Dear Lactnet Friends:

According to the CACFP (Child and Adult Care Food Program, a subdivision of
the Food and Nutrition Service of the FDA), a doctor's note is not required
to continue to give human milk to babies once they move to the toddler room.

"Use of Breastmilk for Babies Over 12 Months of Age Some parents may
request that the caregiver continue feeding their babies breastmilk after
12 months of age. Continue to serve babies their mother’s milk as long as
the mother is able and wishes to provide it. Mothers who wish to continue
providing breastmilk for their babies older than 12 months of age can do so
without having to submit a medical statement. Breastmilk is a substitute
for cow’s milk in the meal pattern for children."

https://www.fns.usda.gov/sites/default/files/feeding_infants.pdf

That said, an individual program or a chain of centers belonging to one
organization can make their own rules.

This is so unhelpful: what mother can afford to take time from work to go
to the doctor for such a thing? And what doctor would know what to say or
find the time for it?

warmly,


-- 
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
Reviews Editor,* Clinical Lactation*
www.nikkileehealth.com
https://www.facebook.com/nikkileehealth
*Communications are confidential and meant only for whom they are
addressed.*

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