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Infant feeding

Get advice and support with infant feeding from other users here.

making up bottles

35 replies

mum3bubs · 23/11/2014 12:06

im confused at the new rules... when my children were younger there 6 and 8 it was okay to boil water put in sterile bottles and leave to cool and as formula as nessasry now its not the same?
how do you make bottles if baby is not in a regular pattern and could want one anytime?

OP posts:
BertieBotts · 23/11/2014 18:41

Best is to make up fresh. Second best is to make up with hot water and keep cool in fridge.

You can make up fresh with thermos-hot water, if you like, or you can make it 50/50 with hot water and cool boiled water, just make sure the hot hits the powder first, and you have to measure very carefully. This is in effect what the Perfect Prep machine does.

It's important not to make it up with cold water because the powder cannot be sterile, if there are any germs in the powder, cold water won't kill them. In the quite recent past, the message was about not making bottles up in advance which is why a lot of people made up as and when but with cold water. Now the focus is changing, because they have realised that it's silly to tell people to only make them up as and when, it's not practical and nobody sticks to it. So now the hot water part is emphasised, but there are a lot of conflicting messages.

Basically you're trying to minimise the amount of bacteria present in the milk. Babies' immune systems can easily handle a small amount of bacteria but if it multiplies to higher levels it becomes dangerous and can cause stomach upsets or, rarely, worse.

So we can do this in several ways:

  1. Keep the environment as sterile as possible. Wash bottles and teats well, sterilise, don't cross contaminate. This ensures that no new bacteria is introduced.
  1. Use hot water to make up feeds. This kills, or at least reduces, any bacteria which is present in the powder. You can also use ready-to-feed formula which is sterilised and can be kept at room temperature (after opening treat as made-up powder formula).
  1. Keep milk out of the "danger zone" which is between 4-60C. This is the temperature at which bacteria can thrive and grow most easily. So cool feeds quickly rather than letting them meander down from 70-100 to a drinkable temperature, and keep feeds made in advance at the back of the fridge until shortly before you want to feed them.
  1. Don't keep made-up feeds for too long. I believe it's 2 hours at room temperature, or 24 hours in the fridge for formula. Expressed breastmilk has different times. Because the baby's mouth can introduce bacteria, you should discard a partially-drunk bottle after an hour, too.

If you know why a guideline exists, you can see more easily whether it makes sense to stick to or break it. These are the safety concerns that I know of relating to bacteria - there are other safety concerns such as milk being too hot, sodium content in the water, etc.

BertieBotts · 23/11/2014 18:45

The advice about not reheating will be if you heat it, feed a bit to baby, keep it around for a while thinking they might take a bit more, let it cool, put in fridge, reheat again a few hours later (remembering now it has bacteria introduced from baby's mouth) it's a minefield for bacteria growing. It doesn't mean you can't make it up, cool and then warm when needed.

mum3bubs · 23/11/2014 18:50

Bertie bots so if doing 5 oz bottle how much hot needed first in bot then top up cooled water.. also where does the cooled water be kept

OP posts:
Karasea · 23/11/2014 18:51

You really must not make your baby's formula up with cold water then store it out of the fridge all day. Any formula stored once made is a bacterial breeding ground. If your powder was contaminated it could be very dangerous for your baby.

No a MW or HV will tell you to store formula made from powder out of the fridge.

WrappedInABlankie · 23/11/2014 19:38

I never advises mum to make the complete bottle up, I told what I did putting powder In the powder pots then adding it to the water when needed. This is easier for night times etc

tortoisesarefab · 23/11/2014 19:58

Buy a tommee tippee perfect prep machine, best money I ever spent when ff

BertieBotts · 23/11/2014 20:15

I don't know, look on the box. That will tell you how much water, and you just divide it up. It's just that I think you normally put the water in first, so if you put the water in after the formula, it's going to push up the level so you can't read it accurately on the bottle side. If you aren't sure then don't do it, the risks from making up the formula with too much/too little water are higher than the risk of bacteria contamination.

mum3bubs · 23/11/2014 20:19

lots of people are talking about the pre prep machine what do midwives/hv say about them

OP posts:
WrappedInABlankie · 23/11/2014 20:24

I've never herd of them till the other day, the thing is midwives and hv don't like advising on formula

They're about £70 though from mothercare

Tangoandcreditcards · 23/11/2014 20:41

I have the perfect prep machine for DS (9.5 mo). It's awesome, what it does is v basic really but saves sooo much hassle and thinking.

My HV had never heard of it.

I FF from birth and in the first couple of months when the feeds were smaller and less predictable I found using ready milk easier. (The PP machine smallest feed is 4oz)

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