Health-and-Nutrition/C2/Storage-of-expressed-breastmilk/English

Visual Cue	Narration
Slide Number 1 Title Slide	Welcome to the Spoken Tutorial on Storage of expressed breastmilk.
Image: Breast milk in a labelled closed glass container	In this tutorial, we will learn, How to store expressed breastmilk safely for later use
Image: Collage of benefits of hand expression GIF: Hand expression of breastmilk	Let us begin. Expressing breastmilk has many benefits for the baby and the mother. Expressing breastmilk by hand is explained in another tutorial in the same series.
Image: Expressed breastmilk is handled safely to maintain its high quality Image: Security sign	Expressed breastmilk must be handled and stored safely. Doing so, will maintain its high quality for the baby.
Image: Mother is washing her hands. Image: Mother is showing her dry and clean hands.	Before handling breastmilk - Mother should wash her hands with soap and water and dry them properly
Image: Clean steel container with a lid. Image: Clean glass container with a lid.	To store breastmilk- Mother should use steel or glass wide-mouth containers that can be kept covered
Image: Clean steel container with a lid. Image: Clean glass container with a lid. Image: Glass container with milk	Though steel containers are recommended, we will use glass containers in some of the pictures This will help us to clearly see the milk inside the container
Image: Mother is washing a wide mouth cup with soap and water	Next step is to wash the chosen containers in soap and water
Image: Cup is kept in boiling water	After that, she should keep the containers in boiling water for at least 10 minutes
Image: Glass container is air-dried completely Image: Mother is wiping the container	Then, she should either air dry the containers completely Or wipe them dry with an unused clean cloth The containers should never be dried with a used cloth such as a used kitchen cloth
Image: Mother pouring expressed breastmilk from the container she used to collect the breastmilk into the container for storage	After the clean container is dried completely- She should pour the expressed milk into the containers
Image: 60 ml breastmilk stored in a container Image: 90 ml breastmilk stored in a container	Mother should store only enough milk for one feeding or about 60 to 90 ml milk in each container
Image: 1 inch space at the top of the container Image: Frozen breastmilk is expanding and fills that 1 inch gap	If the mother plans to freeze her breastmilk - She should leave an inch of space at the top of the container Because breast milk expands as it freezes.
Image: Container is labelled with date and time	She should label each container with the date and time of milk expression
Image: Breastmilk filled labelled container is stored in a fridge	Then, she should store these breastmilk filled containers in the coldest possible place
Image: Breastmilk filled containers are stored in a fridge Image: Fridge	If she has a fridge, it is best to save the milk there
Image: Breastmilk filled containers are stored in the back of the lowest shelf of the fridge. Image: Breastmilk filled containers are stored in the front side of the highest shelf of the fridge with a red crossmark. Image: Thermometer showing less than 4 degree celsius.	She should store the breastmilk in the back of the lowest shelf of the fridge This is the coldest area of a fridge Never store the breastmilk in the door of a fridge
Image: thermometer for temperature Image: Clock for time Image: Expressed breastmilk	The lower the temperature of storage, the longer the storage time
Image: Breastmilk is stored up to 7 days in the fridge. Image: 7 days Image: Temperature of the fridge is between 2 and 8 degree Celsius.	Breast milk can be stored for up to 7 days in a fridge under clean conditions
Image: Milk in the fridge is kept cold consistently	It must be kept cold consistently
Image: Father is opening the door of the fridge frequently GIF: Temperature is rising.	Remember, The more often the fridge door is opened, the more likely the temperature will rise
Image: Temperature of the fridge goes above 8 degree celsius Image: Breastmilk is stored in the fridge Image: Power cut Image: Mother is using breastmilk within 6 hours	If the fridge temperature rises during storage time due to a power cut or other reasons - then the mother should use the breastmilk within 6 hours
Image: Mother is throwing away the stored breastmilk	If the breastmilk is not used within 6 hours, then she should throw it away
Image: Breastmilk filled labelled container is stored in a cold, dark place in the house.	If the mother doesn’t have a fridge then - breast milk can be stored up to 6 hours in a safe, cold and dark place in the house
Image: Breastmilk filled container is kept near a water-filled earthen pot Image: Breastmilk filled container is kept in a vessel filled with cold water	If the room is hot, she can store the breastmilk - Near an earthen pot filled with cold water Or in a vessel filled with cold water
GIF: Clock running continuously Image: Fresh breast milk protected from spoiling because of infection-fighting factors in it Image: Cow’s milk transition from fresh to spoilt Image: 6 hours clock Image: sunrays Image: Mother is feeding expressed breastmilk safely throughout the day. Show clock.	Fresh breast milk contains infection-fighting factors Therefore, it can stay unspoilt longer than cow's milk Germs do not start growing in fresh breast milk for at least 6 hours - even in a hot climate, and outside the fridge
Image: Fridge is not available Image: Cool bag Image: Cool box Image: deep frozen ice packs Image: 24 hours	Another way to store breastmilk outside the fridge is - By using a cool bag or box with deep-frozen ice packs, changed every 24 hours
Image: Milk coming in direct contact with ice packs Image: Milk is protected from ice packs Image: Frozen breastmilk	The milk must be protected from the ice packs or it may freeze
Image: Breastmilk is carried in a cool bag by mother.	The cool bag can also be used to carry milk
GIF: 7 days Image: Mother immediately freezes breastmilk after expressing it.	If the breast milk is to be stored for longer than 7 days- Mother should freeze it as soon as possible after expressing
Image: Milk is frozen solid in the freezer of a fridge Image: Single door fridge Image: Solid milk Image: 2 weeks	Milk which is frozen solid in the freezer of a fridge will be good for 2 weeks
Image: Breastmilk is frozen solid in a separate freezer Image: Double door fridge Image: 3 to 6 months	Milk stored in a separate freezer will be good for 3 to 6 months
Image: Frozen solid milk is defrosted in the fridge Image: Milk solid to liquid Image: 24 hours Image: Frozen solid milk is defrosted outside the fridge Image: Mother immediately uses the outside defrosted milk	When this previously frozen breast milk is defrosted - by keeping it overnight on the lowest shelf of the fridge it should be used within 24 hours And when it is defrosted outside the fridge, it should be used within 2 hours
Image: Warming the expressed milk in warm water Image: Mother is feeding expressed milk to the baby using a cup	In other tutorials, we have explained- How to make stored breastmilk ready for the baby to drink And how to feed expressed milk to the baby
‘’’Slide Number 2’’’ ‘’’Acknowledgement Slide’’’	This brings us to the end of this tutorial Thank you for joining

Contributors and Content Editors

Bellatony911, Tasneemiitb