How to Store, Freeze and Thaw Breast Milk

Expressed breast milk is the best food for your baby to have when you're not there. So how do you store and use your milk safely?

If you're returning to work, heading to a gym class or simply want your partner to give a feed so you can catch up on some sleep, you can express your breast milk and store it for your baby to have when you're not around. Expressed milk keeps most of its health-giving benefits, so if you have to miss a feed, it's far better for your baby than any type of formula. But good hygiene is vital to ensure that stored milk is safe for your baby – read on to find out how to store breast milk properly.

Which breast milk storage method is best?

Breast milk is better for your baby than formula – but freshly expressed breast milk is preferable to refrigerated, and refrigerated is better than frozen. That's because freshly expressed milk has the best

bacteria-fighting properties and is higher in antioxidants, vitamins and fat than milk that has been refrigerated or frozen.⁴

How long to store your expressed breast milk

If you have expressed breast milk cleanly and safely, you can store it at room temperature, in the fridge, or in the freezer, depending on how soon you want to use it. Follow these guidelines:

Storage guidelines for freshly expressed breast milk (for healthy term babies)

* Very clean conditions means rigorously following the guidance in our article on cleaning and sanitising your breast pump.These guidelines for storing and defrosting breast milk are a recommendation – contact your lactation consultant or breastfeeding specialist for further information.

If your baby is in a neonatal intensive care unit (NICU) or special care ward, your hospital may have stricter recommendations for cleaning and storage.

If you're refrigerating or freezing expressed milk, always label the bottles or bags with the amount and the date it was pumped, so you can track and manage your stored milk.

Guidelines for using expressed breast milk

Stored breast milk tends to separate into layers, with the fat (cream) rising to the top. Gently swirl the bottle to mix the layers before feeding your baby. Vigorous stirring or shaking can damage some of the milk's nutritional and protective components.⁵

When your baby feeds on expressed breast milk from a cup or bottle, bacteria from his mouth can naturally end up in the milk. For this reason, it's best to throw away any leftover, partly drunk milk within one to two hours of his initial feed. To avoid wasting expressed milk, it's always a good idea to store it in small amounts, and only use what you need.²

How to store breast milk in the refrigerator

Follow these guidelines to store expressed milk safely in the fridge:

• Refrigerate your breast milk as soon as possible after expressing.
• Store your milk in clean breast milk bottles or storage bags made from BPA-free materials. BPA is a chemical that was previously widely used in plastic containers and coatings, which many manufacturers are phasing out due to its uncertain long-term effects.
• Small amounts of expressed milk may be added to the same refrigerated container, provided the milk you want to add is cooled in the fridge beforehand. Don't add body-temperature milk to already cooled milk.
• Store breast milk in the coldest part of the fridge – at the back, on the shelf above the vegetable compartment. Don't keep it in the fridge door where the temperature is less consistent.

How to store breast milk in the freezer

Read on for how to freeze breast milk safely:

• Freeze your breast milk as soon as possible after expressing.
• Expressed milk may be added to already frozen breast milk, provided the milk you want to add is cooled in the fridge beforehand. Don't add body-temperature milk to frozen milk.
• For easier thawing and minimal wastage, store your milk in small portions (less than 60 ml). These can be combined after defrosting.
• Check that your breast milk storage containers can be used in the freezer – some products (such as glass bottles) may crack at very low temperatures. Medela breast milk storage bags are ideal for storing frozen breast milk as they're freezer-proof, ready to be used and easy to label.
• Don't fill bottles or bags more than three-quarters full, as breast milk expands during freezing.
• Store frozen breast milk at the back of the freezer where the temperature is most consistent. Keep it away from the walls of self-defrosting freezers.

Using frozen breast milk

Take care when defrosting breast milk to make sure it's safe for your baby:

• Breast milk can be defrosted in the fridge, normally in around 12 hours. Alternatively, hold the bottle or bag of frozen milk under warm running water (a maximum of 37 °C or 99 °F). Don't leave frozen breast milk to defrost at room temperature.
• Once fully thawed, previously frozen breast milk may be kept at room temperature for a maximum of two hours or in the refrigerator for up to 24 hours.
• Don't thaw or heat frozen breast milk in a microwave or in boiling water. These can damage its nutritional and protective properties and create hot spots that could scald your baby.
• Thawed breast milk left at room temperature should be fed to your baby within two hours or thrown away.
• Never re-freeze breast milk once thawed.

How to warm your stored breast milk

Healthy, full-term babies can drink breast milk at room temperature or warmed to body temperature. Some have a preference, others don't seem to mind.

• To warm your milk, place the breast milk bottle or bag into a cup, jug or bowl of lukewarm water for a few minutes to bring it to body temperature (37 °C or 99 °F). Alternatively, use a bottle warmer. Do not allow the temperature to go above 40 °C (104 °F), and do not use a microwave, as this can overheat your milk.
• Gently swirl the bottle or bag, without shaking or stirring, to mix any separated fat (see above).

Why does my stored breast milk smell odd?

You may notice that your refrigerated or defrosted breast milk can sometimes smell different. This is because an enzyme called lipase breaks down fats and releases fatty acids – a process that helps prevent the growth of harmful bacteria.

Some mums report that their stored milk has a soapy or rancid smell. But if you've followed all the safe-storage guidelines in this article, it will be perfectly fine to use.²

Breast milk storage on the go

If you have to transport your milk between work and home or daycare, use a cooler bag with ice packs. For more on pumping and storing milk on the move, read our article on travelling and pumping.

Article posted by Medela

References

1. US Food & Drug Administration. Using a breast pump. [Internet]. Silver Spring, MD, USA: US Department of Health and Human Services; 2018 [updated 2018 Feb 04; cited 2018 Apr 12] Available from: www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/HomeHealthandConsumer/ConsumerProducts/BreastPumps/ucm061944.htm
2. Eglash,A., Simon,L., & The Academy of Breastfeeding Medicine. ABM clinical protocol #8: human milk storage information for home use for full-term infants, revised 2017. Breastfeed Med 12, (2017).
3. Human Milk Banking Association of North America. 2011 Best practice for expressing, storing and handling human milk in hospitals, homes, and child care settings. (HMBANA, Fort Worth, 2011).
4. García-Lara NR et al. Effect of freezing time on macronutrients and energy content of breastmilk. Breastfeeding Medicine. 2012;7(4):295-301.
5. Office on Women's Health. Pumping and storing breastmilk. [Internet]. Silver Spring, MD, USA: US Department of Health and Human Services; 2018 [updated 2018 Jan 12; cited 2018 Apr 12] Available from: www.womenshealth.gov/breastfeeding/pumping-and-storing-breastmilk