Study note
PediatricsNewborn Care

Milk selection and expressed breast milk for LBW infants

THE CONTEXT
The passage gives an order of milk preference for LBW infants and practical guidance for expressing and storing breast milk.

Order of milk preference

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The order is mother's own milk, pasteurized donor human milk, preterm formula, and then term formula.

Establishing milk expression

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Counsel and support mothers in expressing breast milk for their preterm infants.
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Ideally, begin expression within hours of delivery so that the infant receives colostrum.
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Subsequently, express milk every 2–4 hours to maintain good lactation.

Storage

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Expressed breast milk can be stored for about 6 hours at room temperature.
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It can be stored for 24 hours in a domestic refrigerator at 2–8°C.
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