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Maternal, child and adolescent Health Division

Lactation Accommodation for Child Care Providers

Child are provider reading to infants and toddlers age 12 months to 2 years

An intention to work full time is associated with lower rates of breastfeeding initiation and shorter duration.  It is thus relevant that childcare settings be designed to support breastfeeding. As mothers are often concerned about milk production, it is advisable to have childcare supportive environments. Such environments may include staff educated on supporting the breastfed dyad and surroundings that reduces the mother’s stress when she arrives, drops off and picks up her baby. 

Systems and Environmental Change 

Guidelines and Resources

Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs; 3rd Edition (2011) : These standards include the best evidence for feeding and use of breastmilk in childcare settings.

The Emergency Medical Services Authority (EMSA) has developed Childcare Nutrition Standards  required for licensees of child care homes and centers. See the most recent update of the Nutrition Training Topics for the nutrition curriculum and resources.

Information on cue-based or "paced" bottle feeding:

Be a Champion for New Mothers from Let's Move Child Care: Learn more about the benefits of breastfeeding and best practices for family child care or early education centers.

Breastfeeding and Early Care and Education: Increasing Support for Breastfeeding Families (PDF) :
This document describes best practices for supporting breastfeeding families in the ECE setting and includes relevant state and community success stories. 

Local Health Jurisdiction Childcare breastfeeding Toolkits:

Ten Steps for Breastfeeding Friendly Child Care  From the Carolina Global Breastfeeding Institute: Toolkit and action plan, including a self-assessment and educational materials.

 Supporting Breastfeeding in Child Care Settings, from Minnesota:

Proper Handling and Storage of Human Milk : Guidelines from the Centers for Disease Control and Prevention (CDC)

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