How to set up a breast milk bank and why it's not as scary as it sounds. We create a milk supply. How to store, freeze and use expressed milk. What is a "milk bank"

13.04.2019

Tatiana Butskaya:

The program "Parents' Choice" and I, its author and host, Tatiana Butskaya. We will talk about banks. But, this is not just a bank, it is a special bank. Today Yan Bogdanovich, the marketing director, and Tatyana Kononova, the head of the educational department, came to visit us. big company who supports breastfeeding... But what does the banks have to do with it? Breastfeeding and cupping.

As usual, we start with global experience. Jan, please tell me "banks breast milk" - what it is? What are they needed for? Does it exist in the world or not?

Jan Bogdanovich:

This is already a popular trend in the world. Most large European countries, and especially the US, has breast milk cans. There are commercial banks and non-commercial banks in every state. What for? Not all mothers have a lot of milk, not all mothers are fond of this topic. Breast milk bank helps mom get the necessary rate milk, give it to the baby. We know breast milk is the most useful substance for feeding a baby. There is a large amount of vitamins, a large amount nutrients... There are many symposia where new properties of breast milk are still being discovered.

Tatiana Butskaya:

Let's go back to the word "bank". When we say "bank", we immediately want to know: what deposits exist, what interest rates are growing, how to use them? What is it, tell us about the concept of "breast milk bank"? Is it safe?

Jan Bogdanovich:

Recently, we talked with colleagues from the United States, they have the following phrase: “The breast milk bank is the most profitable investment into the baby's future ”. This is a definite, let's say, not a bank, but a vault, where it is stored under necessary conditions in the right temperature conditions, breast milk, which is expressed by, let's say, donor mothers. A mother, on a commercial basis or not, can, relatively speaking, either buy this milk, or take and feed her baby. Let's just say, in terms of interest, investments, mortgages, there is nothing to be afraid of, this is a very safe solution and very useful in many ways.

Tatiana Butskaya:

I will now translate a little into Russian. If you are a breastfeeding mom or a dad, and you have a nursing mom and a newborn baby at home, the woman can express milk, put it in the freezer, and create her own breast milk bank. By the word "bank" we mean "vault". If the child does not need this milk now, then you can save it and then use it. But there are situations when a woman has a lot of milk. Women can donate this milk, and other mothers can use their milk to feed their children. Tatyana, what did you want to add, correct in my words?

Tatiana Kononova:

Not correct, but really add. First, let us distinguish between two concepts: “donor breast milk bank” and “personal breast milk bank”. Both of them have a right to exist. My colleague Yang just talked about donor breast milk banks, the importance of which is difficult to overestimate in social terms. It is very important when the state takes care of the existence of such a bank in order to provide for mothers, especially those in need. What are these moms? First of all, of course, it's moms premature babies... We all know that for these babies, breast milk is not just food, but a real medicine that saves many lives, reduces the risks of disability, and reduces the risks of developing enterocolitis and other very formidable diseases. A personal breast milk bank also has the right to exist. Every mother who cares about the future of her breastfeeding, wants to prevent the risks that may arise along the way, should (the word "should" may be inappropriate here, but for herself), as a caring, responsible mother, create a personal breast milk bank your baby in their own freezer.

Both are important. When we talk about donor banks of breast milk, you are absolutely right, we are talking about moms with hyperlactation, hypergalactia, when there is a lot of milk. In order not to pour out this precious substance, it is better, of course, to use a bank, if there is one. In Russia it is not so easy, I think we will talk more about it today. For a personal bank, even if there is no excess milk, we recommend that mothers take care of developing lactation, and collect one portion a day in order to save for unforeseen or foreseen circumstances.

Tatiana Butskaya:

With a home bank, everything is more or less clear. It seems to me that now everything modern mothers they already know for sure that there are breast pumps, there are special containers for expressing, or bags in which milk is frozen. And with this bank, social, which can be both state and non-state, for a woman who has a newborn child in her arms, and suddenly she realizes that she has no milk - that would be happiness. There are times when there was milk yesterday and unexpectedly not today. This is lactation crisis, from which no one is immune. Either a woman develops the same mastitis, she is prescribed antibiotics, and breastfeeding is not compatible with medications, she needs to survive for a week, go somewhere and buy milk. If these women had the opportunity, if they knew that they could go somewhere and buy one portion, several portions of milk, it would be great! Is this possible in Russia now?

Jan Bogdanovich:

We have, if I'm not mistaken, only two banks of breast milk, in Ufa and in Moscow. As far as I know, this is a very successful, already conducted experience. Especially for Ufa, it is developing very actively. I know that the launch of ten more breast milk banks in key regions is being discussed at the state level. Because now, of course, there is a problem that you mentioned, that many mothers have health problems (mastitis and other diseases), the mother needs temporary help so that she can come to the center and receive the necessary, let's say, dose of breast milk for a child.

Tatiana Butskaya:

Tell us more about Ufa. How is it implemented there?

Tatiana Kononova:

Ufa and the Children's Health Center, SCCH in Moscow operate on the principle of donor selection. This is a lot of work done beforehand. Firstly, not every mother can donate milk, only with perfect analyzes. It goes through the first stage of questioning, then it is checked, of course, with the help of various analyzes. After that in laboratory conditions, that is, not at home, but in a clinical setting, the mother collects milk with the help of clinical equipment, everything happens with clinical breast pumps in clinical containers. Then the milk is pasteurized using the Holder method. Heats up to 62.5 ℃, at which, unfortunately, the content of such substances as water-soluble B vitamins, antioxidants, vitamin C is partially reduced, only about 70% remains. However, all fat-soluble vitamins remain intact, lipids remain intact. In any case, it is, of course, much better than artificial substitutes. Still, a very large number of valuable nutrients, for which we value breast milk, are stored in breast milk. By means of pasteurization, we reduce the risk of cross-contamination through milk.

Tatiana Butskaya:

To finish the thought with the experience of Ufa and SCCH, let's say that these are banks for children, I don't know how in Ufa, but in Moscow it is definitely for children who are in the center.

Tatiana Kononova:

Which, first of all, are in the clinic. These are the primary recipients, for example, who receive donor breast milk. And, as I said, premature babies.

Tatiana Butskaya:

Can you get it from the outside?

Tatiana Kononova:

From the outside they can apply, but here it is the bank's managers who decide how much they can have the available stocks to meet the needs. Two donor banks are not enough for either Ufa or Moscow, absolutely not to mention other regions. Therefore, of course, one has to make a choice in favor of especially needy children - premature babies, with pathologies, and so on, whose mothers are being treated and cannot provide them with milk.

Tatiana Butskaya:

It turns out that “from the street” it is very difficult to contact a bank. The situation is the same in Ufa, right?

Tatiana Kononova:

You can apply, but not the fact that you will receive milk.

Jan Bogdanovich:

No clear regulation this issue... So far, these are, so to speak, more individual initiatives. I wish there was some Government program... I think if we have a state program and support, for example, the initiation of a breast milk bank, when every mother understands what she needs to do in order to get the necessary portion there. Now, Tatyana is absolutely right, in many respects it happens so that yes, if the child is in the clinic, he receives breast milk, but it is extremely difficult for mom "from the street" to do this, because mom does not know the introductory, mom does not understand that she do. Here, of course, there is a problem. In Russia, this is still an individual initiative. In the United States, every state has cans of breast milk. Mom knows: either I can buy it for my own money, or I get it under the program, or under the insurance program. Mom knows the steps to get the amount she needs.

Tatiana Butskaya:

How do they function there? How is milk collected there? How is it checked?

Jan Bogdanovich:

Every breast milk bank has government regulations. As Tatiana has already said, my mother is being tested for diseases. The same thing happens with blood, because there are also risks of contracting infectious diseases, there is cross-infection. The same risk for the mother and for the baby, first of all, is to consume untested breast milk. There are many standards in the USA. Now, if I'm not mistaken, even more banks are opening in the United States, because this problem comes out on top: the number of premature babies who are born is increasing. ahead of time, they especially need this project. This is especially true for Russia.

Tatiana Butskaya:

What is the price of the question, you know? How much does milk cost?

Jan Bogdanovich:

No, I don't know the price of the question, because it varies greatly, it happens. If I'm not mistaken, I read, I think, yesterday that $ 35, in my opinion, is worth, for 10 or 1 gram. I could be wrong. Or $ 3.5. I can not say exactly. Let's, we'll double-check the data, look and tell.

Tatiana Butskaya:

Yes, I really want this data to be sent to us by the end of the program.

Tatyana, you said that now there are prerequisites for the opening of 10 new banks. What system will they use to open? Will they also be only for those who are in the center, or is it for everyone?

Tatiana Kononova:

As with any project, we cannot yet speak of this program as a fait accompli. The program is still in the project stage. You are also doing a great job now, bringing up such a topic in your program. Also, the leaders of pediatrics and neonatology in Russia are now very great attention pay to the state to support such banks, because it is very important. You are right when you bring up the topic of costs, because the costs are, indeed, quite large. Not only for the storage of banks, but also for collecting information, for creating conditions where mothers can pump, and so on. This is quite serious money. It is clear that the state should take care of this and subsidize funds here. So far, unfortunately, this program has not yet been given the go-ahead. The project that Jan spoke about, about 10 banks - yes, it is being promoted, it is good if they meet halfway. The state is now turning its face to breastfeeding. The campaigns that are now being launched for breastfeeding, I think, will still be supported by cash injections, not only in words will be supported. Then, indeed, the project can be promoted.

Tatiana Butskaya:

If we don't create official breast milk banks, there will definitely be a black market. I am sure that it exists, that it exists, that they are selling untested milk. Do you have any data on it?

Tatiana Kononova:

He is there. It exists, of course. By the way, I can say about the prices that exist in this spontaneous market. 100 ml of milk costs about 500 rubles. This is the average price in Russia. There are 300 rubles and 1000 rubles. Something like this. However, buying hand-held milk from unverified mothers is always big risk for the mother of the recipient, because milk is the carrier. It is non-sterile, it is a carrier of viruses and bacteria. One mother's bacterial flora may not be suitable for another child. Then the question arises: how relevant are milk cans in general? There is a certain gradation that WHO has created, and we must adhere to it. The first preferable food for a baby is direct breastfeeding. The second is the mother's freshly expressed breast milk. The third is the mother's frozen breast milk, a personal breast milk bank. Then freshly expressed milk from the mother donor, frozen milk from the mother donor, and only then artificial mixture... Whenever we decide on the issues of risks, treatment, management of children (breastfeeding or not), we must take this gradation into account. It is, indeed, very important. Even taking into account the fact that there are some discrepancies between the flora of the mother and someone else's child, after all, this milk is always preferable to an artificial mixture, because an artificial mixture will never repeat those necessary nutrients. There are no active immunoglobulins, growth enzymes, stem cells and many, many other important components that are artificially irreproducible and will probably never be reproduced.

The artificial formula will never duplicate the essential nutrients found in breast milk.

Tatiana Butskaya:

Every time I hear that a woman needs to be checked, or someone needs to be checked, I think about what we checked today, and tomorrow she got sick with something. How often should you check? What are the criteria? How often are the tests taken? How often are women checked?

Tatiana Kononova:

Unfortunately, you are correct. But, on the other hand, we are talking about a certain short period when the mother donates milk. It is believed that for three to four months, when the mother is a donor, it is safe enough to take her milk during this period, let's say, after a single analysis that was performed before such an agreement was concluded with her. Repeated analyzes are not performed. If then the mother is already giving milk, it is probably about repeated analyzes... But, as a rule, this period is limited by the term of the agreement with the mother. Yes, you are right, for example, the same blood bank is obliged to take new analysis... But at least a month must pass between them if we are talking about a blood bank. When we talk about a can of breast milk, this is a daily process and, in general, continuous, the mother comes and gives milk every day. We cannot torment the mother by taking tests from her every time.

Tatiana Butskaya:

I wanted to tell you that I have a foster sister. Who knows what it is, he will understand that I have been with the topic of breast milk banks literally from birth. A dairy sister is a child with whom we drank the same milk together. When I was born, my mother had problems with milk, milk was not enough. My mom found a woman who had a lot of milk. I grew up on this breast milk for several months, and, by the way, I still communicate with Marina, my foster sister. Therefore, the topic is not so new. Unfortunately, to my great regret, I was not able to sit for a long time with either the first or the second child. The first one I at least fed up to 7 months, and with the second one I had to go to work right away. She also pumped, had her own, individual breast milk bank.

I remember one day I, with a dominant breastfeeding, come to negotiations in one the largest company, which produces breast milk substitutes, and during negotiations I say: “How so? Why is the XXI century now, and there are still no milk banks anywhere? " I thought that this should be their social project, producers of breast milk substitutes. Companies that probably make billions of dollars selling breast milk substitutes as social project should support expressed breast milk banks because they will never compete with them. Women will never express as much milk as the industry produces.

Who is currently leading the movement to create breast milk banks? Which companies?

Jan Bogdanovich:

Are we talking about companies that advocate breastfeeding? This is a well-known world brand "Medela", which is very actively investing in the creation of banks, invests a large amount in research. In Russia, there will also be a study on breast milk banks. This is about double, single expression and storage of milk. In Russia, this topic is also very actively developing, it is now being studied how much the composition of milk remains useful for the child after the Nth amount of time has passed, the difference between double and single is compared. Why between double and single? I will give as an example. In Norway, if the baby is born prematurely, the baby's mother is immediately given a clinical double breast pump because pumping twice produces more milk and more fat.

Tatiana Butskaya:

The three of us understand what double pumping is. Decipher.

Jan Bogdanovich:

Double pumping is when a mom is pumping from two breasts at the same time. Milk is expressed simultaneously from two - not from one breast, but from two. This allows the mother to express more milk, and the milk is fatter, more nutritious. Therefore, clinical breast pumps are double. It is imperative for a child to receive milk immediately, let's say, the highest quality in terms of nutrients. In Norway (just for the price) expressed milk costs $ 20 per liter and a clinical breast pump is given. This is a state program. This year, the state turned its face to breast milk and breastfeeding, in addition to the initiative of breast milk banks, the state seems to be very actively going to invest in perinatal centers... Because of this, there is help for moms, this occasion in Russia, a law was passed on supporting families, in relation to feeding a child. There are steps to help that. Now more is being done to ensure that the baby, who was born prematurely, does not receive enough milk, so that the mother can feed the baby with breast milk.

Tatiana Butskaya:

Did I understand you correctly that now at the state level they are lobbying for the idea of creating breast milk banks by companies that are actively engaged in the production of breast pumps and freezing agents? This also has its own truth, because if you do not use what the 21st century gives us, then it will be difficult even to create banks of breast milk, which, as it turns out, have existed for many, many years.

This is what I wanted to clarify with you. I'm interested in facts. You said about pumping from two milk breasts at once. What studies are there to support your claim that when you express from two breasts at once, your milk becomes more nutritious? As a pediatrician, I remember that first the first liquid milk comes out, with which the child gets drunk, only then comes thicker milk, which he is saturated with. Refute me.

Jan Bogdanovich:

I will give the floor to Tatyana, who snatches the microphone away from me, taking the second one for herself.

Tatiana Kononova:

Yes, I will talk about this research. It was conducted at the University of Western Australia, a leading university for the study of lactation and infant sucking, under the direction of Professor Peter Hartmann. A study of double versus single pumping was conducted by specialist Daniel Prime. How exactly did it go? Women who were mothers of full-term, healthy babies with established lactation came to the research center twice. On the first day, these volunteers came and expressed one breast on a special device called Show Milks using a clinical breast pump. Each minute of the time the device showed the milk to be separated, the flow rate, its composition, fat content, etc. Day 2: The same mothers came to the research center and pumped two breasts, pumping the same 15 minutes as on the first day. In those 15 minutes, starting from the very first minute of milk separation, the Show Milks device showed more milk excreted into the device, and after 15 minutes of time, 18% more milk was excreted from each breast with double pumping. This is the average.

Each mother who participated in the study gave more milk by double pumping. By what means? You know that during one pumping (session), not one inflow occurs, but several. On average, this is 4.3 tides. 4 - 5, let's just say. Excessive milk flow occurs due to the fact that there is an extra rush. You have not in vain taken the topic of "front" and "back" milk. Exactly, which additionally stands out? "Back", of course, more milk is released. This contributes to the fact that the total fat content of the portions increases. We understand that the fat content itself cannot increase, but due to the fact that the best is coming the separation of the "rear" milk and the additional inflow due to it, the fat content of the portions increases. From 7.3 in control group up to 8.3. 7.3 is for single pumping, 8.3 is the fat content that was obtained with double simultaneous pumping. In this way, we can not only rapidly increase the volume of milk and its fat content, but we can also help prevent congestion in the breast. In addition, receiving the discharge, we better free the breast from milk. Like these ones amazing facts were obtained from the study.

It is clear that one of the recent trends is double pumping, which helps, first of all, mothers with hypogalactia and mothers of babies who are not gaining weight. After all, as you know, the first reason why a mother begins to add a mixture to a baby's diet is a lack of weight, weight gain. Mom starts to worry, which is understandable. Of course, we always worry if the baby is not gaining weight. We have immediately: a hungry, undernourished child. In fact, in this way you can instantly increase the fat content of milk and quickly achieve good weight gain.

Tatiana Butskaya:

Friends, remember this advice, because you constantly ask me on my blog on Instagram. There are already more than 1.5 million subscribers, but I still answer questions. Very often you ask me how you can increase, what products can increase the fat content of milk. Experts say that foods, as such, will not increase fat content, no matter how much you eat walnut washing it down with milk and condensed milk. The baby is more likely to have allergies than to increase the fat content of the milk. And this one is very interesting advice: the more hot flashes you have, the more hot flashes you feel, the more “back” milk comes from you, the more the baby gets, the more satisfying he eats, the better he, accordingly, sleeps, grows and becomes smarter.

In general, I am interested in the latest data, the last that scientists have found. Please share something else in terms of breastfeeding.

Tatiana Kononova:

Probably one of the latest interesting discoveries is stem cells. They are still being researched, what they are for. But one of the versions, which is now being tested and confirmed in studies at the University of Chicago, is that stem cells are a kind of spare building blocks from which cells of the brain, liver, fat can be formed, that it is a building material from which cells can be formed. other fabrics. This is very important for the growing organism of the baby, when it is very quickly necessary to satisfy the needs of the same, for example, the brain, which develops very intensively, rapidly, in the first two years. After two years, the baby's brain is up to 80% of the volume of an adult. Of course, very large, colossal reserves are needed for its construction; lipids are mainly created from lipids. Stem cells are thus building material, which can be reborn into other cells as needed.

One of the latest interesting discoveries is the presence of stem cells in breast milk.

Tatiana Butskaya:

So, are there stem cells in breast milk?

Tatiana Kononova:

Yes, that's right.

Tatiana Butskaya:

It is impossible to put them in any mixture.

Tatiana Kononova:

No, of course, definitely not possible.

Tatiana Butskaya:

Accordingly, stem cells are present both in human breast milk and in breast milk that has been deposited with the bank for storage.

Tatiana Kononova:

Yes, in any breast milk, of course. It's just that the mother's milk of a mother's mother is, of course, ideally balanced, because it meets the needs exactly this baby... It is clear that donor milk is better than mixture. But, if a mother has the opportunity to feed her own milk, this is always the most good decision, because it corresponds not only to the part of the day (for example, milk is different in the morning and in the evening), but also to the age of the baby, his condition. The baby is sick - our milk changes in accordance with his condition. There is more water in it, because the sick baby's body needs more fluid. This is unique.

Tatiana Butskaya:

At this moment I would like to say that true hypogalactia is when my mother says: “I have no milk. I have nothing to feed my child, ”is very, very rare. According to various sources, from 1 to 5%. I don’t know, maybe you’ll tell me your percentages, but 5% is, I think, already a very high figure.

Jan Bogdanovich:

Maximum.

Tatiana Butskaya:

Rather, it is about 1%. I again remember the story of my family, for me it is somehow very closely related to breastfeeding. My grandmother told how she gave birth to her child during the war. The bomb shelter, she fed him, dried the diapers on herself, but, nevertheless, she only fed him breast milk, because there was nothing else to feed. It has already been proven, and there is confirmed data that everything is from our head. The moment you realize that the baby has no other food but your milk, that he is either hungry or you are feeding him, at that moment you will still have milk. And now we are in a relaxed state, because we sell mixtures, unfortunately, just within walking distance, we can come not only to the pharmacy, but also to the grocery store, buy a can. I am very worried about questions like: "How to choose a breast milk substitute?" To buy such a jar, or another, without realizing that this is a treatment, it is a huge responsibility.

What am I leading to? While we do not have state official banks of breast milk, is there an opportunity for mothers who could not cope with their psychology, could not convince themselves that milk will come(And it will definitely come, friends, it will definitely come. There are very few of those states when it does not come.) So that they do not rush to buy the mixture right away, but they can turn somewhere. Let's come up with some life hacks. What would you do, Tatyana, in the place of a mother who has a newborn in her arms, and now there is not enough milk, you see: the child is not eating enough. Would you go somewhere? Would you search on the Internet?

Tatiana Kononova:

Donated milk, do you mean? You know, probably not, unfortunately. Because there is a risk of infection from an unfamiliar mother, it is still quite high.

Tatiana Butskaya:

And if you find her and check the milk?

Tatiana Kononova:

Milk is difficult to check. You need to check mom herself, do a blood test. You can check your mom, although this, of course, is a slightly unrealizable plot. Why? Because a rare mother will be able to provide fresh tests for her milk. If this happens - yes, I will probably still opt for donor breast milk.

Of course, you are right, starting with the fact that this is a temporary phenomenon, you need to deal with the realization of your own lactation as soon as possible, the activation of lactation. It takes literally a few days, during which the baby will not suffer much, especially if we are with him. Mom can lose milk by different reasons... There may be, for example, stress factors, or, for example, the lack of development of timely lactation, when there was a separate stay of the mother and baby. After that, you need to feed, and the mother really does not have milk yet. The main advice we give: it is necessary to organize the so-called feeding nest, in which to lie down literally with the baby, disconnect from the whole world, the husband will wait with his suppers. Sorry, of course, but now we need to do this, because priorities need to be set. Only deal with the baby. Give breast on demand, and not 8-10 feedings per day, but 20-25-30. Literally, you are hanging with your breasts day and night, especially at night, because it is very important, as you know, for the lactic hormone prolactin. Literally, after a few days of such intense, persistent attachment to the breast and being with the baby, milk will appear, for sure, it will not go anywhere.

Jan Bogdanovich:

Mom should do her best to lactate her own milk. Yes, it often happens that this is a problem of psychology. We often get questions like this. But if you follow certain rules and steps, as Tatyana said, most mothers, in 90 cases out of 100, milk appears again. Therefore, the mother, probably, must first do everything possible for her milk to come.

Tatiana Butskaya:

Friends, let us summarize so that the most important facts that we have said today remain like points in the minds of our radio listeners and viewers.

The first thing we want to convey is that the 21st century is not a time when you have a problem and you lose heart. Always know that you can lay out straws and create your own breast milk bank. Start from the very first days after discharge from the hospital to express excess, save, freeze. Everything is very clearly spelled out on the websites of the respective companies. It is better to refer to the official sites, where it is written how to use breast pumps, how to freeze, how to defrost. By the way, we didn't talk about it. Very interesting. You can't defrost in the microwave, as it seems to us, you can't boil it right away. This is very difficult path... Pay attention to this. This is really a bank where you can turn to if any problem suddenly arises.

If you suddenly have not created such a bank, know that if you live abroad, you have the opportunity, especially in America, to contact these banks (we already know approximate price: $ 20 for 100 ml) and buy milk. If you want to find such a bank in Russia, then they exist, but so far they exist only at scientific centers, state institutions, and they can only be used by mothers who are in this moment there are, or can be allocated on a specific request for premature babies. There is no official expressed milk bank, but, in principle, there is a black market. If you really want to go there, then at least ask for tests, this is very important. I would personally take this woman by the hand and make an analysis to be sure that the certificates were not bought. Because, as Tatyana told us, at first, the most important thing is breast milk, expressed breast milk, frozen, then milk cans go, only then substitutes. It is very important to know about this.

Jan, Tatiana, thank you very much for being with us today!

Jan Bogdanovich:

Tatiana Kononova:

Most breastfeeding moms have to express their breasts from time to time. And if the baby does not eat everything expressed at once, sooner or later the question arises - how to store the expressed milk? There are a lot of situations when milk supplies made on time come in handy - if the mother urgently needs to go to work or leave on business, or if she has to take antibiotics that are incompatible with feeding. In the end, this is just useful knowledge, because you never know what will happen tomorrow. Therefore, we propose to learn everything about the preservation of breast milk "for later" from our article, especially since there is absolutely nothing complicated in this process.

How to properly collect and store expressed breast milk

Collecting breast milk

A prerequisite for storing breast milk for a long time and safely is hygiene and sterility.

Wash in soapy water all washable parts of the breast pump (if you plan to use the breast pump), sterilize, dry and prepare for use.
Take a warm shower to enhance lactation and wash your breasts with soap and water.
Wash your hands with soap and water.
Express milk in a sterile container in which you plan to store it. (Some breast pump models allow the use of special packages for storing milk).

If you have a breastfeeding problem, find out how regular pumping can help you:

Where and how much can expressed milk be stored?

The storage duration of breast milk is determined by the storage location. Below we will consider all the options:

How long should expressed milk be stored at room temperature?

Expressed breast milk kept long enough even at room temperature , so if you plan to feed your baby with it within 4 hours after pumping, just leave the bottle in a cool place - this way the milk will keep all its beneficial features... Just before feeding, just warm it up in warm water to a temperature of about 37 degrees. Do not heat milk in microwave oven! Warming up in it is uneven, because of this, the baby can get burns, and the waves of the microwave oven destroy many important nutritional components of breast milk.

Very often mothers are worried about the question: “Why did breast milk exfoliate after a few hours? Has it really gone bad? " Do not worry, this is absolutely normal, since milk tends to flake - its fatty part rises upwards, while an almost transparent "water" remains below. Just shake the bottle lightly before serving to mix the milk and it will become smooth again.

How long should expressed breast milk be stored in the refrigerator?

Expressed milk can be stored on the refrigerator shelf for up to 5 days, provided that while collecting it, you followed all the rules of sterility described at the beginning of the article.

Milk stored in the refrigerator retains almost all of its beneficial properties and is almost as good as recently expressed.
The best place to store expressed milk in the refrigerator is on the bottom shelf close to the wall. Do not store breast milk in the refrigerator door, as the constant opening and closing does not allow for an even storage temperature.

How long is frozen breast milk stored?

Most optimal way keep expressed milk for a long time - freeze it. Thus, you can create a whole "bank" of breast milk, thanks to which the mother may not worry if she urgently needs to be separated from her baby for a while.

Expressed milk can be stored in the refrigerator freezer for up to 6 months. Some of its components are destroyed by exposure to such low temperatures but even so its nutritional properties are more valuable for the baby than in the adapted mixture.

Most The best way defrosting of such milk is gradual. Leave the container with frozen milk in the refrigerator for several hours in advance, and then warm it up with warm water or a special milk warmer.

What can breast milk be frozen in?

Most convenient option- special plastic bags for storing breast milk. Some breast pumps are designed so that you pump directly into a bag. This option is the most hygienic, but not required. You can pour expressed milk from a bottle into a plastic bag, then remove the air from it as much as possible and close it tightly with a special zipper. provided on it. Be sure to label each portion of expressed milk, put the date and time of expression, and it will not be superfluous to indicate the amount in milliliters.

You can also store expressed milk in plastic bottles or containers, but in this case, be sure to leave about ⅕ part free space in the container, as the frozen milk increases in size and otherwise the container may burst.

How do I feed my baby expressed milk?

There are many more articles on breastfeeding from breastfeeding specialists on our portal. More information on the page "Encyclopedia of breastfeeding from the portal" Baby ".

Always label the container of expressed milk and feed the oldest milk first.

To warm it up for feeding, use a container with hot water(but not boiling water!) or a stream warm water from the tap. You can also use a milk bottle warmer, if you have one. Wait until the milk heats up to a temperature of 36-37 degrees. Be sure to check its temperature before giving your baby a bottle! The simplest and affordable way if you do not have special devices or a thermometer - drop from a bottle on the bend of the elbow or the inner side of the wrist, where the skin is most sensitive to temperature. As we wrote above, a microwave oven is not the best place for heating milk due to the unevenness of this process, in addition, many important components breast milk.

Special device for warming expressed breast milk

Never boil expressed milk! When boiled, most of the beneficial bacteria die in it and nutritional value such a drink becomes highly questionable.

If after feeding you still have milk in the bottle, give it to the baby in next feeding not recommended, as bacteria from the baby's saliva have already got there.

So, we hope that now you know everything about how to store expressed milk and can provide your baby healthy food, even if you need to leave for a while.

Question " social life mothers or continuing breastfeeding? " in the age of new technologies has lost its relevance. The world has long figured out how to make sure that no one suffers - neither the child nor the mother. The solution is to create a breast milk bank. How to properly set up the process, our author tells, together with an expert, a breastfeeding consultant.

There is nothing more valuable and useful for a child in the first year of life than mother's breast milk - all pediatricians in the world agree on this. Mother's milk every woman has a special composition, and no infant formula can repeat it, no matter how innovative it is. This is amazing property is determined by the related composition of milk with the child's body. Therefore, in a situation where the mother needs to leave the child for some time, it is more correct to feed the child with expressed milk than with an artificial mixture.

About sterility and safe storage

Expressing and storing milk should be approached with special care - first of all, everything should be as sterile as possible. And a container for milk, and a device for expressing it, and mother's hands.

The choice of containers for milk is a crucial question, not every material is suitable here. Most containers and boxes are now made of polycarbonate plastic, which, as a rule, contains bisphenol A, a phenol group substance that, when heated, can mix with milk and cause Negative influence on the genitourinary system child. Therefore, high-quality baby dishes, such as bottles, must be labeled BpA free.

To create a milk can, you need a breast pump, feeding bottles and special storage containers. It is convenient when all the accessories fit together - besides, it is the easiest way to maintain sterility. A popular brand among Russian mothers Philips Avent offers all the necessary solutions for creating a milk can. The containers are compatible with breast pumps, nipples and other products of this brand, which will make the process of pumping and feeding as convenient as possible. Mothers can be sure that the expressed milk is safely stored, and the baby, if necessary, can be fed by the father or another family member, and the baby will not give up the breast later.

How much and how to store?

“With a highly sterile container, breast milk is stored at room temperature for three to four hours without losing its properties. Milk is stored in the refrigerator for up to three days, and if the mother has carefully prepared a sterile container, then the shelf life is increased to eight days.

If a woman works full day or goes on a business trip, then it makes sense to stock up on breast milk - in this case, it needs to be frozen. Breast milk can be stored in the freezer for up to six months, provided that it is freezer deep freeze.

Thawed milk can be used within 24 hours and cannot be frozen again.

It is not recommended to defrost milk using a microwave oven - it gives an uneven heating, and the baby may burn itself if the milk is not mixed well. It is also not recommended to boil it, because boiling destroys a number of antibodies, maternal immunoglobulins. It is best to reheat frozen milk simply under the tap of hot water.

In general, freezing and thawing does not change the composition of the milk, only the taste changes slightly. One way or another, it will be the healthiest and good nutrition for a child".

When freezing milk in a glass container, you should be careful - when freezing, the glass may crack. If milk is frozen in bags, it is worth considering the fact that the bags sometimes break. However, purchasing special bags for storing breast milk, you can be absolutely sure of their reliability. Usually they are equipped with a sealed zipper, made of a two-layer material that does not contain dangerous components for the health of the baby.

Expressing

How often can you express milk if the mother, for some reason, cannot breastfeed at all? In this case, it is recommended that you pump every three hours on both breasts. It is better if this is complete pumping, that is, the maximum release of the breast from milk.

If the mother is breastfeeding, but she needs to make a supply of milk (for example, she is leaving on a business trip), maximum amount additional pumping will depend on how large a supply of milk is needed.

Mom must understand that her body produces as much milk as the child needs every day, so it will take some time to stimulate the body to produce more.

Galina Valerievna Zemskova, breastfeeding consultant:

“Even if mom starts expressing milk every three hours in parallel with breastfeeding, the result will be small at first, and that's okay. "Acceleration" of lactation is unpleasant because later the mother may face the problem of producing too a large number milk.

Therefore, if a mother knows that she will soon have to leave the baby, she should start pumping in advance and at those moments when milk is most abundant - as a rule, this is in the morning hours. I will note: in order not to provoke hyperlactation, milk should not be expressed throughout the day. This gives a guarantee that after the mother breaks up with the baby, she will not suffer from unpleasant sensations in the chest and congestion.

In general, if the mother's activities are related to regular trips, it is possible to introduce the practice of routine morning expression in order to create a bank of frozen milk. "

It is better to express milk with an electric breast pump - it is gentle, unlike manual way, without injuring the mammary gland, expresses milk.

Using such a breast pump - good prevention lactostasis, in addition, in parallel, it stimulates lactation.

Galina Valerievna Zemskova, breastfeeding consultant:

“I advise you to choose a model that has two phases of expression, that is, it imitates the principle of sucking a baby: a more intense and slower phase, when milk is already coming out of the breast well. With such a breast pump this can be done both at home and at work, and if there is a possibility of quick transportation, then you can feed not with frozen milk, but with the one that my mother expressed the day before ”.

It is also important to maintain cleanliness and sterility when using a breast pump, otherwise the milk will be dangerous to consume. Breast pumps usually have a lot of details and curves - so the importance of sterilization and boiling comes first.

Newest Models electric breast pumps work silently, which allows you to express milk during the baby's sleep, and not to be distracted during the process by extraneous noises and sounds. Modern breast pumps are comfortable and easy to use, they can also be adjusted to different mode pumping.

As for cleaning and storage, these models are easy to disassemble and easy to clean thanks to a small number details. Moreover, such breast pumps come with utensils, so you don't have to guess when choosing containers for storing milk. The bottles are specially designed for a certain model breast pump, they are equipped with a sealed cover, resistant to temperature conditions, and most importantly - absolutely safe for the baby.

Stock up, but don't forget about contact

As you know, breastfeeding is an important intimate process for mom and newborn, which provides close kinship, helps to establish such a delicate and necessary contact.

"Preserving breastfeeding for busy moms working or studying has one big bonus. Both mothers and babies miss each other very much when they are apart, and feeding gives them the opportunity to keep in touch. Babies can often ask for a breast if their mother has been absent for a long time, because they need to make up for this contact. From my point of view, maintaining contact between mother and child through breastfeeding is very important, ”says Galina Zemskova.

In general, creating a breast milk bank is far from as difficult and dreary as it is commonly believed. On the contrary, it is a real lifesaver for both busy mothers and those who are fully committed to motherhood. BUT modern technologies always come to the rescue.

Recently I had the opportunity to visit the only donor milk bank in Moscow, and what is there, in all of Russia, and get to know its creators. I will now tell you about how it was created, how and where it functions and who can use the deposits of this bank.

From time immemorial to the present day

The history of milk donation dates back to ancient times. Then, if a woman did not have the opportunity to feed the child on her own, she resorted to the help of a wet nurse, who could become a relative or just an acquaintance. It is known that similar practice existed in Ancient egypt, Greece, the Roman Empire, and after the XI century, the services of nurses were used by aristocratic and royal families Europe.

The transition from private services to milk collection and processing points began at the beginning of the 20th century. The first such institution was a milk bank, which opened in Vienna in 1909 at St. Anne's Hospital.

In Russia, in 1960-70s, “donor points” operated at children's polyclinics to collect surplus breast milk from nursing mothers and issue it to needy babies up to one month of age. Subsequently, these establishments ceased to exist due to difficulties in milk quality control and the development of the infant formula industry.

Bank opening

In November 2014, a donor breast milk bank was opened in Russia. Pilot project was created to help newborns, children undergoing treatment and rehabilitation in the department for premature and neonatal surgical units of the Scientific Center for Children's Health on Vavilova Street in Moscow.

Irina Anatolyevna Belyaeva (left), doctor began to collect scientific and practical data on the efficiency and safety of such a structure. medical sciences, head of the department for premature babies, Research Institute of Pediatrics, Federal State Budgetary Scientific Institution " Science Center children's health "and Olga Leonidovna Lukoyanova (right), candidate of medical sciences, senior Researcher department of nutrition of a healthy and sick child of the Federal State Budgetary Scientific Institution "Scientific Center of Children's Health", doctor the highest category... I took the photographs from them. I was so carried away by communication, while in my thoughts I was in a hurry to Varyusha, that I did not even think of asking to be photographed with me.

In the department

The children are in the wards with their mothers. How else? Mom takes care of the baby, learns to use the device for feeding. Premature babies are often absent sucking reflex and they are fed through a tube going into the stomach through the nose.

It happens that the children are alone while their mother is undergoing treatment. But the recovery of a weak body in premature babies is much faster when mom is around. And especially if the mother has the opportunity to feed her breast milk.

But it happens that it is simply impossible to establish breastfeeding. The reasons are different, mainly early childbirth, resuscitation, treatment or stress. Then donor breast milk can come to the rescue.
Indications for donor breast milk

Donated milk is prescribed only by a doctor as food and medicine at the same time. Not all children in a row, there are exceptions. Mom has the right to refuse donor milk and feed the baby with formula for premature babies, but in this department, refusals are very rare. The most valuable thing is at stake - life and health.

For which patients is donor milk indicated in cases where mother's milk is not available? First, premature babies. I saw these kids in cuves. There is quite a tiny one, weighing a kilogram and the size of an iPad Mini, or even the palm of your hand. He feeds on donor milk while his mother is undergoing treatment herself.

Milk is also indicated for children with metabolic disorders, after bowel surgery, renal failure, cardiopathy, immune deficiency and allergies to formula milk.

When formula-feeding, out of a thousand children born with very low birth weight, 21 children die as a result of the development of necrotizing enterocolitis. If such children are fed with breast milk, mortality from this serious illness is 3-6 per thousand newborns.

How the breast milk bank is tripled

When I began to negotiate the possibility of getting into the breast milk bank, I imagined entering a separate building, a large separate building. In fact, the milk bank in this compartment has an area of twenty meters, divided into three compartments.

Milk is brought into the first compartment of the mother. They can wash their pump right away or take a clean collection container.

Milk is decanted into such jars. They are reusable and sterilizable.

A bank employee takes milk for bacteriological testing.

Then he sends it to pasteurization. The pasteurization technology is very simple: for half an hour, milk is heated in a water bath at a temperature of 62.5 degrees. This allows you to secure it, while protein, fat, carbohydrates, oligosaccharides, linoleic and a number of other acids, vitamins A, D, E, B12 are preserved by 100%. Milk contains 75% folic acid, 65% of vitamin C, up to 70% of immunoglobulin A, 91% of the total antioxidant activity remains.

The milk is stored frozen, but before going to the freezer, it must cool down.

In the freezer, it is stored in bags. They are disposable, sterile and just compact. In frozen form, breast milk can be stored from three months to six months.

Security issue

As I wrote above, the breast milk bank project is experimental. So far, you can't just come from the street to give or get milk. There is not the slightest doubt about the effectiveness of the treatment and nursing of young patients with milk, and the utmost attention is paid to the issue of safety.

Contraindications for donation are not only infectious diseases history, but also, for example, tattoos, acupuncture or dental intervention in the last six months.
Mass donation

Learned one interesting fact about mass donation in Brazil, where it is very well developed. Initially, they gave money for the delivery of milk. Thus, donation was stimulated. But after some time, the reward system was canceled. The fact is that low-income mothers donated all their milk, depriving their own children of the most valuable product.

It is too early to think about when milk donation in Russia will become widespread, says Olga Leonidovna. The bank is already ready to expand and accept those willing to donate milk. Mothers who are not able to feed on their own are not yet ready to accept this very donor milk. And those who feed themselves and have surplus breast milk are advised to create their own bank at home. This requires a breast pump, storage tanks and a freezer. Strained, cooled, then frozen. Within six months after the end of breastfeeding, it will still be possible to make, for example, milk porridge.

How the donor breast milk bank works in Moscow daryadarya wrote in September 13th, 2015

Hello, How's it done!

From time immemorial to the present day

The history of milk donation dates back to ancient times. Then, if a woman did not have the opportunity to feed the child on her own, she resorted to the help of a wet nurse, who could become a relative or just an acquaintance. It is known that a similar practice existed in Ancient Egypt, Greece, the Roman Empire, and after the 11th century, the aristocratic and royal families of Europe used the services of nurses.

Bank opening

In November 2014, a donor breast milk bank was opened in Russia. The pilot project was created in order to help newborns, children undergoing treatment and rehabilitation in the department for premature and neonatal surgical units of the Scientific Center for Children's Health on Vavilova Street in Moscow.

Irina Anatolyevna Belyaeva (left), Doctor of Medical Sciences, Head of the Department for Premature Babies of the Research Institute of Pediatrics of the Scientific Center of Children's Health, and Olga Leonidovna Lukoyanova (right), Candidate of Medical Sciences, began to collect scientific and practical data on the effectiveness and safety of such a structure. Senior Researcher of the Department of Nutrition for Healthy and Sick Child of the Scientific Center for Children's Health, doctor of the highest category. I took the photographs from them. I was so carried away by communication, while in my thoughts I was in a hurry to Varyusha, that I did not even think of asking to be photographed with me.

In the department

The children are in the wards with their mothers. How else? Mom takes care of the baby, learns to use the device for feeding. Premature babies often lack the sucking reflex and are fed through a tube that goes into the stomach through the nose.

Indications for donor breast milk

Milk is also indicated for children with metabolic disorders, after bowel surgery, renal failure, cardiopathy, immune deficiency and allergies to formula milk.

When formula-feeding, out of a thousand children born with very low birth weight, 21 children die as a result of the development of necrotizing enterocolitis. If such children are fed with breast milk, the mortality rate from this serious illness is 3-6 per thousand newborns.

How the breast milk bank is tripled

Milk is brought into the first compartment of the mother. They can wash their pump right away or take a clean collection container.

Milk is decanted into such jars. They are reusable and sterilizable.

A bank employee takes milk for bacteriological testing.

Then he sends it to pasteurization. The pasteurization technology is very simple: for half an hour, milk is heated in a water bath at a temperature of 62.5 degrees. This allows you to secure it, while protein, fat, carbohydrates, oligosaccharides, linoleic and a number of other acids, vitamins A, D, E, B12 are preserved by 100%. The milk contains 75% of folic acid, 65% of vitamin C, up to 70% of immunoglobulin A, 91% of the total antioxidant activity remains.

The milk is stored frozen, but before going to the freezer, it must cool down.

In the freezer, it is stored in bags. They are disposable, sterile and just compact. In frozen form, breast milk can be stored from three months to six months.

Security issue

As I wrote above, the breast milk bank project is experimental. So far, you cannot just come from the street to give or receive milk. There is not the slightest doubt about the effectiveness of the treatment and nursing of young patients with milk, and the utmost attention is paid to the issue of safety.

Contraindications for donation are not only a history of infectious diseases, but also, for example, tattoos, acupuncture or dental intervention in the last six months.

Mass donation

I learned one interesting fact about mass donation in Brazil, where it is very well developed. Initially, they gave money for the delivery of milk. Thus, donation was stimulated. But after some time, the reward system was canceled. The fact is that low-income mothers donated all their milk, depriving their own children of the most valuable product.