Refrigerator Storage of Expressed Human Milk in the Neonatal Intensive Care Unit

Slutzah, Meredith; Codipilly, Champa N; Potak, Debra; Clark, Richard M.; Schanler, Richard J.

doi:10.1016/j.jpeds.2009.07.023

Cited by 104 publications

(76 citation statements)

References 11 publications

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“…Prior to administering it to the baby, they need to be thawed by placing them in lukewarm water and when in the freezer they need to be shifted to the refrigerator first and then placed in lukewarm water. 17,18 A few disadvantages include the high cost of the pump and storage bags, time that needs to be dedicated for pumping and sterilising the equipment and need for a private place to pump. 19 Analysing the barriers against expressed breast milk, we understand that most women did not know that such an option was available.…”

Section: Discussionmentioning

confidence: 99%

Expressed breast milk: a less used option by working mothers of India

Rai

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Expressed breast milk is a healthy feeding option as compared to formula milk for working postnatal mothers. Objective of present work was to study the knowledge, attitude and practice regarding expressed breast milk feeding among working postnatal mothers and to identify and explore the barriers against it.Methods: A double blinded cross sectional study was conducted at a tertiary care centre in Hyderabad city, India. 100 working breastfeeding postnatal mothers with infants upto 1 year were identified. A validated questionnaire in English and Hindi was used for data collection. It constituted personal characteristics, knowledge regarding expressed breast milk feeding, attitude towards it and presently followed practices by working mothers.Results: A total of 100 working mothers with infants less than one year were selected who attended the postnatal clinics at our hospital, a tertiary care centre in Hyderabad city. Overall, the knowledge regarding expressed breast milk feeding was unsatisfactory in 64% of women. Only 36% of them had satisfactory knowledge. Positive attitude towards expressed breast milk feeding was seen in 60% of them and 40% of them had negative attitude. Expressed breast milk feeding was practised by 11% of them, formula milk by 53%, mixed feeding by 10% and cow milk by 26% as a substitute to breast feeding in their absence. Univariate analysis revealed no statistically significant determinant of their knowledge, attitude and practices.Conclusions: Knowledge about expressed breast milk feeding in Indian working breastfeeding mothers is suboptimal. Imparting adequate knowledge can improve feeding practices.

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Section: Discussionmentioning

confidence: 99%

Expressed breast milk: a less used option by working mothers of India

Rai

2017

Int J Reprod Contracept Obstet Gynecol

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“…New data suggest that mother' s own milk can be stored at refrigerator temperature (4°C) in the NICU for as long as 96 hours. 67 Data on thawing, warming, and prolonged storage need updating. Practices should involve protocols that prevent misadministration of milk.…”

Section: Preterm Infantsmentioning

confidence: 99%

Breastfeeding and the Use of Human Milk

Eidelman¹,

Schanler²,

Johnston³

et al. 2012

Pediatrics

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3,831

1,367

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Breastfeeding and human milk are the normative standards for infant feeding and nutrition. Given the documented short- and long-term medical and neurodevelopmental advantages of breastfeeding, infant nutrition should be considered a public health issue and not only a lifestyle choice. The American Academy of Pediatrics reaffirms its recommendation of exclusive breastfeeding for about 6 months, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant. Medical contraindications to breastfeeding are rare. Infant growth should be monitored with the World Health Organization (WHO) Growth Curve Standards to avoid mislabeling infants as underweight or failing to thrive. Hospital routines to encourage and support the initiation and sustaining of exclusive breastfeeding should be based on the American Academy of Pediatrics-endorsed WHO/UNICEF “Ten Steps to Successful Breastfeeding.” National strategies supported by the US Surgeon General’s Call to Action, the Centers for Disease Control and Prevention, and The Joint Commission are involved to facilitate breastfeeding practices in US hospitals and communities. Pediatricians play a critical role in their practices and communities as advocates of breastfeeding and thus should be knowledgeable about the health risks of not breastfeeding, the economic benefits to society of breastfeeding, and the techniques for managing and supporting the breastfeeding dyad. The “Business Case for Breastfeeding” details how mothers can maintain lactation in the workplace and the benefits to employers who facilitate this practice.

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“…comm.). Many, but not all, milk constituents are stable for several days at refrigerator temperatures (Slutzah et al, 2010), although stability under refrigeration is unknown for many hormones and cytokines. For analysis of immunoproteins or cortisol, sodium azide or protease inhibitors can be added to samples to prevent the growth of bacteria; however, these substances can destabilize other metabolic hormones (such as adipokines) and should be used cautiously.…”

Section: Sample Preparation and Storagementioning

confidence: 99%

Field and laboratory methods in human milk research

Miller

Aiello

Fujita

et al. 2012

American J Hum Biol

120

108

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Human milk is a complex and variable fluid of increasing interest to human biologists who study nutrition and health. The collection and analysis of human milk poses many practical and ethical challenges to field workers, who must balance both appropriate methodology with the needs of participating mothers and infants and logistical challenges to collection and analysis. In this review, we address various collection methods, volume measurements, and ethical considerations and make recommendations for field researchers. We also review frequently used methods for the analysis of fat, protein, sugars/lactose, and specific biomarkers in human milk. Finally, we address new technologies in human milk research, the MIRIS Human Milk Analyzer and dried milk spots, which will improve the ability of human biologists and anthropologists to study human milk in field settings. Am.

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Refrigerator Storage of Expressed Human Milk in the Neonatal Intensive Care Unit

Cited by 104 publications

References 11 publications

Expressed breast milk: a less used option by working mothers of India

Expressed breast milk: a less used option by working mothers of India

Breastfeeding and the Use of Human Milk

Field and laboratory methods in human milk research

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