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Subject:
From:
Barbara Berges <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 6 Jan 2008 12:18:32 -0500
Content-Type:
text/plain
Parts/Attachments:
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Here a a couple of links to websites with additional information on powdered
formula prep.  There are several issues that caused the FDA to remove its
recommendation to boil water before preparing powdered formula.  Destruction
of nutrients by heated water, as well as safety of those preparing the
formula, are mentioned:

A link to a commentary on formula prep in Pediatrics:
http://pediatrics.aappublications.org/cgi/content/full/110/4/833

Updated FDA link with section on boiling water removed:
http://www.cfsan.fda.gov/~dms/inf-ltr3.html

Barb Berges BS, RN, IBCLC
near Cleveland, Ohio
On Jan 5, 2008 7:55 PM, Linda Anderegg <[log in to unmask]> wrote:

>  These are the WHO guidelines for 2007 for preparing infant formula.  I
> have not seen recommendations from the AAP or FDA on not boiling the water.
> Can you provide a reference, Barbara?
>
>
>
> http://www.who.int/foodsafety/publications/micro/pif_guidelines.pdf
>
>
>
> The recommendation is to boil and then quickly cool the water to no less
> than 158 degrees F (70 degrees C) before adding to powdered formula that
> will be stored for later use.  If the facilities are not available to do so,
> powdered formula can be reconstituted with clean water immediately before
> feeding, but the preferred method is adding formula to boiled and rapidly
> cooled hot water (boiled water should not stand for more than 30 minutes
> before adding powdered formula).  The guidelines are not the same for liquid
> formula because it is sterile, unlike powdered formula.
>
> Now with the recent info on Bisphenol A in all formulas, the Environmental
> Working Group says that powdered formula is safest, then concentrated
> liquid.  What about the other contaminants in powdered formula?  How do we
> choose the lesser of the evils?
>
> Better just stick to breastfeeding.
>
> Linda Anderegg, BSN, RNC, IBCLC in Chicago
>
>
>
>
>
>
>

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