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In a milk bank, the donor mothers are screened for HIV and other illnesses and the milk is also pasteurised heat-treated. Session 11 Knowledge check List four reasons why it is recommended that mothers learn to hand express. If express to get colostrum for her baby who is not able to suck, she might express for 5—10 minutes to get a teaspoon of colostrum. Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants. There is a demonstration of cup feeding during the Clinical Practice 3 or it can be demonstrated at this time if suitable. She can support her breast with the other fingers of that hand, or with her other hand.

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The baby should consume expressed milk as soon as possible after expression.

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They may have difficulty attaching well, or they may attach and suckle for a short time, but tire quickly before they have obtained enough milk. These are precious to your baby. Describe why hand expression is useful and how to hand express. A baby can progress from tube feeding to cup feeding to fully feeding at the breast.

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