Mothering Rooms and Breastfeeding, the Global Landscape

Unlike the US, not all countries have legal requirements for a Mother’s Room/ Lactation rooms. However, just because there is not a legal requirement, does not mean there isn’t a compelling case for companies to implement

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January 09, 2020

Unlike the US, not all countries have legal requirements for a Mother’s Room/ Lactation rooms. However, just because there is not a legal requirement, does not mean there isn’t a compelling case for companies to implement

According to Business Group’s Parent Package (NEW LINK), a study of multiple companies with lactation support programs found positive outcomes:

  • An average retention rate of 94%, compared to a national average of 59%
  • 10 Employers also experience business savings associated with decreased absenteeism and lower health care costs.

However, according to Ovia Health’s 2018 survey, only 34% of women working for large employers (1,000+) said they have breastfeeding supports in their workplace.

Lactation Location Requirements (U.S.)

The US Department of Labor regulations includes the following related to the Location requirements:

  • A bathroom, even if private, is not a permissible location under the Act
  • Must be functional as a space for expressing breast milk
  • If the space is not dedicated to the nursing mother’s use, it must be available when needed in order to meet the statutory requirement.
  • A space temporarily created or converted into a space for expressing milk or made available when needed by the nursing mother is sufficient provided that the space is shielded from view, and free from any intrusion from co-workers and the public

Lactation Location Requirements (Global)

According to the International Labour Organization,1

  • 121 countries allow for working breaks (or a reduction in hours) for nursing mothers. 114 requires that these be paid. This represents:
    • 79% of African countries.
    • 69% of Asian countries.
    • 79% of Eastern European and Central Asian countries.
    • 69% of Latin American and Caribbean countries.
    • 80% of Middle Eastern countries.
  • 31% of countries have legislation requiring facilities for nursing mothers. Some require space for child care while others require a space for expressing and storing milk.

Sample Legislation

Brazil

Brazil rule requires sanitary lactation rooms for women to express and store milk in hygienic conditions.

Philippines

Philippines law necessitates a lactation station that is not in the toilet and has all necessary equipment and facilities (refrigeration, electricity, hand-washing, comfortable seats, etc.)

Saudia Arabia

In Saudi Arabia, instead of a lactation room, employers must have a suitable place with an adequate number of babysitters to watch children under the age of 6.

Best Practice Design: American Institute of Architect Recommendations

American Institute of Architects outlines best practices for employer designed lactation rooms which includes specifications for size, location, temperature, furniture and amenities

  • Size – minimal 7x7. Other configurations include 10x5
  • Number – 1 for every 100 females
  • Sink w/ faucet & Refrigerator
  • Lighting– ambient lighting w/ task lighting over sink
  • Temperature – Thermostat setting separate from office. Temperature at dressing level
  • Accessories – trash can, paper towels, coat hook, mirror, calming décor
  • Education material/ bulletin board
  • Scheduling – if space will be shared or double as wellness space – online schedules to ensure
  • Privacy - Secure lock, occupied sign. If there are windows - shades or opaque glass
  • Acoustic privacy - carpet, fabric wall panels, insulation, minimum STC sound transmission class rating of 45
  • Chair – supportive chair w/ caster wheels, washable material. Comfort chair if nursing baby rather than pumping
  • Table/ counter - 18x32 minimum, near electrical outlets to accommodate bottles, pumping equipment, and laptops
  • Lighting HVAC – ambient lighting w/ task lighting over sink

International Labour Organization Recommendation

“A basic breastfeeding facility can simply be a small, clean space with a chair. There should be a screen, curtain or door for privacy, access to clean water and secure storage space for expressed milk. More elaborate facilities offer a refrigerator or an electric outlet for an electric breast pump.”

Features of a permanent dedicate lactation room, per Business Group data

  • 80% offer flexible scheduling options for breastfeeding mothers to pump
  • 96% provide a permanent dedicated space
  • 22% offer breast milk ship services for mothers who travel for work
  • 80% comfortable seating
  • 76% access to electrical plugs
  • 60% refrigerator
  • 22% bulletin board
  • 20% full length mirror
  • 20% microwave for sterilization
  • 16% multiuser hospital grade pumps
  • 51% soft lighting
  • 49% sink with hot water
  • 44% clock
  • 42% comfortable or adjustable temperature
  • 42% comfortable or adjustable temperature
  • 42% hooks to hang attachment kit bags
  • 31% daily cleaning regimen by company
  • 16% education materials
  • 13% contact info for lactation consultants
  • 11% information on classes
  1. International Labour Organization. Maternity and paternity at work: Law and practice across the world https://www.ilo.org/manila/publications/WCMS_242615/lang--en/index.htm. Accessed November 1, 2019.

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