The Art of Pumping

Mastering the Art of Breast Pumping

Breastfeeding is a beautiful and natural way to nourish your baby. There are times when feeding your baby at the breast is not practical or possible. Providing expressed breastmilk is an excellent alternative when direct breastfeeding is not an option, such as returning to work outside the home. Many people don’t realize that even though pumping has many benefits, it also can have its own challenges. It is crucial to understand the purpose of pumping and when it may or may not be recommended. In this guide, we will explore the ins and outs of using a breast pump effectively.

 1.     Understanding the First 4 Weeks

The initial weeks after childbirth are crucial for establishing a strong breastfeeding bond between you and your baby. During this time, it is recommended to exclusively breastfeed to help initiate proper milk production and ensure a good latch. Introducing a breast pump too early may interfere with this process, and can potentially affect milk supply.

2.     Purpose of a Pump

Breast pumps are just a tool to express and store breast milk. But like all tools, they are only needed for specific projects. Pumping is necessary if

• you need to replace a feed during a time your child is not available to feed at breast, * See note below

• you need to increase milk supply if supply is low, and

• if you are building up milk storage for anticipated future need. * See note

  IMPORTANT NOTE:

  • Pumping in replacement of a feeding, and pumping to build up storage of milk can be done after the first 4 weeks.

  • Pumping to increase milk supply should only be done under the direction of a lactation counselor.

3.     Choosing the Right Breast Pump: Manual or Electric

Selecting the right type breast pump is crucial for a positive pumping experience. There are manual and electric pumps available, each with its own set of advantages. Electric pumps are often more efficient for regular use, while manual pumps offer portability and simplicity. Consider your lifestyle and needs when making this decision.

4.     Establishing a Pumping Routine

By the time your baby is four weeks old (when pumping to replace a feed or build up a stock of milk for future needs is appropriate) your baby will already have a natural daily feeding routine . For the purpose of replacing a feed or returning to work, you want to establish a pumping routine that aligns with your baby’s feeding schedule. Consistency is key to maintaining milk supply. Aim for pumping sessions around the same time each day, simulating your baby’s natural feeding pattern, to help your body continue to make milk at the same times..

5.    The Right Size Flange:

Pumps have a funnel shaped piece, called a flange, that fits directly over your nipple to form a seal. When you begin to pump, the flange creates a vacuum seal that should draw the nipple into the flange tunnel which causes milk to be expressed. It’s very important that the nipple fits correctly into this tunnel. If the flange is too large (allowing more than just the nipple to go into the tunnel) or too small (so the whole nipple can’t get in), pumping will be painful and ineffective. When properly sized, your nippleshouldmove freely within the flange, not rubbing along the sides not pulling the areola into the flange. Having the wrong size flange can affect milk supply, cause nipple pain and injury, and may even lead to clogged ducts and mastitis. The right size flange can make a big difference in your pumping experience. So, the first thing to do is get the right size of flange.

• How to measure your nipple:

  We are happy to help you find the right size flange if you don’t feel confident measuring yourself. If you are doing it yourself:

  1. Do not pump before measuring, but gently stimulate your nipple first.

  2. Use a measuring tape with “millimeters’ to determine the diameter of your nipple.

  3. Measure your nipple in millimeters at the widest part of the nipple - usually the base.. (don’t measure the areola).

  4. Add 4 mm to identify the correct size.

  5. Most pumps come with a 24mm flange. If your nipple is larger or smaller than 20 mm, you will need to order a new flange that fits.

     Your nipple size may change following birth, so you should always measure for flange size in postpartum.

6. A Pumping Session

• Massage your breasts before pumping to stimulate and enhance milk flow.

• Adjust the suction strength to a comfortable level, avoiding pain or discomfort. You should start at the lowest intensity and slowly increase the intensity until the flow is consistent. The goal is to stimulate the nipple, not pull milk from your breast, so choose the lowest intensity that is effective.

• Pump both breast for the approximate amount of time of a typical feed, approximately 10 minutes each side, or 10 minutes total when pumping both breasts simultaneously.

7.  Storing and Handling Expressed Milk

Understanding how to store and handle expressed breast milk is crucial. Use sterile containers and label them with the date to maintain freshness.

• Freshly pumped milk can remain on the countertop for up to 4 hours, in the refrigerator for up to 4 days, and in the freezer for up to 12 months.

• Previously frozen and thawed milk can remain on the counter for 2 hours, and in the refrigerator for 24 hours.

• Never refreeze human milk after it has been thawed.  Leftover milk from a feeding must be used within 2 hours after the baby has finished feeding.

8.     Seeking Professional Guidance

Consult with a lactation counsellor if you find yourself needing to use a breast pump within the first four weeks, or for the purpose of building milk supply. A lactation counsellor can provide personalized advice based on your specific circumstances and guide you through the process to minimize potential complications.

You can find our list of recommended lactation support on our website under Trusted Colleagues.

Using a breast pump can be a valuable tool for nursing mothers, but it’s essential to approach it with care. Always consult with a lactation counselor or healthcare professional to ensure that your breastfeeding journey remains effective and successful. By choosing the right pump, establishing a routine, and maintaining proper techniques, you can navigate the world of breast pumping with confidence and ease.

Written by: Brianna Krall CCC-SLP, CLC

@First_Feedings