1.  Pumping and Storage How to Express Breast Milk and Keep It Fresh

2. Goals and Objectives  Explain the difference between home and hospital pumps.  Correctly identify the safe length of time for breastmilk storage.

3. Reasons to pump  Premature infant  Unable or unsafe for feeding at the breast  Mother going back to work/school  Increase supply  Relieve engorgement

4. Hand Pumps  Cheap  Easy to use  Portable  Labor intensive  Best for the infrequent user

5. Electric Pumps  Quick  Covered by WIC  Single vs multi-user  Expensive  Requires training and cleaning

6. Multiuser Pumps  FDA regulated label  Must have a barrier between the pump and the milk  Prevent cross-contamination  Requires cleaning between uses

7. Advice for Mothers  Never borrow a single user pump  Clean your parts often  Ask WIC for a pump  Pump for every missed feed

8. Milk Storage  Choose the right container  Labels  Keeping it safe

9. Containers  Clean, dry  Food grade plastic  Leak proof lid  Nonsterile  Bags are for home use only

10. Containers  Snappies  Bags  Syringes

11. Labels  Name  Date  Time pumped  Use stickers in the hospital  Teach mother to label at home

12. Separation  Normal!  Fat floats to the top  Shake gently before use

13. Refrigeration  Milk specific fridge or freezer  Access restricted to medical personnel  Labeled containers

14. 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

15. 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

16. 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

17. Milk Fortifiers  Powdered fortifier  Non-sterile  Mix with room temperature breastmilk  Mix immediately before use  Do not store mixed product

18. Last Thoughts  Questions?  Take home points…