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Expressing breastmilk
nusha
#1 Posted : Sunday, June 28, 2009 12:44:38 PM(UTC)
nusha

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Hi everyone. I have a 6 week old baby girl that is exclusively breastfed. We have just started the introduction of the bottle with expressed breastmilk. My question is, can I express directly into a container with refrigerated milk from an earlier expressing session? I don't get enough for a feed at one session. Also, how much milk should a 6 week old be drinking? Since I have only breastfed I have no idea how much she gets ... and apparently it is not the same amount as formula?



parent24ed
#2 Posted : Monday, June 29, 2009 9:35:56 AM(UTC)
parent24ed

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I was useless at expressing, so you are already doing well in my eyes. Why not keep the two different lots of milk separate, and mix them only when you're ready to use them? So then if one goes off you have the other one still. Hope someone who knows more than me about all this replies!
rochelle.barrish
#3 Posted : Monday, June 29, 2009 2:41:23 PM(UTC)
rochelle.barrish

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Hi Nusha,
It's best not to mix the two lots of milk as it might go off. What you can however do is whatever you express in a 6 hour cycle, you can put together and freeze or use as one but I wouldn't go longer than the 6 hour thing. I used the AVENT system and they have these wonderful stacking cups that I expressed into and I was lucky enough to have an electric pump (which helps a lot) and usually filled these cups so I didn't have the little bots of feed to contend with. As to the question of how much milk your baby should have, please read below: I took this off my midwife, Conny Fraser's Babygrow website. It def helped me a lot. But most importantly remember to feed on demand - Your baby will let you know if she's had enough. good luck!

Day 1- 2 weeks: Baby will be very sleepy, but please ensure that he feeds at least 3 hourly.His stomach is only the size of a walnut, so he won’t feed for long , he will be feeding on the colostrum which is thick , nutritious and important.If he wants to feed more frequently allow him to do so.

3 – 4 weeks: Baby will start feeding more frequently, every 1½ to 2 ½ hours. Try not to get baby into a feeding routine, carry on demand feeding,even through the night. Do not wake baby to feed at night , he will wake to feed when he is hungry.

An early evening routine,will help with sleep issues later.
An example:
18:00- feed
18:30 – bath
18:45 – feed
19:00 – bed

If you can try to put them down when they’re sleepy but still awake, this helps them fall asleep by themselves. This takes practice , so don’t get despondent.

An example of how they will be waking at night(these are more or less times, remember to feed on demand):
An example:
19:00 Bed
22:00 Feed
02:00 Feed
06:00 Feed

At about 5/6 weeks:
They will drop the 22:00 feed first:
19:00 Bed
01/02:00 Feed
05/06:00 Feed

At about 3 months:
They will drop the 2 am feed:
19:00 Bed
05/06:00 Feed

Remember these are all a more or less time frame. If your baby wakes , you need to respond, even if it’s just for a cuddle.
Between about 5 and 8pm can be a niggly,’colicy’ time for some babies they tend to cluster feed (feed very frequently) and cry a lot, they are just gearing up for the night ahead.
If your baby has slept through the night a few times, remember he doesn’t need feeding at night thereafter, so don’t feed if he wakes up , otherwise he’ll continue doing so out of habit.
Between 4 – 5 months babies tend to wake up a bit more, don’t be tempted to start solids, sometimes one breastfeed a night might just be the reality, many babies only start sleeping through , when solids are introduced.
Don’t change baby’s nappy at night, unless it is badly soiled, try and keep baby in sleepy state, don’t switch on lights or talk and make eye contact.
Bearing in mind , they do go through growth spurts, at these times he will wake more frequently and need feeding:10-12 days, 3 weeks, 6 weeks,3 months, 6 months.

Some essential breastfeeding items:

Lansinoh or bepanthen nipple cream(good idea to put on nipples regularly in the beginning, as nipples become tender even if the latch is correct).
A mini express machine, with bottles or bags to store milk in freezer(medela is a good make)
A comfortable evening feeding bra(carefix make a good range).


Storing milk

Don’t store more than 50 mls at a time , because when defrosted , it needs to be used , if not used, thrown away. Breastmilk is like liquid gold, you don’t want to waste if you can help it.
Milk can be stored in freezer for 3 months, best way to defrost is overnight in fridge, or stand bottle in jug of boiling water until comfortably warm.
Milk can be kept in fridge for 24 hours.
When taken out of fridge, can last for 6 hours at room temperature.
parent24ed
#4 Posted : Monday, June 29, 2009 4:07:47 PM(UTC)
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Thanks Rochelle, wow this is awesome.
weebee
#5 Posted : Wednesday, July 15, 2009 1:35:18 AM(UTC)
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Hi

I wouldn't mix unless you are putting it in the bottle and preparing the bottle to feed your baby.

I tried to express for the next day and only kept milk in the freezer for emergencies, but never longer than 3 months. I found the previous day expressed milk was gobbled up way quicker than the frozen milk, what I did do when I could see it getting closer to 2 months in the freezer is rather put the frozen milk in roomtemperature water and use it on the porridge and freeze the express milk again that you are not using on the porridge that morning, that way your emergency supply also stays 'fresher'.

Good luck, and well done for breastfeeding!

nusha
#6 Posted : Wednesday, July 15, 2009 12:26:16 PM(UTC)
nusha

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Wow! Thanks for the advice guys. I have not started freezing yet, just expressing for the next day in an attempt to bottle feed. But she doesn't take the bottle at all yet, we are still working on it ... it's a real struggle at the moment ...


Guest
#8 Posted : Tuesday, March 16, 2010 6:42:22 PM(UTC)
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nusha wrote:
Hi everyone. I have a 6 week old baby girl that is exclusively breastfed. We have just started the introduction of the bottle with expressed breastmilk. My question is, can I express directly into a container with refrigerated milk from an earlier expressing session? I don't get enough for a feed at one session. Also, how much milk should a 6 week old be drinking? Since I have only breastfed I have no idea how much she gets ... and apparently it is not the same amount as formula?




Yes you can store expressed milk with previous expressed milk that is frozen or refrigerated. This will not matter as you can freeze breast milk for 3 mnths. How to work out what amount for your baby is to take the weight of your baby and multiply with 150 and devide with amount of feeds per 24hrs (i.e 3.5kg x 150 = 525 / 6 = 87.5ml). Please don't take everything that I've said as exclusive, this info I got from the internet.
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