Soalan-soalan EBM

As Salam...

Dah lama draft entry ini, arini baru post...

Dalam memberi EBM, banyak persoalan yang nak ditanya. Kat sini ada dua soalan.

PERTAMA

ku tertanya-tanya...
Boleh tak botol terus menerus dalam warmer?... 
ye la kan... takot baby nanges-nanges nak susu, pastu susu sejuk... sebelum nie dah test nak panaskan susu yang kuar dari peti sejuk... amik masa la jugak... jenuh tambah lagi air panas..tambah lagi... tak suam-suam susu itu, masih sejuk (titik kat belakang tangan)... sebab susu tu sejuk peti sejuk kan....

Then jumpa knowledge...yang cakap omputeh tu dari forum..

Believe it or not, the "current method" is a good one. 
Yang ini merujuk kepada masukkan ke dalam air panas anggaran 1 mug air panas dan dua mug air biasa. Tapi yang nie, saya lebih setuju warmer, sebab suhu yang kekal 40 degree.

Warmed breastmilk should only be kept at room temp for about an hour. This is why you don't want to heat it up until you are sure you need it. 

Ini jawapan yang menyenangkan hati sikit...
Really, the baby is not dying of starvation in the 10 minutes it takes to heat up the bottle. 
So tak payah la awal2 nak panaskan susu kan...

Sebab....
Sometimes baby seems hungry but isn't and then you have to dump that precious stuff.

It is a soul-destroying experience if pumping is difficult or the mom is having supply problems.
- ini betol, saya sangat setuju...'soul-destroying'. Susah taw pam susu nie, satu, masa..dua, berapa banyak boleh dapat dalam sekali pam...nak dapat 3 auns punya susah taw...dua auns ajek...tu pon, bila baby nak susu, cam dah susah nak suply susu, walau selang stgh jam-sejam. Kalau 2 jam ok.

But if baby is really desperate, have you considered giving the bottle cold? There is no health reason to heat up the bottle and after a few tries, most babies will just accept that bottle milk is cold and breast milk is warm.
- yang ini saya tak setuju..baby Aisyah saya selalu kembung perut, kesian dia...itu susu direct BF, kalau susu dari peti sejuk? haissshhh...

Bottle warmers are not necessary and can actually be detrimental. If it is too hot, it can damage the beneficial compounds in the milk and can also cause the milk to taste "off." A cup of hot water will gradually cool down, whereas the bottle warmer will maintain a hot water temp.
- Rasanya warmer yang dia maksudkan itu adalah warmer zaman dedolu kot, yang tak leh kontrol suhu constantly.
Yang ini penting ... At 40 Degree Celsius - Make the temperature close to natural breast milk.

Yang ini saya ambil dari google.

Features: Bottle Warmer

• Efficient PTC heating technology imported from Japan.
• Suitable for different milk bottles and bottle packed food.
• Energy Saving.
• Comes with feebing bowl and juicer.
• Temperature Control :
  • Constant Temperature for liquid food ( 40c )
  • Heating liquid food ( 70c )
  • Sterilizing Milk Bottle ( 100c )

Tapi ada testimoni cenggini...

• Compare to warming milk in hot water, the temperature stay 'constant' as it has a thermostat that can control water temperature to your selection. It means, the hot water will not turn cold, which is the case for the conventional method. This proof to be very useful when you are not using the milk immediately, but just to get it ready by the time the baby cry

Juga dia kata cenggini

• It can be a bit slow compare to hot water, so you need to set temp selection to higher at the beginning to melt frozen milk or to fasten the heating (not too high, you'll destroy the nutrition value of the breast milk), then lower it down to desired selection. Based on my experience, the selection of milk warming at 40deg only means the bottle is hot, but not the milk, unless you wait for few cycles of heating. So it takes some getting use to, to maximise the potential of this warmer.

~ yang ini cam sama ajek dengan cara conventional aku aritu. Tapi cuma perlu tunggu la beberapa cycle pemanasan, instead of menukar-nukar air panas kan. Still amik masa.
Sabar, sabar... harap babyku penyabar dan babysitterku juga sabar...

So apa conclusion nyer? boleh ke tidak terus menerus dalam warmer?

1. Bila baby nak susu aje baru panaskan, baby takkan 'dying of starvation' dalam masa 10-15 minit susu dipanaskan. Unless baby dibiarkan lapar dalam masa yang lama la kan... kesian baby tu masuk angin nanti perut. Hope babysitterku tak melakukan 'membiarkan' kepada babyku.  
2. Susu boleh duk dalam warmer tu lama sikit, sebab suhu constant 40-45 degree yang mana hampir kepada suhu susu ibu semulajadi. Kalau kuarkan, susu tokleh dipanaskan lagi dah. Lebih sejam, dah kena buang... Untuk 1/2 jam ke sejam kedalam warmer tu ,  i think, no problem... ini pendapatku.

Saya dah buat eksperimen menggunakan warmer..

• suhu constant 40 darjah (Rasa pakai jari, panas gak.. tapi bila rasa kat belakang tangan, ok!)
• susu tidak meningkat kepanasannya..berdasarkan rasa kat jari ku.. bukan termostat.. nanti akan wat guna termostat pulak...

*******************************************************

KEDUA

Soalan bawah ini sangat berguna....

If I transfer the frozen breast milk directly into the chiller ( 2-door style ), how long it can be keep? 4-5 days? Or 24 hours?

BB: It has to be consumed within 24 hours after thawing. 

~ Ingat tu...nak cairkan, masukkan kat chiller kan, sila kira berapa jam, sebab ini termasuk dalam 24jam itu... lepas tu sampai nak bagi baby tu, mesti tokleh lebih dari 24 jam taw....

KETIGA

Bagus ke simpan susu lama2 dalam peti sejuk?

Expressed breast milk is an ideal way to feed your baby when you're apart. Still, some research suggests that the longer you store breast milk — whether in the refrigerator or in the freezer — the greater the loss of vitamin C in the milk. Other studies have shown that refrigeration beyond two days might reduce the bacteria-killing properties of breast milk and long-term freezer storage might lower the quality of fat in the breast milk

Jadik.. dua hari yang sebaik-baiknya. 

Saya ada simpan susu  4 hari, bila lepas panaskan itu, bau susu sudah tidak menyenangkan....
Jadik... jangan simpan susu lama-lama!

Tapi kena ingat, susu ibu tetap lebih baik dari susu formula. 


Okeh, until next time. 



* Saya dah cuba perah susu, paling tinggi pencapaian pon 3 auns ajer... risau runsing menyelubungi hati. Mungkin sebab saya masih di rumah dan baby menyusu. Bila baby dah susu, perahan hanya dapat satu aun sahaja.. Jika baby belum menyusu, average 2 auns, dan bila baby nak menyusu...nampaknya susah susu nak keluar dan baby terpaksa tunggu lama untuk susu lancar keluar.... Macammana saya nak kumpul 4 botol susu average 12 auns sepanjang saya bekerja?? Constant kah aku memerah susu??? sempat ke aku menyediakan susu yang diperlukan baby??? banyaknya kerisauanku.... Bantulah aku ya Allah.....