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The designation process involves completing the following steps:

*Partners are not expected to begin this process without assistance and resources from the BFREE Team

  1. Review New York State Ten Steps to a Breastfeeding, Chestfeeding, and Lactation Friendly Practice and Implementation Guide

  2. Complete the online registration form

  3. Complete the pre-assessment form

  4. Fully implement the NYS Ten Steps

  5. Complete the post-assessment form

  6. Plan for redesignation in 5 years

Practices that achieve ALL New York State Ten Steps to a Breastfeeding, Chestfeeding, and Lactation Friendly Practice will be recognized with a Certificate of Designation and designated practices will be listed on the NYSDOH’s public website. The certificate expires after five years. At that time, you will need to submit another post-assessment and updated office policy for redesignation.


For more information, please review the NYS Breastfeeding, Chestfeeding, and Lactation Friendly Practice Designation Program Handbook.


A full list of designated practices can be found here: 

Northwell Health Physician Partners Obstetrics and Gynecology at Islandia

Additional Resources

Guidance from the American College of Obstetricians and Gynecologists 

Coding for Postpartum Service (Fourth Trimester)

Breastfeeding Support Tools for the Obstetrics Provider

Breastfeeding Toolkit

Breastfeeding Medicine Blog

This blog shares the opinions of members from the Academy of Breastfeeding Medicine on breastfeeding-related news, recent research studies, professional experience, and other topics. Posts reflect the opinions of individual ABM members, not the organization as a whole.


This NIH database contains information on medications and other chemicals that breastfeeding mothers may be exposed. It includes information on the levels of such substances in breast milk and infant blood, possible adverse effects in the nursing infant, and suggested therapeutic alternatives, where appropriate. 


ABM Clinical Protocol #14: Breastfeeding-Friendly Physician’s Office: Optimizing Care for Infants and Children, Revised 2013

(Academy of Breastfeeding Medicine) 

Family Physicians Supporting Breastfeeding (Position Paper) 

(American Academy of Family Physicians) 

Clinical Report, The Breastfeeding-Friendly Pediatric Office Practice 

(American Academy of Pediatrics) 

Committee Opinion No. 821, Barriers to Breastfeeding: Supporting Initiation and Continuation of Breastfeeding

(American College of Obstetricians and Gynecologists)


Committee Opinion No. 658, Optimizing Support for Breastfeeding as Part of Obstetric Practice

(American College of Obstetricians and Gynecologists)

Review, Racial and Ethnic Disparities in Breastfeeding

(Breastfeeding Medicine)

Racial Disparities in Breastfeeding Initiation and Duration Among U.S. Infants Born in 2015 - MMWR

(Centers for Disease Control)

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