Removing and storing breast milk
Breast milk can be extracted for later use and used only when circumstances prevent the mother to be with her baby. Express milk either manually or with the aid of a pump , requires practice and its effectiveness tends to increase over time The key to express milk is to double the reflex, ie the output of milk. This is achieved by displaying the baby and fostering an intimate and relaxed setting. Choose a place where the risk is minimal interruptions.
The choice of mining method depends on the circumstances of separation and the age of the baby. And although between the properties of human milk is delaying the growth of bacteria, it is important to observe minimum standards of hygiene such as washing hands and utensils used for extracting , harvesting and storage milk.
The extraction may be done manually or with the aid of a pump. There are various techniques of manual removal, which are used in much of the world and that come in handy for occasional separations.
If separation is prolonged as in the case of mothers who work outside house, premature, or those who have to be hospitalized infants for any other reason, the manual or electric pumps are a good alternative. The best manual pumps are those that mimic the effect of a syringe, or those that can be used with one hand.Among the electric pumps and batteries, no simple extraction twice (one breast at a time) and (both breasts at once) obviously the latter cut the extraction time in half.
Guidelines for the storage of human milk:
These are the updated recommendations . The following information is based on the latest research and applies to mothers:
- They have healthy children born at term (not premature)
- They are storing their milk for home use (not for use in hospital)
- Milk wash their hands before being extracted
- Use containers that have been washed with hot soapy water and rinsed
All milk should be dated before storing.
Storage Guidelines :
- At room temperature 27 – 32 degrees, 12 to 24 hours.
- At 15 ° C: 24 hours
- A 19 to 22 ° C: 10 hours
- At 25 ° C: 4 to 8 hours
- Refrigerated between 0 and 4 ° C: 5 to 8 days
- In a freezer in the same refrigerator: 2 weeks
- In a freezer that is part of the fridge but with separate door (combi type): 3 -4 months. (The temperature varies frequently as the door opens)
- In a separate freezer, commercial type with constant temperature of -19 degrees C: 6 months or more.
What type of package should you use?
If you were to freeze the milk:
- Hard plastic containers or glass food grade
- Bags especially designed for storing breast milk
Cool the milk in the refrigerator if you are about to add a package that already has frozen milk.
How warm milk?
- Thawed and warmed the milk under warm running water or immersing it in a bowl of warm water.
- Never let the milk boil.
- Shake the milk before testing the temperature.
- Never use the microwave to heat milk.
If the milk has been frozen and thawed, can be refrigerated for up to 24 hours after use. It should not be refrozen.
How much milk removed?
No need to be removed once all the milk you expect to leave for the baby. Nor is it necessary to keep separate the different quantities to be extracted during the day. Whenever previously extracted amounts have been kept at a temperature between 0 and 15 degrees, the mother can use the same container to store the freshly drawn milk, for a maximum period of 24 hours, then follow the recommendations of-storage agreement with the date and time of the first extraction.
If the previously expressed milk has remained between 19 and 22 degrees, the total storage time should not exceed 10 hours from the first extraction. And if previously expressed milk has remained at 25 degrees, the total storage time should not exceed 6 hours from the first extraction. Fresh milk can join frozen milk as long as the first one has been cooled at least half an hour in the fridge, and less quantity than frozen milk so that, when mixed, fresh milk does not melt top layer of frozen milk.
Using the previously frozen milk
is convenient to store breast milk in small quantities to facilitate thawing. The best method is to place the container thawed under running cold water and letting the water go out progressively hotter until thawed milk and it reaches room temperature. You can also thaw milk by placing the container in a pan with warm water after warmer, but it is not necessary that it is directly over the fire. This second option is greener given its water savings. It is not necessary to heat the milk, just bring it to room temperature, which is like leaves our body.
As it is difficult to know how much is going to take the baby and in order to avoid wasting breast milk, you should keep it in a container different from that carried the baby’s mouth. You start by offering your baby small amounts in the container of choice (cup, spoon, syringe, bottle) and if you want more, it will fill the container has thawed, so that the milk container “mother” does not come into contact with saliva baby.This will allow you to save the amounts that the baby has not taken to the next opportunity, since, if it has not been in contact with saliva baby, thawed milk can be kept refrigerated for 24 hours.