BackgroundThe challenge of combining professional work and breastfeeding is a key reason why women choose not to breastfeed or to stop breastfeeding early. We posited that having access to a high-quality lactation room at the workplace could influence working mothers’ satisfaction and perceptions related to expressing breast milk at work, which could have important longer term consequences for the duration of breastfeeding. Specifically, we aimed to (1) develop a checklist for assessing the quality of lactation rooms and (2) explore how lactation room quality affects lactating mothers’ satisfaction and perceptions. Drawing on social ecological insights, we hypothesized that the quality of lactation rooms (operationalized as any space used for expressing milk at work) would be positively related to mothers’ satisfaction with the room, perceived ease of, and perceived support for milk expression at work.MethodsWe conducted two studies. In Study 1 we developed a lactation room quality checklist (LRQC) and assessed its reliability twice, using samples of 33 lactation rooms (Study 1a) and 31 lactation rooms (Study 1b). Data were collected in the Northern part of the Netherlands (between December 2016 and April 2017). Study 2 comprised a cross-sectional survey of 511 lactating mothers, working in a variety of Dutch organizations. The mothers were recruited through the Facebook page of a popular Dutch breastfeeding website. They completed online questionnaires containing the LRQC and measures aimed at assessing their satisfaction and perceptions related to milk expression at work (in June and July 2017).ResultsThe LRQC was deemed reliable and easy to apply in practice. As predicted, we found that objectively assessed higher-quality lactation rooms were associated with increased levels of satisfaction with the lactation rooms, perceived ease of milk expression at work, and perceived support from supervisors and co-workers for expressing milk in the workplace.ConclusionsThe availability of a high-quality lactation room could influence mothers’ decisions regarding breast milk expression at work and the commencement and/or continuation of breastfeeding. Future studies should explore whether and how lactation room quality affects breastfeeding choices, and which aspects are most important to include in lactation rooms.
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Research has shown that breastfeeding has important long-term health effects on both children and mothers. The World Health Organization therefore recommends that children be exclusively breastfed for the first six months of life and that breastfeeding be continued thereafter, alongside complementary feeding, until children are at least two years old. However, many mothers experience problems with breastfeeding and stop earlier than they would like. One of the reasons that women stop prematurely is the often difficult combination of breastfeeding and work. In this dissertation Van Dellen studied what organizations can do to support breastfeeding employees, both before the return to work and in the period afterwards.Before the return to work, a breastfeeding support programma appears to be an effective way to support mothers. Within the programme, women received structural support from a lactation consultant, from pregnancy until ten weeks after birth. Mothers who received the support programme were on average 66% less likely to stop breastfeeding compared to mothers who did not receive support. After the return to work, the quality of lactation rooms appears to play an important role. Lactation room quality is positively related to satisfaction, perceived ease, and perceived support for milk expression at work. Moreover, experimental research found that mothers in a high-quality lactation room experienced less stress, more control, and more well-being than mothers in a low-quality lactation room.The results of the study show that organizations can better support breastfeeding employees by offering structural support from a lactation consultant and high-quality lactation rooms.
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De ene koe produceert veel meer methaan dan de andere. Die grote variatie wordt hoofdzakelijk bepaald door de voeropname, de productie van meetmelk, het lactatienummer en het aantal dagen in lactatie. Dat blijkt uit onderzoek van Douwe Elgersma, student Dier- en Veehouderij aan Hogeschool Van Hall Larenstein. Hij onderzocht hoe de melkkoeien van Dairy Campus op methaan scoren.
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