Thursday, October 6, 2011

Penyimpanan susu ibu

Sumber: http://www.askdrsears.com/topics/breastfeeding/breastfeeding-while-working/storing-transporting-breast-milk

What kind of container should I use to store my milk?
The options include hard or soft containers, with several choices under each category. Each has advantages and drawbacks.
  • Soft containers are plastic bags.
  • Hard containers are made of plastic or glass.
Ramai ibu yang bertanya, yang mana satu paling elok?
Pada pendapat saya of coursela botol lagi elok. Bekas keras x mudah bocor. Nutrien susu terjamin.
Tapi kalau kita rajin buat stok banyak. mampu ke kita nak beli botol sebanyak 300botol?
Ruang pun banyak jika susu kita sikit, tapi botol besar. Kan dah rugi space.
So, terpulang pada ibu, BF ni supposed menjimatkan. Tak perlulah kita membazir sangat.

What kind to use comes down to two issues:
  • protecting the milk and all its valuable components
  • your convenience and that of the baby's caregivers.
Unfortunately, there is not a lot of research about how storage containers affect human milk. One study showed that the leukocytes in milk (the live cells that transfer immunity from you to your baby) sticks to the side of glass containers, but subsequent research showed greater numbers of leukocytes in glass containers than in plastic, as the cells were released from the sides of the containers over time. Research has also shown a loss of antibodies and fat in milk that is stored in plastic bags, but this information applies only to disposable plastic nurser bags, the thin ones you can buy at most stores to use with baby bottles. If you do choose to store your milk in these, use two bags to protect against breakage and "freezer burn." Use twist ties to close the bags. (Jangan confuse sebut liner jer ek. Memang ada plastik omputih guna utk alas dalam botol. biasanya plastik ni nipis tidak berapa sesuai utk dibekukan)

Plastic bags specially designed for freezing expressed human milk are available from many companies that specialize in products for breastfeeding mothers and babies. These bags are sturdier than those used in baby bottles and have self-closures that are easier to seal and label. They do a better job of protecting milk components than nurser bags. Some types can be attached directly to your pump. Plastic storage bags are available from The LLLI Catalog.

The information currently available suggests that glass or hard-sided plastic containers (the kind of plastic that is clear, not cloudy) provide the best protection for nutrients and immunities. Hard containers should have secure, one-piece tops. If your baby is getting a lot of his nourishment directly at the breast, you don't need to be as concerned about nutrient loss through freezing and contact with storage containers as you do if your baby is getting only expressed milk and not nursing directly at the breast.
Convenience is another issue, and opinions will vary. Plastic bags take up less room in the freezer and are one-use items, so there's no dishwashing involved. However, filling them and pouring milk out of them can be awkward.


How should I wash containers that will hold milk? Do I need to sterilize them?
When you are pumping milk for a full-term, healthy baby, you do not need to worry about sterilizing storage containers or pump parts. Wash your storage containers in hot soapy water, and wash your hands thoroughly with soap and water before you pump. Check the manufacturer's instructions for information on washing parts of the pump. Storage containers and parts of some pumps can be washed in a dishwasher.
Mothers who are pumping milk for a sick or hospitalized baby will need to be more careful about milk handling and sterilization procedures.
(Ada ibu yang selalu sterilise botol2 susu. And more, after sterilise kena simpan dalam peti and tak boleh pegang botol dgn tangan. kene pakai penyepit. Ini memang  anti bakteria giler. Hmmm.. actually sterilise selalu pun x elok. nanti bahan kimia botol akan terurai. Sebab tu ada yang botol susu jangka hayatnya pendek. Masa 1bulan pertama memang saya ada sterilise botol. tapi start bulan kedua dah jarang sterilise. Sekarang ni mesin steriliser tu dah simpan dlm almari jer hehehe. Makin besar, perut baby dah kuat. So boleh tahan berbanding dengan perut baby yg baru lahir. Cuma kene pastikan botol dicuci bersihla. Biasa susu ibu ni lemak berminyak akan lekat kat tepi botol kan. So kene rendam air sabun suam. Tapi saya biasa rendam air sabun x suam dalam sejam gitu. Hilang jugak lemaknya. Jadinya bergantung pada baby, ada baby memang perutnya sensitif. Tapi kalau baby kita sihat jer, tak payahla bersusah payah hehehe. Orang dulu2 tak sterilise pun sihat ajer membesar kan)

Freezer or refrigerator? How quickly does human milk spoil?
Freezing destroys some of the immune properties in human milk, so it's best if your baby is given fresh milk--milk that has been expressed and then refrigerated. The chart in Storage Times for Human Milk tells you how long you can keep expressed milk at room temperature, in the refrigerator, or in the freezer. (Print this file and keep it on your refrigerator door!)
Label each container with the date, so that you can use the oldest milk first and avoid needless waste.

Ada sesetengah orang, simpan ebm dioffice terus bekukan dengan anggapan susu itu sejuk lebih tahan lama. Actually sebenarnya bila dah dibekukan nutrien susu akan rosak (but still better nutrien than formula milk). Jadinya simpan bahagian chiller sahaja. Kalau ada baki lebih baru dibuat stok beku)

Where storedStorage temperature
(degrees Fahrenheit)
Storage temperature
(degrees Centigrade)
How long
At room temperature60 degrees F15 degrees C24 hours
At room temperature66-72 degrees F19-22 degrees C10 hours
At room temperature79 degrees F25 degrees C4-6 hours
In a refrigerator32-39 degrees F0-4 degrees C8 days *some say 5 days
In a freezer compartment inside a refrigerator2 weeks
In a self-contained freezer unit of a refrigerator3-4 months
In a separate deep freeze with a constant temperature0 degrees F-19 degrees C6 months or longer
* http://www.pamf.org/children/newborns/feeding/storing.html


SAVE? OR DUMP?
Type of MilkSave or Dump?Why
Milk remaining in the bottle that has been offered to babyUse for next feeding, otherwise discard. 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 thawedSave in the refrigerator for 24 hours after thawing, then discard. Do not refreeze.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 daysTransfer to storage in the freezer, or discard.Bacterial growth is not a problem, but milk sometimes picks up odors or flavors from the refrigerator or the container.




How much should I store in each container?
Store your milk in small amounts, about two ounces in each container, at least at first. (If you're pumping milk for a premature baby, you may want to store it in even smaller amounts.) Breastfed babies take smaller amounts of milk at each feeding than do formula-fed infants, and smaller amounts are also quicker to thaw. Milk left in a bottle after a feeding can be saved until the next feeding, but after that it should be discarded, and you don't want to waste expressed milk. Eventually, you may decide to put more milk in each bottle, based on your caregiver's report on how much your baby takes at each feeding.  (Lebih mudah kita asingkan siap2 jumlah susu yang biasa baby minum. Maknanya, kalau baby minum 2jam 2 oz, buatkan 6 botol 2oz untuk dihantar kepada pengsuh. Tapi jumlah ini kadang2 bertambah bergantung kapasiti perut baby. So janganla stick 2oz jer. kene pantau juga pertambahan kadar susu)

You can add more milk to already-frozen milk, but cool the added milk in the refrigerator first. There should be less added milk than already-frozen milk.
Katakanlah kita nak campur 2 tempoh susu yang berbeza waktu. Kita perlu samakan suhu dahulu sebelum dicampurkan. Contoh: susu jam 2 petang ada 1oz dah sejuk dalam peti dan susu jam 4 petang ada 2 oz yang baru diperah. Sejukkan dahulu susu jam 4 petang lebih kurang 2jam kemudian baru campurkan kedua-dua susu tersebut. Ini kerana susu ibu sangat sensitif dengan suhu. Jika kita mencampurkan suhu secara mendadak, nutrien akan terurai dan rosak.

Always leave about an inch of space at the top of the container to allow for expansion. Just like water for ice cubes, human milk expands when you freeze it. Hard containers will pop open as the milk expands. Bags will break. Squeeze out the air at the top of the bag and fasten it an inch above the milk.

Pastikan terdapat ruang kosong di dalam bekas atau plastik simpanan. Jika terlalu penuh boleh menyebabkan plastik pecah. Buang angin didalam plastik terlebih dahulu.

How do I safely store my milk?
  • Bags containing human milk should be placed inside another container in the refrigerator or freezer. This makes for better protection and easier handling.
  • If you lay the bags down in a container in the freezer, you'll get flatter packages that will thaw more quickly. (But be sure they're sealed well, or you'll have a leaky mess.)
  • (Baringkan plastik supaya leper. Jimat ruang dan kemas.Pastikan zip plastik beg rapat supaya tidak meleleh)
  • You might want to keep all your hard containers of milk together in the freezer or refrigerator inside a larger plastic box.

How long can I keep the stored milk?
Amazingly, research has found that human milk stored in the refrigerator for eight days actually has lower bacterial levels than freshly expressed milk. For more details on recommended storage times, see Storage Times for Human Milk.
Since human milk can be kept in the refrigerator for up to eight days, it may be possible to provide your baby with fresh, not frozen, milk most of the time. This insures that your baby gets the maximum amount of nutrients and immunities. Instruct your caregiver to use the oldest milk first and keep the supply rotating.

Previously frozen milk can be kept in the refrigerator for 24 hours after thawing. This means that you or the baby's caregiver can thaw milk for all of your baby's feedings at one time, or you can thaw the milk in the refrigerator overnight. This can make it faster to prepare a bottle when your baby is hungry. Milk that has thawed should not be refrozen.
(Cara cairkan ebm beku adalah dengan merendam ke dalam mangkuk berisi air. Ini dapat mempercepatkan pencairan. Malam ini cairkan susu utk diminum esok pagi)

How do I safely transport my milk?
Research shows that bacteria do not grow readily in human milk, and that it can be kept safely at room temperature for 4 to 6 hours or more. So you don't need to worry if you can't rush your milk to the refrigerator right after you express. But it still makes sense to refrigerate the milk as soon as possible and to keep it cool when taking it home or to the sitter's. If you have refrigerator space available at work, you can store your milk there until the workday is over, or use an insulated container with reusable carry-ice to keep it cool.

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