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Depends, really!

Pumped milk is okay to sit out 4-6 hours. So I just pump before we leave and pop the bottle into my bag. If I'm worried about heat, I stick the bottle in a tiny cooler bag with an ice pack to keep it fresh.

And then I also have pre-made formula in my diaper bag ready to go if she needs more than the breastmilk.

I'd be totally happy to nurse her anywhere, anytime, but she is very particular about being comfortable to nurse so she often refuses if we are out and there are things that are distracting or she isn't physically comfortable with the nursing positions we can do.

I used to take bottles of pumped milk with us. I know it's hard when you don't want to waste any of it, but I just found that it was easier. Like @highwire: said, breastmilk can sit for 4-6 hours after you've pumped it, so I would take fresh out!

It depends on what we are doing. If somewhere I am comfortable BF in public I will. But if not I will do a bottle of formula. Then just pump when we get home. Course that depends on how long we will be gone. If multiple sessions, I just suck it up and BF in public.

Pumped milk lasts 24 hours in a cooler with (approx) 3 ice packs. I've never had milk go bad in this time frame.

Oddly enough, DS won't BF in public. Usually I'll end up bringing formula if we are going out when he needs to eat. He gets BM 90% of the time so I'm fine with him having full bottle of formula here and there. I've found this to be so much easier for us.

I will usually try to pump before we leave if its close to being time for him to eat again, if he's just nursed then I just use the pre-made formula bottles while we're out. I haven't tried to nurse in public yet. But, my new car has tinted windows in the backseat, so I may try to nurse in the car and see how that goes!