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Date: | Fri, 20 Aug 2004 13:56:39 EDT |
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Sue asked
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Here is what I found: =
freshly pumped at room temp - 4 hours, others 6 hours and LaLeche =
stretches to 10hours while others suggest 1 1/2 hours. The parameters =
for freezing are wide e.g. 3-6, 6-12 making one wonder - "which is it?" =
I have always followed LaLeche guidlines, but would appreciate others =
input on this. =20
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I think it depends on what you are looking for. Safety? Bacterial count?
Protection of all the components of the milk? Absolutely you have to throw
it out if???? And when is giving formula better than giving breastmilk that
has sat out for x period of time.
So each of the studies that are cited are looking at different types of
things -- mine (the 10 hour one) simply and ONLY looked at the bacterial count in
the milk out at room temperature -- safety issues. Can you still feed it to
the baby at 10 hours? Yes? Is it as good as it would have been if you had
refrigerated it at 4 hours? Probably not -- according to the study that
Hamosh did which looked at the viability of some of the components. My concern
is that when you get really sticky about something (throw it out after 4
hours) then you are having moms throw away valuable gold that doesn't need to go
down the drain.
Perhaps saying something like, "It is best to refrigerate as soon as you can
after pumping if you aren't going to use it within the next few hours.
However, we do know that the bacterial count (which is the safety issue) is still
fine at at least 10 hours (10 hours because we didn't do 12, or 15 or 18 or
24 -- who knows, might be OK then too) at room temperature.
If all else fails, taste it and smell it and forget the clock.
Jan Barger, RN, MA, IBCLC
Wheaton IL
www.lactationeducationconsultants.com
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