Tips on Expressing Milk While Traveling Without Baby

One of the challenges that breastfeeding moms worry about is traveling. I've gotten inquiries about how to travel without baby and still maintain supply. I can't really answer that question since I've been lucky enough to always travel with Naima. However, I usually refer people to the site of Stephanie, who sells Fridge to Go. She has this wonderful comprehensive post about expressing breastmilk while traveling. This post was written in 2009 but I find that the tips she shared are still quite relevant.
She has agreed to be a guest poster and I am sharing her post with photos below. Do visit her site too. I have her Mini Fridge Sling which I used to transport Naima's milk from my office. I used it for more than 2 years and now it has a new home with my sister.

Guest Post by Stephanie Co:
Expressing breastmilk while traveling is not easy; but neither is it impossible! With a little chutzpah and a whole lot of planning and logistics, you can keep pumping even while you travel!

During my baby's first year, I had to travel thrice without my baby. By coming up with a game plan and a system, I was able to bring home all of my pumped milk each time I traveled.

Here are some tips that worked for me:

A. Things to bring:

1. Your pump
a. Electric Pump
Electric pumps that enable you to pump both breasts at the same time are time-saving. When you are in a hurry during travel, the 15 minutes you save by pumping both breasts at the same time as opposed to taking 30 minutes to pump both breasts one after the other is precious! Added up, it could mean 2 hours more for sightseeing, shopping, working, or sleeping each day!
b. Manual Pump
A manual pump is very handy during travel because it is so much lighter and portable than an electric pump. It is very useful during transit -- in the plane, a train, a bus, a car, etc -- any mode of transport wherein you will have at least 35 minutes to pump. Bring your manual pump along will enable you to make better use of travel time. Instead of still having to pump once you get to your destination, you've already gotten one pumping session down and it will be in another 4 hours or so before you'll need to pump again. It's also much easier to use when there is limited space, which is the case when you are on board a plane, in a bus, etc.

2. Storage Bottle/s or Storage Bags
I bring only 1 or two storage bottles. After pumping or when I get back to the hotel, I transfer the milk into the Storage Bags. Sometimes, I also pump directly into the Storage Bags. This way, I keep the Storage Bottles clean longer and hence, will not have to wash it right away.

3. Nursing Cover
A MUST for pumping in public. If you want to continue pumping even while traveling, you must forget about being shy. It's the only way you will be able to maximize your time. Take comfort in the fact that traveling gives you a certain level of anonymity and you can get away with more things when you are abroad than if you were back home. (Then again, being in Manila never stopped me from pumping in public -- it's really a matter of finding discreet spots.)

4. Detergent
-- I normally use a dish detergent for babies when at home. However, the first time I used it abroad, I was not able to find a very secure container so it spilled. Thank goodness I kept it in a separate ziplock bag. The next time I traveled, I used those paste detergents. I chose the one with the mildest scent and I think it worked fine. I am what some people call a "quack", wanting to use all things natural, etc. but every now and then, I compromise in the name of efficiency and practicality. If you find a good container for your liquid detergents, though, which I'm sure are available, then great. If not, get a detergent in paste form. Guaranteed, no spillage, no mess.

5. Sponge for bottles and Sponge for Sink
Bring a sponge to clean the hotel sink each time you use it to clean your bottles. Use warm water to rinse the sink just to be safe. Remember, just because it is "your" hotel room doesn't mean it's actually yours. It is still, technically, a "public" toilet and you will never know how well the cleaning lady really does her job.

Do not use the same sponge you use for your bottles for the bathroom sink. Get sponges in different colors so you can distinguish them and store them separately as well when not in use.

5. Small plastic container with holes or gaps that allow water to pass thru
Even after washing the sink, do not put your pump parts directly on the sink. Bring a small tray or plastic container for this purpose. This can also serve as a drying rack. Please refer to the picture for a sample.

6. Big Freezer Bags
Put your storage bags (once filled with milk) in here. It will be a safeguard in case any of the bags bursts or leaks. You can also keep you milk in this bag when requesting the hotel to store your milk from you. These bags will keep your milk from absorbing any freezer or refrigerator smells.

7. Dish rag
Bring a dish rag that is to be used only to wipe your bottles / pump parts when you do not have time to wait for them to air-dry.

8. Container for your pump parts
Always helpful, even in Manila. You can store your pump parts in your cooler or the hotel's refrigerator for use throughout the day. It's really not necessary to sterilize after each use. I promise.

9. Your Fridge to Go!
Essential while on the plane and especially when you are bringing home your pumped milk. During travel, depending on the model you have, it may be a bit heavy to lug around all day. After all, any thing you have to carry all day while traveling becomes a hassle after a couple of hours. Some options are:
-- If convenient, bring milk that was pumped outside back to hotel before you reach the 3 hour limit. Remember, freshly-expressed milk is good for 3 hours in room temperature. If you will make it back to your hotel room in 3 hours, you do not need to bring a cooler with you.
-- Put Fridge to Go in hand-carry luggage with wheels. This way, you don't carry it -- you just pull the bag that contains it.
-- For travel, the best model to bring is the Victoria of course it always depends on the number of days you will be away. For overnight trips, the Pack N' Go and Mini-Fridge are sufficient.

You need to use the best when cooler bag when transporting, and especially when traveling with, breastmilk. Fridge to Go outperforms any other cooler bag in the market. Check out Stephanie's page for the data.

10. Wet Wipes and Hand Sanitizers
Get the ones you can place in your bag for when you really do not have access to soap and water to wash your hands before pumping.

12. Tissue
Very helpful for accidental spills.

13. Bottle Brush / Tongs (Optional)
I did not bring these anymore to save space and to minimize the number of things I need to pack although if you prefer, these do come in handy when cleaning bottles.

14. Sterilizing Tablets (Optional)
You can find sterilizing tablets in the US or Singapore. I used them during my first trip but not on my succeeding trips because I figured, if the Medela manual says just wash in hot, soapy water then surely it is safe to skip sterilizing, right? Especially if it's only for a few days. What I do as an extra cleaning step is to pour freshly-boiled water on my pump parts using the electric kettle provided in most hotel rooms.

15. Medela Quick Clean Wipes (Optional)
This is handy. You can use this to clean pump parts when they're dirty and you have no way of properly washing it until you get back to the hotel. Just wipe it thoroughly with the Quick Clean Wipes after use and it's good to go the next time you pump. OR, rinse in hot water. Of course I always try to find a way to rinse it in hot water before using. Makes me uncomfortable not to rinse coz the wipes have soap. Thought of using pump cleaned with soap without rinsing first is scary. I never dared to follow Medela's instructions on this one.

B. To freeze or not to freeze your pumped milk
-- For trips below 6 days, there is no need to freeze your milk because freshly pumped milk is actually good for 7 days in the refrigerator. I say trips below 6 days just to be on the safe side. One Fridge to Go fan, however, went on a 7-day trip to Japan and brought home all her pumped milk chilled only, not frozen, without encountering any problems with her baby.
-- When you get home, that is the time you FREEZE your chilled milk.
-- For trips that go beyond 7 days, you must freeze. One Fridge to Go user was able to successfully bring home all her frozen milk by using dry ice -- just make sure to wrap the dry ice in newspaper to prevent it from "burning" your milk. She said she came home with all her milk still frozen. I have not personally tried this but have always kept it in mind should I need to bring home frozen milk in the future.

C. How to bring your pumped milk home:
1. Keep all storage bags in the Big Freezer Bag. Make sure the freezer bag is not too full so as not to cause any of your storage bags to burst.
2. Ask the concierge to freeze your Fridge to Go in the hotel freezer at least 2 nights before your departure. This is to ensure that it is frozen very, very well.
3. Packing your breastmilk into your Fridge to Go should be the LAST thing you do before you leave the hotel. This is to minimize the amount of time your milk is exposed to room temperature and to lengthen the performance of your Fridge to Go.
4. As an extra precaution, use blue ice to extend the performance of your Fridge to Go when traveling. You do not want to risk your milk getting spoiled in case of delays, traffic, or other unforseen events. In addition, the time you leave your hotel to the time your plane lands in your destination to the time you actually reach your home will take longer than 12 hours (even for short trips) and the cooling power of Fridge to Go, while already much longer than other cooler bags, is only up to 12 hours.
5. For extra long flights, some have successfully used dry ice. This has even enabled some to bring home frozen milk.
6. You may pack your Fridge to Go with breastmilk into your luggage for check in. Your Fridge to Go cooler bag will not condense and cause contents of luggage to get wet. As a precaution, you may place your Fridge to Go in the big laundry bags hotels provide.
7. If you prefer to bring your Fridge to Go and pumped milk with you on board the plane, you MUST have with you a doctor's certificate to prove that you are a breastfeeding mom. Even if you show your pump parts and even if your cup runneth over and you are obviously lactating, airport officials will, as a matter of policy, make you THROW the milk away. So, if you intend to carry any of your pumped milk on board a plane, you MUST have a doctor's certificate.
8. The rule in the HK airport is that as long as your CONTAINER is not more than 100ML, you can bring it in without a doctor's certificate. Otherwise, you need to throw out the contents.
9. The advantage of hand-carrying your pumped milk is so that you can make sure it stays cold. If, after several hours you notice that your Fridge to Go is losing its coolness, you can ask for ice from the airplane staff. Just make sure you have a ziplock bag ready for you to place the ice in. This will tide you over until you get home.

Like I said, pumping while traveling is not impossible. The rewards, on the other hand, are that you do not lose your milk supply and your baby will have so much nourishing milk once you return. That, my friends, is the best pasalubong you can ever bring home for your baby. Pumping while traveling, as is practically everything a mother does for her child, is truly a labor of LOVE.

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I can't add anything more. This is an excellent, comprehensive step by step post by Stephanie Co. If you want to contact her to purchase her Fridge to Go products, you can email her here. She's expecting her 2nd baby anytime soon.

A Nursing Mom's Shopping Guide in Manila - Cover Ups!

*This is the 3rd of a series.
When I was a new nursing mom, nursing in public was something that I didn’t imagine that I could do. Still, I couldn’t control when Naima wanted to eat. I realized that I needed something to cover me up during these times. My first nursing bib was a complete cover-up from First Years. I requested my sister-in-law to purchase it from Canada. It was light blue in color and had a net in front so you could see the baby. But I didn't use it much. It was small and didn't go well with our tropical climate. The material was not light cotton.
During the early days, the internet was my best friend. I was happy to find nursingmom’s covers! I purchased one of Bessie’s early designs and have been using her cover ever since. However, I stopped using the cover when Naima turned 7 months. At this time, she was already a wriggly baby and was easily distracted by noises. She also didn’t want to be covered by anything! And since I usually nursed in private rooms, I opted not to use a nursing cover anymore.
Nowadays, as a 17-month old, Naima rarely nurses in public. She is busy playing, chatting, walking and eating. When she does nurse, we go to a quiet spot or I just turn my back on the crowd and nurse her. The nursing cover has served its purpose for me. I still sometimes use it when I need to pump in public or when I need a blanket to cover Naima with.
For moms on the look-out for nursing covers, I’ve compiled a list of bibs/covers/shawls available online and in brick and mortar stores. Happy shopping!

Brick & Mortar Stores:
Rustan’s is my all-time favorite baby shop. Their nursing room (in Makati) is very nice – well decorated and perfectly situated (in the middle of the baby section). Rustan’s Makati can be contacted through 8133739, loc. 251 while Rustan’s Shangri-la’s direct number is 6334660. They carry Nurse-Ease (1,550p now 995p) which is like a shawl that you put over your head and measures 36x38; Baby Martin (589.75p and measures 26x38) and Next9 (299.75p and measures 28x36). Rustan’s also carry Lilymoms wrap which costs 850p.

SM Baby Company is my most visited baby store. It’s near the condo - well, at least the Mall of Asia (5564354 and connect to Baby) branch is. The stand-alone stores are in Rockwell (8980928) and Podium (6374082). I actually prefer going to the stand-alone stores because I think the selection is better. SM Baby Company already carries its own brand of nursing cover that comes with wire/boning. It measures 34x24inches and costs 499.75p. They also carry the Owen brand (makes crib sheets) which has a see-through net at the neck. It’s made of a softer material, measures 27x35inches and is more expensive at 879.75p.

Two other baby/pregnancy stores that I’ve visited are Babyland and Procreation. Procreation is in Crossings, Shangri-La Mall and can be contacted through 6354410 loc. 25. They sell nursing bibs under their own label with boning at the neckline. These come in 4 colors and cost 799.75p. Babyland (www.babyland.com.ph) has several branches:
Robinson’s galleria – 6361912; ATC – 8072264; Festival Mall, Level 3 – 7721543; Mandaluyong – 531-1367 or 531-1217; Shoppesville, Level 2 – 7275276 and Glorietta II – 8671860. They sell Milksense nursing bib which measures 34x24inches. It has a wire around the neckline and costs 549.75p. It also comes in a set with an arm support pillow (not a C-shaped pillow), which costs 849.75p

Online Stores:
There are a great many online stores which sell nursing bibs. Two of them, Next9 and Lilymoms are also available at brick and mortar stores (as enumerated above).

Next9 by Jen CC Tan sells the most affordable covers. Her nursing bibs are 28x36 inches and cost 300p. Her bibs are available at Rustan's, Babyland and in her website.

As I mentioned, I purchased my second bib from Bessie of nursing mom. The size of her bib is 26 x 33in and costs 500p. Features of NursingMom's cover include: an adjustable neck strap that holds the cover in place, to keep you feeling secure while feeding; an open, rigid neckline that allows you to view baby and maintain eye-contact throughout the feeding session; a roomy inner-side pocket for storing breast pads, clean-up cloths, or your cell phone. I love her prints which she continuously updates. The covers are made with a single layer of fabric, providing wide coverage to ensure a discreet yet comfortable nursing session for you and your baby.

Another fashionable bib comes from Plume by Cher Anonas. Cher's bibs measure 24x33.5 inches and cost 650p. One feature of her bibs are D-rings which allow you to adjust the bibs. Her bibs are made of breathable and washable fabric; reversible (print/solid) and come with 2 pockets in front for small items.

From the INDIGObaby yummy mummies come an innovative nursing cover which Monica and Denise call the "Boncho". Their bonchos cost 565p and is a revamped breastfeeding poncho! Bonchos are available here. They've enumerated 4 different ways to wear bonchos which are not limited to nursing mommies.
1. Arm Love -through the arms
2. Shrug / Blankie -to keep you (or your little one!) warm and cozy
3. Teepee -with the buttons in front to create a teepee effect
4. Boncho -your revamped breastfeeding poncho!

If you're looking for INDIGObaby's original nursing bib, you can still get them from Dr. Zeka of HipMomsandBabies. The nursing bib costs 500p and are reversible - one side in cute printed patterns on one side with a complimentary solid color on the other. There are 2 pockets to hold small items and the bib also has an adjustable strap to keep it in place. This lightweight bib folds up easily for storage in your handbag or diaper bag. It can also be used as a lighweight sunshield/stroller cover , or a thin changing mat.

Another nursing bib available online is from ProudMama store. Their bibs cost 650p with dimensions of 31 x 20 inches. Features of their bib include an adjustable neckstrap to ensure the perfect fit; flexible boning in the neckline to ensure eye contact with your baby and to allow airflow - important in our warm climate.

If you want a wrap and can't get to the mall, you can purchase the Lilymoms wraps online. Features of the wrap are: a baby view which allows only mom to see baby; rings which adjust for a perfect fit; mom's exposed back & sides, including stretch marks (yikes!) are fully covered; a thumb loop inside ensures that the cape stays on even when baby moves and the wraps use cotton fabrics in up-to-date prints and plains.

Mommy matters also offers its own nursing cover called Moomy and me. The covers measure 24x34inches and cost 490p. Some designs are 30% off at 343p. The covers are made of 100% cotton fabric and has a peek-a-boo neckline to allow direct eye contact and provide additional ventilation for baby. They also have adjustable neck straps to fit most moms. The covers come with a bamboo knit jersey cloth on one corner of the cover for quick clean ups and has its own canvas bag.

Finally, if you don't like a bib or wrap to cover up your baby, Tiny Tots has come up with its own version of the Slurp and Burp called the Nurse and Burp. This cover is different because it is not a piece of cloth but is actually a sash with clever openings. The Nurse and Burp is described as:

made of two loops of half soft comfy cotton knit, and half woven burp cloth fabric. The stretchy part of the NURSE AND BURP fabric loop offers just enough coverage to comfortably nurse your baby, without flashing the world. Once in place you simply unhook your bra and unbutton or lift your shirt to access your breast. Once you’ve unhooked your bra, opened or lifted your shirt, you position your baby and slide the folds of fabric apart just enough to expose your nipple and the area that the baby needs to latch onto. Once baby is latched on you can arrange the fabric for optimal coverage. The NURSE AND BURP does not cover your baby’s head, it does not obstruct your view, and it does not significantly increase the temperature of your baby or you. When you finish nursing on one side, you can put your baby to your shoulder, to the woven burp cloth section, and burp away. When you switch sides, shift or rotate the loop to the opposite shoulder and you will have coverage on the opposite side. It folds up compactly and tucks easily into a diaper bag or purse.

This cover costs 550p, made of lightweight cotton and comes in 2 sizes: Small - which measures 40inches all around (for XS/S moms) and Medium - which measures 44inches all around (for M/L moms).

When I started my nursing career, there were just a few covers available in the market. But now, nursing moms have more options and are able to compare size, price and quality. There are even different types - wraps, bibs and sash. This is certainly a welcome development for shopaholic moms like me :D

*Update 5/31/2010 - shameless plug:
My online store also carries 2 brands of nursing covers - Next9 (at P300) and Cover to Clutch (at P750).  Check them out!

Other posts in this series:
All About Malunggay
Clothes, clothes, clothes!

Nursing Bras