Sterilizing baby bottles isn't as fun as snuggling your sweetie or singing her favorite lullabies. But it's an extra layer of protection that can help protect your brand new bundle from getting sick. Here's when and how you should do it, plus when it's okay to stop.
First, let's get clear on the difference between sterilizing and sanitizing or plain old cleaning. Trusted SourceNational Institutes of Health, National Library of Medicine, Medline PlusCleaning, Disinfecting, and SanitizingSee All Sources [1]
The terms "sterilizing" and "sanitizing" are sometimes used interchangeably, even by a few of the experts, but they're very different.
Sterilizing is the process of removing virtually all harmful germs and bacteria on an object's surface. That goes above and beyond simply cleaning something with soap and water, which gets rid of dirt and some (but not all) germs.
Sterilizing is also more intense and thorough than sanitizing, which itself is a high-powered cleaning that can be done in the dishwasher and via other means. Sanitizing gets rid of some germs and 99.9 percent of food soil bacteria, but isn't as fool-proof as sterilizing is.
You cannot sterilize bottles or anything else in the dishwasher, contrary to what some believe.
You should clean bottles, nipples and other feeding items after every use and sanitize them at least once daily if your baby is under 3 months old, was born prematurely, or has a weakened immune system because of an illness or medical treatment (like HIV, cancer or chemotherapy for cancer), according to the Centers for Disease Control and Prevention (CDC).
In some instances, your pediatrician may recommend sanitizing bottles more often, in between each feeding.
You should sterilize bottles daily and potentially after every use for infants under 3 months old, preemies and babies with weakened immune systems because they are more susceptible to infection.
Daily sterilizing (at least for the first few months) helps reduce their chances of getting sick. Your doctor can tell you how long you should keep sterilizing bottles after each feeding or on a daily basis.
Many pediatricians also suggest sterilizing bottles before using them for the first time for all babies, though the practice isn't specifically recommended by the American Academy of Pediatrics (AAP).
Sterilizing bottles might sound complicated. (How can I get rid of ALL the germs?!) But it's actually pretty easy once you get the hang of it. There are a few different ways you can sterilize baby bottles at home:
1. Fully separate all the bottle parts. Take the cap off the bottle and remove the nipple, along with any rings or valves.
2. Put all the parts in a pot and cover completely with water.
3. Bring the pot to a boil. Boil for five minutes.
4. Use clean tongs to remove the parts from the pot.
5. Place the parts on a clean, unused paper towel or dish towel and let the parts air-dry. Don't rub or pat the parts dry, since germs from your towel could transfer to the bottle parts.
1. Separate all the bottle parts. Take the cap off the top of the bottle and remove the nipple, along with any rings or valves.
2. Place the parts in a microwave steam sterilizer for baby bottles.
3. Follow the manufacturer's instructions for sanitizing, cooling and drying the parts.
Bleach sterilizing is recommended if you aren't able to use the boiling water or microwave bottle sterilizer methods.
1. In a wash basin that's been sanitized (preferably in the dishwasher), combine 2 teaspoons unscented bleach with 1 gallon (16 cups) water.
2. Fully separate the bottle parts. Take the cap off the bottle and remove the nipple plus any rings or valves.
3. Place the parts in the basin, making sure everything is fully submerged. Squeeze the water-bleach solution through the nipple holes.
4. Let the parts soak for two minutes.
5. Take the bottle parts out of the solution with clean tongs and place them on a clean, unused paper or kitchen towel to dry. Do not rinse the parts with water; any bleach that's left on the bottle will break down and won't hurt your baby.
Bottle sterilizers are dedicated appliances that do the work of sterilizing for you, either with steam or ultraviolet (UV) light. Some sanitizers sit on the countertop while others are designed to be placed in the microwave.
Some parents find sterilizers convenient, but they're not 100 percent necessary. Sterilizing in boiling water or with bleach are just as effective.
Daily sterilizing generally isn't needed for healthy babies who are 3 months and older. By that age, your baby's immune system has gotten stronger, making her less susceptible to infection. Just be sure to continue to clean or sanitize the bottles thoroughly after each use.
If your baby was born prematurely or she has a weakened immune system, talk with your pediatrician about when you may be able to stop sterilizing your baby's bottles.
Just like the cups, plates and utensils you use, you should clean and/or sanitize your baby's bottles, pacifiers and other feeding items Trusted SourceCenters for Disease Control and PreventionHow to Clean, Sanitize, and Store Infant Feeding ItemsSee All Sources [2] after each use. Soap and water and putting the items in the dishwasher both do the trick when it comes to cleaning, and running them through the dishwasher on the sanitizing cycle can sanitize them.
1. Wash your hands with soap and water, lathering and scrubbing for 20 seconds, then rinse with water.
2. Fully separate the various parts of the baby bottle as previously outlined, taking the cap off and nipple out, along with other rings or valves.
3. Rinse the items under running water (warm and cold water are both fine).
4. Place the disassembled bottle and other parts in a clean wash basin or container reserved just for your baby's feeding items. Fill the basin with hot water and dish (or regular) soap. (Don't wash directly in the sink, since germs in the sink could contaminate the bottles and other baby utensils.)
5. Use a clean brush reserved just for your baby's feeding gear to scrub each item. Squeeze water through the nipple holes to make sure they're clean.
6. Rinse the items under running water.
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Featured content:7. Place the items on a clean, unused paper or kitchen towel to air dry. Don't rub or pat the parts dry, since germs from your dish towel could transfer to the bottle parts.
8. Wash the basin and brush in the dishwasher (or by hand with soap and water) after every few uses.
1. Fully separate all the bottle parts.
2. Rinse the items under running water (warm and cold water are both fine).
3. Place the items in the dishwasher. (Put them in a closed-top basket or mesh laundry bag to prevent them from falling into the dishwasher filter.) Run the dishwasher using hot water and the sanitizing setting. You can also choose "heated drying."
4. Wash your hands with soap and water, then remove the parts from the dishwasher. Place any items that aren't fully dry on a clean, unused paper or kitchen towel. Let air-dry completely (dont rub or pat dry with a dish towel as it may spread germs).
You should clean bottles and pacifiers after every use for babies under 3 months, babies born prematurely and babies with weakened immune systems, and sanitize (or deep-clean) bottles, other feeding items and pacifiers for newborns and other particularly susceptible babies at least once a day.
Ask your pediatrician if they recommend sanitizing more frequently, such as after every feeding.
Keep this advice in mind to make sure you get each and every part as clean as can be.
Before sterilizing or sanitizing, make sure any items you're using (like wash basins or bottle brushes) have been sanitized. You can clean brushes and small wash basins in a dishwasher (if dishwasher-safe and the right size), or wash them by hand with soap and warm water. They can be sterilized by boiling, steaming or soaking them in bleach the way you can do with baby bottles as described above.
Disassemble parts as much as possible before sterilizing and sanitizing. If you're sanitizing a baby straw cup, for instance, remove the handles, lid, sipping mechanism, straw and valve to make sure each part gets a thorough clean.
Check the manufacturer's instructions before placing parts in the dishwasher. Some may fare better on the top rack, while others may be able to go on the bottom rack.
Make sure parts are totally dry before reassembling bottles, cups or other items and putting them away. Reassembling still-wet items can encourage mold growth.
Sterilizing and sanitizing your baby's bottles calls for a few extra steps, but in some cases, it's a must to protect your little one's health. So find a method that works for you and remember that it won't be long before this stage is behind you.
Milk is the perfect medium in which bacteria can grow. This is why its important to clean and sterilise equipment that has been in contact with milk.
If your baby drinks milk that contains germs, they might get sick. Babies have immature immune systems so they arent as good as older people at dealing with a range of infections.
You can help reduce the chance of your baby getting sick by always using a sterilised bottle and clean equipment.
Even if bottles and teats look clean, they might still carry germs.
You need to clean all bottle parts, teats and screw caps after every use.
If your babys bottles have not been used after 24 hours, youll need to sterilise them again.
If you are expressing breast milk, you will need to clean the expressing equipment at least once every 24 hours. You shouldnt need to sterilise your own personal expressing equipment if your baby is healthy and was born at full term.
If you or your baby are sick or they were premature (born early) talk to your doctor or child health nurse about cleaning and sterilising your expressing equipment.
Keep a bottle brush just for this purpose. Get a new bottle brush once the bristles are worn. After washing the bottles youll need to sterilise them.
There are 3 ways to sterilise your equipment:
Take care to avoid scalds. Keep children away from hot or boiling water.
If youre breastfeeding and only need to sterilise your bottles occasionally. The boiling method may be suitable for this. This will save you the cost of buying a steam steriliser or chemicals.
Steam sterilisers are popular because they work quickly, are cheap to use. They heat water to boiling point and the steam kills the bacteria. Some steam sterilisers are designed to operate in a microwave. Choose one that meets Australian Standards.
Be careful when using chemical sterilisation. Many methods use bleach. Keep chemicals out of reach of children.
Antibacterial chemical sterilisation solutions are available in liquid and tablet form. They need to be prepared exactly as directed on the container.
You will need to clean:
Follow these steps:
If youre using an electric breast pump, check the instructions provided.
Store the dry sterilised feeding equipment in a clean container with a lid. You can keep it in the fridge for up to 24 hours. You will need to sterilise your bottles every day.
Store the clean dry expressing equipment in a new plastic bag or clean covered container until you need to use it again.
Make sure you wash and dry your hands before you handle sterilised bottles and teats. Its easy to contaminate equipment just by touching it with dirty hands.
You can call your midwife, child health nurse or doctor for advice about feeding your baby.
For breastfeeding support you can contact:
Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 882 436 or video call. Available 7am to midnight (AET), 7 days a week.
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