Difference between revisions of "Health-and-Nutrition/C2/Storage-of-expressed-breastmilk/English"

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Revision as of 13:06, 31 July 2019

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.

Image: Collage of benefits of hand expression

GIF: Hand expression of breastmilk

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, the mother should 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 milliliters 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

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


Image: Frozen solid milk is defrosted outside the fridge

Image: Mother immediately uses the outside defrosted milk

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