There is no freedom of choice for humans,
if it has been taken away from them at the beginning.
Breast-feeding is not a choice,
but an obligation to the choice.
Give your child the freedom of choice
Milk remaining in the bottle that has been offered to baby
Action: Use for next feeding, otherwise discard
Why?: Bacteria from the baby's mouth may have entered the milk during the feeding. This may lead to bacterial contamination if it sets too long (though as yet there is no research available).
Milk that has been thawed
Action : Save in the refrigerator for 24 hours after thawing, then discard. Do not refreeze.
Why?: Milk that has been frozen has lost some of the immune properties that inhibit bacterial growth in fresh refrigerated milk
Milk that has been kept in the refrigerator for eight days
Action : Transfer to storage in the freezer, or discard.
Why?: Bacterial growth is not a problem, but milk sometimes picks up odors or flavors from the refrigerator or the container
Milk remaining in the bottle that has been offered to babyAction: Use for next feeding, otherwise discardWhy?: Bacteria from the baby's mouth may have entered the milk during the feeding. This may lead to bacterial contamination if it sets too long (though as yet there is no research available).
Milk that has been thawedAction : Save in the refrigerator for 24 hours after thawing, then discard.
Do not refreeze.
Why?:Milk that has been frozen has lost some of the immune properties that inhibit bacterial growth in fresh refrigerated milk
Milk that has been kept in the refrigerator for eight daysAction : Transfer to storage in the freezer, or discard.
Why?: Bacterial growth is not a problem, but milk sometimes picks up odors or flavors from the refrigerator or the container
Breastfeeding can present some unusual challenges for the working mother. However, none of these challenges should be viewed as a reason not to attempt it. With preparation and support from family and employers, many mothers continue to breastfeed their babies while working out of the home on a full-time basis. It is important for breastfeeding mothers to know what obstacles lay ahead and how to overcome them. Advance preparation is vital. The following plan is intended to help smooth the transition of returning to working while breastfeeding.
Obstacles to successful breastfeeding for the working mother include: short maternity leave (less than 8 weeks), lack of support from employer, inadequate breaks for pumping, inability to pump due to lack of private space, maintaining job performance, maintaining milk supply, and leaking/engorgement. Factors that support breastfeeding for the working mother include: on-site child care, a clean and private place to pump, flexible schedules, support from employer and family, adequate breaks for pumping, and increased breastfeeding during non-working hours.
During Your Pregnancy:Discuss your plans for maternity leave and breastfeeding with your supervisor & agree on the length of leave to be takenDiscuss options for returning to work - part-time, full-time, flex-time, working at homeDiscuss use of breaks for pumpingIdentify a clean, private place for you to pumpTalk to other working mothersKnow your legal rights for breastfeeding in the workplaceParticipate in the corporate lactation program, if availableDuring Your Maternity Leave: Establish a good milk supply with exclusive nursing (no formula) and pumped milk in a bottlePractice pumping, time yourself so you know how long it takes to completely empty the breastsBuy or rent a high quality electric pump with a double pump set-up to maximize efficiencyGive your baby a bottle of pumped breast milk everyday starting at 3-4 weeks of ageIdentify clothing that allows easy access for pumping - patterns hide leaks betterKeep your employer abreast (no pun intended) of any changes during your leaveBuy boxes of disposable breast pads to prevent leaking through clothesReturning to work: Try to return to work at the end of the week so your first week back will be shortGet your rest and proper nutritionKeep your pump and equipment ready to goBring your baby's picture to workTry to pump every 3 hours while you are away from your babyPump in a clean and private placeBreastfeed more often during non-working hoursHave some formula available for your baby for the "just in case" eventContinue to talk with other nursing mothers for supportUse a cooler with an ice pack to store pumped milk if a refrigerator is unavailable
An insufficient milk supply can have a number of factors. Commonly, a low milk supply is caused by improper breastfeeding techniques. These include long intervals between feedings (>4 hours), short feedings (<10 minutes), overuse of supplementary feedings, overuse of a pacifier, prolonged separation of mother and baby leading to unrelieved engorgement, incorrect position and poor latch-on. Sometimes, a sick or otherwise compromised baby may not be able to effectively breastfeed, leading to a low milk supply. Rarely, the problem is a true physiological one. Women with a history of breast surgery are at an increased risk of having a low milk supply, particularly if nerves and milk ducts were severed during the procedure. Treatment of a low milk supply centers on frequent and complete removal of the milk from the breast.
Breastfeed your baby frequently, averaging 2 to 3 hours from the start of one feeding to the start of the next. . Your baby may occasionally need to eat more often.
Breastfeed your baby between 8 and 12 times in a 24-hour period.
Breastfeed your baby on the first side until it is empty, or until your baby unlatches after at least 10 minutes of feeding after the letdown. Then switch sides and nurse your baby until he or she is content.
If your baby only takes one breast at a feeding, it is important to pump the un-nursed breast to stimulate the milk supply.
If you will be separated from your baby for more than 4 hours, it is very important that you pump during this time apart.
While trying to establish a good milk supply, it will be necessary to nurse or pump during the night. A newborn can have one 4 to 5-hour stretch of nighttime sleep without needing to be awakened.
Stay healthy by eating a well-balanced diet, drinking plenty of fluids and getting your rest. However, excess fluid intake will not increase milk supply.
In addition to an increased feeding and pumping routine, taking fenugreek may also help boost your supply. Fenugreek is an herb that has been used since Hippocrates practiced "medicine". It is believed to be safe for mothers and babies.
If a low milk supply continues to be a problem, your OB or midwife may prescribe Reglan, a medication scientifically proven to increase milk production.
more info
My latest pumping schedule:
1st session:4am-6:30am (1 bottle)
2nd session:11am-1pm (2 bottles)
3rd session:4pm-6pm (2 bottles)
4th session:11pm-12am (1 bottle)
remark: 1 bottle = 4oz/120ml
How will I know if my baby is getting enough milk?
If your baby is suckling well, feeding 8-12 times per 24 hours, emptying each breast, seems happy, healthy and content, is active and alert when awake and is content after a feed, he is almost certainly getting enough milk. Another good sign is around 8 wet nappies every 24 hours. If you're worried, ask your midwife or health visitor to make sure all is well. You can also take him to the local clinic to be weighed.
I just copy and paste this article from one website..
Tips from Mothers to increase milk supply
Chinese Style
Young papaya soup with chicken or garoupa fish
Fish porridge
Black beans with red dates and chicken soup
Some mothers believe that consuming malt & calcium drinks do help
Malay Style
Pucuk pegaga and ulam
Indian Style
Baby shark porridge or curry
Many women believes that fenugreek and raspberry are great to increase milk supply too. For your info, fenugreek in Bahasa Malaysia is rempah "halba" which we can get in any spices section in supermarket easily
Others
Try massaging your breast with warm towel before feeding.
At bath time, bend forward, wash and massage breast with hot shower - do pamper your breast too.
When you are back at work or away from home, bring a photo of your baby and loved ones to help the let down process.
Rasa macam bnyk pula nak 'abadikan' di sini.
Baby hari2 minum ebm dalam 4-5 botol. Saya akan bekalkan 2 'fresh ebm' dan 3 'stok'. Kat mana ntah saya baca ada dicadangkan macam ni. saya memang tak cairkan 'stok'..Saya bawa yg beku ke Taska baby. Dulu pernah cairkan tp saya dapati carer tu tersilap gi bekukan balik.So utk mengelakkan kekeliruan.s'stok' saya bawa yg beku beserta 2 botol fresh ebm.Kalau baby tak habiskan kelima2 botol itu bakinya disimpan dalam peti sejuk Taska.
Saya selalu kalau weekday dapat sehari dalam 4-6 botol ebm. 2-4 botol saya jadikan stok manakala 2 lg utk baby minum keesokkan harinya. Utk fresh ebm on Monday saya akan pump pada hari Ahad. 'Hasil' pada hari Jumaat mmg 100% jadi stok simpanan masa depan Heeeheee.
Peringatan:
- EBM yg dah dicairkan Tak boleh dibekukan semula.
- EBM yg dah dipanaskan kena habiskan dalam masa 1-2 jam
- Kalau was2, sblm bg baby minum, rasalah dulu EBM tu kalau tak masam kira masih OKlah...
Pump
Saya gunakan pump Avent
Bagus pump ini.we bought yg pump with 2 bottle. (RM219)
Bekas menyimpan
Saya gunakan botol2 susu dan Av*nt cup.
Menyimpan susu yg di'pump' di pejabat.
Saya simpan didalam 'cooler bag'.
Di rumah saya bekukan 'chiller' dan apabila sampai di pejabat, saya 'transfer' chiller ke peti sejuk pejabat (bahagian beku)
Selepas mengepam (1st session) saya masukkan botol2 EBM ke dalam 'cooler bag' beserta 'chiller'.
Dan seterusnya 2nd session.
Apabila sampai di rumah saya pindahkan susu2 dr 'cooler bag' ke peti sejuk.Bekukan chiller.
(cooler bag yg saya gunakan madela)
Membawa EBM ke Taska
Saya bawa EBM ke Taska dgn memasukkan nya ke dalam 'ice box with chiller'
Ice box ni beli kat T*sco.
Ice box + chiller =RM90+
Saya memulakan 'pengumpulan stok' ini agak lambat kerana kurang pendedahan. saya mulakan 2 hari sebelum mula bekerja semula. Alhamdulillah dapat kumpulkan 6 botol (4 oz setiap satu).
Bermula dari hari itu saya mula membuat 'stok'. Pada mulanya setiap hari di office saya dapat EBM sebanyak 4-5 botol (4 oz each).
Baby saya pula minum sebanyak 4-5 botol sehari.
Walau bagaimana pun di rumah saya tetap mengepam susu. (Ini yg dijadikan stok)
Di rumah bila saya mengepam?
* Selalunya saya bangun awal pagi untuk mengepam. (Pukul 3am-4am)
* Bila2 masa sahaja bila perlu
* Semasa weekend.
Bila saya mengepam susu di pejabat?
##semasa bulan pertama-bulan kedua mula bekerja##
*Pump setiap 3-4 jam (mengikut keperluan)
Setiap sesi dapat 8 oz.
##Present##
* Pump 2 kali sehari semasa berada di pejabat.
* 1st session-Pada pukul 11am-12pm
* 2nd session-Pada pukul 4pm-5pm
Kajian menunjukkan ibu2 yg mempunyai pemakanan sempurna sebelum dan semasa mengandung melahirkan bayi yg lebih sihat dan cergas.
Kuantiti susu ditentukan oleh penyusuan bayi setiap hari. Semakin kerap bayi menghisap semakin banyak susu dihasilkan.
Ibu haruslah mengambil makanan yang seimbang bagi memastikan susu ibu yg dihasilkan berkualiti kerana simpanan zat pemakanan ibu adalah terhad.
Ibu harus mengambil cecair yang mencukupi terutamanya susu dan hasil tenusu.
Walaupun anda bekerja anda masih boleh menyusu bayi anda secara eksklusif..Bagaimana caranya?
Sediakan susu perahan..Expressed Breast Milk (EBM)
Bila anda harus mula memerah?
1. Terlebih dahulu anda perlu mewujudkan penyusuan susu ibu yang berjaya
2. Mulakan berlatih memerah susu ibu 2 minggu sebelum mula bekerja
3. Perahan boleh dibuat menggnakan pam atau tangan.
4. Beri peluang kepada pengasuh/penjaga bayi anda berlatih menyusukan bayi anda dengan susu perahan. (boleh minta suami membantu)
Cara menyimpan susu perahan
1. Pilih bekas menyimpan yang tertutup.Cuci bekas dan steril/rebus.
2. Masukkan susu perahan ke dalam bekas.
3. Tutup bekas dan labelkan. (nama anak, tarikh dan masa)
4. Simpan dalam peti sejuk (fridge atau freezer)
Tempat & tempoh menyimpan
suhu bilik 4-8jam
peti srjuk bahagian bawah 24-48 jam
peti sejuk ruang beku 3 bulan
tempat pembeku (-2 darjah celcius) 1 tahun.
Cara memberi perahan susu kepada bayi anda
* Susui bayi anda sebelum anda pergi bekerja dan setelah balik bekerja
* Jadualkan pemberian EBM.(beritahu pengasuh bayi anda)
* Jika susu disempan di ruangan pembeku, keluarkan dan etakkan dibahagian bawah sebelum digunakan.
* Panaskan dengan merendam di dalam bekas yang berisi air panas.
* Gocang bekas susu bagi menyatukan cecair dgn lemak susu.
* Beri EBM kepada bayi anda.
1.Mengadungi zat makanan dalam nisbah yang betul dan isi kandungan berubah mengikut keperluan bayi
membesar.
2.Mengadungi antibody yang boleh melindungi bayi dri jangkitan kuman dan alahan.
3.Susu ibu juga boleh mencegah penyakit se[perti lelah dan sakit perut
4.Mengadungi zat khusus untuk perkembangan otak bayi.
5.Mengurangkan risiko pencemaran yang mungkin berlaku dalam kaedah penyusuan yang lain.
6.Mudah diperolehi tidak perlu dibancuh.
7.Memberikan bayi keselesaan dan ketenangan emosi.
8.Menjalinkan hubungan kasih sayang yang lebih mesra antara bayi dan ibu.
Sambuti si manja ke dunia baru yang mengkagumkan. Dunia yang menyayanginya di mana akan bermulalah satu kehidupan yang penuh bermakna.
Permulaan bibit-bibit kehidupan yang begitu indah dengan penyusuan susu ibu. Menyusukan bayi merupakan satu pengalaman indah buat semua insane yang bergelar IBU.
Menyusukan bayi dengan susu ibumerupakan langkah penting bagi perkembangan dan pembesaran yang sihat.Ini kerana susu ibu adalah bersih., seimbang dan paling sesuai untuk bayi.Susu ibu mengandungi semua khasiat dalm imbangan yang betul.
Susu pertama anda dinamakan 'kolostrum' dan hanya terdapat dalam susuibu.kolostrum mengandungi khasiat yang terbaik yang diperlukan oleh bayi anda untuk hari-hari pertama selepas lahir. Kolostrum juga mengandungi antibody untuk melindungi bayi daripada jangkitan seperti cirit-birit, radang paru-paru, dan selsema.
Ternyata susu ibu amat penting untuk bayi anda kerana tiada makanan lain yang dapat memberikan khasiat setanding susu ibu.
Ruangan ini akan saya gunakan untuk berkongsi bersama pengalaman menyusukan anak.Insya Allah
