June 27

Storing Frozen Breastmilk

It is not all the time that babies can drink directly from mom’s breast such as when mom is at work or baby can not feed on his own yet. Aside from regularly expressing milk to continue your supply, storing and keeping it fresh is equally important. I’ve been expressing and storing milk since I gave birth 3.5 months ago. Here are ways on how I store my expressed breastmilk.

Cleanliness is a priority. I always wash my hands and rub alcohol or hand sanitizer prior to expressing my milk. Containers and pump must be clean as well to avoid contamination of milk. If I have even just a single doubt that the milk is not free from contamination, I immediately discard it.

Milk containers must be clean and sterilized. Initially, I used my baby’s feeding bottles. However, since his consumption is significantly lower than what I produced everyday, I eventually run out of feeding bottles to use. I later used disposable milk storage bags and reusable milk containers.

Milk storage bags are reasonably priced and is available in department stores. The brands I’ve used so far are Ai-Non and Precious Moments. It can hold up to 8ounces of milk per bag. I like Precious Moments more because its measurements are accurate. Equally popular is Nanny brand. In the Philippines, each box costs P300 ($7) each which contains 25 bags. It is pre-sterilized so I can use it immediately.

I also used the Medela Milk Containers. These containers, however, are not available in most department stores. I purchased it from The Medela House and can hold up to 2.5ml of milk each. It may seem expensive at first (P700 for 10pcs or $16) but it can be used several times. It can also be used later to store baby food. Since I’m using a Medela pump, this is a good buy as well since it fits perfectly into the assembly of the pump.

Afte the containers, the next thing to consider is the actual storing of milk. My son’s doctor told me that I should not immediately freeze freshly expressed milk because it’s wam. So I let it stand for 5-10 minutes to cool it down a bit then put it inside the fridge.  Also, to maximize the use of my containers, I add up the milk that I expressed. Each of my bag contains 5 to 6 ounces each or equivalent to two rounds of expressed milk. This is safe for as long as they are of the same temperature when combined. I put them inside the fridge first then later when they are of the same temperature, I transfer it to the containers. Never combine freshly expressed milk with the one inside the fridge and most especially do not combine it with the frozen ones as this can spoil the milk. Also, milk inside the fridge can last up to 24 hours only, otherwise it must be frozen , used or discard. Always remember to label each bag with the date of storage. Consumption must be on a first -in and first out basis.

For most of us who do not have a separate freezer for breastmilk, we freeze our milk together with ice and meat. To protect milk from contamination, I put my containers inside plastics and seal it to ensure that it will be free from odors and germs from other frozen items most especially meat and poultry products. I use plastic food plastics and place it together with ice.

I do hope I was able to help you with my tips above. If you have something to add, let me know so I can also improve the quality of my frozen breastmilk!

June 12

Feverish First Born

My first born son, Heinel has fever since Sunday. It went as high as 39.5C Monday morning. He also had vomiting episodes coupled with headache and nausea. He was also complaining of a painful throat so we initially thought fever was due to tonsillitis. But when we had him checked by his Pediatrician, she ruled it out because it is not inflamed enough to cause fever. He also has no cough and colds. She advised him to take his medicine (paracetamol), drink plenty of water and restrain from too much physical activity. If fever still persists, he will have to undergo blood test to further check what is causing the on and off fever.
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Category: My Family
May 28

Preparing to Give Birth to a Preemie

Just like every expecting mom, I never imagined that I will deliver a prematurebaby, most of all a micro preemie who’s only six months into gestation. Moms who have the most potential to deliver a premature baby are those whose pregnancies are classified as high-risk. You are considered high-risk if your pregnancy involves any of the following:
  • Problems with the placenta
  • Pregnancy with twinsor more
  • Infection in the mother
  • Problems with the uterus or cervix
  • Young or old maternal age
  • Being overweight or underweight
  • Having had problems in previous pregnancies
  • Pre-existing health conditions, such as high blood pressure, dabetes
  • Medical condition pregnancy related such as preeclampsia, eclampsia and gestational diabetes.
In my case, I qualify in three items above. I have infection, problems with my placenta, uterus, cervix and I had problems in my previous pregnancy. From the start, my pregnancy was already considered as high risk. If you qualify in any of the conditions above, or your OB-Gyne already advised you of a possible pre-term delivery, then here are the factors that you might want to consider: a.    Find a hospital near your home.

Chances are, you will go home first before your baby. It will be convenient if your hospital is near your home so you can visit and breastfeed your baby several times a day.

b.    Check if your hospital has a neonatal intensive care unit (NICU).
Not all hospitals have NICU so it is best to check out if your hospital has one. It will be a hassle and also dangerous for the baby to be transported just because the hospital does not have NICU facilities. Even public hospitals have NICU such as Philippine Children’s Medical Center (PCMC), Philippine General Hospital (PGH), etc…, so it does not mean that you have to be in a private hospital.

c.    Scout for a good neonatologist.
Preemies have different needs and management compared with full term babies so pediatricians may not give them the special care that they need. Neonatologist are trained to handle premature babies and their conditions. Our neonatologist is Dra. Tita Uy who was referred to us by my OB-Gyne. She is from St. Luke’s Medical Center and Philippine General Hospital. With the help of the internet, you can find referrals from mommy forums. Ours got good comments from her patients.

d.    Breastfeeding is a must!
For all babies, it is best to breastfeed, but most importantly for preemies. Their tummies are not strong enough to process infant formula. Breast milk has nutrients that can make babies strong which no vitamins or formula milk can provide. Most, if not all neonatologist require breast milk for preemies. There are available breast milk in some hospitals but they are expensive. Even more expensive than buying formula milk. So why spend loads of money if you can have it for free?

e.    Prepare financially.
How I wish that we can just forget about finances and just focus on our babies. But sadly, that is not reality. Delivering a premature baby can be really expensive from cost of delivery, to baby’s confinement inside the NICU.

Just like in every scenario in our lives, it is best to be prepared. But remember, these points are not meant to scare or cause stress to pregnant moms. These are just things you might want to consider if your pregnancy is high risk. In the end, it is always best to have a full term pregnancy and deliver a healthy baby.

 

May 20

The Medela House

After much research and going around the malls to find the perfect electric breast pump, I finally got myself a Medela Freestyle. This unit is not available in most malls here in the Philippinrs. Although some Medela pumps are available in either Rustan’s and Mothercare outlets. I bought mine from the exclusive distributor, Medela Moms at a mommy expo in Rockwell. However, you can also buy it at Medela Moms’ office  called The Medela House.If you’re thinking of a buying an electric pump, then I suggest that you get yourself a Medela because it is worth every penny that you spend. Read my review here. What sealed the deal for me to buy at Medela Moms is because of three reasons; their prices are lower, they allowing fitting of the breastshields, and they provide 2 years warranty.
You can get Medela pumps up to 20% cheaper than market price if you buy it from Medela Moms. I bought mine at the expo because it is the only time they allow payment thru credit card. If you buy at The Medela House, they accept only cash and check. But I believe it is better to buy the pump at the Medela House so you can fit your breastshield. If you did not get the right size, you will not maximize the use of the pump. It will hurt your breast and may not provide you the maximum milk output.
For someone who is a heavy user of the Freestyle pump, (I extract milk at least six times a day because I am a working mom), the warranty is very important because I can have my pump repaired and maintained by the distributor. I believe malls do not offer that. Also, if your pump motor is under repair, they will provide with you with a temporary unit the same as yours so you can resume extracting milk while your motor is being repaired.

Malls have limited, or sometimes, do not have accessories for Medela. At Medela House they offer all types of accessories such as the Quick Cleen microwavable bag which is a lifesaver for working moms like me because I can sterilize my pump and bottles at work; handsfree kits, nursing covers, etc…. I also got from them  my additional set of breastshields. And if you purchase your pump from them, you will get 20% off on accessories purchases.

If you’re interested in buying your Medela pump from Medela House, you can call either Maricel or Beng, the owners of Medela House, at (725-3723, 738-6272, 0917-5614366). The Medela House, is located at #29 1st St., New Manila, Quezon City.  Coming from Greenhills, it’s before you reach Aurora Blvd. From E. Rodriguez, go past Auora Blvd. It’s beside 8 Gilmore Place. It is on a per appointment basis so make sure that you call first before you visit their store.
*This is not a paid advertisement

May 19

Guest Post: Health Tips for Pregnant Moms

Its pregnancy awareness month! Today I would like to share with you an article by my fellow blogger, Katie Moore, about staying healthy during pregnancy. Visit her blog Moore From Katie .
Pregnancy is one of the most important times for a woman to be acutely aware of her health to support the development of her child. It’s very important that an expecting mother maintains or adopts a healthy lifestyle during the pregnancy to help ensure that her child will develop properly. Most of the lifestyle choices made during pregnancy will have a direct effect on the child. It is important that the mother be strong, positive, and stress-free for the well-being of the baby. During pregnancy, mothers should focus on getting the proper nutrition, staying calm and positive, exercising, and eliminating any factors that can affect the baby. Here are some additional tips on how to stayhealthy during a pregnancy. I even provided some of my personal experiences.

A first essential step toward a healthy pregnancy is setting up an appointment with mom-to-be’s doctor.  The doctor will need to begin to monitor the health of the baby and mom and the sooner this monitoring process begins, the better.  Meeting with the doctor early on is also important because the doctor can make recommendations as far as a pregnancy nutrition and exercise plan go Doctors are not only imperative for pregnancy planning, but for delivery day planning as well. Any questions a woman may have about labor signals, delivery assistance, like pain management medicines, and options available for baby following delivery, like umbilical cord blood banking, can all be asked and planned for in advance at her doctor appointments. – It is also important that before getting pregnant, a woman should already find herself a good doctor; one in which she is most comfortable with. It’s difficult to change doctors during pregnancy, especially if it is a sensitive pregnancy.

 

A mother’s nutrition is very important for the development of the baby. While a woman is eating for herself and baby, she doesn’t need to eat double her normal portions. Pregnant women should maintain a balanced, healthy diet and should only consume approximately 300 additional calories a day. Foods rich in iron, calcium, folic acid, and Vitamin A should be consumed during the pregnancy to make sure the baby receives all the vitamins and minerals they need and to ensure that the mother’s body is not depleted of these nutrients once she gives birth.  – Always remember, quality over quantity!

Taking a prenatal vitamin is great way to ensure that a mother is receiving the nutrients she needs that she may not be getting enough of from her diet. Although it seems obvious that pregnant mothers should take the vitamin, many don’t do so because it makes them feel nauseous or they are not receiving prenatal care. Folic acid is necessary for the baby’s development and if the mother does not take a folic acid supplement, the baby is at risk of developing spina bifida. If a pregnant mother cannot tolerate a prenatal vitamin, she should speak to her doctor so they can provide other alternatives.

Physical exercise is also important for a healthy pregnancy and baby. Women that were already physically active should scale down their routine, but continue exercising regularly. Exercise during the pregnancy helps combat stress and depression, reduces the mother’s chances of having gestational diabetes, can reduce some of the uncomfortable symptoms of pregnancy, and can help the mother be fit for the delivery of the baby. Exercise during pregnancy should be low-impact and mild in intensity. One of the most recommended exercises for pregnant mothers is yoga. There are many yoga classes available for pregnant mothers that are tailored specifically to their needs.

An additional critical step for a mom-to-be is to eliminate all factors that can negatively affect the health of the baby. Substances like alcohol, several medications, cigarette smoke, drugs, lead, radiation and harsh chemicals should all be avoided or should no longer be used. Use of these substances can compromise the growth and development of the baby causing miscarriages and birth defects. The healthier a mother’s living environment is, the healthier baby’s environment will be.

Prenatal care during the pregnancy is very important for both the mother’s and the child’s health. It is important for the mother to have regular visits so the proper exams can be done to monitor the development of the baby and provide any medications or other support, if needed. With these considerations, a mother can expect to enjoy an easy pregnancy and the joy of a healthy baby.

“Katie Moore has written and submitted this article. Katie is an active blogger who discusses the topics of, motherhood, children, fitness, health and all other things Mommy. She enjoys writing, blogging, and meeting new people! To connect with Katie contact her via her blog, Moore From Katie or her twitter, @moorekm26.”

May 14

Breast Pump Review

I was out of the loop for the past couple of weeks because I was so busy expressing milk for my baby. In my last post, I was asking for advice on which electric breastpump to get. Well, I got myself a Medela Freestyle dual electric breast pump. Before getting the Freestlye, I used two manual pumps. Today I will review these three pumps.

Farlin Manual Breast Pump

 

 

Thumbs up:

  • One of the most affordable pumps in the market 
  • Compatible with standard neck bottles
  •  Available in most malls
  • User friendly

Thumbs down:

  •  Handle is hard to grip. For someone like me who does not have that much milk, it can be very tiring to use this product.
  • Low milk let down. I barely got an ounce for almost an hour and my hands hurt a lot.
  • Breast shield is hard and painful

Recommendation: If you’re on a tight budget and do not intend to use it often, but rather, just a stand-by pump in case your baby did not empty your breast upon latching, then this product will work for you. In my opinon, this pump is not for heavy duty use.

 

Avent Manual Breast Pump

Thumbs up:

    • The handles are soft and very easy to grip.
    • Very user friendly.
    • Available in most malls
    • Very comfortable on the breast since its breast shields have silicon which decreases the pressure on the breast. 
    • Good milk let down
    • Because it is easier to grip, you can dictate your own pressure

Thums down:

  • One of the most expensive manual pumps in the market.
  • Can only  be used with Avent bottles, which are also quite expensive.

Recommendation: If you intend to use a pump at home for moderate use, and has additional budget, then go for Avent. Most of my friends still opt for Avent because of its user friendliness and better milk let down.  It also works for those with sensitive breasts like me.

Medela Freestyle Dual Electric Pump

Thumbs up:

  • The dual pump makes me express twice as fast compared with a manual pump.
  •  It has a good pull which makes the let down easier.
  • Very convenient for moms on the go.
  • Excellent for heavy duty use. I use mine 6-7 times a day.
  • Long battery life.
  • Can fit with standard neck bottles. 
  • Excellent let down. With the proper size of the breast shield, you can actually increase your milk output compared with using a manual pump.
  • Aside from the pump, you get several accessories such as handsfree accessoriers (which makes the electric pump really really cool and convenient), and cooling bag with blue ice (you would not want your precious breastmilk to spoil before you arrive home from work!).
  • It has a memory function which allows you to record the progression of the expression milk that you prefer.

Thumbs down:

  • One of the most expensive electric dual breast pumps but not as expensive as Avent ISIS dual electric pump.                                 
  • Quite complicated to set up and use but after a while you will get used to attaching and detaching the parts.
  • Not readily available in most malls. In fact, I have not seen any Freestyle in any malls. I got mine from the exclusive distributor. I will soon write a post about it.  Medela brand is usually available in Rustans and Ayala Malls but limited products only.
Recommendation: Medela Freestyle is ideal for working moms and for moms like me who has premature babies (because of better milk let down). I consider it as an investment because I will be using it for a while since my baby is not allowed to drink formula milk. If you intend to buy  Freestyle or any Medela products for that matter, I recommend that you buy directly to the official distributor here in the Philippines because it is cheaper compared to mall prices. I will write about The Medela House soon.
 
May 5

Avent or Medela Swing?

In two weeks, maternity leave is over for me. Time to go back to work! Now I have quite a dilemma here which I’m sure fellow moms can help me with. I want to buy an electric pump which I can bring to the office to express milk for my preemie baby. I’m currently using an Avent Manual breastpump and it’s been wonderful. However, I can not bring it to me at work because (1) since I do not have that much milk, it can be very tiring to manually pump to get as much as 2 ounces and (2) it is time consuming as well. Now, with the electric pump, I can stay at my desk and work while expressing milk (with the help of a breastmilk pumping bra of course).
I’ve been scouting for the perfect breastpump and I’m down to two choices; either an Avent Electric breast pump or a Medela Swing Electric Pump.

 

These two are on the same price range. Since an electric pump is quite pricey, I want to make sure that I buy the right one so I won’t go wasting money. Fellow moms, which of the two will you recommend? Basically my concerns are:
1. Which one produces more milk (better let down)
2.  Durability
3. User friendliness
4. Quite motor (some pumps have very noisy motors. How embarrassing to officemates!)

I do hope you can help me out here moms! I will appreciate all your feedback! Thanks.

April 27

A Salute to Breastfeeding Moms

Just like most people, my general knowledge of breastfeeding is that it is very beneficial for babies as it contains antibodies and nutrients that no formula milk can imitate. I also knew that it is the ultimate bonding moment for a mother and her baby. Now that I’m also breastfeeding, there’s one major thing that I realized; BREASTFEEDING IS NOT EASY. Breastfeeding is manifestation of a mother’s unconditional love for her baby.  And with that I have gained a whole new respect for breastfeeding moms.

It took me 4 years of being a mom to realize that. I did not breastfeed my firstborn son because I did not have sufficient breast milk. But with my second son who was born 3 months earlier than his due date, I have to breastfeed because his small tummy can not take in milk formula. Since he is still in the incubator, I express my milk at home and bring it to hospital. The usual frequency of feeding newborns is every 3 hours and that is also what I follow in expressing my milk (except when I sleep at night). That level of frequency means my activities are limited. This afternoon was my first time to go to the mall and I’m literally rushing to go home because I’m late for my milk expressing schedule. I can just imagine how demanding it is when baby is at home and is already latching at mom’s breast. Not only is mom’s activities limited, but so is her sleeping hours as newborns are mostly awake at night. And how about working moms who express milk at work and latches baby at home? Talk about ultimate dedication!
A mom also sacrifices convenience. Breastfeeding can be painful. Breasts hurt when it is full and not expressed; and breasts hurt when being expressed and sucked by the baby. So either way, it can be painful. Also, milk not expressed leaks. Imagine the scenario if mom is out for an errand or in a meeting and milk leaks? You got the picture I guess.
These realizations put me in awe at breastfeeding moms, more so for those who did it for a year or more.  Breastfeeding entails a lot of love, patience, sacrifice and dedication. A mother sacrifices time, sleep and convenience to feed her baby. Breast milk is a product of a mother’s unconditional love to her baby. I never knew that until now. So to all breastfeeding moms, a big salute to all of you!