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Postpartum

Antenatal Colostrum Harvesting

Colostrum harvesting in pregnancy is still uncommon, but it can be very useful in specific maternal or fetal situations. Usually started from week 37 after talking with a professional, it is done by hand expression, and the colostrum can later be given to the baby by mom or dad.

Ritratto di una fondatrice Mairuna seduta su un divano con luce calda sullo sfondo
Giorgia NadinTue, April 14, 2026
fiore giallo come il colostro

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Antenatal colostrum harvesting is still an uncommon practice that is rarely offered, but in some situations it can be truly valuable.

Colostrum is the โ€œfirst milk,โ€ produced from around the 16th week of pregnancy and present until the first 3-4 days after birth. Itโ€™s a thick, yellow-orange liquid, secreted in small amounts but extremely rich in beneficial properties.

Why is it so important?

โ€ข it has a laxative effect (it helps the baby pass meconium)

โ€ข it helps stabilize the newbornโ€™s blood sugar

โ€ข it protects the gut by reducing the adhesion of pathogens

โ€ข it reduces intestinal permeability

โ€ข it is rich in immunoglobulins, which are essential for the immune system

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When can it be useful to harvest it during pregnancy?

There are situations where having a small supply of colostrum can make a difference, especially if breastfeeding doesnโ€™t get off to an immediate or effective start.

It is especially recommended in cases of:

โ€ข gestational or pre-existing diabetes

โ€ข newborns at risk of hypoglycemia

โ€ข babies who are large for gestational age (LGA) or macrosomic

โ€ข babies who are small for gestational age (SGA)

โ€ข post-term babies

โ€ข multiple pregnancy

โ€ข previous breastfeeding difficulties

โ€ข maternal conditions (hormonal, medical, or surgical) that can affect milk supply

โ€ข fetal conditions diagnosed during pregnancy (e.g., heart defects, cleft lip and palate, growth restriction)

In these cases, if the baby canโ€™t latch right away, the harvested colostrum can be given to the baby, avoiding the early introduction of other foods.

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When to start?

Itโ€™s generally recommended to start from the 37th week of pregnancy, always after assessing the situation with a health care professional.

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How is it stored?

It is collected in:

โ€ข sterile 1, 2, or 5 ml syringes (with caps)

or

โ€ข special colostrum containers

It should be stored:

โ€ข in the freezer

โ€ข inside a dedicated bag or container

Each syringe must be labeled with:

โ€ข date

โ€ข contents

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How is it collected?

Colostrum is collected by hand expression, not with a breast pump.

Here are the steps:

1. Wash your hands thoroughly

2. Find a comfortable position

3. Massage your breast for a few minutes

4. Place your fingers about 2-3 cm from the nipple

5. Gently press the breast back toward your chest wall

6. Compress and release in a steady rhythm (a motion similar to milking)

7. Move your hand around to stimulate the different areas of the breast

Itโ€™s normal to collect only a few drops at first: the amount may increase over the days.

How often: 1 to 3 times a day. How long: from a few minutes up to about 10-20 minutes.

You can collect the colostrum in a small spoon or cup and then gently draw it up with a syringe.

After the birth, the colostrum collected this way can be given to the baby as needed, by the mother if the baby has trouble latching directly at the breast, or by the father if the mother isnโ€™t available right after the birth.

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Antenatal colostrum harvesting isnโ€™t necessary for everyone, but in some situations it can be a valuable resource for facing the first days after birth with more peace of mind.

As always, the key is a personalized assessment.


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Antenatal Colostrum Harvesting