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Home > Breastfeeding > Pumping & Bottle Feeding My expressed breastmilk doesn't smell fresh. What can I do?Human milk that has truly soured has a very distinct sour taste and odor - much like soured cow's milk. If your milk doesn't smell distinctly sour or rancid, then it should be safe to give to your baby. If you repeatedly notice that your stored milk doesn't smell or taste fresh, it might help to go through your storage procedures to see if there is something you could do to improve the smell/taste of your milk:
A few mothers find that their refrigerated or frozen milk begins to smell or taste soapy, sour, or even rancid soon after it's stored, even though all storage guidelines have been followed closely. Per Lawrence & Lawrence (p. 781), the speculation is that these mothers have an excess of the enzyme lipase in their milk, which begins to break down the milk fat soon after the milk is expressed. Most babies do not mind a mild change in taste, and the milk is not harmful, but the stronger the taste the more likely that baby will reject it. Lipase is an enzyme that is normally present in human milk and has several known beneficial functions:
Per Lawrence & Lawrence (p. 158), the amount of BSSL in a particular mother's milk does not vary during a feed, and is not different at different times of day or different stages of lactation. There is evidence that there may be a decrease in lipase activity over time in mothers who are malnourished. What can I do if my storage problem is due to excess lipase? Once the milk becomes sour or rancid smelling/tasting, there is no known way to salvage it. However, newly expressed milk can be stored by heating the milk to a scald to inactivate the lipase and stop the process of fat digestion. Scald the milk as soon after expression as possible. To scald milk:
Scalding the milk will destroy some of the antiinfective properties of the milk and may lower some nutrient levels, but this is not likely to be an issue unless all of the milk that baby is receiving has been heat-treated. Per Lawrence & Lawrence, bile salt-stimulated lipase can also be destroyed by heating the milk at 144.5 F (62.5 C) for one minute (p. 205), or at 163 F (72 C) for up to 15 seconds (p. 771). Additional informationBreastmilk Storage & Handling
@ Common Concerns When Storing Human Milk by Cindy Scott Duke, from New Beginnings, Vol. 15 No. 4, July - August 1998, p. 109. Funny Milk from Lactation Education Resources discusses milk that looks or smells unusual Soapy aftertaste to breast milk Q&A by Debbi Donovan, IBCLC Frozen breast milk: My baby is very unhappy with the taste Q&A by Debbi Donovan, IBCLC Storage and Handling of Breastmilk by Becky Flora, BS, IBCLC (see "What about soured or "off" milk?") ReferencesBerkow SE, Freed LM, Hamosh M, Bitman J, Wood DL, Happ B, Hamosh P. Lipases and lipids in human milk: effect of freeze-thawing and storage. Pediatr Res. 1984 Dec;18(12):1257-62. Bitman J, Wood DL, Mehta NR, Hamosh P, Hamosh M. Lipolysis of triglycerides of human milk during storage at low temperatures: a note of caution. J Pediatr Gastroenterol Nutr. 1983;2(3):521-4. Dupuy P, Sauniere JF, Vis HL, Leclaire M, Lombardo D. Change in bile salt dependent lipase in human breast milk during extended lactation. Lipids. 1991 Feb;26(2):134-8. Freed LM, Berkow SE, Hamosh P, York CM, Mehta NR, Hamosh M. Lipases in human milk: effect of gestational age and length of lactation on enzyme activity. J Am Coll Nutr. 1989 Apr;8(2):143-50. Hamosh M, Dewey KG, Garza C, et al. Nutrition During Lactation. Institute of Medicine, Washington, DC, National Academy Press, 1991. pp. 138. Jones F, Tully MR. Best Practice for Expressing, Storing and Handling Mother’s Milk in Hospitals, in Homes and in Daycares. Raleigh, NC: Human Milk Banking Association of North America, 2005: 14-15, 20. Lawrence R, Lawrence R. Breastfeeding: A Guide for the Medical Profession, 6th ed. Philadelphia, Pennsylvania: Mosby, 2005: 156-158, 203-205, 771, 781. Lawrence RA. Storage of human milk and the influence of procedures on immunological components of human milk. Acta Paediatr Suppl. 1999 Aug;88(430):14-8. May JT. Table 7: Effect of heat treatment or storage on antimicrobial factors in human milk. From: May JT. Molecular Virology: Tables of Antimicrobial Factors and Microbial Contaminants in Human Milk. Accessed 9/8/05. May JT. Antimicrobial properties and microbial contaminants of breast milk--an update. Aust Paediatr J. 1984 Nov;20(4):265-9.
Page last modified:
10/10/2005
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