Making feeds in advance

[Prometheus]

I know this has been asked before but I am still confused.

DS is about to move from breastmilk to formula. He feeds every 2-3 hours so unless I stay at home all day every day I will need to make feeds in advance to give him when we are out and about. What is the safest way to do this?

To make matters more complicated, as mentioned on my previous thread, I live in Belgium where the rules on formula preparation are to use boiled water no hotter than 40 degrees or cold, bottled mineral water. This advice has been confirmed by 2 separate paediatricians, the health visitor and official government leaflet. I know it goes against UK advice.

I was planning on putting bottled water in bottle, heating in microwave to 40 degrees, putting in bottle warmer then when I need to feed just adding powder and shaking. Does this sound ok or should I put in fridge then take cooled water with me rather than warm??? Thank you!

Ooo...in perfect timing Nestle have just responded to the email I sent them about this a few weeks ago. They say that the advice has now changed and I should use water no hotter than 37 degrees (!!) as water that is hotter than that will kill the vitamins!

Prometheus - I am reluctant to advise re formulas sold in Europe.

However I can point out the the World Health Organisation advice covers the whole world.

See this WHO leaflet.

Would you consider using another formula (not Nestle) - i.e. one that is sold in the UK and then you can ask them if the product is the same as that sold in the UK and if it is you can expose them use UK guidelines if you want to.

I am not sure if you are aware that Nestle have a shocking record wrt to formula marketing - see here.

If you do make up with cool water then I would absolutely make up fresh!

The worst thing per the WHO experiments was making with cool water and then storing.

You can make up 2 hours in advance of bottle being finished - but what about cartons for out and about.

Are you able to challenge the paeds on why they disagree with the WHO advice....

Hi tabouleh - the Nestle formula NAN HA isn't sold in the UK. All formulas here (regardless of manufacturer) say 40 degrees Plus pre-made cartons aren't on sale in Belgium.

The paeds just look at me like I'm a crazy English woman when I raise the issue of WHO guidelines. People in Belgium genuinely have no idea about the 70 degree advice

What I was trying to say is - what if you use another formula - one which is also sold in the UK and then you can ask the manufacturer if it is indeed (as I suspect) the same product.

Then you'd feel ok to follow UK and WHO advice?

Are there any Belgian government etc guidelines?

The USA does not follow the guidelines but Ireland do and Canada does I think.

There is a higher risk for newborns and premature babies etc and IIRC it was in Belgian that some babies died due to infection from Enterobacter sakazakii.

The advice on preparing powdered formula comes originally from the European Food Safety Authority which reports to the European Commission.

www.efsa.europa.eu/EFSA/efsa_locale-1178620753816_1178620781033.htm

Perhaps there is some exemption for Belgium and .

The issue is, I think, a dispute between those would think it is important to preserve frail nutrients by ensuring the water is not too hot, and those who think killing off the stuff you really don't want to have in the milk is more important.

EFSA looked at the evidence and concluded the correct position was the second one.

Hi - Belgian government guidelines are 40 degrees.

I've been looking at UK equivalents. Aptamil is the same as Nutrilon that I can buy here however I've been recommended to use hypoallergenic milk and I can't see that Aptamil do a HA? We have Nutrilon HA here.

I have currently got Nestle NAN hypoallergenic. I'm looking on the Nestle website to see if they do a HA version but can't find a list of Nestle products anywhere. Does anyone know if Aptamil or Nestle do a HA version and I can always buy the ready made cartons in bulk next time I am in the UK?

Thank you for all the advice and input