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Infant feeding

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

how do you make up bottles (store in fridge till needed, or make up as go along) and best way of warming them up

177 replies

tinkisinthe3rdtrimester · 30/10/2008 09:01

hi

i am 29 weeks pregnant

will be just bottle feeding this one
just getting orgnaized
with dd made them all up in the fridge night before heard there is new guidlines about doindthis and that u should only make up as you go along
was thinking especially with night feeds if you make up as you go along wont it be too hot how do you cool down?

OP posts:
macaco · 04/11/2008 08:43

ok I get it. (penny dropping emoticon)
You have to measure hot and cold first as once the formula in the hot you couldn't accurately add the cold by sight alone. It will still look like more than 70ml when finished cos of the formula bulking it up, but that's the same as if you added the formula to 70ml hot.
Right?

tinkisbigandinneedofzzzzzzzzz · 04/11/2008 13:17

think i will go with making up 4 bottles @ a time and keep in fridge i cant be doing with making up one @ a time as wont know necessarily when baby needs feeds. i will be bottle feeding all the time

sunnygirl1412 · 04/11/2008 14:35

Golly! I have read all the way through this thread, for interest's sake, and it seems as if my ds's are lucky to have made it out of babyhood, as I did pretty much everything wrong!

I used to make up a whole day's supply of bottles at one time and store them in the fridge - no-one said anything about formula having bugs in it back then. Sometimes I used cool boiled water from the kettle - so again the nasty bugs wouldn't have been killed. Other times I used almost boiling water so the nasty chemicals would have leeched out into the milk!!

I also used to heat bottles in the microwave, and when a specific warning against this appeared on the formula tin, I consulted my HV who said that this change was because of the risk of the feed not being shaken after heating and hotspots remaining in the milk to scald the baby. She said I was clearly being sensible about the way I used the microwave and to carry on.

My ds's are now 11, 13 and 15, so I can only assume that the guidelines have changed radically in the intervening years - though I do have to wonder if the guidelines might be a little OTT as the formula manufacturers seek to protect themselves against possible legal action if a child becomes ill or worse.

Now hygiene means getting ds1 to wash the oil off his hands before supper, when he's been tinkering with his mountain bike again; and trying to persuade ds2 to cut his fingernails so that we don't have enough dirt for a whole potato field underneath them.

I do also question whether a domestic steam bottle sterilizer will kill all bacteria, because when I worked in operating theatres we used to have to sterilize the instruments for far longer, at higher temperatures and under greater than atmospheric pressure before we used them.

I would also be interested to know what the incidence of enterobacter sakazakii infection in the UK is, as a percentage of bottlefed babies - it's something I had not heard of at all when I was bottlefeeding, and would genuinely like to know more.

sunnygirl.

Bubbaluv · 04/11/2008 19:56

Sunnygirl, I did a bit of googling and can't find exact statistics, but all reports indicate that it is extremely rare and almost all outbreaks occur in hospitals and normally only effect premi babies. Terrible consequences when it does occur though. 50-80% mortality rate!

Bubbaluv · 04/11/2008 19:57

Oh, and it appears to be becoming increasingly resistant to antibiotics.

maygirl · 05/11/2008 00:20

Regular milk is pasteurised by heating to 70 deg for just 15 seconds, so I would imagine this temperature would make a good dent to any bacteria present in formula powder too. It wouldn't be completely sterile, but it doesn't need to be totally sterile, just safe.

sunnygirl1412 · 05/11/2008 09:08

Thank-you for the info, Bubbaluv and maygirl - and apologies for being a little pedantic about bottle sterilizers.

I suppose there's no way of knowing for sure, but I guess that this nasty bacteria was in formula when I was feeding my kids - makes me wonder what they'll discover there next.

sunnygirl.

fledtoscotland · 05/11/2008 11:06

i'm with you sunnygirl. have just read the whole thread and am surprised that ds1 is still here. Also am shocked these guidelines have been around so long as i certainly wasnt told anything by my healthvisitor 18months ago.

am pleased to be BFing DS2 as i really cant be faffed with the sterilising lark tbh.

sunnygirl1412 · 05/11/2008 11:33

Another question occurs to me.

As Bubbaluv says, the vast majority of the cases of enterobacter sakazakii infections occur in hospitals - but surely in hospitals they are using ready-made formula rather than making up formula and storing it - which is the question on this thread.

If that's the case, then that would suggest that the bacteria is present in ready made formula as well as the powder - which would be a concern for those parents who use it believing it to be safer.

I've never worked in a SCBU, but when my babies were in hospital, even way back then, we were given ready-made bottles of formula and a sterile wrapped teat to use each time.

sunnygirl.

wastingmyeducation · 05/11/2008 11:48

Perhaps that is policy changed as a result of those deaths?

xx

sunnygirl1412 · 05/11/2008 11:56

I'm not sure when these deaths occurred, but the news about this particular bacteria is very new to me - it certainly wasn't around when my ds's were born - they are 11, 13 and 15 now. Even before that, when I was a student nurse, we were using ready made formula on the childrens ward and the maternity wards, and this bacteria wasn't mentioned to us then either.

sunnygirl.

Simplysally · 05/11/2008 12:43

I used to make up a day's worth in one go and store them at the back of the fridge - I pointed out to one friend that you must never keep them in the fridge door as per a bottle of cows milk as that's not as cold as the rest of the fridge when I spotted this around her house. As for warming up, after the first few weeks trying to cool the bottles down, I rarely warmed up the milk and my dd drank it chilled (she was a summer baby though). She's now 8 so you can see how long ago it was. I feel confuzzled just reading this thread.

Simplysally · 05/11/2008 12:44

I knew about bacteria forming in milk that was standing about after being partly drunk, Sunnygirl. Not about formula made up but undrunk iyswim.

fledtoscotland · 05/11/2008 19:05

just a quick question - how does the DoH's guidance on making up bottles view the health & safety guidelines for nurseries? When DS1 was having bottles at nursery, we were asked to have the bottles made up in advance so they could store them in the fridge for the day. aparently their h & s guidelines recommend that they dont make up formula for babies and it is made up by the parents (fwiw our nursery is exceptional and they would definitly uphold any recommendations/legislation).

from the information provided by this thread - my son could therefore have been exposed to a potentially life-threatening bacteria by the nursery's health and safety policy.

mumsey3 · 07/02/2009 16:52

one thing maybe im thick but if they do ready made cartons that we can store in the fridge why can we not store ready made bottles in the fridge are they not all sterilized or is there an added ingrediant that they use that im missing

diedandgonetodevon · 07/02/2009 17:07

The cartons are UHT treated so are sterile and you don't need to store them in the fridge. The powder is not sterile so needs treating per the manufacturers instructions.

mumsey3 · 07/02/2009 17:08

ok hi there ive just checked the ingredients for sma ready made and it is no different than from the powder only they left out the section of making the bottles as needed guess they wonted to make more money by doing a ready made remember there is so much they are allowed to get away with in advertising i guess that was one of them i am a mum whos been doing it on demand and listening to the screaming whilst trying to cool a bottle so not anymore unless theres something you know i dont

mumsey3 · 07/02/2009 17:10

is the powder not then sterile once added with boiled water

mumsey3 · 07/02/2009 17:18

uht is heated to 135 oc for 2 seconds and has shelf life of six months pasturised milk heated to 72 oc for 15 seconds has a few weeks of shelf life and sma ready once opened says to store in fridge

diedandgonetodevon · 07/02/2009 17:19

The ingredients will be the same, but the difference is they heat treat and seal the cartons to make them sterile.

Adding hot (70 degree plus) water will sterilse the powder but it will not remain that way. I think 2 hours is the limit to how long they recommend you keep it but it should state that clearly on the pack. After this time organisms in the milk may start to grow.

Personally I would never risk keeping or pre-making the formula but I guess lots of people do it from the number of threads on here asking about it.

Lulumama · 07/02/2009 17:21

the bacteria in warm milk can multiply v v v quickly. the powder is not sterile, so using water boiled and not cooled for more than 30 minutes should be hot enough to kill any bugs

if you have a newborn, and are not yet able to predict when you will need a feed, ready made cartons probably a safer bet

Lulumama · 07/02/2009 17:22

ah, diedandgonetodevon has a much better answer!

diedandgonetodevon · 07/02/2009 17:27

Actually I was going to say that about yours...

mumsey3 · 07/02/2009 17:33
Wink
mumsey3 · 07/02/2009 17:45

my babys 5 mths now and ive always made it on demand but always wonted to research it if it could or should be done by refridgerating ( i mean how hot does a kettle go ) uht is a 135 oc and milk is 72 oc so are mums that are putting them in a fridge actually running any risk 2 seconds of 135 oc makes uht and 15 seconds of 72 oc steriles milk and the container they use for sma ready made is just sterilised they treat the milk then add it to the container it isnt heat treated in the container and do you not seal a bottle like the container are they both not air tight
(someone let me know how hot a kettle gets)