Infant Feeding Practices

Policy

Storage of Breast milk and Formula and Infant Feeding Practices will adhere to CDC, CACFP and CCD guidance.

Procedure

All EHS Staff will refer to Infant Feeding Practices Packet which will include the documents listed below:

http://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm

Multnomah County and CCD Policy on Serving of formula, handling of bottles and feeding infants

CACFP

Bottle Feeding Infants (CACFP Document)

Preventing Choking in Infants and Young Children (CACFP document)

http://www.fns.usda.gov/tn/Resources/feeding_infants.pdf

http://www.fns.usda.gov/tn/Resources/feeding_infants.html

Proper Handling and Storage of Human Milk

By following safe preparation and storage techniques, nursing mothers and caretakers of breastfed infants and children can maintain the high quality of expressed breast milk and the health of the baby.

Safely Preparing And Storing Expressed Breast Milk

Be sure to wash your hands before expressing or handling breast milk.
When collecting milk, be sure to store it in clean containers, such as screw cap bottles, hard plastic cups with tight caps, or heavy-duty bags that fit directly into nursery bottles. Avoid using ordinary plastic storage bags or formula bottle bags, as these could easily leak or spill.
If delivering breast milk to a child care provider, clearly label the container with the child’s name and date.
Clearly label the milk with the date it was expressed to facilitate using the oldest milk first.
Do not add fresh milk to already frozen milk within a storage container. It is best not to mix the two.
Do not save milk from a used bottle for use at another feeding.

Safely Thawing Breast Milk

As time permits, thaw frozen breast milk by transferring it to the refrigerator for thawing or by swirling it in a bowl of warm water.
Avoid using a microwave oven to thaw or heat bottles of breast milk
1. Microwave ovens do not heat liquids evenly. Uneven heating could easily scald a baby or damage the milk
2. Bottles may explode if left in the microwave too long.
3. Excess heat can destroy the nutrient quality of the expressed milk.
Do not re-freeze breast milk once it has been thawed.

Source: American Academy of Pediatrics .

Storage Duration of Fresh Human Milk for Use with Healthy Full Term Infants

Location	Temperature	Duration	Comments
Counter top, table	Room temperature (up to 77°F or 25°C)	6–8 hours	Containers should be covered and kept as cool as possible; covering the container with a cool towel may keep milk cooler.
Insulated cooler bag	5-39°F or -15-4°C	24 hours	Keep ice packs in contact with milk containers at all times, limit opening cooler bag.
Refrigerator	39°F or 4°C	5 days	Store milk in the back of the main body of the refrigerator.
Freezer			Store milk toward the back of the freezer, where temperature is most constant. Milk stored for longer durations in the ranges listed is safe, but some of the lipids in the milk undergo degradation resulting in lower quality.
Freezer compartment of a refrigerator	5°F or -15°C	2 weeks
Freezer compartment of refrigerator with separate doors	0°F or -18°C	3–6 months
Chest or upright deep freezer	-4°F or -20°C	6–12 months
Reference: Academy of Breastfeeding Medicine. (2004) Clinical Protocol Number #8: Human Milk Storage Information for Home Use for Healthy Full Term Infants [PDF-125k]. Princeton Junction, New Jersey: Academy of Breastfeeding Medicine. Available

Performance Standard: 1304.23 (e) (2)

Policy Council approved: May 2010