the preparationand storageoflikely to be breastfeeding their babies.food.PrivacyLocationEach abuildingshould deadboltinclude aforminimumonebestWellness room.Installuser-operatedprivacy.ofTheAs aareruleof thumb,ratio thatof oneroomanforevery 100 femalelocksindicatordeada boltsdisplay“occupied”messageto discourageinterruptions.occupantsis recommended.Wellness rooms should be locatedin a safe area accessible to all. They should not be located inSoundPrivacyareas thatwould not be suitable for the preparation and storageWallsshould reach up to the structure above to minimizeof food.sound transmission over them into adjacent spaces. Installsound attenuation in walls to minimize soundPrivacytransmission.Install fabricpanels,carpeting,orInstall a user-operatedlockwithcurtains,an indicatorfor locks include anmaterialsindicatortothatdisplaysan “occupied”message to discourage interruptions and still allows one handChairoperation for exiting the room in the case of emergency.Provide a task chair suitable for a workstation. Seat, back,armrest, lumbar, tension, and height adjustments areSound Privacypreferable.Casters are also important to allow the userWalls should ideally reach up to the structure or install soundfreedom of movement when hands are occupied withattenuationminimize sound transmission (i.e.bottlesof milk inandwallspumptoparts.minimum STC 45) over them into adjacent spaces. Carpetingor other sound-dampening materials to minimize echoes isTable/Counterrecommended.Providea minimum 20-inch deep by 30-inch wide plasticlaminate or solid work surface for the pump and bottles torest on in front of the task chair. Provide a 30-inch wideKnowledge gained from experience immediately applicable to a task at hand.Knowledge gained from experience immediately applicable to a task at hand.BP 10.05.10Summer 2016

Best PracticesChairLactation Room Designpage 1 of 2RESOURCESProvide a task chair suitable for a workstation. Fabric orhttp://www.llli.org/material designed for easy cleaning or wiping is otion/research.htmSeat, back,armrest, lth.gov/breastfeeding/employerContributedby Liz tension,York,AIABest Practicespage 1 of 2preferable. Casters are also important to allow the user freedomsolutions/nursing-moms.htmlBest Practicespage 2 of 2of movement when hands are occupied with bottles of milk andThecollectsanddisseminatesBestPracticesas ainservice to AIA memberswithoutendorsement orpump edclearkneespacebeneaththecounter.ProvideForMore Informationonrecommendation.This TopicForreader.MoreInformationon ThisTopicclearkneebeneaththecounter.Provideabove of theFor More Information on This Topicuse ofthespaceinformationprovidedis theresponsibilitythe roomAppropriateifcountermothersfrequentlyuse area.the roomto thalso editionthe 14thofeditionof theSee also thethecounter outlets at the work area. If a telephone isSee also the 14th edition of thebabies.provided,it should bebywithineasy reachContributedLiz York,AIA of the work area.Handbook,whichcanbe orderedfromHandbook,whichcomfortcanbe inorderedfrom theHandbook,whichcanorderedfromSUMMARY provided, it should be within easy reach of the work area.achieveauditoryandbearoundspace. 37doors,andlocksmustbesubstantialandprovidea goodSinkMothersSinkreturning to the workplace after childbirth(option4)email(option4)ororbybyemail atatTable/Counter(option4)or by emailat binationdeep enoughtoareaincrediblydriven atoprovidefor opriate18-inchdeepby 32-inchwidelaminateorbookstore@aia.org.use of the information provided is the responsibilityof the ooseneck typeor tokitchentype Lactation rooms should provide, at a minimum, a lockablealsotobottlesbeatwashproductivemembersof theworkforce.solid butworksurfacedeskbottlesheightforthe parts.pumpandbottlesfaucets arerecommended.If possible,faucetsare recommended.Iflocatepossible,locate the door;achievea workauditorysurface comfortand chair;a smallutility-typerest onin MARYin andaroundthe space. sink;Walls,the work area.adjacent to adjacentthe worktoarea.See tialandprovideagoodor eealso“DesignPhases”beginningreturning to the workplace after childbirthSeeofalso“DesignPhases”on page654the15th theEditionofbeginningsenseof pagesecurity.HVACservice,includinga elinesgivenbeneaththe urfaceLightingandHVAConpage654ofof the15thEditionEditionofof Lighting and HVACthe Architect’sHandbookof serviceelectricaloutlets.TelephonetheHandbookof and networkherewill yieldalsoa thelactationroomthatis ouldbe providedforpumpandaccessories.tolightingbe beproductivemembersof totheworkforce.Taskshouldbeoverprovidedthesink and theLactationrooms shouldprovide,ofat a minimum, a lockableTask butlightingshouldprovidedthe oomarealsoto sink;and ghtingis roomsalso appropriatethatprovidelactationthe if lightdoor; a work surface and chair; recommendeda small utility-typework Companiesarea.Overheadlightingis toalsoappropriateif esachieve bothofstorage for cleaning supplies and paper towels; adequateSinklevelsworkplaceat eatatStoreAIA HVACStoreAIAonlineatshouldbeonlinemet for allthe features of the room.shouldmaintainedyear-roundat a comfortablyservice,includinga en warm guidelinesProvide a shouldsink theseandfaucetcombinationdeepenoughtowarmwashbe maintainedyear-roundata comfortablywww.aia.org/store,bycalling 800-and well-placedwww.aia.org/store,by lyieldalactationroomthatiseasytouse242-3837 (option 4), or by emailbottles andlevelpumpparts.neckroom.or kitchenfaucetsinaresuchas inGoosea dressingInstall artinginthethe roomto increaseuser thecontrolthermaltocomfort.recommended.If possible,locatesinkandadjacentthe ributabletothedevelopmentofinfantarea and provide met forcircleall thewithfeaturesof theroom.as it allowsfor shoulda 5-foot24-inchdeepformula.Formulagives mothers of newborn babies addedMilkStorageFeedbackBACKGROUNDInstall a midsize or compact refrigerator for milk storage.counters ontwowalls.Otherconfigurationssuchas10freedomto returnto workafter childbirth.Installa midsizeor compactrefrigerator for milk storage.SizeFeedbackUnder-countermodelshelp orkAIA welcomesmember feedback on Best eetby5feetwell,too.Under-counter models help conserve floor space butThe AIA welcomes member feedback on Best tlightispartlyencouragedto kneeprovidea beneathrestful aseA minimumof 7feedbackfeet by 7onfeetis recommendedHowever,in e1960swasattributableto findingsthedevelopmentof workinfantarea. The AIAshouldnot takeup the kneespace beneaththe work area.articles.Toa providefeedbackonwiththis 24-incharticle, pleasecontactforbestpractices@aia.org.as it allows5-foot lightingofgivesbreastmilk cles. To provide feedback on this article, terson twowalls. Other configurations such as 10the sinkand thepumptoincreasearea.should bereturn Roomto emperaturenumberof mothersroomsshould be located in a safe sUseful accessories in a mothers’ room include a trash can,Mothers’feetby5feetworkwell, too.maintainedyear-roundatina theirchildrenthefirstyearfindingsof lifeascan,orinall.They should not be located in areas 0foryears,a papertoweldispenser,aresearchcoatrackaortrashcoat hooks, a full- accessible toDesignQuestionsondesignoflactation room, please contactKeyTermsa dressingAthermostatinabenefitsthe roomcouldincreaseuser antandmothernot be suitable for the preparation and storage spenser,rackcoathooks,a fulllengthlengthmirror,acoatmagazinerack,anda bulletinboard. If wouldLocationlby8@cdc.govorinfo@indigoJLD.com olandinfluencedthermalcomfort.instigateda mothersmarkedincreasein theboard.numbermirror,a magazinerack, andbulletinIf of mothersDesignfood.Mothers’manywillsharingthe room,installing arooms should be located in a safe milkwhenchoosingto herswillbeorsharingtheroom,installinga ofbulletinboardoutsidethedoorwillaccessibleto all. They should not be located in areas that nefitsdoorwillhelpand motherroomnot be suitable for the preparation and storage ofMilktheyStorageKeywouldTerms Universal designhaveinfluenceddedicatelonginaandto workafterjust refrigerator6theseto yInstallreturna .a user-operateddeadbolt for privacy. The bestDesigntediouswherehourstheyto cecan helpcomfortablylocks are kspaceUniversal designbolts that display an “occupied”Use Rbabies. Manyof these mothersefficientlycollectstorein theABOUTTHECONTRIBUTORmessage toFebruarydiscourageinterruptions.but shouldnot takeupandtheknee breastspace milkbeneaththeworkplace.work area.2008 deadbolt for privacy. The bestreturnto workafterjustto 12 weeks,andandtheyneed architectaAccessibilityInstall a user-operatedLizYork,AIA,isFAIAa6 motherof threeprojectLizYorkFAIA,JoyceLeeRefrigerators arededicatednot neededin publictheyfacing facilitieswhereuseplace wherecomfortablyandlocksareindicator dead bolts that display an “occupied”Universaldesignin Atlanta.She may becancontactedat lby8@cdc.gov.SoundPrivacyis more transient.Roomscollectthat terruptions.ROOMREQUIREMENTSRESOURCESWalls should reach up to the structure above to minimizethan one usermay require a mid-sized or a large Severala RESOURCESday,ofa use.nursing mother needs to retreat to asoundtransmissionover them into adjacent spaces. InstallSoundPrivacydependingontimesfrequencyLiz York FAIA, Centers for Disease Control and PreventionfollowingAIABest Practicesprovidequiet,TheclosedroomREQUIREMENTSto collectexpressedmilk.additionalShe needs aROOMsoundattenuationinwallstotheminimizeWalls should reachup tostructuresoundabove to minimizeMorePracticesinformationrelatedBestto withthistopic:Ms. York is the ChiefSustainabilityOfficer ofthe CDC carpeting,and is a mothercalm restfulenvironmentallthe urtains,orof toasoundtransmissionoverthemintoadjacent spaces. ideadditionalfor an gmaterialstominimizeechoes.quiet,inclosedroom to roomcollectincludeexpressedmilk. Shesound attenuation in walls to minimize soundUseful accessoriesa Wellnessa trashcan,needsa aLactation Room lenvironmentwiththe requiredelementsJoyce Lee FAIA, IndigoJLD, University of Pennsylvania, CPHI & Urban Healthtransmission. Install fabric panels, curtains, carpeting, orpaperAtowelcoat rackor coathooks,clothes,and a fulltypicaldispenser,pumping asessionincludeschangingLab other sound-dampening materials to minimize echoes.10.05.33Resourcefor HealthCarefor .08VentilationforGuideDurabilityin ResidentialDesignChairat aEducationaldesk in frontof a pump forfor nursing15 to nMs. Lee isathePresidentIndigoJLDHealth and formerChiefArchitect ofProvidetaskchairofsuitableforGreena workstation.Seat,back,A n eReview:GreenGuidefor Health Carebe putplacingon a bulletinStoragespacefor bottlespumpingsuppliesChairNYC sittingatthema deskin frontof thea pump15 tovisit30 minutes,parts and packingawayuntilnextforpumpingis recommendedin officeenvironmentvswhereuserstheProvideCastersa task chairsuitablefor a workstation.preferable.are alsoimportantto allow theSeat,userback,placingmilk inandstoragebottles,bottlesendand n,on a regularbasis. Accessoriesshouldadd toAtathecalmingarmrest,lumbar, enhandsareoccupiedwithThe authors would like to thank the advisory committee:partstheandpumpedpacking milkthem away untilthe nextof the session,be storedin apumpingpreferable. Casters are also important to allow the userenvironmentand soothingwall colormustpalette.If manymothersbottlesofmilkandpumpparts.session, and redressing andSeereturningto work.pagesAt the endJane Kaufman, University of Pennsylvania School of Nursing, Amy Spangler offollowingdiagramsand vigneetes.refrigeratoror cooler.In an eight-hourworkday systemtwo or or for: samples,freedomof movementwhen hands are occupied withwill besharingoftheschedulingthe room,session,installingthe pumpeda milkmust be storedin ababy gooroo, Amanda Higgins, General Services Administration, Mara Baum ofbottles of milk and pump parts.three idearethenormal.door could facilitate efficientrefrigerator or cooler. In an eight-hour work day two oruse ofOtherthe room.three erooms,or mothers’rooms, includeneed for actualand perceivedprivacy.Othertheconsiderationsfor lactationrooms, ormothers’Pumps canrooms,be noisyso sounddampeningimportantincludethe needfor actualisandperceivedtoprivacy.Pumps can be noisy so sound dampening is important toHOK, Melissa Walker, Hilton Hotels, Kristen Suzda, Wallace Roberts & Todd.Providea minimum20-inchdeepby 30-inchwideplasticDesignTable/Counterassistanceis providedby YubeiHuangand Tong NiufromPennDesign atlaminateor solidwork 20-inchdeep30-inchplasticthe University of Pennsylvania.rest onin frontoroftheworktask chair.a 30-inchwide tolaminatesolidsurfaceProvidefor the pumpand bottlesrest on in front of the task chair. Provide a 30-inch wideSee following pages for: sample diagram and The AIAKnowledge gained from experience immediately applicable to a task at hand. Thegainedfromexperienceimmediatelyapplicableto atotaskat hand. AIAThe AIA pplicablea taskat hand.The AIAKnowledge gained from experience immediately applicable to a task at hand. The AIAKnowledge gained from experience immediately applicable to a task at hand.BP 10.05.10BP 10.05.10BP 10.05.10Summer 2016BP 10.05.10

Workplace Sample Layout7'x7' Wellness Room Unit7'2'5'7312'-6"927'4'-6"Ø5'54681-1 plan1. task chair2. counter (fridge underneath)3. counter for pump4. sink (cold and hot water dispenser)5. tilt mirror6. paper towel dispenser (trash can underneath)7. electrical outlet (above the counter)8. coat hooks9. door for privacy1-2 perspective1-3 perspective

1. chair2. coat hooks3. baby changing table4. paper towel dispenser (trash can underneath)5. sink (cold and hot water dispenser)6. stroller storage7. electrical outlet (above the counter)8. counter for pump9. door for privacy10. full length mirror (at back of the door)Public Facility Sample Layout10'x5' Wellness Room Unit5'5'1.coach2.coat hanger3.pump4.folded diaper changing table5.hand dryer(trashcan underneath)6.sink(cold and hot water)7.tiltable mirror8.frige underneath9.sterilizer10.stroller11.electrical outlet12.acoustic 1 plan2-2 perspective2-3 perspective

1. task chair2. nursing chair3. coat hooks4. counter for pump5. towel dispenser (trash can underneath)6. sink (cold and hot water dispenser)7. tilt mirror8. cabinet or storage9. electrical outlet (above the counter)10. counter (fridge underneath)11. door for privacyDouble-Unit Sample Layout10'x12' Wellness Room Unit10'4'-10"4'-10"9921443312'115Ø5'6710893-1 plan3-2 perspective3-3 perspective

242-3837 (option 4), or by email at bookstore@aia.org. Feedback The AIA welcomes member feedback on Best Practice articles. To provide feedback on this article, please contact bestpractices@aia.org Questions on design of lactation room, please contact lby8@cdc.gov or info@indigoJLD.com Key Terms Design Use design Accessibility Universal design

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