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Method for Removing Thawed Human Milk From a Plastic Storage Bag Impacts Fat Retention
Linda L Friend1, Bruna Gutierrez Dos Santos, Kristina G El-Khouri
1Department of Nutrition, University of North Carolina Greensboro, Greensboro, NC.
Journal of Pediatric Gastroenterology and Nutrition
|August 23, 2020
Summary
Gently manipulating human milk (HM) storage bags during thawing to a liquid state improves fat retention without increasing bacterial contamination. This method enhances nutrient recovery from frozen HM.
Area of Science:
- Human milk research
- Lactation science
- Food science and technology
Background:
- Human milk (HM) is crucial for infant nutrition, but fat loss can occur during storage and thawing.
- Optimal methods for decanting frozen HM are needed to maximize nutrient content.
- Bacterial contamination is a concern during HM handling and preparation.
Purpose of the Study:
- To investigate how thawing stage and bag manipulation affect fat retention in human milk.
- To determine the impact of decanting methods on aerobic bacteria colony-forming units in human milk.
- To optimize protocols for preserving the nutritional quality of frozen human milk.
Main Methods:
- Human milk samples from 40 lactating women were collected, frozen for 2 months, and then thawed.
- Two thaw stages (ice and liquid) and bag manipulation (folding/squeezing) were evaluated.
- Fat content was measured via ether extraction, and bacterial counts used plate enumeration.
Main Results:
- Thawing to liquid or ice did not significantly affect overall fat retention.
- Bag manipulation during decanting significantly increased fat retention when HM was thawed to liquid (P=0.005).
- Bag manipulation did not increase aerobic bacteria counts at either thaw stage (P=0.49).
Conclusions:
- The method of decanting previously frozen human milk impacts fat retention.
- Folding and squeezing the storage bag during decanting of liquid-thawed HM enhances fat recovery.
- This manipulation technique increases fat recovery without compromising bacterial safety.

