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Can I mix cold and warm breastmilk?

Mixing Cold and Warm Breast Milk: What You Need to Know
The question of whether it’s safe to mix cold and warm breast milk is one that many new parents grapple with. The topic has sparked a variety of opinions, and understanding the best practices can help ensure the health and safety of your baby.
The General Consensus
Most experts agree that mixing warm and cold breast milk is not advisable. The primary concern is that adding warm milk to cold milk can raise the temperature of the cold milk, potentially leading to bacterial growth. The American Academy of Pediatrics has indicated that while it is possible to mix warm and cold milk, it is generally recommended to cool freshly pumped milk before combining it with refrigerated milk. This approach helps maintain the integrity of the stored milk and minimizes the risk of spoilage.
Why Temperature Matters
Breast milk is a living substance, rich in nutrients and antibodies that are crucial for a baby’s development. When freshly expressed milk is added to cold milk, it can cause the cold milk to warm up, which may not only affect its quality but also its safety. Experts suggest that both types of milk should be at the same temperature before mixing to avoid any potential issues. This is akin to the principle of not placing a hot container directly into a cold environment, which can lead to thermal shock.
Practical Guidelines
If you find yourself in a situation where you need to combine breast milk from different sessions, here are some practical guidelines to follow:
1. Cool Freshly Pumped Milk First: Before adding freshly expressed milk to refrigerated milk, allow the warm milk to cool down to room temperature. This step is crucial to prevent the cold milk from warming up.
2. Immediate Use Exception: If you plan to use the milk immediately after pumping, it may be acceptable to top off a bottle with cold milk, provided that the milk will be consumed right away. However, this should be done with caution and awareness of the potential risks.
3. Storage Considerations: Always adhere to breast milk storage guidelines to ensure that the milk remains safe for your baby. Mixing milk from different days or sessions can complicate tracking freshness and safety.
Conclusion
In summary, while there are differing opinions on the matter, the safest practice is to avoid mixing warm and cold breast milk directly. By cooling freshly pumped milk before combining it with refrigerated milk, parents can help ensure that their baby’s milk remains safe and nutritious. As always, when in doubt, consulting with a healthcare professional can provide personalized guidance tailored to your specific situation.

Can you warm up and cool down breast milk?

If the bottle you’re using was properly cleaned and sterilized, it’s probably fine to put it back into the refrigerator and rewarm the bottle when they’re ready for it. It’s even fine to refrigerate and rewarm a bottle that was partially finished, usually within the recommended 2 hours, or thereabouts.

Will my milk dry up if I only pump twice a day?

Your milk supply depends on how often you nurse or pump your breasts. The more you breastfeed or pump, the more milk your body makes. So, if you seem to be producing less milk than usual, nurse your baby more often.

Can you mix refrigerated breast milk from different days?

Can I add freshly expressed breast milk to already stored milk? You can add freshly expressed breast milk to refrigerated or frozen milk. However, thoroughly cool the freshly expressed breast milk in the refrigerator or a cooler with ice packs before adding it to previously chilled or frozen milk.

Is it OK to warm breast milk multiple times?

Do not refreeze thawed breastmilk or heat it more than once. Offer small amounts of EBM at a time to your baby to avoid wastage. Any EBM that your baby doesn’t take at that time will need to be thrown away.

What is the 5 5 5 rule for breast milk?

Something I recommend to moms is the 5-5-5 rule. Try and use milk within five hours at room temperature, five days in the fridge, and by five months in the freezer.

Can I pump into the same bottle all day?

Milk stays good for 4 hours if you leave it at room temperature after pumping. So, you can pump into the same bottle within the 4 hours timeframe. Once the 4-hour timeframe has elapsed, you can either give the milk to your baby or store it in the fridge or freezer for future meals.

What is the 120 pumping rule?

The first 12 weeks of your breastfeeding journey requires frequent breastmilk removal, stimulating healthy milk production. Studies show moms who exclusively pump for a minimum of 120 minutes per day can make enough to feed their babies primarily breastmilk.

Can I mix refrigerated breast milk from different days?

Can I add freshly expressed breast milk to already stored milk? You can add freshly expressed breast milk to refrigerated or frozen milk. However, thoroughly cool the freshly expressed breast milk in the refrigerator or a cooler with ice packs before adding it to previously chilled or frozen milk.

Why is thawed breast milk only good for 24 hours?

Bacteria can grow rapidly in thawed milk, especially if it’s kept at room temperature or if the storage conditions are not optimal. Using the milk within 24 hours minimizes the risk of bacterial growth and ensures the milk is safe for your baby.

Can I mix warm and cold breast milk?

The official recommendation is not to mix fresh (warm) and cold milk, as the fresh milk could raise the temperature of the cold milk and allow for bacterial growth.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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