Some women find it helpful to try around three to six weeks in, as they've usually resolved any early day challenges by then. There is no evidence to suggest there's a 'best' time to see whether your baby takes a bottle. Get comfortable and express your milk for as long as it is flowing well rather than letting time guide you.
It's usually more efficient to pump both breasts at the same time. Some mums also find it helpful expressing on one breast while feeding their baby from the other. Babies are very good at encouraging the release of oxytocin, the hormone associated with the milk ejection reflex. The guidance varies a lot, which is really confusing. What everyone agrees on is that starting with clean hands really matters. The Academy of Breastfeeding Medicine suggests sterilising is not necessary but that everything should be thoroughly cleaned in hot soapy water, rinsed well and dried air or paper towels.
The safest way is to stand it in a jug of warm water. Warm the milk just enough to take the chill off and shake out a few drops onto your wrist to test. Babies differ so much and while young babies can only take around a few millilitres at a time, older babies will of course take more. If you still want a rule of thumb, leave around ml for a feed for a baby over a month old.
Less for a younger baby. Some babies will take very little while they are separated and catch up when they're reunited with their mum. Remember taking milk from a bottle is a skill your baby has to learn. Store milk in sterilised containers or in plastic bags made specifically for storing milk. Write on them the date and use up the oldest first NICE, Go for the fridge as your first option as freezing breast milk alters some of its biologically active components Piela et al, If you need it on the go, you can store your refrigerated breast milk for 24 hours in a cool bag or box with ice packs in it.
Warmer temperatures can allow bacteria to grow more quickly. However, around six hours would seem to be a reasonable time for milk collected hygienically with a sterilised pump and really clean hands. If the breastmilk has gone off, it will smell unusual. Don't worry if it looks a little weird. Separation is very normal, with the fat rising to the top.
Just give the bottle a good shake before offering it your baby. In the freezer compartment of a fridge, you can store expressed breast milk for two weeks. It's easier to write the date on the bag before it's full of milk, and do leave some space at the top of the bag as the milk will expand as it freezes. You can thaw frozen milk by defrosting it in the fridge NICE, On This Page. Top of Page.
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Keep in mind that research suggests that the longer you store breast milk — whether in the refrigerator or in the freezer — the greater the loss of vitamin C in the milk. It's also important to note that your breast milk changes to meet your baby's needs. Breast milk expressed when a baby is a newborn won't as completely meet the same baby's needs when he or she is a few months older. Also, storage guidelines might differ for preterm, sick or hospitalized infants.
Thaw the oldest milk first. Place the frozen container in the refrigerator the night before you intend to use it. You can also gently warm the milk by placing it under warm running water or in a bowl of warm water.
Don't heat a frozen bottle in the microwave or very quickly on the stove. Some parts of the milk might be too hot, and others cold. Also, some research suggests that rapid heating can affect the milk's antibodies.
While further research is needed on whether previously frozen milk that's been thawed can be frozen again and safely used, many experts recommend discarding thawed milk that isn't used within 24 hours. The color of your breast milk might vary slightly depending on your diet. Also, thawed breast milk might seem to have a different odor or consistency than freshly expressed milk. It's still safe to feed to your baby. If your baby refuses the thawed milk, shortening the storage time might help.
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