Summary & Findings
EWG's Guide to Infant Formula and Baby Bottles: Safe Baby Bottle and Formula Guide
Breast milk is best, but whether you’re feeding breastmilk or formula in a bottle, use this guide to feed your baby safely. Read more about babies' exposures to BPA in formula
Nipple: Start with a clear silicone nipple.
Latex rubber nipples can cause allergic reactions and can contain impurities linked to cancer.
Bottle: Use glass.
Plastic bottles can leach a toxic chemical called bisphenol A (BPA) into formula and breast milk. Avoid clear, hard plastic bottles marked with a 7 or “PC.”
Plastic bottle liners: Don’t use them.
The soft plastic liners may leach chemicals into formula and breast milk, especially when heated.
Water: Use filtered tap water.
If your water is fluoridated, use a reverse osmosis filter to remove fluoride, which the American Dental Association recommends avoiding when reconstituting formula. If your water is not fluoridated use a carbon filter. If you choose bottled water make sure it’s fluoride-free.
Formula: Choose powdered.
A toxic chemical called bisphenol A (BPA) can leach into liquid formula sold in metal cans. Canadian tests show no BPA leaching into powdered formula. The same brands are sold in the U.S., making powdered formula a low-risk for BPA contamination. If you're concerned about BPA click here to tell infant formula manufacturers to remove it from their product packaging.
Heating: Warm bottles in a pan of hot water.
Microwaving can heat unevenly and cause chemicals to leach from plastic bottles into formula.
More details for bottle-feeding parents:
Breastfeed whenever possible!
Breast milk is the best source of nutrition for babies, and contains essential fatty acids that help bolster babies' bodies against the impacts of toxic chemicals. However, there are many reasons why families rely on formula for some or all of their baby’s diet. Most babies in the US receive some formula during their first year of life, with 70 percent of babies receiving some formula by 3 months of age (CDC 2007). These babies need a safe and healthy source of food, and formula should be manufactured in a way that avoids contamination with hormone disrupting chemicals.
Powdered formulas are the best choice for parents who want to avoid bisphenol A in their baby's diet. While powdered formula has not been tested for BPA, it is diluted with much more water than liquid formulas which reduces the amount of BPA that the baby consumes in each feeding. Nestlé has made unsubstantiated claims that they don't use any BPA to line their powdered formula cans. Nestlé, Enfamil and Similac use a mixed metal and cardboard package with less BPA-coating. Second best are Earth's Best Organic and PBM's store-brand powdered formulas that use a fully metal can.
Some liquid formulas are sold in plastic, mostly polyethylene and polypropylene which do not contain any BPA. Avoid any plastic containers that are rigid and transparent, marked with "PC". All liquid formulas sold in metal cans are lined with BPA-epoxy, which has been shown to leach into the product. If you buy formula in metal cans choose the concentrated type which is diluted with water prior to feeding. Avoid ready-to-eat formula in metal cans, which has the highest BPA leaching potential.
Choose bottle nipples made from silicon. They are the most durable and inert options. Latex rubber nipples can cause allergic reactions and can contain impurities linked to cancer (Freishtat 2002; Westin 1990). The same goes for pacifiers. Throw away any nipple or pacifier that is discolored, thinning, tacky or ripped.
There has been a lot of attention recently about BPA leaching from baby bottles and sippy cups. It appears, however, that babies fed liquid formula could have much more intense exposure to BPA from the formula itself. Even so, parents should still choose bottles that don't leach any BPA. Glass bottles are an excellent choice. More manufacturers are also making bottles and sippy cups out of safe plastics which are polyethylene, polypropylene or polyamide. Avoid all polycarbonate which are transparent (either clear or tinted) and rigid or inflexible plastic. These bottles may be marked with the letters “PC.” Polycarbonate plastics are sometimes marked with the recycling #7, which is a miscellaneous category, so not all #7 plastics are harmful.
Your pediatrician may recommend plastic bottle liners if your baby is colicky. If not, avoid using them - the manufacture and disposal of plastic liners raise environmental concerns. And never overheat formula in a plastic liner. The soft plastic liners may leach chemicals into formula, especially when heated.
What type of water?
If your water is fluoridated, use a reverse osmosis (RO) filter to remove fluoride, which the American Dental Association recommends avoiding when reconstituting formula (ADA 2006). If your water is not fluoridated, use a carbon filter, either a pitcher-style or one that attaches to your tap. If you choose bottled water make sure it's fluoride-free. Be aware that the cost of bottled water may add up to more money than a home reverse osmosis system.
Expressing breast milk
Medela breast pump tubes, shields, and jars are BPA and phthalate free. This is important as pump parts withstand repeated washings in hot water.
Cleaning and sterilizing
Bottles, nipples, pacifiers, breast shields, pump tubing and containers should be sterilized before first use. After that, washing with hot soapy water or the top shelf of the dishwasher should be sufficient. Avoid sterilizing in the microwave or frequent use of boiling water since both will speed the breakdown of the plastic.
Warming a bottle
Warm bottles of formula or breast milk in a bowl of hot water. Do not microwave them or place them in boiling water. In addition to creating a hazard for baby, these extreme heats weather the plastics.