How much expressed milk will my baby need? @ Storage guidelines
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Academy of Breastfeeding Medicine Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants (March 2010) Why Do Milk Storage Guidelines Differ? by Nancy Mohrbacher, IBCLC, FILCA What are the LLLI guidelines for storing my pumped milk? from La Leche League International Storing and transporting breast milk from AskDrSears.com Freezing Your Breastmilk by Paula Yount Rechtman DJ, Lee ML, Berg H. Effect of Environmental conditions on Unpasteurized Donor Human Milk. Breastfeed Med. 2006 Spring;1(1):24-6. Hamosh M, Ellis LA, Pollock DR, Henderson TR, Hamosh P. Breastfeeding and the working mother: effect of time and temperature of short-term storage on proteolysis, lipolysis, and bacterial growth in milk. Pediatrics. 1996 Apr;97(4):492-8. More journal articles on milk storage Reusing expressed breastmilk @ My power went out and I have breastmilk in the freezer – Help! @ Don’t Shake the Milk by Linda J. Smith, BSE, FACCE, IBCLC. Another source also indicates that shaking has the potential to destroy the protein structure of large proteins in biologically active substances: “…many large proteins cannot be shaken to reconstitute, as shaking can destroy the protein structure” (Morrow T, Felcone LH. Defining the difference: What Makes Biologics Unique. Biotechnol Healthc. 2004;1(4):24-9). How likely is this to be an issue? We don’t know! So far there has not been research done on the bioactive properties of shaken vs. non-shaken breastmilk (fun research project – any takers?). Some feel that the forces required to change the milk are significantly more than could be provided via shaking. Others note that shear forces from shaking are not the only issue–bursting of bubbles caused by shaking may also damage cells or denature proteins. To play it safe, use the smallest amount of force needed to mix the layers, keeping in mind that the layers will mix better as the milk warms. If you do shake the milk, it might not be a problem at all–and even if it turns out that shaking makes a difference it will still be the best nutrition for your child. Travelling with Breast Milk by Robyn Roche-Paull, BSN, RNC-MNN, IBCLC Traveling as a Pumping Mother by Nicole Goodman Packaging and Shipping Frozen Breastmilk from Breastfeeding in Combat Boots Using Dry Ice Safely when Traveling with Breastmilk from the Children’s Hospital of Philadelphia Jeffery SL, Cubison TC, Greenaway C, Gilbert PM, Parkhouse N. Lesson of the week. Warming milk-a preventable cause of scalds in children. BMJ. 2000 Jan 22;320(7229):235. What is normal?Unusual appearances of breastmilk from the Australian Breastfeeding Association My expressed breastmilk doesn’t smell fresh. What can I do? @KellyMom What does breastmilk look like? by Paula Yount Why does my breastmilk change colors? by Anne Smith, IBCLC Common Concerns When Storing Human Milk by Cindy Scott Duke, from New Beginnings, Vol. 15 No. 4, July – August 1998, p. 109 (normal taste & appearance) More information @KellyMom:
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