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Storing breastmilk 101

Storing breastmilk 101

Yap, you are ready, you read about the benefits of breastfeeding your child, you are ready to latch, and you have prepared to pump 2-3 hourly. But how do you exactly know how to store your breastmilk? How long can you keep your breastmilk at room temperature? How long in the fridge? How long in the freezer etc. These are some of the questions that most mummies have and here I have compile some of the tips on storing breastmilk that I hope this might help you.

How do I store my breast milk?

How you store your breastmilk depends on how soon you want to use it. If you plan to use it within a few days, refrigerating is better than freezing. Freezing destroys some of the substances in your milk that fight infection. However, frozen breastmilk is still a healthier choice for your baby than formula, though.

The rule of thumb to follow while storing milk is

  • Always wash your hands before expressing and handling breastmilk for storage. Keeping everything as clean as possible will make it less likely that bacteria will grow in your stored milk.
  • Keep your breast pump clean. Wash the parts in hot, soapy water, and rinse them thoroughly before sterilising.
  • Use sterilised containers. Opt for plastic bottles or plastic breastmilk bags. Glass bottles may crack or chip.
  • If you’re pumping at work, you can store your milk in a travel cooler with ice packs or in a common space refrigerator.
  • If you need to combine freshly expressed milk with frozen milk, cool the expressed milk first. Don’t add more than there is of the frozen, since you want to avoid the frozen milk thawing.
  • Label and date your bottles and bags, and use up the oldest ones first. If you combine milk from several pumping sessions, label it with the date of the oldest milk.

If you plan to feed baby in the next 24hours, place the milk bag/bottle at the highest deck of the fridge. If you plan to feed baby 24 hours later, you can put the milk bag/bottle in an isolated compartment of your freezer.

It’s helpful to label each container with the date when the milk was pumped (and your baby’s name if the milk is going to childcare providers).

Can I top up fresh cooled milk to frozen/chilled milk?

Frozen Milk

You can add fresh cooled milk to milk that is already frozen, but add no more than is already in the container. For example, if you have 40ml of frozen milk, then you can add up to 40ml of cooled milk.

Chilled Milk

You can add freshly expressed milk to breastmilk that’s already in the fridge, provided it has been expressed on the same day. Bear in mind, though, that you can only keep it until the original milk is five days old.

How do I freeze my milk?

Freeze your milk as soon as you finished expressing your milk. Leave a gap on top of your bag or bottle as your milk expands during freezing.

When freezing, store milk in smaller portions such as 1-3 ounces in order to avoid waste.

How do Thaw my milk?

Defrost frozen milk in the chiller section of the fridge ideally 12 hours before usage.

Once you defrost your breast milk, do not re-freeze it.
Don’t be tempted to defrost or warm your breastmilk in a microwave.

If you need the milk in a hurry, defrost it under cool, then warm, running water, or place it in a bowl of warm water.

Dry the outside of the container before you open it, and use it straight away. Once your baby has started to drink from the bottle, you should use it within 1 hour.

What to look out for

  • Thaw your frozen milk in the chiller section of the refrigerator 12 hours or overnight if you plan to use your frozen milk.
  • Do not shake your bottle if the creamier portion has separated, instead gently swirl your bottle  as shaking will cause some proteins in the milk to break apart.
  • Always use the oldest milk from your supply first. Don’t worry if the oldest is weeks or months old. It is true that the composition of your milk changes over time to suit your growing baby’s needs. However, even older milk, as long as it has been properly stored and handled, is beneficial to your little one.

Some Little tricks

  • Store bags, tightly sealed, flat and stacked. This will speed up thawing time.
  • To have some more extra use from our pump accessories,  give them a quick rinse then throwing them in a large ziplock bag, and storing them in the refrigerator until the next pumping session.
  • Does your milk smell soapy? Most breast milk has a mild or slightly sweet scent, but mothers occasionally report that thawed milk smells soapy. This may be due to enzymes in the milk digesting some of the fat and is probably fine if your baby accepts the milk. If not, scalding (but not boiling) the milk and quickly cooling prior to freezing may solve this problem if baby is rejecting the milk, although this may lower the nutritive content and is not ideal.
  • you can still offer your milk to your baby if you and your baby are experiencing thrush while being treated. After the infection has cleared, however, discard the milk as neither cooling nor freezing kills the yeast.
  • Have some expired milk? Instead of tossing the milk, consider using it for diaper rash, baby eczema, cradle cap, or a good milk bath for your little one.

 

Source

  1. Smith, Linda J. (1998) “Don’t Shake the Milk“. Bright Future Lactation Resource Center Ltd.
  2. The Academy of Breastfeeding Medicine Protocol Committee (2010). “ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants (Original Protocol March 2004; Revision #1 March 2010)“
  3. Kelly Mom, “My expressed breastmilk doesn’t smell fresh. What can I do?“. July 28, 2011.
  4. Le Leche League International. “What are the LLLI guidelines for storing my pumped milk?“.
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Sore Nipples

nipple pain after breastfeeding

Sore Nipples 101

Ouch! Breathe. It’s not that painful… but when the baby starts to latch, OUCH! Many mummies, including myself, have had the experience of having sore nipples while breastfeeding. It is a frequent complaint from mummies, and some assume it’s an inevitable part of the nursing experience. But lactation experts agree that pain is a sign that something isn’t right.

It is common to feel some discomfort when the baby first latches on, especially in the first days after birth before the milk has come in. This type of soreness will usually ease up after the first few sucks, especially after the milk lets down and flows freely.

Babies are born with a strong sucking reflex, but they have to learn the mechanics of breastfeeding. At the same time, you are learning the mechanics of positioning, supporting the breast, etc. While some babies seem to come into the world knowing just how to breastfeed correctly, more often it is a learning process for both of you.

Nipple soreness will usually begin during the first few days of nursing, will peak on the fourth or fifth day, and then ease off each day after that. Soreness should lessen greatly on days 7-10, and by the time the baby is 2 weeks old, nursing should be pain-free.

What are the causes of sore nipples?

Difficulty latching on

This is by far the most common cause of sore nipples. A good latch should feel like tugging and pulling but not painful.  A poor latch from a baby is when the baby has to pull or suck your nipple hard into her mouth.  Your nipple is then too far forward in the baby’s mouth and it pinches your nipple against her hard palate, causing pain.

For breastfeeding to be comfortable, your baby needs to have the entire nipple and part of the breast in his mouth. The nipple needs to be near the back of her mouth where the palate is soft. This good latch is more likely to happen if the baby latches on with his head tipped back so that her chin is pressed into the mother’s breast and her nose is away from the breast. Of course, every baby and every breast is a little different, so you may need to adjust the positioning to find what works best for both of you. If your baby doesn’t gape to take in your breast, don’t pull your nipple out. Instead, break the suction by gently inserting your finger into the corner of her mouth and above her tongue. Take her from your breast and start again.

 

Here’s a video from NHSChoices

Tongue-tie
If your baby has a tongue-tie, her tongue will be attached to the bottom of her mouth. If she can’t move her tongue much, she may not be able to draw full feeds from your breast. The signs will be that she can’t latch on well to your breast and keeps slipping off. She will be feeding often, but not putting on enough weight. See a doctor to check for treatment recommendations.

Adjust without unlatching
If your baby latches on, and it hurts, you’ll know something is wrong. Sometimes mothers are advised to stick a finger in the baby’s mouth, unlatch him, and start over. The problem with this approach is that it’s very frustrating for the baby: every time he starts nursing, he’s taken off the breast. Some get so frustrated they refuse to nurse or begin clamping down on the nipple. It also puts you at the risk of more nipple damage if the baby latches on incorrectly repeatedly.

What you can do is to adjust when the baby is latching,

  1. Wait for the baby to open its mouth by tickling the baby nose with your nipple.
  2. Count to 10 for the baby to readjust.
  3. If you still feel tight and the position is wrong, flange the baby’s upper and lower lips out and hold the baby’s jaw for about 10 sec.
  4. Holding down the jaw for about 10 seconds is to make sure the baby’s jaw is in the position and doesn’t go back up.

Feed as soon as you spot a hungry cue
A very hungry baby isn’t going to have much patience and may try to grab at your nipple, causing more pain. Feeding the baby as soon as he seems hungry will make it easier to work on getting a good latch every time.

Use your milk to heal cracked, bleeding or blistered nipples
Express a little milk onto the nipple and let it air-dry there.  Apply an ice pack just before you feed the baby to temporarily numb the nipple as you latch the baby on. One piece of good news: breastfeeding nipples generally heal very quickly once the cause of the damage (such as a latch problem) is resolved.

Thrush

If your nipples are sore after a spell of pain-free feeding, and you feel burning, shooting or stabbing pains in your breasts, you may have thrush on your nipples. Thrush is a fungal infection that sets in when organisms that naturally exist in your body spread out of control.

Your doctor can prescribe an antifungal treatment for you and your baby. If you have thrush on your nipples, it will also be in your baby’s mouth, whether or not you can see it. You’ll both need to be treated at the same time, so you don’t keep passing the infection between you.

Dermatitis or eczema

If your nipples are inflamed and itchy it may be a sign of dermatitis or eczema. This can be caused by creams, lotions or soaps that irritate your skin. Swimming in chlorinated swimming pool water can also sometimes cause sore, itchy nipples. Wash your breasts with plain water alone, and see your doctor if your symptoms don’t improve.

Teething
If your baby has tender gums due to teething, she may change the way she feeds. If her tongue isn’t down and forward enough to take in a big mouthful of breast, she may end up biting your nipple. Help your baby to gape and keep her tongue forward by touching her lips to your nipple and then moving her quickly onto your breast as she responds. Older babies sometimes keep their mouths open but pull their tongues back after they have gaped, so you’ll have to move fast.

Breastfeeding during pregnancy
Your nipples may be tender if you are breastfeeding and pregnant again. Your nipples may only feel tender in the early days of your pregnancy, or they may only feel sore towards the end of your third trimester. If your nipples get really sore, you can try using a purified lanolin ointment or cream to soothe them.

Soreness from your bra or breast pads
If your nursing bra is too tight, it will put pressure on your already sore nipples. Some breast pad traps air and often will cause your nipple’s condition to worsen. Choose breast pads from natural materials which will help your skin breathe.


How to make yourself feel better

Have a towel on standby

Once the baby is done nursing you will want to gently dry your breast of any leftover milk. Gently clean the nipple and dry it. Breast milk is a great healer but it’s best to keep it dry to keep any form of bacterial away.

Air your nipple

Bring down your bra flap, use a nipple shell or even using a hairdryer on a low setting after each feed.

Apply modified anhydrous lanolin

After nursing, apply lanolin cream to help ease off some of the soreness. Surface dampness can contribute to soreness and cracking if the nipple remains moist after nursing, the same way your chapped lips get worse if you lick them. Applying lanolin can help keep the skin soft and pliable, which helps breaks in the skin heal without forming a hard scab which will break open each time the baby-nurses.  Don’t use soap on your nipples as it can dry the skin. Bathing with clear water is all you need to keep your nipples clean.

Use Nipple Butter

Nipple butter helps keep your nipples soft and supple. It also helps to moisturise and heal your sore nipples.  It’s completely safe for the baby, so keep it with you at all times.

Breast Pads

Some breast pads and plastic linings in bras don’t let your skin breathe and they trap the moisture. Choose pads made from natural materials. I like to use disposable ones as I feel that they are cleaner and I can just change and feel fresh at any time of the day. Be sure to put a couple of sets of breast pads in your diaper bag and you can change your breast pads on the go!

Nursing bra

Getting a comfortable bra will help you improve your breastfeeding experience.  If your nursing bra is too tight, it will put pressure on your nipples and cause pain. Try wearing a bigger bra.

Gel Pads

Have one set in the fridge! So that after an intensive feeding, you can put them on for some cooling relief it brings!

Don’t Give Up

I promise it will get better! It’s about learning together with your baby. Before you know it, you will be feeding like a pro! It always makes me sad when mothers quit nursing because of soreness. The long-term benefits of breastfeeding far outweigh the short-term pain. It really is worth hanging in there – ask any nursing mother, and she’ll tell you she’s glad she didn’t give up when the going got rough.

 

Reference

Teresa Pitman Jul 8, 2011

BabyCentre Sore Nipples, February 2013

Breastfeeding Basics, Anne Smith, IBCLC September 2013

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Power Pumping

Power Pumping

Although mother nature had made it a point to have babies and breasts work on the principle of supply and demand, many breastfeeding moms still worry about their milk supply. Some mummies however despite their best efforts, experience issues with low supply. Period when babies is experiencing growth spurt will certainly add-on to the stress to most mummies worrying about their supply.

Pumping often does help with the increase of milk supply as they stimulate the brain to “produce more milk”  however, despite regular pumping session, many mummies make not see results as quickly as they had hoped.  There is another way of pumping that might help this group of mummies – Power Pumping.

What is Power Pumping

Power pumping is basically mimicking the frequent feeding of a baby experiencing a growth spurt.  The longer and more vigorous suckling motion during these times helps trigger the release of prolactin from the pituitary gland which will then translate it into “baby needs more milk, please produce more!” message to the brain. Power  pumping which are also sometimes called cluster pumping is a routine of  pumping in a series of 10 minute sessions – 10 minutes pumping, 10 minutes off – over the course of 1 hour, 1-3  sessions each day.

 

Power pumping

Using this routine alone or in combination with other measures to increase supply – latching/pumping more often, use of galactagogues etc may slowly build up milk supply over time.  Many mummies may find that the milk they collect at first to be very little during these sessions but their supply catches up with the baby’s demand after some time. So, how much milk you collect is not so much of an importance during such sessions.

You may not see much milk during the actual power pumping routine but that’s okay, it’s all about the supply and demand and this is stimulating your breasts to make more milk. This routine not meant to replace your normal pumping routine; rather, it’s designed to enhance your milk supply within an established routine. For example if your normal pumping routine is at 12 pm and 3pm, you can add a power pumping routine at around 1.30pm.

Not sure power pumping is the right thing for you?

Power pumping suits some situations and not others, and it is worth knowing which one you are in before committing weeks to it. Joanna Goy is an International Board Certified Lactation Consultant based in Singapore and can look at the whole picture with you, including latch, feeding pattern and how your sessions are set up. See how a consultation works, at home or online.

When can I see result

Some mummies see results as soon as the next 48 hours while others take as long as a week to see the increase in supply. Do not be dishearten if yours takes a little longer. Perseverance and determination is the key to a successful breastfeeding journey.

Tips on Power Pumping

Pumping milk can cause a lot of stress and boredom, but the good news is that you can perform Power Pumping at any time, such as when your baby is sleeping. I personally enjoy following this routine.By now all mummies who are pumping and latching will know that the main key to make the session better is to ensure that you are as comfortable as possible.

Here are some tips that could help you through these routines.

  • Using a breast pump – hand expressing / manual pump is a no go as this requires 1 hour of constant pumping. Do use an electric pump as they are generally more effective, especially where the pump is designed to mimic the suction of  a baby. if you can, buy a hands free pumping bra or bra clip it will really help too.
  • Keep a stopwatch / set alarm in your phone – to keep track of the time
  • Have a cup of water nearby – Key of producing milk is drinking water isn’t it?
  • Make yourself very comfortable – sit at your favourite sofa/ couch as you will be in the same position for quite some time
  • Set yourself up with some entertainment. – My favourite method is pumping when I’m watching korean drama. I pump when the show is on and rest when commercial is on. But a book or simply using your phone might do the trick too.
  • Latch one one side pump on the other – Research shows that the best way to boost supply is to nurse at the breast often.

Pumping During Night Feeds

Another frequent questions that mummies ask is if they should pump during the night feeds. 

As prolactin levels are at the highest during night and pumping routine at night-time will help push prolactin level up, pumping around the clock is certainly good if you can do it. But another key to higher milk production is getting enough rest. Getting adequate sleep is important to your overall health and well-being.  

So, the trick is to be flexible in balancing the two. Sleep at every opportunity in the daytime, and if it is time to pump but you have a chance to take a nap and really need it, choose the nap instead of pumping.

If possible, aim to include at least one pumping session during the night in your plan. If you didn’t plan for a night-time session but happen to wake up in the middle of the night, take advantage of the opportunity. Additionally, even if nothing else is accomplished, the calming effects of oxytocin released during pumping may help you fall back asleep after you’re done.