Calma® - Medela
Contents
1. the baby s caregiver use a cooler with three 3 frozen ice packs This will help keep your milk cold until you reach your destination up to 24 hours Thawing and Warming Breastmilk Prior to thawing and or warming refer to the Breastmilk Storage Guidelines for Healthy Term Babies check with your local WIC agency for specific storage instructions if needed Caution Never microwave breastmilk either to de frost or warm it Microwaving milk may create hot spots There is always a risk of hot spots which can burn your baby Microwaving can also change the composition of your milk It is recommended to thaw breastmilk in the refrigerator overnight Calma does not drip You can turn Calma upside down and it still won t drip Your baby needs to apply a certain level of vacuum in order to get milk out However it is possible that there is some dripping of milk out of the nipple at the end of the feed if baby gets off the nipple before drinking the portion of milk just drawn from the bottle Where does the milk come from The milk flows through the small hole at the rate that is controlled by the interaction of your baby s vacuum and the milk flow control system Compressing the nipple will not result in any milk flow You can be confident your baby will be able to get enough milk based on his own nursing pattern Why is the hole at the tip of the nipple so wide Only the milk that passes through the milk f2. Dear parents Congratulations on your decision to choose Calma For more than 50 years Medela has pioneered innovative products which help to enhance babies health through the life enhancing benefits of breastmilk With Calma you can trust in a product that has been developed on a well established research foundation This research has shown that with Calma your baby is able to maintain the learned feeding behavior that your baby exhibits when breastfeeding Your baby will continue to benefit from breastfeeding However if you are separated from your baby Calma provides an excellent alternative that should not interfere with the breastfeeding relationship between you and your baby The warning symbol identifies all instructions that are important to safety Failure to observe these instructions can lead to injury or damage to the breastpump When used in conjunction with the following words the warning symbols stand for WARNING Can lead to serious injury or death CAUTION Can lead to minor injury NOTE Can lead to material damage INFO Useful or important information that is not related to safety Prior to First Use Important Safeguards Read all instructions Separate all parts Boil by following the cleaning instructions in this manual Intended Use Calma is for full term healthy infants and is not intended for premature or late pre term infants Caution Always use this product under adult s
3. in your baby s mouth while breastfeeding As such Calma was designed to reach a similar spot in your baby s mouth as the breast It is however important that your baby has the right latch on position Correct latch on position To encourage your baby to open his her mouth to take Calma stimulate the lip as you would with breastfeeding 3 Did you know that your baby has to do some work During breastfeeding milk does not flow automatically To facilitate milk flow your baby has to create a vacuum This is the same with Calma Your baby has to work to build up a vacuum for milk to flow Storing and Handling Breastmilk Prior to storing and handling refer to the Breastmilk Storage Guidelines for Healthy Term Babies check with your local WIC agency for specific storage instructions if needed Wash hands before pumping milk Use clean pump kit and bottles every time you pump Pumped milk can be stored in a bottle with a solid lid or a disposable breastmilk storage bag If you do not use your pumped milk within 4 6 hours label bottles with the date the milk was pumped and refrigerate or freeze it Do not store breastmilk in the door of the refrigerator When freezing your milk only fill containers up to full because milk expands with freezing Chill your freshly expressed milk before adding it to already frozen milk If you need to transport your breastmilk for example to
4. l prefer and benefit from breastfeed ing so breastfeed your baby whenever you are together For those times you are separated from your baby we recommend you use Calma ex clusively and not with other nipples when feed ing your baby from a bottle If your baby has already used another nipple be aware that with Calma the milk flow is controlled by the interaction of your baby s sucking action and the milk flow control system This is different than with any other nipple you may need a bit of patience and persistence It may take a little time for Calma to be accepted by your baby Remember this is the first time that your baby will come in contact with an artificial product instead of the familiar breast Everything is new for your baby and he or she cannot smell you and your milk as with breastfeeding Medela wishes you and your baby all the best Breastfeeding must be well established before introducing a nipple We recommend using Calma exclusively from the first bottle feeding and only for breastmilk 1 Feeding with Calma Position the baby in a different way than when feeding at the breast e g sit the baby in a baby chair facing the caregiver This helps your baby to learn a new way to feed and makes it easier to switch from breast to Calma and back again 2 Yes it is the right length Even if you think Calma looks a bit too long don t worry it is the perfect length Your nipple lengthens up to 2 times
5. low control system will flow into the baby s mouth The wide hole makes the nipple soft flexible and adaptable to your baby Milk can be thawed quickly in container of warm water not over 37 C 98 F making sure that the water does not touch the lid Once milk is liquid and still chilled dry off the container and refrigerate until use Do not thaw frozen milk in a microwave or in a pan of boil ing water You can warm your milk by standing the bottle briefly in warm water or holding under running warm water Care must be taken to keep the cap dry Thawed milk must be refrigerated after thawing and used within 24 hours Do not refreeze Prior to feeding make sure the entire bottle is defrosted and the milk is gently swirled to mix More about Calma Size is right You might not believe it but one size is sufficient Your nipples stay the same over the course of your lactation The flow shape and length of Calma are designed to suit your baby s needs as your baby grows Calma was designed to meet your baby s needs during the entire breastfeeding experience Your baby has time to breathe Your baby has a unique sucking pattern including pauses to swallow and breathe By using Calma your baby is able to feed and pause naturally according to his her personal rhythm This helps to slow down the feed and results in a calm and relaxed baby both during and after the feed Can Calma help avoid gassines
6. nlight or heat as this may weaken or damage parts Sanitizing In addition to cleaning Calma can be sanitized once per day by boiling 1 Separate all parts 2 Choose a pot that is large enough so parts DO NOT rest on the sides or bottom while boiling 3 Lift nipple from top and remove silicone nipple cap nipple top base lid 2 Place the silicone nipple onto top by turning the bottom edge upwards 5 Lid can be used on bottom of Calma and on bottle for storage 3 Fill the pot with water and bring to a boil 4 Carefully drop parts into boiling water and boil for 10 minutes 5 Gently remove parts from water with tongs and place on a clean surface 6 Allow all separated parts to air dry in a clean area Medela s Quick Clean Micro Steam bag can be used as an alternate to boiling To locate a Medela retailer visit www breastfeedingnationalnetwork com To purchase a replacement Locate a Medela retailer at www breastfeedingnationalnetwork com Email customer service medela com or Call 1 800 435 8316 IMPORTANT Plastic bottles and component parts become brittle when frozen and may break when dropped Also bottles and component parts may become damaged if mishandled e g dropped over tightened or knocked over Take appropri ate care in handling bottles and components Do not use the breastmilk if bottles or components become damaged Using Calma Your baby wil
7. s Calma helps avoid gassiness as the bottle is vented through our unique air control system Unlike many other vented bottles Calma vents air independent of how it is assembled www medela com Medela Inc 1101 Corporate Drive McHenry IL 60050 USA Ph 800 435 8316 815 363 1166 Fax 815 363 1246 Email customer service medela com Medela and Calma are registered trademarks of Medela Holding AG Quick Clean and Micro Steam are trademarks of Medela Inc 1908243 C 0313 2013 Medela Inc At breast With Calma Room Temperature Cooler with 3 Frozen Ice Packs Refrigerator Thawed Breastmilk Freezer Freshly Expressed Breastmilk Storage Guidelines For Healthy Term Babies 4 6 hours at 66 78 F 19 26 C 24 hours at 59 F 15 C 3 8 days at 39 F or lower 4 C use within 24 hrs 6 12 months 0 4 F 18 20 C References www BreastmilkGuidelines com
8. upervision All parts that are not in use must be kept out of children s reach Never use nipple as a pacifier Continuous and prolonged sucking of fluids can cause tooth decay Inspect for damage before each use Replace at the first signs of damage or weakness Calma Instructions The revolutionary new breastmilk feeding system Storing Parts Make sure all parts are completely dry before storing When parts are not in use put in clean plastic bag or store in a container with a lid Alternatively the parts can be wrapped in clean paper or cloth towel Do NOT store wet or damp parts Assembly Calma can be assembled in a hygienic way 1 Wash hands with soap and water prior to handling 3 Flip the edges of the silicone nipple down 4 Insert the top onto the base Cleaning amp Care Prior to first use and after each use Disassembly 1 Remove Calma from bottle by turning counter clockwise 2 Press base down Cleaning It is important to clean Calma after every feed 1 Rinse all separated parts in cool water to remove breastmilk 2 Wash all separated parts in warm soapy water 3 Rinse all separated parts with clear water 4 Allow all separated parts to air dry in a clean area Note You can also wash all separated parts on top rack of dishwasher It is not recommended to use a bottle brush with Calma Caution Do not leave feeding parts in direct su
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