Colostrum: What It Is, How Much Your Baby Needs and Why It Matters
By Breastfeeding Mom Editorial TeamUpdated 5 min read

In the first days after birth, you may wonder whether your baby is getting anything at all. Your breasts feel soft, and you see only a few drops when you try to express. That small amount is colostrum, and it is exactly what your newborn is built to drink.
This guide covers what human colostrum is, how much your baby takes per feed, what’s in it, and why it’s not the same as the bovine (cow) colostrum supplements sold online.
What colostrum is
Colostrum is the first milk your breasts make. HealthyChildren.org, the AAP’s parent site, describes it as thick, somewhat sticky and usually yellow or orange, though it can also look clear, white or creamy. Its color and thickness come from concentrated protective factors and carotenoids.
Your body starts making colostrum during pregnancy. Cleveland Clinic says production begins between about 12 and 18 weeks. After birth, your breasts keep making colostrum for the first few days, until your milk gradually “comes in.”
How much colostrum a newborn takes
The amounts are small, and that’s normal. Cleveland Clinic gives these typical figures:
| Measure | Typical amount |
|---|---|
| Total made in the first 24 hours | About 1 tablespoon to 1 oz (15 to 30 ml) |
| Per feed in the first few days | About 1 teaspoon (5 ml) |
| Number of feeds | About 8 to 10 or more a day in the first few days |
Volumes rise steadily day by day. Because each feed is small, your baby needs to feed often, at least 8 to 12 times in 24 hours. HealthyChildren.org notes that frequent feeding matters more than long feeds in the early days. Our guide to how often to breastfeed a newborn explains what a normal feeding rhythm looks like.
Don’t judge your supply by how full your breasts feel or by what you can express. Diapers are a better guide. The CDC lists at least 1 wet diaper on day 1, 2 on day 2, 5 on day 3 and 6 from day 4, along with regular poops that change from dark meconium to yellow.
What’s in colostrum
Colostrum is not simply “early milk.” Its makeup is different from the milk that follows.
- More protein, less fat and sugar. HealthyChildren.org describes colostrum as higher in protein, slightly lower in sugar and much lower in fat than mature milk. Cleveland Clinic says it has about twice the protein and four times the zinc.
- Antibodies and immune cells. Colostrum is rich in secretory IgA, an antibody that coats your baby’s gut lining, plus lactoferrin and white blood cells (leukocytes).
- Growth factors. Epidermal growth factor and other components support the development of your baby’s gut.
- Vitamins and minerals. Carotenoids and vitamin A (which give the yellow color), plus magnesium, copper and zinc.
For a deeper look at fat, protein and immune factors and how they change over time, see what breast milk is made of.
Benefits of colostrum for your baby
According to Cleveland Clinic and HealthyChildren.org, colostrum:
- Provides all the nutrients and fluid a healthy full-term newborn needs in the first days
- Helps protect against infection with antibodies and other protective substances
- Coats the gut and helps limit harmful bacteria
- Works as a gentle laxative, helping your baby pass meconium (the first dark, sticky poop), which may lessen jaundice
- Helps prevent low blood sugar in full-term babies
- Is easy to digest for a newborn’s immature gut
Feeding your baby at the breast within the first hour or so also helps your body. HealthyChildren.org explains that early nursing stimulates milk production and helps your uterus contract, which lowers the chance of heavy bleeding.
From colostrum to mature milk
Colostrum doesn’t switch off overnight. HealthyChildren.org says that about 2 to 5 days after birth it gives way to transitional milk, which looks creamier and comes in larger amounts. Mature milk follows at around 2 weeks. Cleveland Clinic notes that traces of colostrum can remain in your milk for several weeks.
The timing varies. It can take longer after a first birth or a C-section. Our guide on when breast milk comes in covers the signs, what can cause a delay and what to do while you wait.
Collecting colostrum before birth
Some people hand express colostrum in late pregnancy and freeze it in small syringes, often when they have diabetes or know their baby may need extra milk after birth. Cleveland Clinic advises waiting until at least 36 weeks and talking with your provider first, because nipple stimulation can trigger contractions. On average, people collect about 1 to 3 ml per session. A few drops or nothing at all is also normal and says nothing about your future supply.
If you want to learn the technique, see our guide to hand expressing breast milk.
Human colostrum vs bovine colostrum supplements
Search for “colostrum” and you’ll find powders and capsules promising better gut health, immunity or glowing skin. These are made from bovine colostrum, the first milk of cows. They are not human colostrum and are not a substitute for breastfeeding or for your own milk.
Key differences:
| Human colostrum | Bovine colostrum supplements | |
|---|---|---|
| Source | Your breasts, made for your baby | Cows, collected after calving |
| Who it’s for | Your newborn | Marketed to adults |
| Evidence | Well established for newborns | Limited and mixed in adults |
| Regulation | Not applicable | Sold as dietary supplements, not approved as medicines |
Cleveland Clinic’s dietitians say the research on bovine colostrum is too limited to recommend it. There is some early evidence for gut and respiratory infection outcomes, but no studies support claims about skin, hair or nails. Reported side effects include nausea and gas. People with a cow’s milk allergy should not take it, and potency can vary from batch to batch.
Two practical points if you’re breastfeeding:
- Never give bovine colostrum to your baby. Your baby’s food in the first months is breast milk or infant formula.
- Check with your doctor before taking it yourself. Little is known about its use while breastfeeding.
When to call a doctor or lactation consultant
Contact your baby’s doctor promptly if your baby:
- Has fewer wet or dirty diapers than expected for their age
- Is very sleepy and hard to wake for feeds, or feeds fewer than 8 times in 24 hours
- Looks increasingly yellow (jaundiced), especially on the belly, arms or legs
- Is still passing dark meconium after day 4, or keeps losing weight after day 5
See a lactation consultant (IBCLC) if feeding hurts, your baby can’t latch, or your breasts haven’t changed by about day 4 or 5. Our breastfeeding support page lists where to find help, and the breastfeeding basics hub walks you through the first weeks.
Frequently asked questions
Is it normal to see no colostrum before birth?
Yes. Some people leak drops or notice crusty yellow spots on their bra in late pregnancy, and others see nothing at all. Neither tells you how well you'll breastfeed.
Can colostrum have blood in it?
Cleveland Clinic notes that faint streaks of blood in colostrum can be normal in the first days. If you see more than a trace, or it continues, mention it to your doctor or a lactation consultant.
Should I give my baby water or formula until my milk comes in?
Healthy, full-term babies don't need water, and most don't need formula, because colostrum covers their needs in the first days. If your baby's doctor recommends a supplement for a medical reason, your own expressed colostrum is the first choice.
Is it safe to take bovine colostrum while breastfeeding?
There is little research on bovine colostrum supplements in breastfeeding parents, and supplements aren't checked for safety and effectiveness the way medicines are. Avoid it if you have a cow's milk allergy, and ask your doctor before taking it.
Sources
- Cleveland Clinic: Colostrum: What Is It, Benefits & What To Expecthttps://my.clevelandclinic.org/health/body/22434-colostrum
- HealthyChildren.org (AAP): Colostrum: Your Baby's First Mealhttps://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Colostrum-Your-Babys-First-Meal.aspx
- CDC: Newborn Breastfeeding Basicshttps://www.cdc.gov/infant-toddler-nutrition/breastfeeding/newborn-basics.html
- Cleveland Clinic: How To Collect Colostrum Before Birthhttps://health.clevelandclinic.org/how-to-collect-colostrum
- Cleveland Clinic: Bovine Colostrum: Why You Should Skip This Pricey Supplementhttps://health.clevelandclinic.org/bovine-colostrum
This guide is general information, not medical advice. For your own situation, talk to your doctor, midwife, pharmacist or an IBCLC lactation consultant. Read our medical disclaimer and find breastfeeding support near you.
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