Pumping and Storage How to Express Breast Milk and Keep It Fresh Goals and Objectives Explain the difference between home and hospital pumps. Correctly identify the safe length of time for breastmilk storage. Reasons to pump Premature infant Unable or unsafe for feeding at the breast Mother going back to work/school Increase supply Relieve engorgement Hand Pumps Cheap Easy to use Portable Labor intensive Best for the infrequent user Electric Pumps Quick Covered by WIC Single vs multi-user Expensive Requires training and cleaning Multiuser Pumps FDA regulated label Must have a barrier between the pump and the milk Prevent cross-contamination Requires cleaning between uses Advice for Mothers Never borrow a single user pump Clean your parts often Ask WIC for a pump Pump for every missed feed Milk Storage Choose the right container Labels Keeping it safe Containers Clean, dry Food grade plastic Leak proof lid Nonsterile Bags are for home use only Containers Snappies Bags Syringes Labels Name Date Time pumped Use stickers in the hospital Teach mother to label at home Separation Normal! Fat floats to the top Shake gently before use Refrigeration Milk specific fridge or freezer Access restricted to medical personnel Labeled containers Timing Room temperature 4-6 hours Insulated cooler with ice 24 hours Refrigerator 3-8 days Freezer 6-12 months Freezer with separate door from fridge Must keep ice cream hard Warming Human Milk Warm water in clean container Keep the cap dry Ok to sit at room temp but must refrigerate if not using now Do not microwave! Photo used with permission from Kittie Franz Using Stored Milk Use chilled before frozen Use the oldest frozen milk Ask mom for more before you run out Thawed milk good for 24hrs NICU policies for freezing milk for premies Milk Fortifiers Powdered fortifier Non-sterile Mix with room temperature breastmilk Mix immediately before use Do not store mixed product Last Thoughts Questions? Take home points