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How should I express milk?
2. The next most valuable substitute is expressed breast milk from another mother or mothers. Such milk must be heated to a temperature of 57 ° C and kept at this temperature for 30 minutes. It kills all viruses (including HIV) and bacteria. Most often, breast milk does not transmit infections, but excessive caution will not hurt. In order for you to do this, you may need the help of a healthcare professional and special equipment. You can help organize the delivery and collection of expressed breast milk.
In an emergency, you may not have a choice and you will have to use unprocessed breast milk. The safest way in this case is feeding breast milk from a clean cup (see p. 49, p. 6).
3. If it is impossible to get breast milk, you can use infant formula. But use it only when you know that you will be supplied with it regularly and that you are able to buy it. Always use this product with great care. Sterilize all dishes before each feeding. Using a cup is safer than using a bottle (see p. 49, p. 6).
In addition, for each feeding, boil water. Carefully follow the instructions on the can. Baby food companies are required to print instructions on a label in your local language. If the instructions are not written in your language, try to report it to the health authorities or humanitarian aid providers. Such labels are in violation of the “International Code of Marketing of Breast-milk Substitutes” adopted by WHO / UNICEF. ”
Ask the medical or humanitarian worker to give the correct translation of the instruction and explain it in detail. Different products require different proportions of mixing milk powder and water. Never store the remaining milk for the next feeding. When there is not enough food, immediately give the remaining mixture to an older child or drink it yourself.
4. If it is impossible to get any infant formula, but you can get local cow's milk regularly, use the following recipe:
- boil 1/3 cup of water and
- mix it with 2/3 cups of boiled cow's milk, and you get 1 cup (200 ml) of food for the child
- Add 1 teaspoon (without top, 5 ml) of sugar.
In no case do not give whole milk (fresh or canned) to a child younger than 6 months old, without first diluting this milk according to the above recipe.
You can use the same recipe to make milk from canned whole milk powder. First, prepare the milk according to the instructions on the label, then dilute it according to the specified recipe.
5. An artificially fed baby will not receive the ideal balance of nutrients that a breastfed baby receives. Therefore, it may be necessary to introduce solid foods somewhat earlier than 6 months of age in order to increase the child's intake of nutrients. If you decide to do so, make sure that this food is prepared with the most complete compliance with hygiene rules. Remember that he will not receive the anti-infection protection that breast milk provides, and will be more vulnerable to the action of any pathogens present in solid food.
6. With any artificial feeding, sterilization is important. Wash your hands thoroughly with soap and water before preparing any food for the baby. If you have fuel, boil all the dishes in water for at least 20 minutes. You must do this before each feeding.
If you can get hypochlorite (bleach), put the dishes in a closed container or pan. Pour one dessert spoon (10 ml) of hypochlorite per liter of water. Household bleach may have a different concentration. If the label or tag says that it is 0.5%, pour 2 dessert spoons (20 ml).
Keep all this out of the reach of children. You will have to change this solution every day, and you can use the old liquid to soak cloth diapers or to disinfect the toilet.
Rinse hypochlorite with boiled water before using a cup and other utensils.
If there is little fuel and it is impossible to get hypochlorite, wash all dishes very thoroughly with soap or detergent. In no case do not use food tubes (for relaxation) or bottles if you are not sure that you will always have the opportunity to sterilize.
Cups are safer to use than bottles.
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How should I express milk?
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