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Food and Health Guidelines - Torfaen Family Information Service

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2. Babies 0-12 months<br />

Using expressed breast milk in the Early Years setting:<br />

Fridge temperature should be monitored<br />

regularly<br />

Breastmilk should be stored in an<br />

insulated bag with frozen ice packs.<br />

This should keep the temperature below<br />

4°C regardless of how often the door<br />

is opened.<br />

• Ensure bottles are clearly labelled with<br />

the baby’s name <strong>and</strong> date <strong>and</strong> used<br />

only for the named baby.<br />

• Shake the container of breast milk<br />

before using, as the cream will rise to<br />

the top if left to st<strong>and</strong>.<br />

• If milk storage bags are used, it may be<br />

easier to cut off the bottom corner with<br />

sanitised scissors to form a spout rather<br />

than untie the top of the bag.<br />

• Discuss with mother how to feed the<br />

baby i.e. using a cup rather than a<br />

bottle <strong>and</strong> teat.<br />

• When baby starts on solid foods,<br />

expressed breast milk can be used<br />

to mix into cereal or other foods.<br />

• Defrosting <strong>and</strong> warming breast milk:<br />

- The safest way to defrost expressed<br />

breast milk is to remove it from the<br />

freezer several hours before it is<br />

needed <strong>and</strong> to thaw it in the fridge.<br />

If needed quickly, it can be defrosted<br />

by st<strong>and</strong>ing in cool or warm water.<br />

- If defrosted in the fridge, milk should<br />

be given to the baby within 12 hours<br />

<strong>and</strong> kept in the fridge until used.<br />

Milk defrosted outside the fridge<br />

should be used immediately <strong>and</strong><br />

should never be refrozen.<br />

- Defrosting or warming milk in the<br />

microwave oven is not recommended<br />

due to the possibility of hot spots.<br />

• Frozen milk should be dated <strong>and</strong> the<br />

oldest milk used first.<br />

• Discard any breast milk kept for longer<br />

than the indicated times.<br />

• Monitor how much milk is being taken<br />

<strong>and</strong> let mother know when stocks are<br />

running low.<br />

• Return any unused breast milk to the<br />

parent at the end of the day.<br />

Have posters <strong>and</strong> leaflets on<br />

display (see section 10)<br />

Provide a welcoming atmosphere for<br />

breastfeeding mothers.<br />

• Provide a room / space that is quiet,<br />

warm, well lit <strong>and</strong> has a comfortable<br />

chair for the mother who wishes to<br />

breastfeed. Some mothers may wish to<br />

feed on arrival, just before leaving or at<br />

lunchtime, particularly when the baby is<br />

very young.<br />

• If the mother wishes to feed her baby<br />

before going home, discuss with mother<br />

how this can best be accommodated.<br />

• Have storage available for expressed<br />

breast milk.<br />

• Have contacts available for the national<br />

breastfeeding support organisations <strong>and</strong><br />

local breastfeeding peer supporters.<br />

(See www.wales.gov.uk/breastfeeding <strong>and</strong><br />

see section 10).<br />

2

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