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US Army: BreastfeedingMomOnTheMove

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    [insert[insert

    presenter info]presenter info]

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    SupportSupport

    Family and FriendsFamily and Friends

    Lactation consultants in:Lactation consultants in: Community Health NursingCommunity Health Nursing

    Women Infants Children (WIC)Women Infants Children (WIC)

    State and Local Health DepartmentState and Local Health Department

    Medical Treatment FacilityMedical Treatment Facility

    La Leche LeagueLa Leche League

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    Your Partner and Family Your Partner and FamilyMembers: Other Ways to BondMembers: Other Ways to Bond

    CuddlingCuddling

    Bath timeBath time WalksWalks

    Diaper changesDiaper changes

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    Mom on the MoveMom on the MoveBreastfeeding DiscreetlyBreastfeeding Discreetly

    It is possible to breastfeedIt is possible to breastfeeddiscreetly in publicdiscreetly in public

    Wear clothing for easy accessWear clothing for easy access

    Use a blanket or diaper to cover Use a blanket or diaper to cover

    breast and babybreast and baby Sling baby carriers are usefulSling baby carriers are useful

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    Feeding Options for Feeding Options for Working MothersWorking Mothers

    Direct breastfeedingDirect breastfeeding

    Expressing milkExpressing milk Supplementing withSupplementing with

    formulaformula

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    Another Option:Another Option:Reverse Cycle FeedingReverse Cycle Feeding

    Baby feeds less often during theBaby feeds less often during theworkdayworkday

    Baby feeds more often when you areBaby feeds more often when you aretogether together

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    Before Returning to WorkBefore Returning to Work

    Practice with the pumpPractice with the pump

    Get baby used to the bottleGet baby used to the bottle Talk to your supervisor Talk to your supervisor

    Consult Occupational HealthConsult Occupational Health

    about hazardsabout hazards Simulate work scheduleSimulate work schedule Breastfeed exclusively onBreastfeed exclusively on

    weekends to keep supply upweekends to keep supply up

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    Reasons for WorkingReasons for WorkingMothers to Express MilkMothers to Express Milk

    Maintain an adequate supplyMaintain an adequate supply

    Engorged breasts are painful andEngorged breasts are painful anddecrease your milk supplydecrease your milk supply

    Express milk manually or by pumpExpress milk manually or by pump

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    Milk Expression BasicsMilk Expression Basics

    Wash hands thoroughlyWash hands thoroughly

    Breast cleansing is not routinelyBreast cleansing is not routinelynecessarynecessary

    Wash pump and collecting kits inWash pump and collecting kits in

    hot soapy water after each usehot soapy water after each use

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    Manual ExpressionManual Expression

    Use all senses toUse all senses to

    foster effectivefoster effectivelet-downlet-down Babys pictureBabys picture Blanket with her Blanket with her

    smellsmell

    Use gentle breastUse gentle breast

    massagemassage Adapt manualAdapt manual

    technique for your technique for your comfortcomfort

    Illustration by Joyce Kopatch, USACHPPMIllustration by Joyce Kopatch, USACHPPM

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    Breast PumpsBreast PumpsHospital GradeHospital Grade

    Best choice toBest choice toestablish and maintainestablish and maintain

    milk supplymilk supply Dual pumps/collectingDual pumps/collecting

    kits are helpful for kits are helpful for women employed full-women employed full-time outside the hometime outside the home

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    RecommendedRecommendedPumping ProtocolPumping Protocol

    During a normal workshift,During a normal workshift,a mom should plan on 2-3a mom should plan on 2-3

    pumping breakspumping breaks Dual pumping resultsDual pumping results

    greater total milk volumegreater total milk volume

    If a single collecting kit isIf a single collecting kit isused, each breast shouldused, each breast shouldbe pumped for 15 minutesbe pumped for 15 minutes

    per sessionper session Illustration by Joyce Kopatch, USACHPPMIllustration by Joyce Kopatch, USACHPPM

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    Extra TipsExtra Tips

    It is better to express for 15 minutes 3It is better to express for 15 minutes 3times a day rather than 45 minutestimes a day rather than 45 minutes

    straightstraight You will yield more milk and keep your You will yield more milk and keep your

    supply upsupply up

    Hand massage helps to drain theHand massage helps to drain thebreast faster breast faster

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    Storage of Human MilkStorage of Human Milk

    Store in the coldest part of theStore in the coldest part of therefrigerator or freezer refrigerator or freezer

    Antibacterial properties of human milkAntibacterial properties of human milkhelp to prevent bacterial growthhelp to prevent bacterial growth

    Store milk in feeding-size portions toStore milk in feeding-size portions tominimize wasteminimize waste

    Milk that has been partially usedMilk that has been partially usedshould not be reused (1 hour window)should not be reused (1 hour window)

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    Milk Storage RecommendationsMilk Storage Recommendations

    Room TempRoom Temp 4-6 hours4-6 hours

    Refrigerator Refrigerator 3 days3 days

    Freezer Freezer 3 months3 months

    Deep Freezer Deep Freezer 6-12 months6-12 months

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    Storage ContainersStorage Containers

    Hard-sided, self supporting containersHard-sided, self supporting containerswith air-tight caps are the bestwith air-tight caps are the best

    Label containers with infants name,Label containers with infants name,date of expression, and number of date of expression, and number of ouncesounces

    Use oldest milk firstUse oldest milk first

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    Thawing Frozen MilkThawing Frozen Milk

    Never microwave human milk!!Never microwave human milk!!

    Run lukewarmRun lukewarm (not hot!)(not hot!) water over water over container container

    Set container in pan of warm water Set container in pan of warm water

    Leave in refrigerator overnightLeave in refrigerator overnight

    Avoid excessive heatAvoid excessive heat

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    Warming Human MilkWarming Human Milk

    Use warm water Use warm water

    Shake warmed milk to resuspend fatShake warmed milk to resuspend fatglobulesglobules

    Too much warming may initiateToo much warming may initiate

    bacterial growthbacterial growth

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    QUESTIONSQUESTIONS

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    AcknowledgementsAcknowledgements

    Ms. BethAnn CameronMs. BethAnn CameronHealth Educator Health Educator Directorate of Health Promotion and WellnessDirectorate of Health Promotion and WellnessUS Army Center for Health Promotion & Preventive MedicineUS Army Center for Health Promotion & Preventive Medicine

    Ms. Cindy PlankMs. Cindy PlankHealth Educator Health Educator General Leonard Wood Army Community HospitalGeneral Leonard Wood Army Community Hospital

    Fort Leonard Wood, MissouriFort Leonard Wood, Missouri

    Wellness Center Wellness Center Martin Army Community HospitalMartin Army Community Hospital

    Fort Benning, GeorgiaFort Benning, Georgia