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What happens if you mix warm breast milk with cold?

The Risks of Mixing Warm and Cold Breast Milk
Mixing warm breast milk with cold breast milk is a topic that has garnered attention among breastfeeding mothers, particularly those navigating the complexities of milk storage and feeding. While the intention behind combining these two temperatures may stem from convenience, health experts strongly advise against this practice due to potential risks.
Temperature Concerns and Bacterial Growth
The primary concern with mixing warm and cold breast milk is the risk of bacterial growth. When warm breast milk is added to cold milk, it raises the temperature of the colder milk. This can create an environment conducive to bacterial proliferation, which poses a health risk to infants. The Centers for Disease Control and Prevention (CDC) and the Academy of Breastfeeding Medicine both recommend against this practice, emphasizing that the warm milk can effectively “rewarm” the older stored milk, potentially leading to spoilage and increased bacterial activity .
Guidelines for Safe Milk Mixing
Experts suggest that if mothers wish to combine freshly expressed milk with previously stored milk, they should first cool the freshly pumped milk to the same temperature as the refrigerated milk. This approach minimizes the risk of raising the temperature of the stored milk and helps maintain its safety and nutritional quality.
However, there is a caveat: if the intention is to feed the milk immediately after pumping, it may be acceptable to top off a bottle with cold milk, provided that the mixture will be consumed right away. This exception is based on the understanding that the milk will not remain at a temperature that encourages bacterial growth for an extended period.
Conclusion: Prioritizing Infant Safety
In summary, while the desire to simplify feeding routines is understandable, the potential health risks associated with mixing warm and cold breast milk cannot be overlooked. Mothers are encouraged to adhere to established guidelines to ensure the safety and well-being of their infants. By cooling freshly expressed milk before combining it with refrigerated milk, they can help prevent bacterial growth and maintain the integrity of the breast milk’s nutritional properties.

Can you add cold milk to hot liquid?

Don’t add cold milk directly into a hot liquid. Instead, whisk small amounts of the hot liquid into the cold milk.

How long can refrigerated breast milk be left out at room temperature?

Freshly expressed or pumped milk can be stored: At room temperature (77°F or colder) for up to 4 hours. In the refrigerator for up to 4 days. In the freezer for about 6 months is best; up to 12 months is acceptable.

Is mixing hot milk with cold milk bad?

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.

What are the rules for warmed breast milk?

Before serving thawed breast milk to your baby, you may decide to warm it up. You should opt for somewhere between room temperature and body temperature. But make sure it’s not too hot—around 99 degrees Fahrenheit is a good guideline.

How to know if breast milk is spoiled?

Human breast milk can spoil just like any other kind of milk. This leads to a sharp, sour smell and flavor. There’s no way to save spoiled milk. You should be able to tell it’s spoiled by tasting a sip of it yourself.

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.

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.

How to know if breastmilk is spoiled?

It will also smell bad, much like spoiled cow’s milk. And, like spoiled cow’s milk, breast milk that’s old will taste sour. (It’s fine to taste your breast milk to check!) Always label your pumped milk with a time and date so you can tell how old it is.

Can you mix warm breast milk with cold?

Our IBCLC always said you can safely mix warm and cold – but to try to add no more than 50% of the cold as warm. So if there are 2 oz chilled, to add only 1oz warm. Adjust for bigger amounts. That way the milk cools back down quickly.

Can you mix cold formula with warm breast milk?

First, temperature: It’s safe to serve mixed breast milk and formula cold, “but some babies don’t like it that way,” says Kendall-Tackett. If baby balks at cold milk, you might need to warm their bottle. Set the prepared bottle in a container of warm water or use a bottle warmer for several minutes.

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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