May 27th, 2009 • Comments: 0 • by Wendy • PumpingResources

Why Does My Expressed Breastmilk Smell Bad?


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I recently came across this fantastic resource on the Lansinoh website and wanted to share it with you!

"In very rare cases, some mothers who have meticulously expressed and frozen their milk for later use have discovered to their dismay that all their frozen milk has turned rancid.  This happens when a mother produces milk that is high in lipase, the enzyme that breaks down fat in the milk. Depending upon the level of lipase in her milk, some mothers notice this rancid smell after their milk has cooled in the refrigerator; others, notice it only after the milk has been frozen for a while.  Thankfully this doesn’t happen often, and this can be prevented. 
a freezer full of breastmilk
It is suggested that every mother who is planning to freeze her milk should freeze some test batches of milk and thaw it out after a week or so to be sure it has not become rancid.  If the mother finds that after freezing and thawing her milk that it has a rancid smell, she can prevent this from occurring in the future by heating her expressed milk to a scald right after collecting it and then quickly cooling and freezing it.  Scalding inactivates the lipase.  Once the milk has acquired the rancid smell, however, treating the milk will not help.  It is not known whether or not this milk is safe for the baby however, most babies refuse it because of the taste."

You can find more information on this subject on the KellyMom website.  She states that the milk is in fact NOT harmful to your baby, but the stronger the taste, the more likely that he or she will refuse it.

Have you ever found that your breastmilk "turned" after refrigerating or freezing?  If so, did you throw it out or did your baby drink it anyways?  I never encountered this personally, however I would love to hear your stories!  Please drop me a comment below.

{"Feeling More Secure with My Breastmilk Stash!" by Diana Schnuth is licensed under CC BY-NC-SA 2.0}

May 6th, 2009 • Comments: 0 • by Stephanie • Breast is BestPumpingResources

Guest Post: Why Women Exclusively Pump


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Exclusively Pumping website

Exclusively pumping breast milk is best thought of as an alternative to formula feeding.  While there are some women who decide to exclusively pump even before their babies are born, they are by far the minority.  Instead, most women who exclusively pump fully intended to breastfeed and believe strongly in the benefit and value of breast milk.  When confronted with difficulties or situations that make breastfeeding difficult or impossible, these women turn to the use of a breast pump to ensure their babies receive breast milk.

The reasons women exclusively pump are extremely varied: the premature birth of a baby; the illness of the baby or the mother; problems with breastfeeding including such things as a poor latch, thrush, cleft palate, poor weight gain, a lack of milk (either real or perceived), and the early introduction of a bottle leading to nipple preference; and the separation of mother and baby including women who must return to work soon after the birth of their babies.  It is difficult to briefly discuss the many reasons women exclusively pump, but there do tend to be some similarities in most women's experiences.

Self-preservation is an often mentioned factor in the decision to exclusively pump.  New mothers are overwhelmed with emotions.  Hearing your baby scream every time you try to nurse, enduring extreme pain when nursing, or having a baby who is unable to get enough milk to satisfy her can add to an already tumultuous period.  Also, for women who are breastfeeding, bottle feeding to top up the baby's intake, and then pumping to maintain or increase supply while the baby learns to breastfeed or the mother is able to resolve difficulties she is experiencing, the cycle becomes overwhelming and, even with a strong support network, can make it extremely difficult to continue for very long.

Often a mother is not able to truly focus on mothering and enjoying her new baby, and instead, is solely focused on providing nourishment.  Life becomes consumed with feeding the baby, which can, in and of itself, add additional stress to the situation making breastfeeding all that more challenging.  The decision to exclusively pump can, for some women, bring back a balance in their lives and in their household and enable them to refocus on their babies while continuing to feed their babies breast milk.

The decision to exclusively pump is not made lightly.  The vast majority of women who decide to exclusively pump do work with lactation consultants before making their decision.  And although pumping and bottle feeding becomes the primary method of feeding, many women also continue to work on breastfeeding and solving problems that were making it difficult to breastfeed.

Yet, even though the hope of exclusive breastfeeding may still remain when a woman starts to pump, many women do get to a point where they no longer attempt to breastfeed.  Many struggle with the emotions they feel as a result of not breastfeeding and not having the breastfeeding relationship they thought they would have with their baby.  For many, the strong emotions felt when they do not see success breastfeeding are too difficult to continue reliving over and over again.  The disappointment and frustration often prove to be difficult to cope with on a continuing basis and as a result the decision to exclusively pump is made.  Working with a lactation consultant during these first few weeks of pumping is extremely important if a transition to exclusive breastfeeding is desired and an important time for lactation consultants to maintain close contact with women in order to assist them to breastfeed successfully.

Perhaps the strongest motivating factor for exclusively pumping is the strong belief that breast milk is the best way of nourishing a baby.  Most women who exclusively pump do not feel that formula is an option; it is something they would prefer not to feed their babies.  Therefore, when they are confronted with difficulties breastfeeding (or the inability to breastfeed), and are unable to resolve the situation, they turn to what is often in their minds, the only option available to them.  If the women who exlusively pump did not have this as an option, their babies would most likely be switched to formula.

Exclusively pumping is a viable alternative to formula feeding.  Knowledge is key, however.  A breast pump will not initiate or maintain a milk supply in the same manner as a baby.  Women who have been able to exclusively pump long-term tend to follow a similar set of guidelines.  Support and accurate information are extremely important indicators of success for women who are exclusively pumping.Exclusively Pumping Breast Milk by Stephanie Casemore

While breastfeeding is undoubtedly the best method of feeding a baby, the fact remains that certain circumstances make breastfeeding difficult, and sometimes, women decide to bottle feed.  The reasons for this decision and the emotions that surround the decision are varied, but in all cases, exclusively pumping can ensure that it is breast milk in the bottle instead of formula and provide more babies with the best start possible in life.

Stephanie Casemore is the author of Exclusively Pumping Breast Milk: a Guide to Providing Expressed Breast Milk for your Baby.  For more information on exclusively pumping or to purchase Stephanie's book, visit www.ExclusivelyPumping.com 

January 21st, 2009 • Comments: 0 • by Wendy • Breast is BestPumpingResources

Breastfeeding Protects You and Your Baby Against Disease

I think today's moms and moms-to-be are aware that benefits exist for themselves and their babies when they choose to breastfeed, however, I stumbled across this post from The Motherwear Breastfeeding Blog (one of my faves) which has an excerpt from a 2007 US Department of Health and Human Services meta-analysis with actual percentages - très cool (and I'm not even French!)

Breastfeeding reduces babies' risk of the following diseases as noted below:

Sudden Infant Death Syndrome (SIDS):  36%
Type 1 Diabetes:  19-27%
Type 2 Diabetes:  39%
Leukemia (acute lymphocytic):  19%
Leukemia (acute myelogenous):  15%
Asthma:  27%
Gastrointestinal infections: 64%
Lower respiratory tract diseases:  72%
Atopic dermatitis:  42%
Acute otitis media:  50%

Breastfeeding reduces mothers' risk of the following diseases as noted below:

Type 2 Diabetes:  4-12%
Ovarian Cancer:  21%
Breast Cancer:  28%

OR if you want to see the flip side...it seems to have more impact:

Artificial feeding increases babies' risk of the following diseases as noted below:

Sudden Infant Death Syndrome (SIDS): 56%
Type 1 Diabetes: 23-37%
Type 2 Diabetes: 64%
Leukemia (acute lymphocytic) : 23%
Leukemia (acute myelogenous): 18%
Asthma: 37%
Gastrointestinal infections: 178%
Lower respiratory tract diseases: 257%
Atopic dermatitis: 72%
Acute otitis media: 100%

Artificial feeding increases mothers' risk of the following diseases as noted below:

Type 2 Diabetes: 4-14%
Ovarian cancer: 27%
Breast cancer: 39%

You should be aware of the fact that this is NOT a complete list.  Breastfeeding protects against many more diseases and scientists continue to do research around this topic.  Enough said - BREAST IS BEST - always has been, always will be!

Do these numbers surprise you?  alarm you?  make you even happier that you are/did/plan to breastfeed(ing)?  Tell me what you think.

November 12th, 2008 • Comments: 0 • by Wendy • Breast is BestPumpingResources

The Benefits of Breastfeeding from A to Z

Alhtough I don't recall who first shared these words with me, I have been holding onto this little tidbit for years now.  It is a good reminder of the countless benefits of breastfeeding and therefore I thought I would now share it with you.

A - helps avoid allergies; immediately available; antibodies are passed from mother to baby through her milk; nutrients are more easily assimilated

B - creates close bonding between mother and child; reduces risk of breast cancer; contributes to optimal brain development; breastmilk doesn't stain clothing

C - comforting for baby; convenient; changes as baby grows; no constipation; colostrum is the perfect first food

D - digests more easily; cannot be duplicated; allows delay of solids; fewer dental problems (promotes proper jaw, teeth and speech development so there is less need for expensive orthodontics later)

E - easy; enjoyable; enhances relationship with your baby

F - fulfilling; always fresh; gives you a free hand for reading, etc; fewer health problems means a happier baby

G - giving of yourself; a great way of meeting emotional and physical needs; less garbage and other environmental wastes

H - breastfed babies are healthier; babies are meant to have human milk

I - inexpensive; immunity factors are only found in breastmilk

J - joyful experience; ready in a jiffy

K - spend less time in the kitchen (mixing, washing, sterlizing, warming...)

L - loving; you can join a fun mother's group like La Leche League; less spitting-up and stomach upsets

M - delays the return of postpartum menstruation (but not necessarily ovulation); something only a MOM can do for a baby

N - perfect balance of nutrients; night feedings are easier; natural

O - prevents overfeeding; less diaper odour; reduces the chance of obesity later in life

P - prolactin helps you feel motherly; helps prevent serious health problems; milk supply is pure

Q - quiet time together; best quality nutrition; pratically unlimited quantity

R - relaxing; less rashes for baby; recommended by the Canadian Pediatric Society, the World Health Organization and The Breastfeeding Committee for Canada; completes the reproductive cycle:  conception, pregnancy, birth, lactation

S - satisfies all the senses; superior infant food; saves time, effort money and resources

T - always the right temperature; travel is easier; time-tested through the ages

U - uniquely suited to each baby; contracts uterus helping to expel the placenta and control blood loss; universality of breastfeeding is a link with mothers all over the world

V - especially valuable in special situations (prematurity, jaundice); taste of breastmilk varies from skim to creamy during each feeding

W - helps mother's weight loss by using extra calories; no need to worry about baby's food supply; encourages normal weight gain for baby; called "white blood" because of the life-giving properties

X - x-tra cuddling builds strong ties of love

Y - it's yummy of course!

Z - these are only a few of the zillions of advantages to breastfeeding your baby!

I'd love to hear about any other ABC's of Breastfeeding that you can think of!

adapted by Sandra Yates, 2003, from the original by Mary Clarke, Andrea Meyer and Mary Jo Rodgers, Minot, ND, USA, with a few additions by yours truly, Wendy Armbruster Bell, 2008

August 27th, 2008 • Comments: 0 • by Wendy • Breast is BestHuman Milk Banking PumpingResources

Breastmilk Storage Guidelines

Hi everyone, This table is an essential for all bleary-eyed, sleep-deprived, pumping moms out there!

Human Milk

Room Temperature

Refrigerator

Time in Freezer

freshly expressed

≤ 4 hours at 26˚C/79˚F ≤ 24 hours at 15˚C/59˚F* *(cooler with frozen gel packs)

≤ 8 days at ≤ 4˚C/39˚F

≤ 12 months at 18˚C to 20˚C below zero/ 64 to 68˚F

previously frozen, thawed in refrigerator but not warmed

≤ 4 hours

≤ 24 hours

do NOT refreeze

previously frozen and brought to room temperature

for completion of current feed

4 hours

do NOT refreeze

infant has started feeding

only for completion of feeding, then discard

discard

discard

frozen donor human milk

only for completion of feeding, then discard

≤ 24 hours

do NOT refreeze

© Human Milk Banking Association of North America, Inc.  www.hmbana.org