what to do with expired frozen EBM
alih-alih terjumpa ni
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 baby’s mouth for 5 out of 6 participants. All milk samples had colony counts in the acceptable range of less than 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."
Itu lah dia.. ilmu.. nak kena cari from time to time.. TAPI, ada TAPI ok.. page ni last updated in 2005.. relevan ke idak kaedahnya ni?
But yeah, I still couldnt find way(s) on what to do on expired EBM ni.. aku kan tak Google.. sengal bab2 letak keyword ni.. aku baca kat forum tu, ada yg suggest mandi susu?
Nak discard saja buang dalam sinki, sayang OK.. 4-5oz satu bag.. uhuks..
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