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• As often as possible
• At work
SOURCE OF
BREASTMILK
• Own mother
• Wet nurse
• Other mothers = pasteurization
HOW TO
GIVE
• Cup feeding
• Dropper feeding
HOW
manual
• Breastmilk
expression pump
WHERE
1.Generalities of
breastfeeding
2.How the breast works
3.Breastmilk Expression
Technique
4.How to establish and
maintain milk supply
PREPARATION FOR
EXPRESSION
A. Hygiene
1. Maternal hygiene – daily
bathing
2. Hand hygiene
B. Container
> clean glass or food-grade hard
plastic
> clean, dry, non-sterile
containers are acceptable for
Preparation for Expression
C. Pump Equipment
1. Cleaning and maintenance
a. Electric pump equipment
b. pump tubings should be
free of aerosols of milk
or water
D. Labeling of Container
Name of Donor ________
Date Expressed ________ Time
Expressed ________
Pre-term _________ Full term
MILK EXPRESSION
1. Preparatory Phase
Conducive environment
Lactation Massage Technique
- Massage
- Stroke
- Shake
2. Hand Expression
3. Mechanical Expression
Collection Guidelines
• Collect human milk as cleanly
as possible to avoid
contamination
• Wash hands before expressing
or pumping milk
• Use clean pump kits and
bottles
• Do not use milk collected in
STORAGE OF MILK
STORAGE GUIDELINES
FRESH MILK
• Room
• Refrigerated (2-
Temperature
4°C) = 8 days
20°C - 37°C = 4
hrs.
• If temperature of
15°C - 25°C = 8
the refrigerator
hrs.
is not kept
Below 15°C = 24 constant = 3-5
hrs. days
STORAGE GUIDELINES
FRESH MILK
Milk from a
donor
mother is
carefully
transferred
from milk
storage
containers
MIXING and POOLING
Each Pool
(which usually
includes milk of
several donors)
is thoroughly
mixed to ensure
an even
distribution of
milk
components.
FILLING BOTTLES
Four ounce
glass bottles
are filled with
milk prior to
pasteurization.
PASTEURIZING WITH
THE HOLDER METHOD
Milk is gently
heated in a shaking
water bath using
the Holder Method
of pasteurization.
Pasteurization
eliminates bacteria
while retaining the
majority of the
milk's beneficial
components.
LAB TESTING