J G COLLEGE OF

NURSING

SUBJECT: PEDIATRIC

NURSING

TOPIC:HEALTH EDUCATION

ON EXPRESSION OF BREAST

MILK PROCEDURE

SUBMITTED TO

PROF.ARPAN PANDYA PEDIATRIC NURSING

J G COLLEGE OF NURSING

SUBMITTED BY

BINAL JOSHI

S Y MSC NURSING

J G COLLEGE OF NURSING

SUBJECT : Child health nursing

TOPIC : expression of breast milk

GROUP : Parents in the hospital

DATE OF LECTURE : 10-1-2012

VENUE : feeding room of NICU

METHOD OF TEACHING : Lecture cum demonstration

INSTRUCTIONAL METHOD : live demonstration

PREVIOUS KNOWLEDGE : Mothers have some knowledge about sputum collection

GENERAL KNOWLEDGE : At the end of the class mother will have knowledge about the

procedure of expression of breast milk

OBJECTIVES

Central objective

At the end of demonstration the mother will have in depth understanding of the procedure of

expression of breast milk

Specific objectives:

To introduce with the topic

To classify the types of method of expressing breast milk

To enlist the equipments required for the procedure

To describe the procedure of expressing breast milk

To understand the storage procedure for EBM

To learn about thawing and reheating the EBM

TIME

MNS

SPECIFIC

OBJECTIVE CONTENT

TEACHING

LEARNING A V AID

EVALUATION

1 mn To

introduces

myself and

the group

SELF INTRODUCTION :

Myself Binal Joshi, M.Sc. Nursing

student at. JG college of nursing,

Ahmedabad.

GROUP INTODUCTION :

I would like to present Health

education on” expression of breast

milk”.

Explanation Discussion

2 mn To

introduce

with the

topic

Introduction of the topic

Expression of breast milk is getting

milk from your breast without your

baby sucking on it. Your breast milk

can be expressed using your hands.

This is called hand expression or

manual expression. Hand expression

may work well if you only need to

express milk once in a while. You can

Explanation Discussion

What is

expression of

breast milk?

also use a breast pump to express

milk from your breasts. A breast

pump may work well if you are away

from your baby. For example, you

may be at work for several hours

before you can breastfeed again.

2 mn To classify

the method

of

expressing

breast milk

There are two main types

Hand expression: expressing

the breast manually with hand

Breast pump: Choose a breast

pump that is comfortable and

easy to use. There are many

types of breast pumps to choose

from. They can be manual (hand

pump), battery-powered, or

electric.

Explanation By showing the poster on

the types

What are

types of

method to

express

breast milk

1 mn To collec

needed

equipments

Equipments

Clean wide mouth container

Mechanical or electrical operated

breast pumps

Warm cloth

Measuring glass

Explanation Demonstration

15

mn

To express

the breast

milk

Procedure”

PREPARATION OF THE

CONTAINER

Choose a cup or jar with wide mouth

Wash the cup in soap and water

Por the boiling water into cup and

empty before collecting the expressed

milk. Allow the water to remain in cup

for few minutes

MASSAGING THE BREAST BEFORE

EXPRESSION

Take a warm towel and wrap it

around the breast and allow it there

for 5 minutes

With two fingers massage the breast

for circular motion with two fingers.

Use pulp of the fingers. Massage the

breast towards nipple only with

moderate pressure.

Massage for 5-10 mns

Explanation Demonstration

How to

perform the

proceure of

expression of

breast milk?

Hand Expression of Breast milk:

Wash your hands thoroughly

with soap and water.

Try to relax. The let-down reflex

is delayed by anxiety, although

it will eventually occur. It may

help to have your baby close to

you. If that is not possible, have

a photograph nearby or think

about your baby.

Massage your breasts with the

flat of your hands, working

towards each nipple.

Place a finger and your thumb

either side of the nipple at the

base and gently stretch and roll

the nipple.

Place your thumb above your

nipple at the edges of the

areola (dark area around the

nipple) and the first finger

below.

Using your thumb and finger,

gently press your breast tissue

back towards your chest wall

and squeeze. By doing so, you

are moving back along the milk

ducts, gathering some milk

(which is lying in the ducts) and

then squeezing it forward.

Drops of milk should soon

appear on your nipple. Gently

rub these first drops into your

nipple. This will further

stimulate your let-down reflex

and increase the milk flow.

Continuously press and squeeze

in a rhythmic massaging

movement. The milk will soon

begin to flow – sometimes even

squirting out.

Sometimes your hand may

become tired so, switch hands

regularly.

Once the milk dwindles to a few

drops, move your finger onto

another area of your breast and

continue to press and squeeze.

Breast Pumping:

• Pump about 15 - 20 minutes at a

time when using a single

pumping kit Switch breasts when the.

miik flow decreases

(or about every 5 minutes). If double

pumping, expect to

pump for around 10-15 minutes.

• Electric double pumping is best

because it is most

effective in keeping good milk supply

and the fastest in

pumping milk from the breast

• Not all pumps are good. Ask your

health care provider or

lactation specialist which ones are

good to use.

5 To store the

expressed

milk

Store your breast milk right after you

express it. Use any of the following

ways:

Room temperature: You

can store breast milk for up to

Explanation Discussion by showing

the poster

How to store

expressed

milk?

six hours at room

temperature.

Insulated cooler with ice

packs: You can store breast

milk in a cooler with ice packs

for up to 24 hours.

Refrigerator: You can

store breast milk in the

refrigerator for 5 to 8 days. If

you thaw frozen breast milk in

the refrigerator, you can store

the thawed milk for up to 24

hours.

Freezer:

Refrigerator

freezer

compartment: If the

freezer section has its

own outer door, you

can store milk in the

freezer for 3 to 6

months. If the freezer

door is inside of the

refrigerator, you can

store the breast milk

for two weeks. Keep

the frozen breast milk

on the bottom or at

the back of the

freezer.

Deep freezer:

You can keep breast

milk in a deep freezer

at 0°F for 6 to 12

months.

1 To

understand

the thawing

and heating

of the

breast milk

Thawing and heating of breast

milk

Breast milk must be thawed and

heated correctly to reduce the

potential for bacterial growth.

Thaw frozen breast milk by

moving it from the freezer to

the fridge for slow thawing over

24 hours.

Explanation Discussion

How to thaw

and reheat

the stored

breast milk?

You can also run cold water

over the container and

gradually increase the

temperature of the water. Do

not overheat the milk as it will

destroy some of the nutrients

and may burn the baby’s

mouth.

Never use the microwave. It is

a potentially dangerous practice

as it can cause ‘hot spots’ in the

milk that may burn your baby’s

mouth.

Frozen breast milk that is

thawed in the fridge (but not

heated) will last 24 hours in the

fridge and four hours at room

temperature. It cannot be

refrozen.

If milk has been thawed outside

the fridge, using warm water

SUMMARY

Introduction

Purposes

Types

Equipments

procedure

Storage

Thawing and reheating

CONCLUSION

Breast milk, to be specific human milk, is the milk produced by the breasts (or

mammary glands) of a human female for her infant offspring. Milk is the primary source

of nutrition for newborns before they are able to eat and digest other foods; older

infants and toddlers may continue to be breastfed, either exclusively or in combination

with other foods.