Extracted from the course that I went yesterday.
Exclusive breastfeeding is giving your child with only breastmilk for at least 6 month:
1. without any addition with any other food or water ... checked
2. giving milk with unlimited of time ... checked
3. no pacifier or teat ...
Exclusive breastfeeding is giving your child with only breastmilk for at least 6 month:
1. without any addition with any other food or water ... checked
2. giving milk with unlimited of time ... checked
3. no pacifier or teat ...
Handling BreastMilk
• Use sterile glass bottles, plastic bottles or milk storage bags made for breast milk.
• Store breast milk in 2 to 5 ounce portions to avoid wasting breast milk.
• Breast milk from different pumpings can be added together if the milk is pumped during the same 24-hour day.
• Breast milk should be chilled as soon as possible after it is pumped.
• It is normal for pumped milk to vary in color and thickness.
• Stored milk separates into layers. Cream will rise to the top as the milk warms. Mix the milk layers before feeding.
• If you are not going to use the breast milk within 48 hours after pumping, freeze the milk.
• Always use freshly pumped milk first. Then use refrigerated or frozen milk by the oldest date first.
• If breast milk has a sour or strange smell, throw it away. If there is any doubt, do not use the milk.
Handling Fresh Breast Milk
• If you washed your hands well before pumping, fresh milk may remain at room temperature (no warmer than 77°F or 25°C) for use in 4 to 8 hours. If you are not going to use it, store it in the refrigerator as soon as possible.
• Refrigerate milk right away if the room, car or outside air temperature is above 77°F or 25°C. When you are away from home, use a lunch box size cooler with an ice pack to keep milk cool.
Breast Milk Storage
These guidelines are for a full-term, healthy baby. You may be given
different guidelines to follow.
• Fresh
Store at room temperature (no warmer than 77°F or 25°C) for use in 4 to 8 hours. If the temperature is higher, cool the milk right away. The milk can be stored in the refrigerator (32 to 39°F or 0 to 3.9°C) for 5 to 7 days.
• Frozen
Frozen milk can be stored for 3 months in the refrigerator freezer and 6 months in a deep freezer (0°F or –17.8°C).
Once thawed, frozen milk can be stored in the refrigerator for 24 hours.
Thawing Frozen Breast Milk
• Thaw frozen milk in a cup of warm water. This takes 5 to 10 minutes.
• You can also thaw frozen milk 8 to 12 hours or overnight in the refrigerator.
• Thawed milk can remain refrigerated but should be used within 24 hours.
• Do not thaw breast milk by sitting it on the counter at room temperature.
• Do not warm breast milk in a microwave oven. It can change the breast milk and reduce the quality of the milk. Microwave ovens heat the milk unevenly to cause a chance of burning your baby’s mouth.
• Do not refreeze thawed milk
Warming Breast Milk
• Remove the milk from the refrigerator just before using.
• Warm the milk by holding the container under warm running tap water or sit it in a bowl of warm water for 5 to 10 minutes.
• Rotate the bottle gently and test the warmth of the milk by placing a drop on the inside of your wrist before feeding your baby.
• Milk left over in the container after a feeding may be offered at the next feeding before discarding. Do not reheat milk that has been heated. Breast milk can safely stand at room temperature for 1 to 3 hours.
• Do not warm breast milk by sitting it on the counter at room temperature.
• Do not warm breast milk in a microwave oven. It can change the breast milk and reduce the quality of the milk. Microwave ovens heat the milk unevenly to cause a chance of burning your baby’s mouth.
Talk to your baby’s doctor or nurse if you have any questions or concerns.
• If breast milk has a sour or strange smell, throw it away. If there is any doubt, do not use the milk.
Handling Fresh Breast Milk
• If you washed your hands well before pumping, fresh milk may remain at room temperature (no warmer than 77°F or 25°C) for use in 4 to 8 hours. If you are not going to use it, store it in the refrigerator as soon as possible.
• Refrigerate milk right away if the room, car or outside air temperature is above 77°F or 25°C. When you are away from home, use a lunch box size cooler with an ice pack to keep milk cool.
Breast Milk Storage
These guidelines are for a full-term, healthy baby. You may be given
different guidelines to follow.
• Fresh
Store at room temperature (no warmer than 77°F or 25°C) for use in 4 to 8 hours. If the temperature is higher, cool the milk right away. The milk can be stored in the refrigerator (32 to 39°F or 0 to 3.9°C) for 5 to 7 days.
• Frozen
Frozen milk can be stored for 3 months in the refrigerator freezer and 6 months in a deep freezer (0°F or –17.8°C).
Once thawed, frozen milk can be stored in the refrigerator for 24 hours.
Thawing Frozen Breast Milk
• Thaw frozen milk in a cup of warm water. This takes 5 to 10 minutes.
• You can also thaw frozen milk 8 to 12 hours or overnight in the refrigerator.
• Thawed milk can remain refrigerated but should be used within 24 hours.
• Do not thaw breast milk by sitting it on the counter at room temperature.
• Do not warm breast milk in a microwave oven. It can change the breast milk and reduce the quality of the milk. Microwave ovens heat the milk unevenly to cause a chance of burning your baby’s mouth.
• Do not refreeze thawed milk
Warming Breast Milk
• Remove the milk from the refrigerator just before using.
• Warm the milk by holding the container under warm running tap water or sit it in a bowl of warm water for 5 to 10 minutes.
• Rotate the bottle gently and test the warmth of the milk by placing a drop on the inside of your wrist before feeding your baby.
• Milk left over in the container after a feeding may be offered at the next feeding before discarding. Do not reheat milk that has been heated. Breast milk can safely stand at room temperature for 1 to 3 hours.
• Do not warm breast milk by sitting it on the counter at room temperature.
• Do not warm breast milk in a microwave oven. It can change the breast milk and reduce the quality of the milk. Microwave ovens heat the milk unevenly to cause a chance of burning your baby’s mouth.
Talk to your baby’s doctor or nurse if you have any questions or concerns.
Pertanyaan dari Ida: Kak Neeza basuh tak corong BP setiap kali nak guna?
Jawapan Kak Neeza:
Tidak. Sebab akak Malas.. Heheheh..
In fact, I never wash my bp flanges at office except kalo terjatuh atau terasa kesangsian akan kebersihan corong tersebut. What I did is after first use (jm 9pg), dalam keadaan yang ber-install I just put the whole thing in the big tupperware and put it in the fridge. Lucky for me to have our own fridge which tak ramai orang pakai. Then, for the last session usage (jm 4.30pm), baru la dismantle the whole thingsl. Basuh kat rumah, tak basuh kat ofis - we all tak de pantry, kena basuh dalam toilet and I afraid tertinggal any parts kat toilet nanti orang buang - so to be save, basuh je kat rumah.
However, this is my style which I am so confirm that I'm not contaminating my milk. If Ida rasa doubt on your milk hygiene, don't tiru my style. Hehehehe..
And I got this from the net:
****
January 26, 2009
Jawapan Kak Neeza:
Tidak. Sebab akak Malas.. Heheheh..
In fact, I never wash my bp flanges at office except kalo terjatuh atau terasa kesangsian akan kebersihan corong tersebut. What I did is after first use (jm 9pg), dalam keadaan yang ber-install I just put the whole thing in the big tupperware and put it in the fridge. Lucky for me to have our own fridge which tak ramai orang pakai. Then, for the last session usage (jm 4.30pm), baru la dismantle the whole thingsl. Basuh kat rumah, tak basuh kat ofis - we all tak de pantry, kena basuh dalam toilet and I afraid tertinggal any parts kat toilet nanti orang buang - so to be save, basuh je kat rumah.
However, this is my style which I am so confirm that I'm not contaminating my milk. If Ida rasa doubt on your milk hygiene, don't tiru my style. Hehehehe..
And I got this from the net:
****
January 26, 2009
Q & A: Washing breast-pump parts
Q: I’ve heard that you don’t have to wash breast-pump parts between sessions because breast milk kills germs. Is that true? I pump at work and not having to wash and rinse breast-pump bottles and shields during the day would save me a ton of time, not to mention potentially embarrassing run-ins in the office bathroom.
A: What you’ve heard is partly true: Human milk is naturally anti-bacterial. “Human milk is very effective at killing bacteria for about 12 hours after it leaves the breast,” says Mary Rose Tully, director of Lactation Services at North Carolina Women and Children’s Hospitals in Chapel Hill, NC.
“But we don’t know what the effect is if it starts drying or is exposed to large amounts of pathogens,” she says. So you should wash breast-pump bottles and shields between sessions.
But if you don’t have time, place them unwashed in a clean plastic bag, such as a Ziploc, and store them in the refrigerator, Tully advises. But be sure to wash them thoroughly at least once a day when you get home.
****
Re-review Breastpumps
Sorry la entry ni lambat skit. A bit busy – maklumla dah masuk keje. Heheh..
When we aim to be a mother who wanted to supply 100% breastmilk to LO, one thing that we should concern is to buy breastpump (bp) - sebab kita adalah ibu yang bekerja sepenuh masa.
Perkara paling penting dalam membeli bp adalah kebagusan bp itu sendiri – perah-perah dapat susu (bukan menyakitkan), better be electric/battery operated bp (epump) supaya tidaklah lenguh tangan mengepam (sedar-sedar botol dah penuh), dan lagi better kalau epump yang boleh double pump – pumping both breasts in one go sebab ini boleh menjimatkan masa.
Sebelum beli bp tempoh hari, aku banyak juga buat research – which is the best bp?
IMHO, beli bp bukan la perkara enteng – sebab this particular machine will be directly involve with tissues in our body that produce milk to our child. Kalo beli yang tak bagus, bole rosak susu adipos – dan akibatnya liang susu bole tersumbat mengakibatkan mastitis.
So, let us see. Which is the best bp offered in Malaysia market?
A) Manual pump1. Avent Isis
- rata-rata mothers yang start to bf must own AI. My first bp pun AI
- sangat senang guna dan sangat senang nak dapat let-down
- cuma leceh nya, banyak parts yang nak kena cuci – kecik pulak tu – possibility nak hilang dalam sink adalah sangat tinggi
- harga dalam RM210
2. Medela Harmony*
- sangat senang jugak nak dapat letdown sebab ada 2 phase-expression
- simple built: tak banyak part untuk dicuci
- tapi ada bahagian gegelang yang agak sensitive – mudah patah
- harga dalam RM245
3. MaMCare Manual
- part pun tak banyak untuk dibasuh – 4 parts only
- ada valve untuk control laju atau perlahan tahap pengepaman
- yang tak best: tempat pemerah tu sangat ketat (boleh lenguh tangan dibuatnya) dan custom build for MaM bottle – bottle lain tak suit
- harga dalam RM240
B) E-pump (single)
When we aim to be a mother who wanted to supply 100% breastmilk to LO, one thing that we should concern is to buy breastpump (bp) - sebab kita adalah ibu yang bekerja sepenuh masa.
Perkara paling penting dalam membeli bp adalah kebagusan bp itu sendiri – perah-perah dapat susu (bukan menyakitkan), better be electric/battery operated bp (epump) supaya tidaklah lenguh tangan mengepam (sedar-sedar botol dah penuh), dan lagi better kalau epump yang boleh double pump – pumping both breasts in one go sebab ini boleh menjimatkan masa.
Sebelum beli bp tempoh hari, aku banyak juga buat research – which is the best bp?
IMHO, beli bp bukan la perkara enteng – sebab this particular machine will be directly involve with tissues in our body that produce milk to our child. Kalo beli yang tak bagus, bole rosak susu adipos – dan akibatnya liang susu bole tersumbat mengakibatkan mastitis.
So, let us see. Which is the best bp offered in Malaysia market?
A) Manual pump1. Avent Isis
- rata-rata mothers yang start to bf must own AI. My first bp pun AI
- sangat senang guna dan sangat senang nak dapat let-down
- cuma leceh nya, banyak parts yang nak kena cuci – kecik pulak tu – possibility nak hilang dalam sink adalah sangat tinggi
- harga dalam RM210
- sangat senang jugak nak dapat letdown sebab ada 2 phase-expression
- simple built: tak banyak part untuk dicuci
- tapi ada bahagian gegelang yang agak sensitive – mudah patah
- harga dalam RM245
- part pun tak banyak untuk dibasuh – 4 parts only
- ada valve untuk control laju atau perlahan tahap pengepaman
- yang tak best: tempat pemerah tu sangat ketat (boleh lenguh tangan dibuatnya) dan custom build for MaM bottle – bottle lain tak suit
- harga dalam RM240
B) E-pump (single)
1.
Medela Mini-E*
- can be operated by battery or DC
- simple built: tak berselirat dengan wayar, tube segala mala (senang untuk dibawa berjalan)
- bunyi bising macam lawnmower (tak sesuai untuk dipam di cubicle)
- built for occasional use only
- harga dalam RM450
- can be operated by battery or DC
- simple built: tak berselirat dengan wayar, tube segala mala (senang untuk dibawa berjalan)
- bunyi bising macam lawnmower (tak sesuai untuk dipam di cubicle)
- built for occasional use only
- harga dalam RM450
2. iSpectra*
- this one is new in market
- can be operated by battery or DC
- bunyi a bit loud but bearable
- suction bole tahan kuat jugak
- built for occasional use only
- harga dalam RM400
- macam Medela Mini-E : tak beselirat dengan tubing
- can be operated by battery or DC
- macam Isis, mudah nak dapat let-down
- macam Isis jugak: banyak parts nak kena cuci
- body pump located on top of if, so a bit berat – boleh lenguh gak tanga pegang pump especially kalo botol dah penuh dengan susu
- harga dalam RM700
- comes with 2phase-expression
- can be operated by batteries or DC
- masalah yang biasa: susu suka up masuk tubing
- harga dalam RM700
C) epump (double)
- can be operated by DC or car adapter
- berat dalam 2.5kg
- macam Avent Isis, banyak parts nak kena pasang dan basuh
- harga dalam RM1800
- comes with 2-phase expression
- can be operated by DC, batteries and car adapter
- berat 4kg
- harga dalam RM1700
- comes with 2-phase expression
- operated fully by battery; somehow battery can be recharge using DC or car adapter (macam handphone)
- sangat kecil, berat less than 1kg
- comes with handsfree kit - so boleh handsfree while pumping
- bunyi agak loud
- not officially masuk dalam market Malaysia but can be bought at FFY, The Curve for RM2200. Kedai online pun ada: MyBreastPumpShop jual murah RM1700.
*I never use this bp. This is what I know based on googling.
So, mana yang aku ada dan pernah guna aku bagi ranking:
1. Medela Freestyle
2. Ameda Lactaline
3. Medela PISA
4. Spectra3
5. Avent Isis
6. MaMCare Manual
Kisah aku dan bp
Kalo ko perasan, aku memang banyak bertukar bp. Antara sebab nya, aku nakkan yang terbaik yang masuk dengan keperluan aku. My working hour is not just sitting 8 to 5 in the office. I have outside meetings, and I travel quite a lot too. Sebab itu penting bagi aku untuk ada bp yang ringan, able to be batteries operated, and of course double pumping. Hampir banyak tempat aku dah pernah mengepam. Just name it, I have pumped in meeting rooms, suraus, toilets (office, hotels, airports), in plane on the way to Labuan, in the car (yes, even while driving), store rooms, basically anywhere private. Mengepam sangat crucial bagi aku. Aku takan sesuka hati mengskip waktu mengepam. Semua orang tahu aku akan keluar waktu meeting untuk mengepam (even aku adalah SU pencatit minit pun aku akan keluar mengepam). Lagi pun, bagi aku aku dah beli bp mahal so kena la make full use of it.. heheheh.
Antara gadget yang bole mencepatkan proses pengepaman (dengan keadaan relaks) ialah handsfree kit. Sangat la memudahkan. Even Medela Freestyle comes with handsfree kit tapi frankly speaking handsfree dia aku tak pernah pakai - sebab aku pakai pumpinpal. Pumpinpal ni open for any double breastpump: tak kira la ko pakai Spectra3, Ameda Lactaline. Avent Duo atau Medela PISA - just sangkut dan pakai. Mudah sangat.
Aku harap review ni dapat membantu. Nanti bila dah decide nak beli yang mana satu, do let me know.. suka nak nyibuk.. heheheh :-)
Attachment Parenting
The following are common ways to practice attachment parenting:
• Having a natural, peaceful childbirth and bonding with the baby through rooming-in at the hospital
• Breastfeeding the baby on demand as opposed to a schedule
• Answering baby's cries quickly (not letting baby "cry it out")
• Wearing the baby as much as possible using a sling or baby carrier
• Having baby with you as much as possible (avoiding baby sitters if possible)
• Having baby sleep in your bedroom (either in your bed or in a crib next to your bed) so you can respond quickly to baby and he can adjust to your sleep cycle.
• Avoiding using material items sooth baby such as pacifiers, swings, strollers, etc. By offering yourself to comfort baby, baby learns to form strong human attachments.
Ohh.. I love AP so much…
Tiada ulasan:
Catat Ulasan