Information For Caregivers

It takes a village!

Providing human milk is a recommended choice of nutrition for newborns. The chances of providing human milk to baby for an extended period of time is increased if a family has a strong network that supports this feeding decision.

This page contains helpful information that can be shared with partners, family members, nannies, or other caretakers.

 

Develop a Plan

The best place to begin is a conversation between parents and caregivers about feeding! Here are a few things related to feeding that are also important to discuss with parents:

  • What will be used to feed if milk runs out

  • Health information

  • Important phone numbers, such as the best contact for parents, pediatrician, poison control, local police station, etc.. In an emergency, call 911.

  • Feeding goals

  • Where milk and feeding supplies (such as bottles, cleaning tools, bottle warmers) are stored


Wash Your Hands

Always wash your hands with warm, soapy water before preparing bottles or feeding baby.


How much should I feed baby?

Parents and caregivers should have a discussion about how much baby should be eating each feed, especially when separated. This amount is determined by baby’s age and weight, and pediatrician’s recommendations. Store pumped milk in small amounts so that caregivers can feed as baby shows cues, such as sucking on hands, licking lips or turning head.


When Parents Feed Only at Breast or Chest

Some parents may not want to use any bottles when feeding their baby, even when returning to work. Discuss with parents if they would like the caregiver to bring baby to work at certain times to feed or if they will be returning home during breaks to feed.


Storage Guidelines

Below are recommendations for storage times when storing pumped milk. Developed from The Academy of Breastfeeding Medicine’s Clinical Protocol #8, “Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017”

Freshly Expressed: 4-6 hours

Thawed in Fridge: 24 hours

Thawed on the Counter: 2 hours

Stored in Refrigerator: 3-6 days

Stored in Freezer: 3-6 months

Stored in Deep Freezer: 6-12 months

Stored in a Cooler Pack: 24 hours

Left Over from a Feed: 1 hour, if milk has touched baby’s lips


Thawing Milk

Never thaw milk in a microwave. If milk is frozen, sit the bottle in a bowl of warm water or use a warmer. You can also move the milk from the freezer to the fridge to thaw and use later. See above for thawing in the fridge.


How to Feed a Bottle

If parents are separated from baby during feeding times, the baby will have to drink milk by bottle. Some babies already drink pumped milk by bottle, while others feed directly at the chest or breast more often with occasional bottles. In both situations, baby should eat in a way that allows him or her to pace, or control, the feed. Below is a great video from The Milk Mob on how to let baby pace a bottle feed.

 
 

Do not

  • thaw milk in the microwave

  • mix anything into milk, unless discussed with parent and pediatrician

  • prop bottle when feeding


Labeling

If baby is at a daycare where there are multiple babies, make sure milk is always labeled with baby’s name and date.


Take Notes

It is helpful for parents if caregivers write down when baby eats, how much he or she ate, and which milk was used. It is also helpful to record diapers, sleep, and medications (if necessary).


Ask Questions

Always ask questions if you are unsure about details of feeding!