Health care provider teaching how to use a breastpump to mother of critically ill infant

Health care provider giving written instruction regarding breast pumping

Ill mother using double breast pump

Collecting drops of breastmilk with medicine cup

Withdrawing drops of breastmilk with from collection bottle with syringe and large bore needle (18 guage) (Small lumened needles could break white blood cells)

Two and one-half c.c. of colostrum in a 3 c.c. syringe looks like lots of milk to mother

Health care provider wearing gloves while handling breastmilk (universal precautions with body fluids)

"Innoculating" formula feedings with colostrum

Dividing limited breastmilk so that each formula feeding contains some breastmilk to enhance digestion and to provide protective components "around the clock"

Schedule for pumping posted on pump in hospital room (picture of baby and baby shoes on pump to humanize procedure)

Improper breastmilk storage (nipple tops do not provide air-tight seal (red diagonal slash)

Assessing breastmilk production in NICU breastmilk freezer (problem solve with mothers if supply begins to diminsh; goal is to have abundant milk supply when infant begins to breastfeed directly)