6 | Chapter One
Throw away unused formula that is left in the bottle after •
Warm a chilled bottle of formula immediately before the •
feeding by holding it under warm running water or swirling
the bottle in a bowl of hot water. Shake the bottle and make
sure the liquid inside is not too hot.
Do not warm formula on the stove or in a microwave oven, •
because it is difficult to prevent overheating by using these
Ready-to-feed formula is convenient and sanitary but more expen-
sive than concentrate or powdered formula. When handling powdered
formula, be sure everything that touches the powder, including hands
and utensils, is thoroughly clean. Whatever type of formula is used, care-
fully follow directions on the container, making sure the bottles and
equipment are clean. Water used for mixing formula must be sanitary
and come from a source approved by the local health department.
Practice tiP ✓
is it Safe to Make Baby’s Formula with Well Water?
Water from private wells is not always safe for infants. For example, in
many parts of the Midwest, about one in ten private wells has bacteria or
high levels of nitrate. Nitrates keep a baby’s blood from carrying enough
oxygen, leading to methemoglobinemia. Babies with methemoglobinemia,
frequently called “blue baby syndrome,” actually turn a bluish color
around their lips, cheeks, and fingernails.
Boiling water does not get rid of nitrates or other chemicals. If your
early childhood program has a water well or if families have their own
wells, call the local health department for advice. The health department
can lend advice about testing for other contaminants, such as arsenic,
pesticides, and lead. You can also call the Environmental Protection
Agency’s Safe Drinking Water Hotline at 800-426-4791 or visit their Web
site www.epa.gov/safewater to find out how to get well water tested.