Is expressed milk the same as milk direct from the breast, or does it lose part of its nutrition value because it isn't as fresh?

Michelle, thank you for your question. Yes, it is the same milk when freshly expressed. After that it depends on storage and any processing. Even so, expressed breastmilk that has been chilled or frozen has human proteins, human fats, and human sugars (unlike manufactuere substitutes). Even if some of the living cells in breastmilk (part of the protective mechanisms) are reduced they are believed to be more than enough to provide protection, even if the milk is pasteurised. The exception would be if someone boiled it - an old practice from the 1940s and 1950s that is no longer done in hospitals. There are other protective factors, besides the living cells, among them the oligosacchrines I discussed in another thread on this blog. So, expressed milk is still breastmilk. Feeding directly from the breast is of course best as tghe milk goes straight into the baby. Freshly expressed milk or expressed milk that has been chilled or frozen is still nutritionally just right for babies, and has enough protective components.

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