manual breast pump guide image
just a mom
Today I posted a question asking about re lactating, and thank you all for the advice. I went and got the Medela pump that was recommended and today I was able to pump 1/2 ounce. My question is this...does this really make a difference? I know that breast milk is best, which is why I'm trying so hard to build up my supply again to be able to BF her (and I think on my first day 1/2ounce is good, right?) But does that 1/2ounce really make a difference for her right now? I noticed that her bowel movement was softer than the peanut butter consistency that formula makes it, but I also wondered if I was imagining it. Also, I was wondering if it's OK to pump into the same container during the day & then give it to her in bulk instead of giving her little by little during the day. Thanks for all the answers and advice! I truly hope I can continue this, and be able to provide breast milk to my daughter again!
Answer
It would make a small difference.
Yes you can pump in to one container, because I only pump for rare nights out I just throw the whole pump in the fridge (manual pump, in your case the whole plastic part not necessarily the tubes).
The thing to keep in mind when you do this is:
a) Obviously it all goes bad from the earliest time (but of course that's really only a concern if you are storing it at room temp)
b) If you have more than one bottles worth in the container you have to make sure you carefully recombine the fat before dividing it which basically means heating it.
I usually just tell the sitter to leave the milk at room temp so the fat recombines, but I know if the milk doesn't get used I am going to end up tossing it. But milk is good for at least 10 hours at room temp unless its very warm.
You could pump and leave it all at room temp and then when you have about 2-3oz offer that, and then start pumping into a new container. But it depends on how long that would take you to pump.
Don't forget to work on getting your daughter back to breast as well, that will make things a lot easier.
Breastmilk Storage & Handling
http://www.kellymom.com/bf/pumping/milkstorage.html
http://www.kellymom.com/bf/pumping/reusing-expressedmilk.html
Reusing expressed breastmilk
Q: Should breastmilk left over from a feeding be dumped immediately (like formula), or can you save it and give it to baby later?
A: It should be safe to save the left-over milk and use it at the next feeding.
Per Breastfeeding, A Guide for the Medical Profession by Ruth Lawrence, MD (p. 438):
Breastmilk can safely stand at room temperature for 6 to 8 hours and need not be discarded if the first feeding attempt is incomplete. In contrast, formula must be refrigerated and discarded after the first feeding attempt because it contains no antibodies or infection protection factors.
Can I 're-use' pumped breastmilk? Q&A by Ruth Lawrence, MD
"... If the milk is warmed up but not used, it is OK to reheat the milk once. But the more you reheat the more you decrease some of the valuable immunologic properties of the milk..."
If my baby doesn't finish a bottle of pumped breast milk can I save it for later? by Jan Barger, R.N., M.A., IBCLC
"...Based on this study, which admittedly needs to be done on a larger scale, it would seem to me that expressed breast milk, fed to the baby, partially consumed, and then refrigerated, could be used for one more feeding no more than four hours later. That's probably fairly conservative. One of the best tests of whether the milk is spoiled is to do what you do with cow's milk: Smell it and taste it!"
Brusseau R. Bacterial Analysis of Refrigerated Human Milk Following Infant Feeding. May 1998.
"Summary: The number of infants who are breastfed is on the rise, as is the number of women in the workforce. Many women who choose breastfeeding after returning to work, express milk during the day and store this milk for a future feeding. When infants do not finish a bottle of expressed breastmilk, doctors recommend unfinished portions be thrown away. This study examined bacterial levels in expressed, partially consumed breastmilk that was stored for 48 hours at 4-6° C. A portion of unconsumed milk was examined as a control. Samples were taken every 12 hours for bacterial analysis. Tests were performed to identify total colony counts, pathogenic Staphylococci, coliforms and b-hemolytic Streptococci. This study showed no significant difference between bottles that were partially consumed and those that were not exposed to the babyâs mouth for 5 out of 6 participants. All milk samples had colony counts in the acceptable range of < 105 colony forming units per milliliter (CFU/ml). Although this project provides evidence that it may be safe to refeed a child a bottle of breastmilk, due to the small sample size, further tests should be performed."
http://www.breastfeed-essentials.com/storagehandling.html
While it was originally thought that a mother had to cool her fresh breastmilk before combining it with previously expressed cooled milk, the latest research now shows that you may pump directly into already refrigerated or cooled milk as long as the milk is added within 24 hours of the first milk expressed. You should then follow the storage recommendations based upon the time and date of the first milk expressed. You may pump directly into milk that has been stored at room temperature as long as you do so within 10 hours. This milk would need to then be used.
You may add your fresh milk to what you have already frozen as long as you chill the fresh milk first for about half an hour and it is a smaller amount than the amount that you are adding it to.
http://www.mother-2-mother.com/storemilk.htm
Can I Freeze My Milk After It Has Been Refrigerated Several Days?
Yes - most sources seem to indicate that you should be safe to use ALL the storage options in succession if you need to.
For example, storing freshly expressed breastmilk at room temperature for up to 10 hours, THEN in a refrigerator for up to 8 days, and THEN in a freezer for 3-12 months (depending on the type of freezer).
You're likely to get to stretch your storage times to the maximum (or even a little longer) if you don't "use up" all of your "warmer" storage - for example, you can expect a longer storage time if you freeze the milk immediately (if you know you'll want it frozen) rather than keep it at room temp for 10 hours, then refrigerate for 8 days and THEN freeze the milk.
Even though storage times may be decreased, most bf experts suggest *not* throwing out any milk before the maximum storage time unless when you warm it you notice that it has a very distinct foul smell.
It would make a small difference.
Yes you can pump in to one container, because I only pump for rare nights out I just throw the whole pump in the fridge (manual pump, in your case the whole plastic part not necessarily the tubes).
The thing to keep in mind when you do this is:
a) Obviously it all goes bad from the earliest time (but of course that's really only a concern if you are storing it at room temp)
b) If you have more than one bottles worth in the container you have to make sure you carefully recombine the fat before dividing it which basically means heating it.
I usually just tell the sitter to leave the milk at room temp so the fat recombines, but I know if the milk doesn't get used I am going to end up tossing it. But milk is good for at least 10 hours at room temp unless its very warm.
You could pump and leave it all at room temp and then when you have about 2-3oz offer that, and then start pumping into a new container. But it depends on how long that would take you to pump.
Don't forget to work on getting your daughter back to breast as well, that will make things a lot easier.
Breastmilk Storage & Handling
http://www.kellymom.com/bf/pumping/milkstorage.html
http://www.kellymom.com/bf/pumping/reusing-expressedmilk.html
Reusing expressed breastmilk
Q: Should breastmilk left over from a feeding be dumped immediately (like formula), or can you save it and give it to baby later?
A: It should be safe to save the left-over milk and use it at the next feeding.
Per Breastfeeding, A Guide for the Medical Profession by Ruth Lawrence, MD (p. 438):
Breastmilk can safely stand at room temperature for 6 to 8 hours and need not be discarded if the first feeding attempt is incomplete. In contrast, formula must be refrigerated and discarded after the first feeding attempt because it contains no antibodies or infection protection factors.
Can I 're-use' pumped breastmilk? Q&A by Ruth Lawrence, MD
"... If the milk is warmed up but not used, it is OK to reheat the milk once. But the more you reheat the more you decrease some of the valuable immunologic properties of the milk..."
If my baby doesn't finish a bottle of pumped breast milk can I save it for later? by Jan Barger, R.N., M.A., IBCLC
"...Based on this study, which admittedly needs to be done on a larger scale, it would seem to me that expressed breast milk, fed to the baby, partially consumed, and then refrigerated, could be used for one more feeding no more than four hours later. That's probably fairly conservative. One of the best tests of whether the milk is spoiled is to do what you do with cow's milk: Smell it and taste it!"
Brusseau R. Bacterial Analysis of Refrigerated Human Milk Following Infant Feeding. May 1998.
"Summary: The number of infants who are breastfed is on the rise, as is the number of women in the workforce. Many women who choose breastfeeding after returning to work, express milk during the day and store this milk for a future feeding. When infants do not finish a bottle of expressed breastmilk, doctors recommend unfinished portions be thrown away. This study examined bacterial levels in expressed, partially consumed breastmilk that was stored for 48 hours at 4-6° C. A portion of unconsumed milk was examined as a control. Samples were taken every 12 hours for bacterial analysis. Tests were performed to identify total colony counts, pathogenic Staphylococci, coliforms and b-hemolytic Streptococci. This study showed no significant difference between bottles that were partially consumed and those that were not exposed to the babyâs mouth for 5 out of 6 participants. All milk samples had colony counts in the acceptable range of < 105 colony forming units per milliliter (CFU/ml). Although this project provides evidence that it may be safe to refeed a child a bottle of breastmilk, due to the small sample size, further tests should be performed."
http://www.breastfeed-essentials.com/storagehandling.html
While it was originally thought that a mother had to cool her fresh breastmilk before combining it with previously expressed cooled milk, the latest research now shows that you may pump directly into already refrigerated or cooled milk as long as the milk is added within 24 hours of the first milk expressed. You should then follow the storage recommendations based upon the time and date of the first milk expressed. You may pump directly into milk that has been stored at room temperature as long as you do so within 10 hours. This milk would need to then be used.
You may add your fresh milk to what you have already frozen as long as you chill the fresh milk first for about half an hour and it is a smaller amount than the amount that you are adding it to.
http://www.mother-2-mother.com/storemilk.htm
Can I Freeze My Milk After It Has Been Refrigerated Several Days?
Yes - most sources seem to indicate that you should be safe to use ALL the storage options in succession if you need to.
For example, storing freshly expressed breastmilk at room temperature for up to 10 hours, THEN in a refrigerator for up to 8 days, and THEN in a freezer for 3-12 months (depending on the type of freezer).
You're likely to get to stretch your storage times to the maximum (or even a little longer) if you don't "use up" all of your "warmer" storage - for example, you can expect a longer storage time if you freeze the milk immediately (if you know you'll want it frozen) rather than keep it at room temp for 10 hours, then refrigerate for 8 days and THEN freeze the milk.
Even though storage times may be decreased, most bf experts suggest *not* throwing out any milk before the maximum storage time unless when you warm it you notice that it has a very distinct foul smell.
Your best baby products?
MOMMYtoJAK
My husband and I are ttc and we're just wondering what is the one baby product you just can't live without? We don't want to waste money on uneccessary things! And which is better a wooden cot or a camping cot? How many nappies of each size will we need, we want to start buying so long. Thanx in advance!!
Answer
Congrats!
For the first 3 months babies do five things;
1. Eat
2. Sleep
3. Poop
4. Cry
5. 'Play'
If you are breastfeeding, eating is almost a non-issue (aside from the frequency, it's actually WAY more convenient than formula!!!). A breast pump is expensive, and unnecessary, because although you will want to use some bottles (just to keep sane and have some time to yourself!!!) manual or hand expression is free and more effective, once you get used to it. There are lots of guides on the net - look up the Marmet Technique, it works well for lots of women.
Bottles, you don't need many, since you'll wash them frequently (you don't want milk to be spoiling in them) - i would recommend the Playtex drop-ins starter pack, it comes with 5 bottles and extra accessories, they're inexpensive and work VERY well.
After baby eats a bottle, she'll (usually) want a soother - if you're breastfeeding, you're not supposed to use a soother until 1 month so your baby can figure out how to latch well without nipple confusion. NUK soothers are great, but most babies prefer the rubber nipple over the silicone one, it feels more like skin.
2. Sleeping, you can start with a crib if you want, but if you want to wait a while until you can afford one, that's okay too. Babies can sleep in anything until about 3 months, when they start to sit and move a lot. My baby slept in a wooden cradle in our room that was handed down, even though he had a crib in his room. My friend keeps her baby beside her in bed, in a drawer. It's alot more convenient anyways for nighttime feedings.
You'll need a few (like 1-3) slightly warm blankets to put over them when they sleep - NOT puffy/thick comfortors, but like fleece or knit blankets, it's safer so they don't suffocate. This way you can add or take away a layer as needed. You can tell the babies temp by feeling the back of their neck - babies should never be sweaty, if they overheat like that, they are at higher risk of SIDS. NO pillows or stuffed toys should go in with the baby.
2. Pooping (and peeing) - this, and all other types of cleaning are in this catagory. Diapers are a must, obviously. You will be suprised how many diapers you go thru in the first 3 weeks - like 10+ a day sometimes. We just bought good diapers (like Huggies) and they never leaked on the bedding or his clothes, so that was good. Sizes will depend on your baby, but get enough newborn ones that you don't have to stress about leaving the house to get diapers the first week. Diaper wipes are nice, but a warm wet baby facecloth works even better, and is actually much easier on their skin. Get lots of baby faceclothes, you'll use them for SO MANY THINGS, even until they are 3 or 4 years old.
Zinc Oxide cream is a must - even using it every diaper change, a little goes a long way!
Baby lotions and soaps aren't necessary, as you'll wash them with plain water for the first little while anyways, so their skin can establish it's own moisture barrier,
4. Crying will happen, and it's cute somedays and stressful others. Swings, carriers, slings, and other such devices may or may not work for your baby, mine hated being in everything except my own arms, so you can see what works for you.
However, crying can also mean something is wrong - I have found that it is important to have a digital thermometer (just the $10 one, it's SO WORTH IT if you're worried what's goin on with your baby, his temperature will tell you), a nasal rubber bulb and q-tips, and baby tylenol. When they get their first cold, you'll be glad you have this ready.
5: Playing. Toys are nice, but your child will have MANY in their lifetime, and for the first 3 months YOU will be his favorite toy anyways. Playing, talking, cooing, touching, holding, or just looking at his face, that's his favorite. Also, a mobile is handy, we have a cheap 10$ from Ikea that we just spin manually for him, and he LOVES it. Once he starts grabbing and holding things, inexpensive toys like the plastic links or hanging mirrors, rattling or crinkly toys with lots of bright colours and black/white patterns, or those Walmart flowers with smiley faces will entertain him. You don't need to go all out spending money on toys, because interacting with you will be the best playtime he will get. The more tummy time he gets on a sof playmat or blanket, the faster he'll develop. We had a special area on the floor where his blanket was laid out, and all his toys were, so when we put him down there, he knew he'd be there to play by himself for a while.
Other than that, your baby will need a safe car seat to get around in, and you'll need recieving blankets for everything listed above - make sure they're big enough to keep your baby bundled throughout the nite, and he'll sleep way longer!
THE ONE THING THAT'S AMAZING:
We splurged on a Bumbo chair, which will last from 3-14 months, but it's so nice, because it helps your baby sit wherever you are - on the counter while you cook/clean, near you during dinner, watching you while you work on something; SO nice, and it strengthens thier neck and back muscles too!
"This award-winning Bumbo Seat is manufactured with safety as the number one priority. The Bumbo Seat is made from a low-density foam material, which makes it lightweight and portable. The Bumbo Seat is soft and comfortable for baby, while parents appreciate that it is safe, hygienic, and environmentally friendly. The seat is durable, easy to clean, and comes in five fun colours: blue, yellow, aqua, lime and lilac. Bumbo Seats are versatile and can be used safely and conveniently on any solid, level surface. Bumbo Seats keep babies safe and comfortable and enable them to interact with the rest of the family � all without any uncomfortable straps or fasteners because the Bumbo Seat is designed so that the baby�s own body weight keeps baby in place. The Bumbo Seat is safe, comfortable, hygienic, portable, and convenient � which means it�s just perfect for your baby!
That's my tip!
Good luck!
Congrats!
For the first 3 months babies do five things;
1. Eat
2. Sleep
3. Poop
4. Cry
5. 'Play'
If you are breastfeeding, eating is almost a non-issue (aside from the frequency, it's actually WAY more convenient than formula!!!). A breast pump is expensive, and unnecessary, because although you will want to use some bottles (just to keep sane and have some time to yourself!!!) manual or hand expression is free and more effective, once you get used to it. There are lots of guides on the net - look up the Marmet Technique, it works well for lots of women.
Bottles, you don't need many, since you'll wash them frequently (you don't want milk to be spoiling in them) - i would recommend the Playtex drop-ins starter pack, it comes with 5 bottles and extra accessories, they're inexpensive and work VERY well.
After baby eats a bottle, she'll (usually) want a soother - if you're breastfeeding, you're not supposed to use a soother until 1 month so your baby can figure out how to latch well without nipple confusion. NUK soothers are great, but most babies prefer the rubber nipple over the silicone one, it feels more like skin.
2. Sleeping, you can start with a crib if you want, but if you want to wait a while until you can afford one, that's okay too. Babies can sleep in anything until about 3 months, when they start to sit and move a lot. My baby slept in a wooden cradle in our room that was handed down, even though he had a crib in his room. My friend keeps her baby beside her in bed, in a drawer. It's alot more convenient anyways for nighttime feedings.
You'll need a few (like 1-3) slightly warm blankets to put over them when they sleep - NOT puffy/thick comfortors, but like fleece or knit blankets, it's safer so they don't suffocate. This way you can add or take away a layer as needed. You can tell the babies temp by feeling the back of their neck - babies should never be sweaty, if they overheat like that, they are at higher risk of SIDS. NO pillows or stuffed toys should go in with the baby.
2. Pooping (and peeing) - this, and all other types of cleaning are in this catagory. Diapers are a must, obviously. You will be suprised how many diapers you go thru in the first 3 weeks - like 10+ a day sometimes. We just bought good diapers (like Huggies) and they never leaked on the bedding or his clothes, so that was good. Sizes will depend on your baby, but get enough newborn ones that you don't have to stress about leaving the house to get diapers the first week. Diaper wipes are nice, but a warm wet baby facecloth works even better, and is actually much easier on their skin. Get lots of baby faceclothes, you'll use them for SO MANY THINGS, even until they are 3 or 4 years old.
Zinc Oxide cream is a must - even using it every diaper change, a little goes a long way!
Baby lotions and soaps aren't necessary, as you'll wash them with plain water for the first little while anyways, so their skin can establish it's own moisture barrier,
4. Crying will happen, and it's cute somedays and stressful others. Swings, carriers, slings, and other such devices may or may not work for your baby, mine hated being in everything except my own arms, so you can see what works for you.
However, crying can also mean something is wrong - I have found that it is important to have a digital thermometer (just the $10 one, it's SO WORTH IT if you're worried what's goin on with your baby, his temperature will tell you), a nasal rubber bulb and q-tips, and baby tylenol. When they get their first cold, you'll be glad you have this ready.
5: Playing. Toys are nice, but your child will have MANY in their lifetime, and for the first 3 months YOU will be his favorite toy anyways. Playing, talking, cooing, touching, holding, or just looking at his face, that's his favorite. Also, a mobile is handy, we have a cheap 10$ from Ikea that we just spin manually for him, and he LOVES it. Once he starts grabbing and holding things, inexpensive toys like the plastic links or hanging mirrors, rattling or crinkly toys with lots of bright colours and black/white patterns, or those Walmart flowers with smiley faces will entertain him. You don't need to go all out spending money on toys, because interacting with you will be the best playtime he will get. The more tummy time he gets on a sof playmat or blanket, the faster he'll develop. We had a special area on the floor where his blanket was laid out, and all his toys were, so when we put him down there, he knew he'd be there to play by himself for a while.
Other than that, your baby will need a safe car seat to get around in, and you'll need recieving blankets for everything listed above - make sure they're big enough to keep your baby bundled throughout the nite, and he'll sleep way longer!
THE ONE THING THAT'S AMAZING:
We splurged on a Bumbo chair, which will last from 3-14 months, but it's so nice, because it helps your baby sit wherever you are - on the counter while you cook/clean, near you during dinner, watching you while you work on something; SO nice, and it strengthens thier neck and back muscles too!
"This award-winning Bumbo Seat is manufactured with safety as the number one priority. The Bumbo Seat is made from a low-density foam material, which makes it lightweight and portable. The Bumbo Seat is soft and comfortable for baby, while parents appreciate that it is safe, hygienic, and environmentally friendly. The seat is durable, easy to clean, and comes in five fun colours: blue, yellow, aqua, lime and lilac. Bumbo Seats are versatile and can be used safely and conveniently on any solid, level surface. Bumbo Seats keep babies safe and comfortable and enable them to interact with the rest of the family � all without any uncomfortable straps or fasteners because the Bumbo Seat is designed so that the baby�s own body weight keeps baby in place. The Bumbo Seat is safe, comfortable, hygienic, portable, and convenient � which means it�s just perfect for your baby!
That's my tip!
Good luck!
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