This dietary advice gives general information to help you make the recommended changes to your diet while you are breast feeding and while your child requires a cow’s milk free diet. If you need more detailed advice, please ask your doctor to refer you to a Dietitian for advice on your diet.
Breast feeding is best for your baby. Unfortunately, the cow’s milk protein you eat can pass through to your breast milk. This means that your baby can be exposed to cow’s milk protein from your breast milk if you ingest cow’s milk and cow’s milk products.
Occasionally, breast fed babies can react to milk proteins transferred in breast milk from the mother’s diet. If your baby reacts to cow's milk proteins in your breast milk, you will be advised to avoid milk (dairy) whilst breastfeeding. This is usually done as a trial for between 4 to 6 weeks to see if your baby’s symptoms improve. If they do not, and you were following the diet strictly, you can return to your normal diet. If your baby's symptoms improve whilst you are on a cow's milk free diet, you would be asked to reintroduce cow's milk back into diet after 4-6 weeks (Home challenge) to check for any return of symptoms. Should there be return of symptoms on home challenge, non-IgE milk allergy is confirmed.
If your baby develops symptoms only on introduction of cow's milk in weaning/cow's milk containing feed (infant formulas), we encourage you to return to full breast feeding, and start milk free weaning. It is important to remember that if your baby does not have any symptoms on breast feed, while you (mother) are consuming cow's milk, you can continue to consume cow's milk containing foods in your diet, and initiate cow’s milk free weaning.
A small proportion of milk allergic children may also react to soya proteins in which case this also needs to be avoided in maternal milk.
If you have any other allergies or medical conditions, please seek further advice.
It is important for you to have a milk free diet- please check food labels and avoid products containing “Milk”.
Suitable alternatives to cow's milk are Calcium enriched soya milk, oat milk, nut milks (cashew, almond, hazelnuts), pea, coconut, hemp milk etc.
|Milk free foods||Foods to avoid / check labels|
|Fruit & vegetables||All plain fruit vegetables
Fresh, dried, frozen or tinned
|Vegetables mixed with sauces made from cow's milk
Fruit mixed with ordinary yogurt, custard, cream, ice-cream
|Meat, fish, eggs, quorn, pulses||Plain meat, fish, eggs, nuts and pulses||Meat, fish, eggs, and pulses in a sauce made from cow's milk
Plain quorn products
|Dairy products||Calcium enriched milk alternatives can be used in cooking as well as in cereals
E.g. Oat milk, nut milks, coconut based yogurts
|Cows', goats' and sheep's milk and all products made from these
All cheeses, including cheese spreads, cream cheese,cheese
Dairy ice cream, cream and desserts
|Starchy food and cereals||Bread/rolls/wraps/bagels/pitta/crackers
Flour, plain pasta and rice
Plain breakfast cereals
|Filled pasta/ravioli or rice in cows' milk based sauces
Processed potato products
Any oils, lard, suet, dripping
Biscuits and cakes
Milk chocolate, most chocolate spread
Ingredients to watch out for on labels:
Milk and milk products will be indicated and 'milk' in bold on the ingredient list, check the labels.
Calcium and Vitamin D
Use this guide to help you check if you are getting enough calcium in your diet.
|Food||Calcium Content (mg)|
|300ml soya drink *||360|
|300 ml coconut drink*||360|
|300 ml almond/hazelnut drink*||
|300 ml rice drink *||360|
|300 ml oat drink*||
|Pot of Soya yoghurt *||150|
|Pot of soya dessert *||135|
|120 g Soya custard *||
|1 scoop of soya ice cream||6|
|Fruit juice fortified with calcium||300|
|140 g tinned pilchards / sardines with bones||450|
|2 fish fingers||50|
|2 large slices bread||130|
|5 tablespoons cooked lentils||
|200 g baked beans||100|
|2 tablespoons cooked spinach||135|
|Medium portion broccoli/cabbage||35|
|7 dried apricots||40|
*check product is fortified with calcium and Vitamin D
|Meal||Food||Calcium content (mg)|
|Breakfast||Cereal with 200ml fortified milk substitute||
200g baked beans
2 slices wholemeal toast with dairy free spread
140 g tinned sardines
2 tablespoon spinach
|Supper||200ml Hot Chocolate (made with cocoa powder and fortified milk substitute)||240|