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What happens if you mix warm breastmilk with cold?

The Science Behind Mixing Warm and Cold Breast Milk
Mixing warm breast milk with cold breast milk is a topic that has sparked considerable debate among breastfeeding mothers and health professionals alike. While the intention behind this practice often stems from a desire to simplify feeding routines or utilize the “pitcher method” for storing milk, it is essential to understand the implications of such a mix.
Health Guidelines and Recommendations
According to the Centers for Disease Control and Prevention (CDC) and the Academy of Breastfeeding Medicine, it is generally advised against mixing freshly expressed warm breast milk with previously chilled milk. The primary concern is that adding warm milk can raise the temperature of the cold milk, potentially creating an environment conducive to bacterial growth. This is particularly critical because breast milk, while naturally rich in nutrients and antibodies, can also be a medium for bacteria if not handled properly.
Bacterial Growth Concerns
The risk of bacterial growth is a significant factor in this discussion. When warm breast milk is introduced to cold milk, it can cause the temperature of the chilled milk to rise, which may lead to the proliferation of bacteria. This is especially pertinent if the mixed milk is not consumed immediately. The CDC emphasizes that freshly pumped milk should be cooled before being combined with refrigerated milk to minimize this risk.
However, some anecdotal evidence suggests that there is no definitive proof that combining warm and cold breast milk will lead to increased bacterial growth. This has led to a divergence of opinions among mothers and lactation consultants, with some advocating for the practice under specific conditions, such as immediate consumption.
Practical Considerations for Mothers
For mothers navigating the complexities of breastfeeding and milk storage, the decision to mix warm and cold breast milk often comes down to practicality. If a mother is in a situation where she needs to feed her baby immediately after pumping, some experts suggest that it may be acceptable to top off a bottle with cold milk, provided the milk will be consumed right away. This approach can help reduce waste and ensure that the baby receives the nutrients from freshly expressed milk.
Conclusion
In summary, while mixing warm and cold breast milk may seem like a convenient solution for busy mothers, it is crucial to consider the potential health risks associated with bacterial growth. Following established guidelines from health authorities can help ensure that breast milk remains safe and nutritious for infants. Ultimately, the best practice is to cool freshly pumped milk before combining it with refrigerated milk, thereby maintaining the integrity and safety of the milk for feeding.

Can I refrigerate warmed breast milk?

Warmed milk from the fridge should be used within two hours. If it’s not used, it should be thrown away. “Once your milk is warmed, the ability of the milk to inhibit bacterial growth is decreased, so it is not recommended to place your milk back in the refrigerator,” explains Andria.

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).”

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.

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 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.

Can babies drink cold breast milk?

Breast milk does not need to be warmed. It can be served room temperature or cold.

Can I mix breast milk from two different days?

The International Milk League and Alba Lactancia Materna mention that if you can mix breast milk from other days or sessions. As long as both milks are at the same temperature and that the mixture is used within 24 hours.

What happens if you mix warm breast milk with cold?

No, you shouldn’t combine warm and cold breast milk. Adding warm milk to cold will raise the temperature of the milk, potentially allowing bacteria to grow.

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.

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.

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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