Carole Falletta, MS, MA, PMHNP-BC, FNP-BC, RNC-EFM, IBCLC, LCCE Carole is a nurse practitioner with over 30 years of experience in nursing, specializing in women's health, newborn care, and reproductive and postpartum mental health. Actively practicing in healthcare, she supports women and families during the perinatal journey through compassionate, evidence-based care. A dual board-certified nurse practitioner in psychiatric and family health, Carole is also an International Board-Certified Lactation Consultant (IBCLC) and Lamaze Certified Childbirth Educator, combining her clinical expertise and passion for education to empower mothers and support babies.
Over the past few years, I’ve noticed a clear shift.
As a lactation consultant, I spend much of my time explaining the basics of lactation—how milk production works, how gentle hand expression can produce small drops of colostrum, and how those drops can be helpful for newborns who are very sleepy or struggling to feed in the first day or two of life.
Because of this, I tend to lean in when a woman tells me she has already been harvesting colostrum—or that she’s been collecting breast milk midway through pregnancy. Recently, a woman shared that she had her freezer filled with collected milk before her baby was even born. It caught my attention—not out of concern, but out of curiosity about what was driving that level of preparation.
What’s Happening More and More
Today, more women are aware of early colostrum expression. Some learn about it through social media, childbirth education, or conversations with friends. There are now companies that sell collection kits, syringes, and storage vials specifically designed for harvesting colostrum during pregnancy.
At the same time, guidance from healthcare providers varies. Some obstetric providers discourage early collection. Others may support or even encourage it in certain situations. This is particularly true when a baby may be expected to be sleepy, have low blood sugar, or need early supplementation.
As a result, many parents are navigating this space on their own, trying to prepare in the best way they know how.
A Proactive Mindset — and Why I Respect It
Harvesting colostrum during pregnancy is not necessary for everyone, and many parents go on to breastfeed successfully without doing it at all.
Still, I often find that parents who choose to harvest are doing so because they:
- worry they won’t make enough milk
- had a difficult feeding experience in the past
- want to feel prepared and proactive
That instinct deserves acknowledgment. Thinking ahead about feeding can feel reassuring, especially during a time filled with uncertainty.
But Here’s the Catch
Collecting colostrum is only part of the picture.
An important—and often overlooked—question is whether the people caring for you during labor and delivery will know how to handle the colostrum you bring with you.
When parents arrive at the hospital or birth center, colostrum is often handed over to staff for storage. Parents understandably assume there is a clear, standardized system in place.
In reality, policies for handling parent-provided milk vary widely between facilities.
Can Colostrum Go Bad Before It’s Used?
Yes—it can.
Colostrum that has been frozen and then thawed has a limited window in which it can safely be used. Because colostrum is stored in very small quantities, it can thaw quickly, especially during a long labor.
If it thaws too early or sits out too long before it’s needed, it may no longer be appropriate to feed to the baby.
This is rarely discussed when parents are first learning how to collect it.
Practical Considerations If You Plan to Bring Colostrum
If you plan to bring colostrum with you to the hospital, consider the following:
- Bring only a small amount
- Transport it on ice
- Ask upon arrival whether it can be placed in a freezer, not just a refrigerator
- Ask who will be responsible for tracking thaw time and expiration
Another option is to leave the colostrum at home and have a partner or family member bring it in after the baby is born, if it’s needed. This can reduce the risk of the milk thawing before it’s actually used.
An Important Reassurance
If you are producing colostrum during pregnancy, your body will continue to produce milk after birth. Early milk production does not disappear if colostrum isn’t brought to the hospital.
Babies may still lose some weight in the early days as they learn to feed—and that learning curve is normal.
If a baby is not latching well initially, milk production is supported by:
- placing the baby to the breast frequently
- using gentle manual expression when needed
- receiving skilled lactation support
If you don’t see visible drops at first, don’t panic. Milk production takes time, stimulation, and support.
The Bigger Picture
Awareness about colostrum and early expression is growing—and that isn’t a bad thing. But education should go beyond how to collect milk.
Parents also deserve to understand:
- how milk is handled after arrival
- what happens during a long labor
- how feeding is supported if things don’t go exactly as planned
Preparation should build confidence, not pressure.
And no matter what, with the right support, your body is capable of learning, responding, and producing milk in the days after birth.

Carole Falletta, MS, MA, PMHNP-BC, FNP-BC, RNC-EFM, IBCLC, LCCE Carole is a nurse practitioner with over 30 years of experience in nursing, specializing in women's health, newborn care, and reproductive and postpartum mental health. Actively practicing in healthcare, she supports women and families during the perinatal journey through compassionate, evidence-based care. A dual board-certified nurse practitioner in psychiatric and family health, Carole is also an International Board-Certified Lactation Consultant (IBCLC) and Lamaze Certified Childbirth Educator, combining her clinical expertise and passion for education to empower mothers and support babies.