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How long can I combine breast milk?

Understanding the Combination of Breast Milk
Combining breast milk from different pumping sessions can be a common concern for breastfeeding mothers. The good news is that, according to experts, it is generally safe to mix breast milk from different pumping sessions, provided certain conditions are met. Specifically, you can combine milk that has been pumped on the same day and stored in the same container, as long as the date and temperature of the milk are consistent.
Key Guidelines for Mixing Breast Milk
1. Same Day Pumping: If you pump breast milk on the same day, you can safely combine it. This means that if you have milk pumped in the morning and later in the evening, you can mix these two batches without worry.
2. Temperature Considerations: When combining milk, ensure that all the milk is at the same temperature. For instance, if you have milk that has been refrigerated, it should not be mixed with freshly pumped milk that is still warm.
3. Storage Duration: Once breast milk has been thawed, it can be kept at room temperature for up to 2 hours and in the refrigerator for 24 hours. After this period, any remaining milk should be discarded, and it should never be refrozen. This is crucial to ensure the safety and quality of the milk.
4. Mixing from Different Days: While it is safe to combine milk from the same day, mixing milk from different days requires more caution. The general guideline is that you can mix milk from different days as long as the older milk has been properly stored and is still within its safe usage timeframe.
5. Health Recommendations: Organizations like the World Health Organization (WHO) recommend exclusive breastfeeding for the first 4 to 6 months of a baby’s life, emphasizing the importance of breast milk for optimal nutrition.
Conclusion
In summary, combining breast milk is a manageable process as long as you adhere to guidelines regarding temperature and storage. By ensuring that the milk is from the same day and properly stored, mothers can confidently mix their pumped milk, supporting their breastfeeding journey while accommodating their lifestyle.

Is it okay to mix left and right breast milk?

If you pumped both breasts at once and the total amount of milk will fill one bottle no more than two-thirds full, you may combine the contents in one bottle by carefully pouring the milk from one sterile container into the other. Don’t combine milk from different pumping sessions when pumping for a high-risk baby.

Can I refrigerate an unfinished bottle of breastmilk?

Any remaining breast milk left in a bottle after your baby is finished with a feeding should be used within 2 hours—or, if quickly refrigerated, used for the next feeding. You can always thaw an extra container if needed.

How long can you keep breast milk mixed with formula?

Likewise, a refrigerated bottle of formula mixed with breast milk should be used or discarded within 24 hours. While a bottle of room temperature breast milk is good for up to 5 hours, a bottle of formula or breast milk mixed with formula should be discarded after 1 hour from the start of use.

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

A full milk supply is 25 to 35 ounces a day, depending upon your baby’s needs. Once you meet this goal, you may be able to reduce the number of times per day that you pump and still maintain your supply. You can drop one pumping session every few days and keep an eye on your milk supply.

How long is mixed breast milk good for?

If it’s at room temperature, use it within four hours. Formula mixed with breast milk can be safely refrigerated for up to 24 hours. At room temperature, use it within two hours.

Can I combine breast milk from different days?

Can I mix fresh breast milk with older breast milk? Mixing freshly expressed breast milk with already cooled or frozen milk is not advised because it can rewarm the older stored milk. It is best to cool freshly expressed milk before combining it with older, previously cooled or frozen milk.

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.

Does breast milk have to be the same temperature before mixing?

The American Academy of Pediatrics previously stated: “Mothers can mix warm milk and cold, or even consider pooling milk from 24 hours together, which may help even out variability in nutrients due to pumping time or breast emptying (which influences fat content of the milk).”

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.

What is the 3-3-3 rule for breast milk?

The ‘Rule of Three’ guideline suggests allowing the baby to nurse for at least three minutes on each breast to ensure they receive a balance of foremilk (initial, thirst-quenching milk) and hindmilk (higher-fat, calorie-rich milk).

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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