Breastfeeding FAQs: Pumping

Breastfeeding FAQs: Pumping

What Type of Pump Do I Need?

The type of pump you need depends on how often you plan to use it:

  • -Manual Pumps: Best for occasional pumping. They’re small, inexpensive (less than $50), but require more effort and time compared to electric pumps. Many women keep a manual pump as a back-up.
  • Electric Pumps: Easier to use for regular or daily pumping as they require less physical effort and can draw out milk faster. Many models allow you to pump both breasts simultaneously, saving time and possibly increasing milk supply. Electric pumps come in various sizes and can be plugged in or battery-operated.

Most insurance plans cover breast pumps, so check if you can receive a free pump. Otherwise, you can buy or rent from lactation consultants, hospitals, retail stores, and online. For those needing financial assistance, Women, Infants, and Children (WIC) offers free or low-cost pump programs.

Are Used Pumps OK?

Using someone else’s pump is not recommended due to the risk of bacteria and viruses from the previous owner, even with repeated sterilization. However, hospital-grade pumps are designed for multiple users, allowing each to use their own accessory kits, minimizing contamination risk.

Why Would I Need to Pump Right After Birth?

If your baby can’t eat due to an early birth or illness, or if you’re separated, you can pump your milk. Start hand-expressing your breast in the first 2 hours after birth and begin pumping every 2–3 hours using a hospital-grade or electric pump. Initially, you’ll produce small amounts of colostrum (a rich “pre-milk”), and your supply will gradually increase.

If your baby is exclusively breastfeeding and gaining weight as expected, there’s no need to pump right away. Building a milk supply too soon can lead to over-supply and prolonged breast engorgement.

When Can I Begin Pumping to Build Up a Milk Supply?

If you plan to return to work or spend time away from your baby, start pumping a couple of weeks before. This allows you to practice with the pump, get comfortable using it, and gives your baby time to learn to drink from a bottle.

Milk expression varies among women. Don’t be discouraged if it takes a few sessions to express enough milk for a full bottle. Some women find they express more milk when their baby is close by, when looking at a baby’s picture, or smelling a piece of their baby’s clothing.

What Can Make Pumping Easier?

Pumping can take practice and time. These tips can help:

  • Find a Comfortable Spot: Relaxation is key. Your let-down reflex can be affected if you’re frustrated, anxious, or rushed. Sit comfortably and try to stay calm.
  • Massage Your Breast: Before and during pumping, use your hands to massage and compress your breast to empty it more efficiently. Consider wearing a hands-free bra if pumping both breasts at once.
  • Hold a Reminder of Your Baby: Having a picture, video, or item with your baby’s scent can help trigger let-down.
  • Position the Breast Shield Correctly:Ensure the breast shield (flange) covers your entire nipple and areola to get a good seal. If it’s not, you may be uncomfortable and less likely to get the needed milk.
  • Choose the Right Size Shield: Your nipple should move freely in the tunnel of the shield. If too much of the areola is drawn in or if pumping is uncomfortable, try a different size.
  • Adjust the Speed and Suction: Use the lowest setting that allows milk to flow comfortably to prevent discomfort.

Where Can I Pump at Work?

Find a discreet, comfortable place for pumping at work. Many companies offer designated pumping areas. If yours doesn’t, speak to your supervisor or HR about a suitable private area. Employers are required by law to provide a non-bathroom space for pumping breast milk and reasonable time to do so.

How Do I Clean Pump Parts?

Before first use, wash and sterilize breast pump parts (such as breast shields and any part that touches your breasts or milk) by boiling them for 5 to 10 minutes, or according to the manufacturer’s directions. You can also use a countertop or microwaveable sterilizer.

After each use, wash the bottles, nipples, and pump supplies in hot, soapy water or run them through the dishwasher to prevent bacterial contamination.