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
Copyright Materials
The content (including renderings) presented in each portion of this
presentation is the property of each presenter respectively. This
presentation is protected by US and International Copyright laws.
Reproduction, distribution, display and use of the presentation without
written permission of the speakers is prohibited.

5. Lactation Design:
Healthcare Facilities
www.MomFriendly.org

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

8. Lactation Design:
Healthcare Facilities

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

11. Lactation Design:
Healthcare Facilities
Case Study: University of Alabama (Birmingham)
Multi-station lactation room with private bays for breast milk expression

12. The Workplace
Lactation Design:
Workplace Initiative

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

16. Lactation Design:
Lactation Design Research

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

23. Lactation Design:
Milk Expression Room
Options
$6,900 Lactette; 55 square feet
$3,700; 50 square feet $6,200; 80 square feet $33,000; 230 square feet

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:
Unless otherwise noted, images shown belong to the Institute, or were provided by the Institute’s partners, sponsors, or
case study subjects with permission to use. All other photographs are from “istockphoto.com,” with a license
agreement to use.

25. 22 PLUMBING
22 42 16 Commercial Lavatories and Sinks
AQENA, INC.
LACTETTE
®
is the new standard milk expression console in
dedicated lactation rooms for facility owners to ensure compliance
with various state and federal regulations (P.L. 111-148, March 23,
2010) for lactating women occupants needing a private place and
time for milk expression while away from their nursing infants.
LACTETTE
®
design meets health and food handling facility
guidelines to provide optimal hygiene for milk expression.
Applications
Dedicated, private lactation rooms in work and public facilities such
as offices, call centers, malls, convention centers, airports, multi-
tenant office buildings, performing arts centers, sports and
entertainment centers, large retail outlets, public assemblies,
courthouses, city halls, universities, and schools districts.
Features
 Patent-pending innovative space-saving design
 Seamlessly integrated sink, splashguard, and countertop
constructed of anti-microbial solid surface material
 Ergonomic chair certified to 300 lbs.
 Fixtures including hands-free faucet and soap dispenser
 Durable commercial-grade materials; low maintenance and
operation
 Available in attractive colors
 Meets health care and food handling guidelines; ADA and TAS
compliant; GreenGuard, BIFMA, and ANSI certified
 Meets Federal and State Regulations for nursing mothers’
workplace accommodation
 Installs in much less time than millwork cabinetry solution
 Some assembly required per installation instructions (electrical
and plumbing installation not included)
Benefits
 Complete, hassle-free system to help comply with state and
federal regulations when installed in private room
 Eliminates guess-work in design and operational policy issues
 Optimizes health and productivity benefits
 Serves up to 6 women per work day, one person at a time.
 Suitable for accelerated depreciation schedule
 Easy routine custodial cleaning
Other Products and Services Offered
 Signage
 Location test fit assessments for lactation accommodation
 Worksite lactation program design consultation
 Sensitivity training
© 2013 Aqena, Inc. All Rights Reserved.
Lactette®
Key Components
 Integrated Console: pre-fabricated, seamlessly integrated,
antimicrobial countertop, sink, and splashguards
 Center Splashguard: research-based height and placement to
minimize cross-contamination from hand-washing
 Hands-Free: fixtures are hands-free to minimize
contamination of expressed milk
 Fixed Seating: attached, height-adjustable, fully ergonomic
BIFMA chair
Certified Design
 Meets Health Care and Food Handling Facilities Guidelines
 Potential LEED Building Rating System points: recycled
content, low-VOC, innovation credit for “employee wellness”
 Potential BIFMA level sustainability standard
Warranty
 Backed by manufacturer warranty
Patent Pending
 Lactette®
milk expression console

26. 22 PLUMBING
22 42 16 Commercial Lavatories and Sinks
Technical Requirements for Lactette®
Minimum Requirements
 Countertop dimensions: 7’–10 ½” by 1’–10”
 Room Dimensions: 6′ – 10″ by 8’ (55 sq. ft.) with occupancy
lock door
 Electricity and plumbing connections
 Not in a restroom
Stacked Lactette®
Duo with Vestibule
Applications
 Large employer worksites
 Large multi-tenant office buildings
 Universities, community colleges, and school districts
Benefits
 Private, sanitary, and cost-effective milk expression facility
 Based on public restroom paradigm with public access
and regular custodial cleaning
 Serves at least 12 lactating employees per 8 hour work day
 No gatekeeper or key access required by user
 Lactette®
enclosed in privacy partitions with latch doors
 Safety and security enhanced with public vestibule
Sink with Offset Drain
Benefits
 Reduces transmission of pathogens
 Ramp wall reduces splash
Lactette®
Duo with Breastfeeding Lounge
Applications
 Convention and conference centers
 Large transportation centers such as airports and train stations
 Malls and large retail outlets
 Large sports arenas, entertainment venues, museums, and
performing arts centers
 Public assemblies such as legislatures, county courthouses, and
city halls
Benefits
 Same as Stacked Lactette®
Duo with Vestibule above
 Provides discrete area for breastfeeding mothers (discourages
mothers from breastfeeding in Lactette®
room)
 Attractive public amenity where women make up the majority
of customers, visitors, or clients
Signage
 Universal, attractive, and discreet signage for LACTETTE
®
milk
expression room
Contact
AQENA, INC., 12516 Wire Rd., Leander, TX 78641
P: 512-699-1639; F: 512-267-3875; E: info@aqena.com
www.lactette.com
© 2013 Aqena, Inc. All Rights Reserved.