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Expressed breastmilk handling and storage guidelines available to mothers in the community: A scoping review
Institution:1. College of Medicine and Public Health, Flinders University, Australia;2. Centre for Quality and Patient Safety, School of Nursing and Midwifery, Deakin University, Australia;3. College of Nursing and Health Sciences, Flinders University, Australia;1. School of Nursing and Midwifery, Griffith University, University Drive, Meadowbrook, QLD, 4131, Australia;2. Transforming Maternity Care Collaborative, Southport, QLD, 4215, Australia;3. Women’s & Newborn & Children''s Services, Gold Coast University Hospital, 1 Hospital Blvd, Southport, QLD, 4215, Australia;1. Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, 41-52 Kanooka Grove, Clayton, Victoria 3168, Australia;2. Department of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Level 1 264 Ferntree Gully Road, Notting Hill, Victoria 3168, Australia;3. Department of Nursing and Midwifery, School of Clinical Sciences, Monash University, Clayton Road, Clayton, Victoria, 3168, Australia;4. Warwick Business School, Warwick University, Coventry, CV4 7AL, United Kingdom;1. Burnet Institute, Australia;2. University of Technology Sydney, Australia;3. Deakin University, Australia;1. Deakin University, Australia;2. Alfred Hospital, Melbourne, Australia;1. Safer Care Victoria, Australia;2. La Trobe University, Australia;1. Amsterdam University Medical Centers (location Vumc), Department of Midwifery Science, Amsterdam Public Health Research Institute, Van de Boechorstraat 7, Amsterdam, 1081 BT, The Netherlands;2. University of Groningen, University Medical Center Groningen, Department of General Practice & Elderly Medicine, Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands;3. AVAG (Academy Midwifery Amsterdam and Groningen), Dirk Huizingastraat 3-5, Groningen, 9713GL The Netherlands;4. Birth Place Research Lab, Division of Midwifery, University of British Columbia, 5950 University Boulevard, V6T 1Z3 Vancouver, BC, Canada
Abstract:BackgroundThere is an increasing number of mothers expressing their breastmilk, which presents new issues for infant feeding. A primary concern is handling, storage, and warming of expressed breastmilk.MethodsA scoping review was undertaken to explore online guidelines for handling and storage of expressed human breastmilk which are readily accessible to Australian mothers. Six common terms and questions regarding expressed breastmilk handling and storage were run through Google, Bing, and Yahoo search engines, and government health websites, informal milk sharing sites, and other sites frequently referenced on social media breastfeeding support pages.ResultsThe top ten most cited resources were comparatively analysed. Only two of the resources were Australian based. There was a great variance in the guidelines offered for both handling and storage of expressed breastmilk. The most conservative storage recommendations for fresh breastmilk were up to 4 h at room temperature and 72 h in the refrigerator. The least conservative recommendations allowed fresh breastmilk to be stored at room temperature for up to 10 h and in the refrigerator for up to 8 days, albeit strictly dependent on the temperature of the room and cleanliness of the expression. The majority of recommendations cited the same primary source. All resources stated that thawed milk should never be refrozen.ConclusionsThere are minimal Australian-based guidelines, and even less primary research, in the expressed breastmilk handling and storage space. The resources readily available to women in the community setting vary in ease of comprehension and can cause confusion.
Keywords:Breastmilk  Handling  Storage  Guidelines  Expressed breast milk
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