US Army: BreastfeedingMomOnTheMove

8/14/2019 US Army: BreastfeedingMomOnTheMove

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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



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

• CuddlingCuddling

• Bath timeBath time• WalksWalks

• Diaper changesDiaper changes



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



Feeding Options for Feeding Options for Working MothersWorking Mothers

• Direct breastfeedingDirect breastfeeding

• Expressing milkExpressing milk• Supplementing withSupplementing with

formulaformula



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



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



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



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



Manual ExpressionManual Expression

• Use all senses toUse all senses to

foster effectivefoster effectivelet-downlet-down – Baby’s pictureBaby’s 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





Breast PumpsBreast Pumps“Hospital Grade”“Hospital 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



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



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



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)



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



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 infant’s name,Label containers with infant’s name,date of expression, and number of date of expression, and number of ouncesounces

• Use oldest milk firstUse oldest milk first



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



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



QUESTIONSQUESTIONS



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

Documents

US Army: BreastfeedingMomOnTheMove