A lactation room (or lactorium) is a private space where a nursing mother can use a breast pump. The development is mostly confined to the United States, which is unique among developed countries in providing minimal maternity leave. Historian Jill Lepore argues that the "non-bathroom lactation room" and breast pumps generally are driven by corporate need for workers rather than mothers' wishes or babies' needs. [1]
Lactation rooms provide breastfeeding mothers with a private space to pump or nurse. While lactation spaces existed prior to the 2010 Patient Protection and Affordable Care Act, the amended Section 4207 of the Fair Labor Standards Act requires employers with 50 employees or more to provide a private space for nursing mothers that's not a bathroom.
Generally, a lactation room includes a refrigerator, sink, cleaning supplies, table, and comfortable chair. The ability to pump throughout the day allows mothers to keep up their milk supply and enables them to save and take home the nutrient-rich milk they have pumped.
Lactation rooms have become widely popular in the US business setting. The reason for this development is that
mothers are the fastest-growing segment of the U.S. labor force. Approximately 70% of employed mothers with children younger than 3 years work full time. One-third of these mothers return to work within 3 months after giving birth and two-thirds return within 6 months. Working outside the home is related to a shorter duration of breastfeeding, and intentions to work full-time are significantly associated with lower rates of breastfeeding initiation and shorter duration. [2]
In addition, breastfeeding benefits employers as breastfeeding results in decreased health claims, increased productivity, and fewer days missed from work to care for sick children. [3]
One example of the benefits provided to businesses and employees by establishing a corporate lactation program is that of CIGNA, a US employee benefits company. In 1995, CIGNA established the “Working Well Moms” program, which provided lactation education program and lactation rooms. In 2000, CIGNA and the UCLA conducted a study of 343 breastfeeding women who were taking part in CIGNA’s program. The study revealed a savings of $240,000 annually in health care expenses for breastfeeding mothers and their children, and a savings of $60,000 annually through reduced absenteeism among breastfeeding mothers at CIGNA. [4] In addition, the study found that "breastfeeding duration for women enrolled in the Working Well Moms program is 72.5% at six months compared to a 21.1 percent national average of employed new mothers." [4]
A variety of resources exist for breastfeeding mother and employers on how to establish and promote a lactation room or lactation support program. The following are currently available:
In addition, the US Department of Health and Human Services, Maternal and Child Health Bureau is currently developing a toolkit to promote breastfeeding in the workplace called “The Business Case for Breastfeeding”.
A breast pump is a mechanical device that lactating women use to extract milk from their breasts. They may be manual devices powered by hand or foot movements or automatic devices powered by electricity.
Mastitis is inflammation of the breast or udder, usually associated with breastfeeding. Symptoms typically include local pain and redness. There is often an associated fever and general soreness. Onset is typically fairly rapid and usually occurs within the first few months of delivery. Complications can include abscess formation.
Breast milk or mother's milk is milk produced by mammary glands, located in the breast of a human female. Breast milk is the primary source of nutrition for newborns, containing fat, protein, carbohydrates and variable minerals and vitamins. Breast milk also contains substances that help protect an infant against infection and inflammation, whilst also contributing to healthy development of the immune system and gut microbiome.
A boycott was launched in the United States on July 4, 1977, against the Swiss-based multinational food and drink processing corporation Nestlé. The boycott expanded into Europe in the early 1980s and was prompted by concerns about Nestlé's "aggressive marketing" of infant formulas, particularly in underdeveloped countries. The boycott has been cancelled and renewed because of the business practices of Nestlé and other substitute manufacturers monitored by the International Baby Food Action Network (IBFAN). Organizers of the boycott as well as public health researchers and experts consider breast milk to be the best nutrition source for infants. The World Health Organization (WHO) recommends infants to be exclusively breastfed for the first six months of their lives, nevertheless, sometimes nutritional gaps need to be filled if breastfeeding is unsuitable, not possible, or inadequate.
The World Alliance for Breastfeeding Action (WABA) is a network of people working on a global scale to eliminate obstacles to breastfeeding and to act on the Innocenti Declaration. The groups within this alliance tackle the problems from a variety of perspectives or point of views, such as consumer advocates, mothers, and lactation consultants.
Lactational amenorrhea, also called postpartum infertility, is the temporary postnatal infertility that occurs when a woman is amenorrheic and fully breastfeeding.
Erotic lactation is sexual arousal by breastfeeding on a woman's breast. Depending on the context, the practice can also be referred to as adult suckling, adult nursing, and adult breastfeeding. Practitioners sometimes refer to themselves as being in an adult nursing relationship (ANR). Two persons in an exclusive relationship can be called a nursing couple.
Breastfeeding difficulties refers to problems that arise from breastfeeding, the feeding of an infant or young child with milk from a woman's breasts. Although babies have a sucking reflex that enables them to suck and swallow milk, and human breast milk is usually the best source of nourishment for human infants, there are circumstances under which breastfeeding can be problematic, or even in rare instances, contraindicated.
Breastfeeding, or nursing, is the process by which human breast milk is fed to a child. Breast milk may be from the breast, or may be expressed by hand or pumped and fed to the infant. The World Health Organization (WHO) recommends that breastfeeding begin within the first hour of a baby's life and continue as often and as much as the baby wants. Health organizations, including the WHO, recommend breastfeeding exclusively for six months. This means that no other foods or drinks, other than vitamin D, are typically given. WHO recommends exclusive breastfeeding for the first 6 months of life, followed by continued breastfeeding with appropriate complementary foods for up to 2 years and beyond. Of the 135 million babies born every year, only 42% are breastfed within the first hour of life, only 38% of mothers practice exclusive breastfeeding during the first six months, and 58% of mothers continue breastfeeding up to the age of two years and beyond.
The social attitudes toward and legal status of breastfeeding in public vary widely in cultures around the world. In many countries, both in the Global South and in a number of Western countries, breastfeeding babies in open view of the general public is common and generally not regarded as an issue. In many parts of the world including Australia, some parts of the United States and Europe, along with some countries in Asia, women have an explicit legal right to nurse in public and in the workplace.
Lactation describes the secretion of milk from the mammary glands and the period of time that a mother lactates to feed her young. The process naturally occurs with all sexually mature female mammals, although it may predate mammals. The process of feeding milk in all animals is called nursing, and in humans it is also called breastfeeding. Newborn infants often produce some milk from their own breast tissue, known colloquially as witch's milk.
Lactation suppression refers to the act of suppressing lactation by medication or other non pharmaceutical means. The breasts may become painful when engorged with milk if breastfeeding is ceased abruptly, or if never started. This may occur if a woman never initiates breastfeeding, or if she is weaning from breastfeeding abruptly. Historically women who did not plan to breastfeed were given diethylstilbestrol and other medications after birth to suppress lactation. However, its use was discontinued, and there are no medications currently approved for lactation suppression in the US and the UK. Dopamine agonists are routinely prescribed to women following a stillbirth in the UK under the NHS.
A human milk bank, breast milk bank or lactarium is a service that collects, screens, processes, and dispenses by prescription human milk donated by nursing mothers who are not biologically related to the recipient infant. The optimum nutrition for newborn infants is breastfeeding, if possible, for the first year. Human milk banks offer a solution to the mothers that cannot supply their own breast milk to their child, for reasons such as a baby being at risk of getting diseases and infections from a mother with certain diseases, or when a child is hospitalized at birth due to very low birth weight, and the mother cannot provide her own milk during the extended stay for reasons such as living far from the hospital.
Breastfeeding promotion refers to coordinated activities and policies to promote health among women, newborns and infants through breastfeeding.
A lactation consultant is a health professional who specializes in the clinical management of breastfeeding. The International Board of Lactation Consultant Examiners (IBLCE) certifies lactation consultants who meet its criteria and have passed its exam.
Parental leave in the United States is regulated by US labor law and state law. The Family and Medical Leave Act of 1993 (FMLA) requires 12 weeks of unpaid leave annually for mothers of newborn or newly adopted children if they work for a company with 50 or more employees. As of October 1, 2020, the same policy has been extended to caregivers of sick family members, or a partner in direct relation to the birth of the child therefore responsible for the care of the mother. Although 12 weeks are allowed to them, on average American Fathers only take 10 days off, due to financial need. Taking paternity leave is not the norm, due to lack of paternity leave allotted to fellow employees previously in the same situation since the policy change is relatively new. Beginning in 2020, California, New Jersey, and Rhode Island required paid parental leave to employees, including those a part of 50 or less employees. For the majority of US workers at companies with fewer than 50 employees, there is no legal requirement for paid or unpaid leave to care for a new child or recover from childbirth but some US states do require this.
Breastfeeding and medications is the description of the medications that can be used by a breastfeeding mother with no or few consequences and those medications which are recommended to be avoided. Some medications are excreted in breastmilk. Almost all medicines pass into breastmilk in small amounts. Some have no effect on the baby and can be used while breastfeeding. The National Institutes of Medicine (US) maintains a database containing information on drugs and other chemicals to which breastfeeding mothers may be exposed. It includes information on the levels of such substances in breast milk and infant blood, and the possible adverse effects in the nursing infant. Suggested therapeutic alternatives to those drugs are provided, where appropriate. All data are derived from reliable sources. Some medications and herbal supplements can be of concern. This can be because the drug can accumulate in breastmilk or have effects on the infant and the mother. Those medications of concern are those medications used to treat substance and alcohol addiction. Other medications of concern are those that are used in smoking cessation. Pain medications and antidepressants need evaluation.
In breastfeeding women, low milk supply, also known as lactation insufficiency, insufficient milk syndrome, agalactia, agalactorrhea, hypogalactia or hypogalactorrhea, is the production of breast milk in daily volumes that do not fully meet the nutritional needs of her infant.
Mary Ann Kerwin is an American lawyer and breastfeeding activist. One of the seven founders of La Leche League in 1956, she established the Colorado branch of the advocacy group and drafted state laws on behalf of women who breastfeed their infants in public and in the workplace. She was inducted into the Colorado Women's Hall of Fame in 2012.
Delayed onset of lactation (DOL) describes the absence of copious milk secretion within the first 72 hours following childbirth. It affects around 20-40% of lactating women, the prevalence differs among distinct populations.