Pumping Basics Part 1- What The Experts Say To Do To Get Started Pumping Your Breastmilk

by Jessica Martin-Weber with Rene Fisher, IBCLC

This article made possible by the generous support of Ameda.

Ameda Finesse Double Electric Breast pump

When my baby was 4 weeks old, it was time for me to get started pumping not only for my baby to be able to receive my milk when I had to be away from her for work, but also for me to donate my milk to other babies.

To help me get started pumping, I spoke with Rene Fisher, IBCLC from Ameda, Inc. She helped me pick out a pump, the new Ameda Finesse Double Electric, and got me all set up. Via video chat and live stream, Rene got me all ready to go and before I knew it, I was filling milk storage containers with my milk. Thanks to Rene’s help, for the first time ever, after pumping through 6 babies, I’m finally using the right size flanges and pumping pain-free. See what I learned in the video and points below.

Setting Up Your Pump

Carefully read your instruction manual and ensure you have all the parts you need. Follow the directions for preparing your pump and setting up. Wash each part that comes in contact with your breast and milk including the flanges, milk storage containers (unless you intend to pump directly into bags such as the Store and Pour Ameda breastmilk storage bags), valves, and diaphragms. Do NOT wash the tubing. Plug in your power adaptor or install batteries. Wash your hands and assemble the kit (tubing, flanges, diaphragms, valves, milk storage containers, etc.).

Determine Your Flange Size 

Flanges are the horn shaped pieces that hold the pump and storage containers to your breasts. Correct fit of the flanges can prevent tissue damage and improve the effectiveness of your pump. All nipples are different and dynamic and the size of your flange may determine how you respond to pumping. Too small may cause pain and stress, reducing your output to the pump. Too large may cause too much areola and breast tissue to be engaged and not enough stimulation for let down or may result in reduced output. If your nipple presses against the flange or rubs, you may need a larger size. If there is a significant amount of space around your nipple and additional breast tissue is entering the flange which may rub, you may need a smaller size. Because nipples are dynamic, they may change during pregnancy, breastfeeding, and pumping. You may even need a different size flange mid-pumping session. See this video below and the information here to help you determine correct flange size.

Beginning: Set Up

If possible, set up in a quiet, relaxing space. Have a drink and a snack. Get as comfortable as possible, having read the manual prior to beginning.

Beginning: Positioing

Position the flange centered over your nipple, pressing in lightly to create a seal. Without a seal there will be no suction. If you are double pumping you can use your arms to help hold the flanges to your breasts but you may want to use a hands-free-pumping support.

Beginning: Before You Start

Relax. Close your eyes. Take a few deep breaths. Think of your baby. Focus on why you’re pumping rather than the output itself. You may want to watch a video of your baby, look at a photo, or smell their clothing.

Beginning: Turn Your Pump On

To get started with pumping, if your pump has individualized speed and suction settings, set your pump on the highest speed and, following the instruction manual for your pump, turn your pump on at the lowest suction level. Gradually increase suction strength to the highest comfortable level. Pumping should never hurt. It is not necessary to go to the highest level if it is painful for you and doing so could interfere with the milk ejection reflex and let down and result in reduced milk output to the pump, potentially causing tissue damage.

Beginning: Let Down and Expression

Stimulate let down with a high speed and the highest comfortable suction. Once let down begins (marked by spraying or flowing milk), reduce speed. You may feel ready to increase the suction level but only do so the the highest comfortable level. When the flow of milk slows to drips or a trickle, return to a higher speed and the highest comfortable suction level to stimulate another let down. It is possible to get up to 9 let downs in a 20 minute pumping session by adjusting speed and suction levels. It may be helpful to observe your baby’s pattern at the breast and mimic it as closely as possible with the pump during your pumping sessions.

When To Pump

When you pump for the first time will greatly depend on why you are pumping. If your baby is in the NICU and there is clinical separation from birth, you will need to begin as soon as possible and plan to pump 8-12 times within a 24 hour period for exclusively pumping. If you are pumping to return to work at 6 weeks postpartum, it is advisable to wait until 3-4 weeks postpartum and your milk supply and breastfeeding are established to protect your supply. If possible, introduce pumping gradually for partial separation giving at least an hour before breastfeeding again after pumping (though let your baby feed at the breast whenever they want to!). Many breastfeeding parents find they get more milk pumping first thing in the morning. Pumping one side while baby is latched and feeds from the other can also lead to more let downs while pumping.

How Long To Pump

Many breastfeeding parents find that 15-20 minutes is adequate time to pump. Some may find it takes longer but with the right pump and proper flange fit, 15-20 minutes will be plenty for most. Utilizing hands on pumping or breast massage while you pump can help encourage your breasts to empty fully, signaling your breasts to produce more milk for your baby. When you pump will depend on your reasons for pumping, how long you are away from your baby, and the amount of milk you need. Every breastfeeding parent and baby are different, figure out what works for you. For more on when and how long to pump, see here.

 

Mother of 4, Rene Fisher has been an IBCLC since 1998. Rene has worked in private practice before going on to be a hospital Lactation consultant for 10 years where she was responsible for nurses and patient education and hands on assistance with breastfeeding mothers. Rene got started in lactation support as a La Leche League Leader 1993 and became a member of La Leche League Area Professional Liaison Department from 2000 -2010. Today, Rene supports families in reaching their baby feeding goals working with Ameda breastfeeding products.

 

 

Drawing from a diverse background in the performing arts and midwifery, Jessica Martin-Weber supports women and families, creating spaces for open dialogue. Writer and speaker, Jessica is the creator of TheLeakyBoob.com, co-creator of BeyondMoi.com, freelance writer, and co-founder of Milk: An Infant Feeding Conference. Jessica lives with her family in the Pacific Northwest and co-parents her 7 daughters with her husband of 21 years.
 

Having Enough Milk for Your First Day Back

by Shari Criso, RN, CNM, IBCLC

This post made possible by the support of Evenflo Feeding

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As you are preparing to return to work, you’ll be wondering how much should I be storing and how far in advance do I need to prepare. As with anything, it is always best not to leave things to the last minute and pumping enough breast milk for your return to work is certainly at the top of that list!

Start several weeks prior to your first day back at work and calculate how many ounces you will need for your baby on the first day as well as your freezer stash.  

For example, if you will be away from your baby for 8 hours and will need to pump 3 times for 3-4 ounces each, that will be 9-12 ounces of milk needed for your first day back at work. If you add another 10 3oz bags for your freezer this will add an additional 30 ounces that you will ultimately need. In this scenario, in total you will need about 40 ounces of milk to be fully prepared.

Waiting to store this until the last week before you go back, will make it really difficult to achieve, and in this case I would recommend that you only focus on getting the 9-12 ounces pumped that you will need for your first day. You’ll have to catch up on the freezer stash later. Ideally, you will give yourself a minimum of 4-6 weeks to start pumping and storing.

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Pumping 1-2 ounces per day in addition to the ½ ounce of milk that you will continue to feed to your baby each evening (just to keep the bottle going) will give you more than enough over the 4-6 weeks to have all the milk you need for your first day back at work, plus your freezer stash.

For some moms this is not a problem and for others you may find it difficult to pump in between feeding your baby to get this extra milk.

One of the ways to work around this is to not try and pump between feedings, but to express a small amount, like a ¼ of an ounce from each side prior to each breastfeeding during the day. If you’re breastfeeding 8 times, and you express a ½ ounce each time, you will essentially be storing 4 ounces per day.  This is even more than I am even recommending you do, if you give yourself enough time.

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To view the whole video, click here.

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Shari Criso 2016

 

For over 23 years, Shari Criso has been a Registered Nurse, Certified Nurse Midwife, International Board Certified Lactation Consultant, nationally recognized parenting educator, entrepreneur, and most importantly, loving wife and proud mother of two amazing breastfed daughters. See the entire library of Shari’s My Baby Experts Video Program here.

Pump Like a Pro – Closed System or Bust

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

One thing we know about pumpin’ mamas is that they love to share. They share their experiences. They share their wisdom. Heck…sometimes they even share their milk.

Pumps themselves can be safely shared, provided they’re the right kind. Be sure to know the difference before giving or receiving a previously-loved pump!

The two types of pump are open system and closed system.

Open system allows the milk to come into contact with the internal workings of the pump. This makes the pump impossible to sterilize, and thus not an option when it comes to sharing. Closed systems, on the other hand, can be shared safely, provided that each mom has their own set of tubes, flanges, and collection bottles.

As an added benefit to closed system pumps, they will also prevent expressed milk from coming into contact with impurities drawn in from the surrounding air.

So feel free to accept or pass down that closed system pumps though it is important to note that not all closed system pumps are FDA approved for multiple users. It’s a great way to save money on one of the pricier items on the average registry and each mom can make it her own with a personal set of accessories (maybe including a PumpEase and stylish wet bag or two to keep it all together!) and though most insurance companies now days are required to cover a breast pump with each pregnancy, the loopholes and red tape can make that challenging. So for those that need a pump and can use a friend’s closed system or even for those that would benefit from having two pumps (full time work out of the home moms, like having double the parts, having double the pumps can really simplify things and reduce the chance of being stuck should one break or even of causing damage by regularly transporting it) can be a huge help.

PumpEase, Snuggabelle, Closed System to Bust

To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase.

 

Breast pump

Pump Like a Pro – The 300 Hour Rule



by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

Just like any of the other mechanical doodads that we rely on day-to-day, a breast pump is not built to last forever. As a general rule, you should be able to expect about 300 hours of active use out of a good, high-quality pump. Now before you worry too much, keep in mind that if you’re pumping for around 15 minutes each sitting, your 300 hours should still get you well past the 1,000 session mark.  Think of all that milk!

If you’re an especially active pumper, are using the same pump through multiple babies, or have inherited a pump that already had some mileage on it, keep alert for warning signs like poor suction, a straining motor, or what seems like an unexpected dip in supply. These could all be indicators that your pump is reaching the end of its life and could stand to be tested by a pro (a local lactation consultant might be able to take a look for you).

Regardless, wherever your pump is in its lifespan, make sure it’s working properly and take steps to resolve any issues right away.  Your milk is too precious not to!

 

300 hour breastpump rule

To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase.

 

Breast pump

Pump Like a Pro – Add a Session

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

If you’re looking to boost your supply, consider hitting the ground running (so to speak) first thing in the morning.  Lots of moms find that a little early morning pumping can have a BIG impact on supply.  It’ll take your body a bit of time to get used to the increased demand, but you’ll be seeing the benefits before you know it. 

Of course, as any sleep-deprived mama can tell you, swapping precious minutes of shut-eye to sneak in an extra pumping session doesn’t always sound like the best deal.  The good news is that you just might find that starting your day off pumping puts you in a much happier and well-balanced frame of mind than the typical morning routine. 

Want to do yourself one better?  Turn that early-a.m. pumping routine into a personal ritual that just might become one of the peaceful highlights of your day.  Take your pumping time and turn it into something more…think morning beverage and maybe a little quiet reading time or web scrolling.  We hope you enjoy your new morning routine!

(And keep in mind that PumpEase is one way to get even more out of any pumping session.  Take your bliss to another level by pumping hands free!)

Add a Session
To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase

 

Breast pump

Pump Like a Pro – Bring on the Dirty Clothes

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

There’s nothing quite like that indescribable mini-rush you get from catching a deep whiff of baby smell.  Well it turns out that unlike the stuff they spray inside of new cars, new baby smell has a serious purpose — a biological one!

Picking up on your baby’s unique smell can actually help you let down and get that mama milk flowing.  It’s all part of the biological response mechanisms that have been ingrained in us to help make this whole breastfeeding thing work.  But what happens when it’s time to fire up the pump but your little one isn’t close by?

Trick yourself!  (Or at least trick your boobs.)

Take a deep whiff of some recently-worn baby clothing for a similar letdown response to the one you get from soaking in your baby directly.  You may also notice an accompanying feeling of general peace and relaxation, which isn’t too shabby in the middle of a long day either.

Toss a gently worn onsie or other article of baby’s clothing in with your pump supplies and always have it handy.  Rotate the item from time to time to keep that new baby smell nice and fresh!

baby smell, baby clothes, breastmilk pumping, breast pump,
To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase

 

Breast pump

Pump Like a Pro – Double Your Parts

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

You’ll be amazed at how much stress you can eliminate from your pumping routine just by making sure you have all those various supplies and accessories in order. Investing in a full set of extra pump parts — tubes, flanges, bottle, valves — can make all the difference as you work pumping into your day.

Two sets mean that when one is dirty, the other is ready to go. It also means that if you pump in more than one location (like maybe at home and at the office) you can leave one set in each spot and just transport the pump itself back and forth.

It’s amazing how small favors like having an extra set of pumping gear on hand right where you need it can turn a frustrating escapade into a piece of cake. (Just ask any mom who’s been up the creek without her pump flanges and had to miss a session!)

We love our Snugabell wet bags for keeping all your bits and pieces organized because they’re functional, stylish and a piece of cake to toss in the wash when you need to. We also recommend bringing an extra PumpEase into the mix as well. Give it a try and we’re sure you’ll agree!

 pumping-pro-tip6

To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase

 

Breast pump

Pump Like a Pro – Double Up

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

Have you heard moms complain that they just don’t let down for the pump? Or they do, but they don’t get as much milk as they think they should?

These are pretty common complaints! Never fear, we’ve got you covered.

First, if your instinct tells you that there’s something bigger at play, connect with someone trained in breastfeeding support. (This starts at the grassroots with organizations like Breastfeeding USA and La Leche League, which offer trained volunteer peer counselors, then escalates to moderately trained pros like CLCs, CLEs, etc-, and the very best, top-notch support you can get comes from an IBCLC. Asking your OB, midwife, or any other provider may leave you with dated or incorrect info, so try and connect with someone who’s got breastfeeding-specific training.)

Next…if you feel like you’re doing ok with breastfeeding in general, but you’re just not getting along with your pump, you’ve got options! Check out our other tips – there are LOTS of ways to get into a good pumpin’ groove. One of the BEST ways to help your body let-down for the pump and (sometimes!) yield a little more milk is to pump on one side while your baby nurses on the other. Your baby will work that sweet suckling magic that gets your letdown going, which will carry over to the pump side. Tandem pumping and nursing is a great time to do a visualization (like we described here), so that you can repeat the same visualization and experience those same cues when your baby isn’t present and you’re pumping on both sides.

You’ve got all the benefits of the baby at the breast, AND your body is learning to get along with your pump. Win-win!

 

Pumping Pro Tip 5

To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase

 

Breast pump

Pump Like a Pro- Get Hands On

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

 

Breast pumping tips Snugabell PumpEase

 

Getting hands ON (even with a hands-free pumping bra)

Okay, Pumpin’ Mamas. You know better than most just how valuable every last drop of your milk really is. Sure…maybe when your baby nurses at the breast that little bundle of joy thinks no drop is being left behind, but nobody knows better than a mom eyeballing a pump bottle just how much is making it to daylight.

We all know what it’s like to watch that milk level rise and try to rally those last few splashes of the good stuff before calling it a session. But did you know that you can lend yourself a hand and score a bit more of that precious milk?

One of the many bonuses of pumping hands free is that you can easily and effectively do simple breast compressions to help you eke out just a bit more each session. You’ll find that it’s much easier to do when you aren’t simultaneously holding flanges in place (but of course it’s entirely possible to do compressions with or without a hands-free bra).

Give it a try and see for yourself just how far a few extra squeezes can go!

This video gives an excellent demonstration.

PMPT4_Get_Hands_On

To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase
Breast pump

Pump Like a Pro- Visualize

by Wendy Bell, CLE
Editor’s note: A big thanks to Snugabell for their support of TLB and all breastfeeding women; please be sure to take a moment to thank Snugabell on their Facebook page  for their show of support! You can also follow Snugabell on Twitter and Instagram: username @snugabell. Be sure to check out their special at the end of this article.

Breast pumping tips Snugabell PumpEase

Have you heard of elite sports teams using visualizations in their training? They will gather together, but instead of actually doing a workout or physically training, they will sit together and visualize their event: they think of the venue, their opponent, and they move through each and every step of the event, from prep to (hopefully) winning.

Pumpin’ mamas can take a tip from this training tactic. It’s used in elite training for a reason: it works! If you’re having a hard time letting down for the pump, it’s time to settle down and look inward. Count backwards from 20 and center yourself. As you count, continually focus more on the numbers and forget the physical space you’re in; forget the pump; forget the bottles. Just breathe in and out and get to zero.

When you get to zero, think of your sweet baby. Think of a nursing session that went particularly well – a specific session. Remember the details and walk yourself through it. Mentally settle yourself wherever you were. Think of holding your baby, getting comfortable in your seat, and positioning the baby to latch. Remember the details of the latch: how was baby positioned? Were her eyes open? Was she cooing? Remember those first quick, shallow sucks and the seemingly magical way your baby knew exactly what to do for your milk to let down. Remember how it felt when your milk let down and those quick sucks turned to long, deep suckles and periodic swallows. Remember how you and your baby both relaxed through the rest of the feeding. Think of the scent of your baby and the way he feels snuggled up with you, cozy to your body.

When  you’re done “nursing” your baby through this visualization, then you can look down and see what the bottles have collected. You may be surprised at how much milk came out while you were mentally with your babe!

PMPT3_Visualize
To celebrate their SUPER exciting collaboration with Destination Maternity and A Pea in the Pod, Snugabell is sending PumpEase customers one of their fabulous Wet Bag absolutely FREE.  Details hereThe PumpEase design will securely hold your pump in place and is guaranteed to accommodate any breast pump on the market. The PumpEase bra like the one shown above makes multi-tasking a breeze for busy moms. Visit www.snugabell.com for more information about PumpEase
Breast pump

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