Occasionally the doctors may decide to feed an infant with special formulas for premature babies, sometimes alternating the formula with your breast milk. Even if your baby is not getting feedings at all due to medical complications, continue to express your breast milk and freeze it for later use, thus maintaining your milk production. After your baby is home from the hospital, you may need to keep using your breast pump until your baby is exclusively breastfeeding actually nursing and growing well without the need for any supplemental bottles or formula.
This lets you store breast milk for extra feedings and maintain an adequate milk supply, especially as your baby grows and his needs increase. If your premature baby is exclusively breastfed, your pediatrician should recommend a multivitamin and iron supplement.
Caring for and learning to breastfeed a premature or ill newborn is emotionally taxing for any new mother. Other mothers are often the most valuable sources of information. Make sure, too, that your partner and other family members understand the enormous advantages of breastfeeding a preterm baby or an ill hospitalized newborn.
The emotional and practical support of your loved ones will go a long way in helping you achieve your breastfeeding goals. You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page.
Turn on more accessible mode. Turn off more accessible mode. Skip Ribbon Commands. Skip to main content. Turn off Animations. Turn on Animations. Our Sponsors Log in Register. Log in Register. Ages and Stages. Healthy Living. Safety and Prevention. Cummings is an obstetrician—gynecologist who serves as assistant professor of clinical obstetrics and gynecology at Perelman School of Medicine at the University of Pennsylvania in Philadelphia.
She is a fellow of the American College of Obstetricians and Gynecologists. Expert View. Holly Cummings. Get your breast pump. Choose a lactation counselor. Talk with your ob-gyn about breastfeeding challenges — and ask if you have any health conditions that could make it harder. Plan for skin-to-skin contact right after delivery. Free up time for breastfeeding. Know that not every woman is able to breastfeed, even with careful preparation.
Published: December Last reviewed: December Holly Cummings Dr. If you have one of the following conditions, you should talk to your care provider before pumping colostrum:. Pumping colostrum before birth is not a requirement for a healthy baby.
Start by single pumping on one breast. When you begin pumping, you should start at a low vacuum setting and gradually increase to your comfort level. If you need help getting started, Spectra has lot of resources on our website, so we encourage you to have a look.
You can join the Spectra Mums Facebook group to talk to other mums about pumping, and our customer support team made up of expert pumping mamas is here to help too. You may get a few drops, and you may not even see any land in the milk collection bottle!
Your n ewborn baby will have a teeny tiny stomach , so just a few mililitres of colostrum will be enough at each feeding. You can use a feeding syringe to suck the droplets up, and store the expressed colostrum.
You should follow the same guidelines as you would for storing breastmilk. You can refrigerate expressed colostrum for up to 8 days, and you can store it in the freezer for several months.
Also, since your newborn baby will eat just a very small amount of colostrum, you might consider storing it in a food syringe. These include babies: whose mother had diabetes in pregnancy or who has a history of diabetes. Down syndrome or cardiac complications. These include women: who have a breast hypoplasia limited breast development. How to hand express: Always wash your hands before expressing. Applying a warm compress to your breast or expressing after a warm bath or shower can help the flow of colostrum.
Get yourself comfortable. Perhaps seated and leaning slightly forward but find what works best for you. Start with a gentle breast massage, stroking from the back of your breast towards the nipple to encourage the let-down reflex.
Put your thumb above the nipple and your first few fingers below the nipple. With your thumb and fingers, feel a few centimetres back from the nipple. Press back towards your chest, then compress press your fingers together , and release. Repeat this process, building up a rhythm. Press, compress, release. It may be useful to look online for videos of hand expression techniques. Express each breast twice during each session. Storage of human breast milk Colostrum can be collected two to three times each day in the same syringe.
Is it safe? Transporting your frozen colostrum You can take syringes of frozen colostrum into hospital using a freezer block and insulated bag.
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