Author: pumpmommapump

Tips & Tricks

Frozen breastmilk smell or taste weird? Could be high lipase!

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Here I am, shaking my fist at the sky and shouting…. “WHY DIDN’T THEY TEST THEIR MILK FIRST before freezing hundreds of ounces?!” IYKYK. If you don’t know what I am talking about, here’s the buzzword of the day- HIGH LIPASE. (I guess that’s two words, actually.) What is it, why does it matter, and why should you test your milk for it before starting your freezer stash?

This is one of those things that makes me crazy. Mommas with entire freezer stashes who never tested their milk for high lipase! We get so obsessed with freezer stashes and then I get messages complaining that baby won’t take any of the milk because it tastes funny. AARGH!!! Save this and send this to your pregnant or breastfeeding friends… PLEASE! 

Before I begin… it needs to be said: First and foremost, focus on feeding your baby. Grow and protect your milk supply so that you can feed your baby. Many mommas see pictures of stashes online and feel like they need to have tons of milk stashed away. Don’t let that overwhelm you. Focus on making enough to feed baby first.

What is High Lipase?

Lipase is an enzyme found in all breastmilk that helps break down fats. It’s a good thing! But some women struggle with high levels of this enzyme causing their milk to smell or taste funny. You usually won’t notice the smell until you defrost your milk after freezing, but some women may smell it after multiple days in the fridge. What does it smell like? High lipase can cause your milk to smell soapy or metallic. (Breastmilk without high levels of lipase usually has a mild smell or no smell at all, and slightly sweet taste.) High lipase milk is ok for baby to drink, but they may not want to.

I strongly encourage you to TEST EARLY for high lipase before stashing away a ton of milk! Freeze and defrost milk early to test this out. How do you “test” your milk? Just thaw some breastmilk and give it to your baby! If baby takes it, no problem! If not, you’ll have to scald your milk BEFORE feeding or try one of the tricks listed below.

What Can Be Done About High Lipase?

If you know your milk contains high levels of lipase, consider doing either (or both!) of these two things before freezing: Scalding and Freezing right away:

1) Scalding– You can scald your milk first by bringing the breastmilk ALMOST to a boil but don’t boil! For greater accuracy, heat it to 180 degrees Fahrenheit then remove it from heat. (Honestly I watched a YouTube video demo and it helped me understand scalding) Freeze milk after scalding. For mommas with a larger supply to freeze, you can combine breastmilk in a pitcher in the fridge and scald a bunch at one time. Scalding will not work with thawed breastmilk, only fresh. After doing this, thaw and test your milk to see if baby will take it.

Here are a few videos on scalding breastmilk:

2) Freezing right away– The longer breastmilk sits in your fridge, the more developed the flavor. Try to freeze milk as soon as possible, without allowing it to sit in the fridge overnight or for several days before freezing. Then, thaw and test your milk to see if baby will take it.

Baby Won’t Take My Thawed Breastmilk! What do I do?

If you haven’t tested out your frozen breastmilk by thawing some and serving it to baby, now’s the time to do it! *Here is your sign!* Milk with excess lipase is safe to drink and many babies accept it without issue. However if your baby is rejecting your high lipase milk, here are some options for you:

  • Freeze right away: The flavor of high lipase becomes stronger as milk sits in the refrigerator, so getting that milk frozen as soon as possible will help.
  • Scald before freezing: Scalding milk before freezing can reduce or eliminate the flavor of high lipase milk.
  • Serve cold: Sometimes cold milk will taste milder than warmed up milk.
  • Mix with fresh milk: Try it in small amounts so you don’t waste it if baby rejects it.
  • Add vanilla extract: One drop of non-alcoholic vanilla extract often works. Ask your pediatrician if you are at all concerned about adding vanilla.
  • Mix with formula: Formula has a much different/stronger flavor than breastmilk. By mixing your high lipase with formula, the flavor may be masked.
  • Mix with babyfood/baby cereal: I forgot to put that in my graphic! Oops!

There is no guarantee these tricks will work, but why not given them a try? Always start with smaller quantities of milk so you don’t waste it. Always feed fresh, as high lipase usually doesn’t develop strong flavors until you freeze and thaw it.

What about Chemical Oxidation?

Milk with high lipase smells and tastes soapy or metallic…. but if your milk smells or tastes rancid/like vomit, it could be “chemical oxidation” and should not be given to baby. According to Dr. Nicola Singletary, PhD, MAT, IBCLC, “There is a lot of information out there about lipase issues, but very little about chemical oxidation. And most of what we know is found in dairy industry journals.” Nancy Mohrbacher, breastfeeding author and IBCLC, mentions some specific changes to the mother’s diet may help preserve breast milk in this situation.

What can be done to prevent chemical oxidation?

  • Avoid fish-oil or flaxseed supplements
  • Avoid anchovies, oils, and nuts that can easily become rancid
  • Increase antioxidants in diet by taking beta carotene and vitamin E
  • Switch to bottled water if there is high iron/copper in your tap water

Scalding cannot fix chemical oxidation. You should not try to mask the flavor like you would with high lipase. If your milk smells or tastes rancid/like vomit, throw it out!

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)

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Must-Have Products

My 4 Favorite Pumps (and why you’ll want them all!)

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What’s YOUR favorite pump? Why do you love it?
* TELL US IN THE COMMENTS, PLEASE! We want to know! *

Every momma’s body responds differently to different breast pumps, so if you can, it’s best to try out more than one type/style of pump. We all have different lifestyles as well, and that means one style of pump might work better than another, and having a variety of pumps means you are better supported for the variation in your own life.
Here are the 4 breast pumps I used the most during nearly two years of exclusive pumping. (yes I used more pumps than this, lol)

First, let’s talk some basics about different kinds of breast pumps. You might have heard the terms “Hospital Grade” or “Primary/Secondary” to describe types of pumps. These are often pretty confusing terms, especially when they are thrown around as much as they are.

What does “Hospital Grade” even mean?

If you’ve used a breast pump in a hospital, it’s most likely been the Medela Symphony or the Ameda Platinum. These are highly expensive pumps designed to withstand multiple users. While some are rentable, mommas usually don’t purchase them for home use. When companies (like Spectra or Pumpables) use this term for marketing, they are saying that the pump has a stronger, more durable motor for frequent use, like exclusive pumping. These pumps are often also “closed system” which means that a barrier exists so milk does not get inside the pump, which means it’s okay for multiple users.

What about “Primary/Secondary” pumps?

A primary pump should be a strong, durable pump that your body responds well to (empties you fully and efficiently, helping to build and protect your supply.) If you are exclusively pumping, meaning using a pump up to 8+ times a day instead of nursing) you’ll want a good primary pump. A secondary pump usually has a weaker motor, and your body might not respond as well to it, so it might not empty you as well. Secondary pumps should be used less frequently, especially for exclusive pumpers.

I bet you’re looking for brand names for primary and secondary pumps, right? The thing is… what works well for one momma may not work as well for another. Here’s an example: Generally, a pump like Spectra S1/2 would be a primary pump, whereas a wearable like Elvie or MomCozy would be a secondary pump. However, I’ve known mommas to not respond to a Spectra, however, and only use an Elvie. Some mommas only use manual pumps instead of electric, and I’ve even known a few to prefer hand-expressing to any kind of pump at all!

Okay Melissa, but what are YOUR favorite pumps? Here’s my list:
*Ranked in order of how often I used them*

1) Electric Pump (Spectra)

Ah my trusty double-electric pump. (“Double” just means you can pump both breasts at once.) As an exclusive pumper, it was essential to have a quality pump that my body responded well to. Got a used one to keep at work, too. Spectra S1 was my pump of choice but Motif makes a similar one and many brands are stepping up the quality of their electric pumps, so read reviews!

Pros of a double electric pump:

  • They are usually “hospital grade” in stregth, withstanding heavy use
  • They are usually closed-system so they can be safe for second-hand use
  • They are usually available through insurance
  • Their parts are usually easier to find, even at stores like Target
  • Amazon carries generic versions of their accessories so you can find your ideal flange size that might not be available from the manufacturer

Cons of a double electric pump

  • They can be expensive, out of pocket
  • Many are physically larger or heavier
  • Some models need to remain plugged into a wall
  • It can be more difficult to multitask

2) Manual Pump (Medela)

Total game changer for me- I threw it in my diaper bag and pumped everywhere! SO quick and easy with minimal clean-up. I no longer felt the need to rush home to pump. I pumped a lot in the car, and also used it to relieve clogs. I used the Medela Harmony but Lansinoh has a decent one, too

Proc of a manual pump:

  • Super affordable
  • Small and lightweight
  • Can be quicker if you get good at it
  • You control the speed and suction
  • Great to use for “mini sessions” or to relieve yourself
  • Can be off-centered to relieve clogged ducts!

Cons of a manual pump:

  • Can only pump one breast at a time
  • Hard on the hands, if used frequently
  • There’s a bit of a learning curve, so watch demo videos!

3) Portable Pump (Baby Buddha)

I am a major multitasking momma so having a portable pump REALLY helped around the house. I’ve done just about everything while pumping! I used the Baby Buddha with my Spectra and Lacteck accessories- when you know what you like, stick with it- most pumps are hack-able. The Pumpables Genie Advanced is a great portable option, too.

Pros of a portable pump

  • So much freedom to multitask!
  • Lightweight, can be worn via lanyard or clip
  • Usually more affordable

Cons of a portable pump

  • Many would be considered “secondary pumps” for infrequent use
  • More difficult to find replacement parts
  • Often smaller variety of flange sizes

4) Wearable Pump (Elvie)

Honestly this was my biggest splurge and not really worth it by the time I got it. YES I was able to pump in restaurants, while shopping, at the movies, etc…. but not everyone needs to be that discrete. If you want a nearly silent pump, spring for the Elvie… if you just want a wearable, MomCozy makes great, more affordable options that are a tad louder. 

Pros of a wearable pump:

  • Super discrete
  • Can often pump unnoticed in public
  • Very easy to multitask while pumping

Cons of a wearable pump

  • More quiet versions are pricey
  • Adds volume to bustline
  • Tends to empty less fully
  • Should be reserved for a secondary pump
  • Not great for mommas with oversupply, as bottles hold 4-6 ounces each
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What’s YOUR favorite pump and why do you love it so much? Comment below!

After you comment, make sure to send this to a pregnant friend so they’ll be prepared!

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)

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Top 10 Amazon Must-Haves for Pumping Mommas

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Okay, scenario- You’re at your friend’s house and she’s raving about her new stain remover that she swears by for baby poop and, immediately thinking about the billion stained onesies you have soaking at home right now, you whip out your phone and what do you do… PRIME that ish, right? RIGHT? Because #prime is life. (I mean, who doesn’t love free two-day delivery instead of lugging baby into store after store?) There are a lot of breastfeeding and baby products out there, so how to do know which ones to choose? Here are my “TOP 10 Amazon Must-Haves for Pumping Mommas!” (And why I love /em so much!) Get the inside scoop on my favorite pumping bra, why I switched to silicone bottle brushes, how to select a microwave sterilizer, reusable breast pads, flange wipes, nipple butters, and more! Check it out. #5 is my GO-TO baby shower gift!

Without further ado, and in no particular order…

#1: My Favorite Pumping Bra

The Simple Wishes Hands-Free Adjustable bra is my absolute fav! I like the “2-shirt method” by wearing a padded nursing cami all day every day (instead of a bra) and when it’s time to pump, I flip the cups down, strap on this bra, and pump! (That way, my stomach is always covered for modesty and comfort) Using a hands-free pumping bra allows me to multitask while pumping. After two exclusive pumping journeys I have become the queen of multitasking, believe me! A runner-up for pumping bras is the MomCozy bra, which I could leave on all day. I did find the Simple Wishes one to hold my flanges on most securely, though. Bras you leave on all day often leave your bottles sagging in the thin fabric layer.

#2: Silicone Bottle Brush

I used to use your standard bottle brush, which worked just fine, but the spongey part grossed me out. I switched to a silicone bottle brush and haven’t looked back! Every so often I chuck it into my dishwasher for sanitization. I still use it for my whole family’s water bottles and kid cups! The small Munchkin brush assortment were ideal for getting into the small parts of nipples and flanges.

#3: Drying Rack

Bottles and pump parts should dry with complete air circulation. The First Years Spin Stack Drying Rack provided full air flow and plenty of room try dry everything all at once. But what about that cute bottle rack that looks like grass and flowers? (you know the one.) My mommas reported that mold grew easily under the grass if you did not make sure to disassemble and clean it often.

#4: Microwave Sterilizer

I personally swore by Medela microwave sterilizer bags– They are super conventient and affordable, as each one can be used up to 20 times, and 12 come in a box. (I sterilized once a day but some people sterilize more often) A reusable microwave sterilizer like THIS is a follower favorite, and there’s always good-old fashioned stove-top boiling as way of sterilization (but that freaked me out- I pictured all my parts melting into one big blob.)

#5: Medela Harmony Manual Pump

I’ll be honest… I am NOT a Medela affiliate and Medela does NOT pay me to market this pump, BUT THEY SHOULD, because it’s awesome. A manual pump like the Medela Harmony inexpensive and can REALLY transform your pumping journey. I toss one in my diaper bag and pump when I am out and about because it’s so small, portable, and does not require charging! AND it’s a life-saver for clogged ducts! There is a BIT of a learning curve with manual pumps, but watch my demo video in my Manual Pump highlight on Instagram and you’ll catch on in no time.

#6: Flange Wipes

Since I did the fridge hack (See the hacks highlight on Instagram) it was super important to wipe down the inside of my flanges after each pumping session. Medela wipes and Dapple wipes were perfect for this!

#7: Coconut oil

Using a very small dab of coconut oil as lubrication while pumping can make pumping soooo much more comfortable! ( Just be sure to make sure it’s food-grade, not anything marketed for your hair/body.) While any food-grade coconut oil will do, they do make pumping-specific sprays as an option.

#8: Nipple Butter

Forget lanolin, I want every momma to be using an all-natural plant-based nipple butter to soothe sensitive nipples after pumping. I love Earth Mama brand, but have also used Coboo (comes in a neat and handy little stick!) and MotherLove. All equally brilliant products.

#9: Bottle Soap

Now dooooo you need “bottle soap”? No. (I used blue dawn soap for awhile but became wary of the chemicals.) I found that Dapple bottle soap or Babyganics bottle soap cleared the slick residue left from breastmilk the best.

#10: Washable Breast Pads

A big change between baby #1 and Baby #2 for me was switching to reusable breast pads. The disposable ones were fine, but they had this unsightly crease in the middle that showed through my tops, and like anything disposable, led to a lot of waste.

For more Amazon Favorites…

Be sure to check out my idea lists to see what else I love!

What’s YOUR favorite pumping product? Comment below!

After you comment, make sure to send this to a pregnant friend so they’ll be prepared!

Disclaimer:

Melissa Guerriero is an Amazon affiliate. All purchases made from links within this blog post will support Pump Momma Pump with NO additional cost to you.

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)

Pumping Support

Why Does Pumping Take So Long?

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Why does pumping take so long? (And how long SHOULD it take?)
Scroll through this post to find common reasons pumping can take so much time (or seem like it’s taking so long!)

Pumping is a completely different experience than nursing, obviously. So… a mother who spends 2 hours a day pumping might feel more restrained than a mother who spends double that time nursing. Pumping may weight on them more mentally and logistically than time spent nursing. Why DOES it take so long?

  • Welll…. there is no “normal” because every momma and every pump is different, BUT:
  • Your letdown should typically occur within the first 2 minutes.
  • I like to see mommas emptying within 30 minutes, ideally.
  • Ideally, I like to see efficient 15-20min sessions.
  • Flange. Size. Matters.
  • A very small percentage of mommas that I’ve worked with fit the “standard” size of 24mm that comes with most pumps and barely any have fit the one other option that comes with pumps, 27/28mm.
  • A flange that is too large may not empty you fully or efficiently, aside from any pain it might be causing.
  • For more on flange size, take a look at THIS post… it’ll be super helpful!
  • Have you changed your valves recently?
  • Valves are the most important part of your pumping stuff when it comes to suction. Other parts only need to be changed if they become damaged/warped/cracked.
  • Exclusive pumpers should change their valves MONTHLY. Occasional pumpers should change them every 3 months.
  • Everyone’s body responds differently to different pumps. Your pump might not be emptying you fully or efficiently, taking too long!
  • Have you tried a different brand/model of pump? Have you learned how to use a manual pump? Some mommas can empty quicker with a manual pump, or even hand-expression!
  • Pumps wear out! Is yours used, or from a previous baby?
  • Are you using your settings effectively? This could be something to discuss with your lactation consultatsant!
  • Did you know that the stress hormone Cortizol can inhitibit the flow of Oxytocin during pumping? Oxytocin in the looooove hormone that also controls our let-down (milk ejection reflex)!
  • Environmental factors that cause stress can effect your letdown/time to empty
  • Create a calm environment, or fake one by using headphones, calming music, and something peaceful to look at/watch
  • Tune in to your 5 senses. Are you comfortable? Could you use a blanket , sweater, or slippers? Is it noisy where you are? Are you stressed out by the mess you’re looking at? Does something stink? Light a candle or apply a lavendar lotion! Are you hungry? Hunger can definitely cause stress! Pack a snack & drink in your pumping bag.
  • Many mommas need to remain hands-on during their pumping session to effectively extract milk. This can cause a session to last a long time and be very demanding or even damaging to your hands
  • Work closely with a lactation professional to troubleshoot any other contributing factors in this is the case.
  • Make sure that you have a properly sized flange and quality pump
  • Some mommas may experience multiple letdowns during one pumping session. (Which is awesome, but can take forever to wait for a second or third letdown)
  • Try turning your pump off and on, or switching back to stimulation/letdown mode when your milk flow slows to try to initiate another letdown sooner than otherwise would happen on its own.
  • When your flow begins to slow, that’s the time to turn the pump off, wait a minute, then turn back on, to initiate another letdown.
  • Pumping is often time consuming and can be stressful to a new mommas and her family.
  • Please have grace with yourself and do what’s best for your physical and mental health.
  • Weigh your priorities. Is it worth it to drop a pump session and get more time in your day (or night!) and possibly reduce a few ounces and/or begin supplementing? It may help you strike a more comfortable balance and actually help you pump longer you expected!
  • Consider setting up a consultation with a lactation professional to discuss your breastfeeding goals.


Did I miss a reason? Comment below!

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)

Pumping Support

Why Pumping Sucks

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I’ll hazard a guess here…. chances are, you think pumping sucks.
Am I right?
If you don’t hate it outright, there are most likely things about pumping that you dislike.
I’m right, aren’t I?

So of course, I had to ask my IG mommas… and let me tell you…. they were quick to tell me why they hate pumping and here are the results.  (Yes I made a pie chart 🤓 I’m a visual person! I like visual data!) These are the most common reasons mommas think pumping sucks. What useful data! Do YOU see anything on this list that you agree with? What do YOU hate the most?

#1: TIME

From the poll, mothers averaged 3-4 hours nursing and 2-2.5 hours pumping in a 24-hr time period. However, that data doesn’t include washing pumping supplies, bottle-feeding baby, or the EMOTIONS that mothers feel about that time spent providing breastmilk to their babies.

Things I’ve heard in response to how much time it takes to NURSE- “Ugh, all day? Impossible to tell you how long when he’s on the boob all day, it’s exhausting.” 😫 Or “About 3 hours but I get those baby snuggles so I don’t care.” 😊
Things I’ve heard in response to time it takes to PUMP- “I am type A so I like knowing exactly how long it takes to pump or bottle-feed.” 😁 Or “I pump 6x a day for 30 min plus feeding baby plus doing dishes all day with no one to help.” 😖

You can see in BOTH cases that mothers can feel many ways about the time it takes to provide breastmilk and the way it’s provided. TIME itself isn’t the only factor.

BOTH NURSING AND PUMPING CAN BE REWARDING OR DRAINING IN THEIR OWN WAYS. What seems difficult for one momma might not be difficult for another.
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⚠️If you think it’s taking “too long” to nurse, you could benefit from seeing a lactation professional, who can assess latch and milk transfer- seeing just how much baby is getting and if milk is being removed effectively.
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⚠️ If you think it’s taking too long to pump, consider meeting with a pumping-specific lactation professional who can help with pump settings, flange size, and other techniques that can make pumping more efficient.

⚠️ If you’ve been advised to “triple feed” meaning nurse then pump then feed that with a bottle, make sure you’re working closely with a lactation professional and your pediatrician to see if baby is getting enough and if you can switch back to nursing or decide to exclusively pump (which can actually seem easier after triple feeding!)

WHY DOES PUMPING TAKE SO LONG?

#2: Washing Pump Parts

There’s no denying: The pump life involves more dish washing than nursing does. That’s just a fact. Good, now that we have THAT over with, let’s talk about how to make this part of pumping not suck so much:

ENDLESS DISHES was the number 2 complaint. So how can we deal with the never-ending pumping dishes?
I have a few ideas! Find what works best for you and your family.

  • Fridge hack (if you’re comfortable with it) bring many mommas freedom and sanity. Read more about this in my HACKS highlight on Instagram! (I could never have pumped as long as I did without doing the fridge hack, but please note that the CDC does not recommend it.)
  • Buying multiple pumping accessory sets and washing them all at once instead on ongoing all throughout the day
  • Using the top shelf of your dishwasher (read manufacturer warnings on your pump accessories to see if they are dishwasher safe!) or buying a counter-top dishwasher
  • Assigning the task to your partner, if applicable. You are doing SO much work momma, allow someone to help! Yes, even if they work full-time. (you’re keeping a tiny human(s) alive full-time, that’s not an excuse) It’s an important discussion to have with your partner!
  • Multi-tasking while doing dishes- audiobooks and podcasts are great for this! (game changer for me! I no longer dread it, I almost see it as “me-time”)
  • Take care of your hands with a good quality lotion and aquaphor at night

#3: Ignoring Baby

After all, the pump is mechanical, your baby is not; so I can see how strapping on your pumping contraption creates distance from the intimacy of being near your baby. If you are one of those mommas who koala up with their baby all day, I can see how pumping would create a space/distance that you aren’t comfortable with.
What if baby wakes and becomes fussy while you’re pumping? Keep them close, keep them occupied. Don’t be afraid to help them get accustomed to NOT being attached to you… you are still working hard for your baby, and there are plenty of ways to bond while pumping! Here are some ideas to help keep you and baby engaged and connected while pumping:

  • Cradle baby on your outstretched legs, or on the crook of your legs if you are sitting with your legs bent. Touch, massage, and talk or sing to baby.
  • Lay baby right next to you on the couch or while sitting on the floor, so that the length of baby is touching your thigh. They can watch you and feel close to you when while pumping.
  • Allow a younger baby to enjoy time in a swing or lounger.
  • Sit an older baby in a baby seat, bouncer, or with a basket of sensory toys next to you on the floor.
  • Baby “gyms” are great when baby can swat at the dangly toys above them! This is a great time to practice tummy time!
  • Allow any age baby time to play and look at the world around them on a blanket on the floor or ground outside. My grandma always said “Babies can’t fall off the floor!”
  • If your partner is home, now is an EXCELLENT chance for them to bond with baby over feeding. Remember, they are parenting too, not just “helping out!”
  • Feed baby while pumping! Game. Changerrrrr. Check the Feeding page of this website and Bottle Feeding highlight on Instagram
  • There’s even a way to pump one breast at a time while wearing baby in a side-carry, if your little pumpling is a cling-on. There’s an image of be doing this HERE.

#4: Concerns over Milk Supply

Huge stressor for so many mommas, I get it. Spending a ton of time pumping and feeling like your body just isn’t getting the message is so frustrating. This, like all reasons, is a great reason to think pumping sucks. Notice what I said there, “all reasons are good reasons”. Your feelings about pumping are valid.

Stephanie Casemore, “Exclusively Pumping Breastmilk”

Struggling with milk supply can be such an emotional burden as well as a physical and financial one. Learn about getting off to a good start with your milk supply, and read all my best tips for increased milk supply.
Remember, breastmilk isn’t all or nothing. Mommas with low supply, think of the amount of milk you can provide as the most personalized vitamin for your little pumpling!

#5: Grieving Breastfeeding Expectations

Image by Caolmhe Whelan, IBCLC

What did you picture your breastfeeding journey to look like, when you were pregnant? Raise your hand if it involved being strapped to a pump all day. (Not many people raising their hands, huh?) When breastfeeding DOESN’T look like we imagined it would, when we wind up pumping instead of nursing, we feel like we are failing somehow, which can feel like guilt.
So so so many mommas throw about the word GUILT when describing how they feel about exclusively pumping. Sure, ‘mom guilt’ is a very real experience, (and all too common, in my opinion!) but there’s a chance you might be feeling GRIEF instead.


Yes, GRIEF. Mourning the breastfeeding relationship you assumed you’d have. 😞
By more accurately naming the emotion, you can allow yourself to mourn your expectations, allow yourself to feel GRIEF. You aren’t failing, you aren’t letting anyone down.. So there’s no reason to feel guilty, momma. 😌
So have grace with yourself. Many things surrounding pregnancy, childbirth, and new motherhood are beyond your control. Have grace with yourself and with your baby. Do what you have to do, and find gratitude in that which you are able to control, like pumping when you assumed you’d be nursing. 💛

Even more reasons…

Other reasons mommas hate pumping include: Pain, Work Issues, Feeling isolated, DMER/Nausea, and Cost. Is the reason YOU think pumping sucks on this page? Be sure to Comment below!

I actually DON’T hate pumping

I hate how much you hate pumping. 😫 It literally pains me every time I hear it, because I hate to see you upset and I feel for you so deeply, I just wish I could make it all better. 😓 I also hate how much you hate it, because I didn’t hate it. Yes, I hated aspects of it… but you need to know that I chose pumping on purpose, so it’s not always obvious to me why someone would hate it. 😔 So what did I hate about it?

  • DISHES- gawdddd the dishes. Endless dishes! It wasn’t until I was battling PostPartum Anxiety with my second baby that I FINALLY had the most important conversation with my husband that was a game changer: I asked him to do the dishes. Yes, the pumping dishes, but actually… ALL the dishes. At this point I was the one shopping, meal-planning, cooking, making kid lunches, and pumping, all while working full time. I delegated alll dishes to my husband and now, 3 years later, that’s still his jurisdiction. It works for us. And guess what? HE FELT USEFUL! He felt like he was easing my burden. And guess what? MEN CAN WASH DISHES! I took like 5 minutes to show him how I like my pump parts washed, and he was good to go.
  • I WAS EMBARASSED- What? Melissa from “Pump Momma Pump” was embarrassed about pumping? Heck yes! No one I know did it! Everyone nursed or used formula! Exclusive pumping was weird. I had these weirdo bottles hanging off my chest and I had to go hide every 3 hours like a hermit! I hated feeling that way. By my second baby I grew in confidence and could even pump in front of many of my nearest and dearest. I could confidently tell my doctors that I was breastfeeding, because I knew that pumping IS breastfeeding. I saw people online, even celebs, begin to normalize pumping.
  • PUMPING IS LIMITING- A huge difference between Baby 1 and Baby 2- I didn’t let pumping limit me. I got a portable pump so I could multitask around the house. I got a manual pump that allowed me to pump quickly on the go- especially in the car, dressing room at target, even my minister’s office. I got a wearable pump and began to pump everywhere…. the movies, shopping, restaurants… I got SO much time back!

Don’t miss out!

Make sure you’re subscribed to this blog for upcoming tips, tricks, and teamwork to help you not hate pumping so much! (Or at least find that you’re not alone in your hatred for pumping!) And of course, you can find more info on this topic on my Instagram page, under the “Pumping Sucks” highlight. Go take a look!

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)

Tips & Tricks

Multitasking While Pumping

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TIME was the biggest complaint mommas had about pumping in a recent survey I ran titled “Why Pumping Sucks.” It’s true… especially for exclusively pumping mommas, pumping can take A LOT of time out of your day. Even though you are literally MAKING MILK (which is hella productive if you ask me) it can seem like wasted or lost time. Have you felt that way?

So I asked: What’s your favorite way to multitask when you pump?
You gave me SO MANY GREAT ANSWERS!
Below you’ll find multitasking ideas for EVERY pumping momma, no matter whether you have a wearable, hands-free pump or have to remain hands-on the entire time!

Think multitasking is overrated? Scroll alllll the way down to see a message just for you. (And a good reminder for everyone!)

When you’re plugged in:

Some pumps need to remain plugged in, or are large and cumbersome to move around while pumping. Don’t despair! There are still tons of ways to double-dip during pumping time. Since I worked from home during the majority of my maternity leave, I was often working on my computer while pumping. That’s an easy one! Let’s see what else you came up with for pumping while being plugged in:

  • EAT! Eating and drinking were popular answers for each of these categories. It may be the only time you get to actually sit down, so take advantage of that and nourish your body! Your milk supply will thank you!
  • Catch up on paperwork! Sort mail, clip coupons, pay bills, write cards or letters, meal-plan, create to-do lists… those things can pile up for new moms!
  • Take some time for YOU! Meditate or pray, journal, knit/craft, draw/paint… whatever feeds your soul
  • Do your hair or makeup if you’re feeling up to a pump sesh glow-up
  • Sit on the floor and play with your baby! What a great time for tummy time!
  • RELAX! Watch Tv, listen to podcasts, read a book, or scroll instagram, (I hear @pump_momma_pump has a great page!)
  • In desperate need of a recharge? Set a timer and sleep sitting up at the table, leaning forward and resting your head on your folded arms. It works!

Going Mobile:

If your pump is smaller and can be carried around or worn on a clip or lanyard, your pump life just gained A LOT of freedom! Many of these might seem impossible at first, but for many mommas, things get easier with practice. For example, I learned that squatting straight down instead of bending over helped me not spill any milk as I picked up my baby or do simple household chores. I also got really good at sitting on the floor and feeding my baby while pumping. Burping baby while pumping also got easier with practice!
Mommas wearing portable pumps also found that they were able to:

  • All the kitchen chores! Dishes, unloading the dishwasher, cooking…
  • Laundry. Have slightly older kids? Fold laundry as a family, it’s a great learning opportunity and toddlers love to be helpful (even if you might have to refold it later!)
  • Change diapers and care for baby if you have become a multitasking master
  • Catch up on self-care. Hair, make-up, nails… it can all be done while pumping!
  • Go for a walk with your stroller, a light scarf should help you feel a bit more comfortable. Try it and see how you feel!
  • Speaking of covers… there’s no need to hide at events! Throw on a nursing cover or light scarf and enjoy the party. People may be more accepting than you assume, it feels good to be a part of the action!

Using wearables:

Wearable pumps (which I like to call “coconut style” where the motor is located on top of each collection cup) can provide the greatest freedom and multitasking abilities. Some brands are quieter than others, so if your pump motor is a noisy one, all of these might not work for you. I had a very quiet one and enjoyed going to the movies, eating in restaurants, and shopping while pumping… it’s like I had a secret! I felt invincible! (Though I did look a little bit… enhanced… in the chest area, hehe… hello dolly parton!)

  • Work without leaving to pump (This can work well for nurses with 12-hour shifts who pump while charting)
  • Feed, change, and care for baby, Playing with older children
  • Get out and about! Go to restaurants, concerts, go shopping, etc
  • Household chores and tasks
  • Go on a walk
  • Virtually anything and everything!
Image from MomCozy– Save with code: pumpmama

But what if I have to stay hands-on the entire time?

You’re not alone in that. Some mothers need to massage and compress their breasts in order to fully empty. (This could be a flange or pump issue- I recommend setting up a consultation or flange sizing appointment!) Other mothers might be using a hand pump which requires you to manually pump the handle the entire time. (I love them, but I wouldn’t want to use one full-time!) So how can those mommas multitask without being hands-free?

  • Listen to music, an audiobook, or a podcast
  • Watch tv or a movie, or youtube/tiktok if that’s more your thing
  • Talk on the phone using bluetooth/airpods
  • Pray, meditate, or rest your eyes and breathe
  • Talk to your parter or kids. use that time to connect!
  • Watch nature out the window, or watch your children playing
Pump pictured: Medela Harmony Manual Pump SHOP HERE

Why is everyone always trying to make moms multitask?

It really seems that way, doesn’t it?

You don’t have to multitask if you don’t want to- RESTING is essential at times, too! 😊 Your worth is not measured in ounces OR productivity.

Pump pictured: Pumpables: Use code PMP10 to save

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)

Pumping Support

Getting off to a good start breastfeeding (by bottle or breast) in the first few days

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If no one tells you how important that first week is… I’m telling you now. That first week is SO important in your breastfeeding journey!

Building your milk supply begins in those precious first hours after birth. If you are planning to nurse, it will be essential to get baby latching right away. Skin-to-skin helps this occur as naturally as possible, and has many other benefits for mom and baby! Request to see a lactation consultant in the hospital as soon as you can! Hospitals in the U.S. usually have one on staff. Latching does not always come naturally and can use guidance. (If you’re planning to give birth soon, consider taking a breastfeeding course! Many hospitals offer them.) Breastfeeding should not hurt. If you are experiencing pain, gently break baby’s seal on your nipple by inserting your pinky finger in the corner of their mouth and try re-latching, with assistance from a nurse or lactation counselor. Honestly if you’re in a pinch, watching YouTube videos can really help! Feed baby on demand, watching for hungry and full cues (see my Bottle Feeding highlight for cue posts) This means making sure baby latches both breasts every 2-3 hours on demand around the clock.

If you cannot latch, are separated from baby, or choose to exclusively pump, it is incredibly important to begin expressing right away and continue around the clock every 3 hours. A manual pump or hand-expression might work better to remove that colostrum initially, and an electric pump later. (Check my Manual pump highlight on Instagram for demo videos!) Colostrum can be thick and sticky, and an electric pump might not extract it as well as hand-expression or a manual pump can. Collect this colostrum on a spoon, in a medicine syringe, or in a medicine put to feed to baby. A baby only needs about 5-7ml of colostrum per feeding, which increases to 20ml by day 3 and up to 60ml by 1 week.

For more tips on getting started Exclusive Pumping right from the start, click HERE. For tips on transitioning to exclusive pumping after exclusively nursing, click HERE. Make an appointment to see a lactation professional when you arrive home from the hospital if you are having ANY difficulty or pain.

Let’s get technical:


There are 3 stages of Lactogenesis (milk making). When you are pregnant, you are already entering into Lactogenesis 1: Colostrum! Colostrum is so important for baby’s gut development. It contains immunological properties and helps baby pass meconium, acting as a gentle and necessary laxative. Lactogenesis 2: As soon as your placenta detaches after birth, your body experiences a hormonal change which allows your transitional milk to begin coming in. This milk is slightly less yellow and greater in volume. Lactogenesis 3: Through frequent nursing or pumping, your transitional milk will turn into whiter, mature milk.

So when does your milk come in?

Your milk is already in! Colostrum IS milk! What people usually mean when they say this, is when your milk turns a paler yellow and increases in volume (transitional milk), resulting in a feeling of heavy fullness in the breast which usually takes 3-5 days (can take longer for c-section mommas. You can’t just wait for it to come in though…. you need to ACTIVELY work for that transition to happen- this is an ACTIVE waiting period- latching, hand expressing, or pumping needs to happen around the clock to trigger this next stage of lactation. Milk removal should be REGULAR (meaning nursing/pumping is spaced somewhat evenly) and FREQEUNT (every 2-3 hours around the clock, yes even at night!)

Does your milk supply increase as baby’s intake increases?

This one is mainly for EXCLUSIVE PUMPERS- Build your milk supply EARLY so that you have enough for baby! (For nursing mommas, your baby’s frequent and regular demand for milk should build and maintain your supply.)
It’s super important to begin building your supply FROM BIRTH and work work work (pumping 8+ times a day) to build it until your supply regulates by 2-3 months. From there, you’ll have to protect that supply so it doesn’t begin to decrease… but you may be able to pump fewer times in a day. Aim for 120 total minutes in 24 hours.

*This is not a scientifically accurate graph… it’s a rough visual to give you an idea that you “should” be at your max output around 1-2 month mark, when baby is at their max intake. ⭐️ Ideally, you’d want to be ahead of baby’s intake- your supply could build faster than baby’s intake. Don’t use your baby’s intake at 2 weeks as your goal. 🌟 Your goal should be what a typical baby drinks in a day, which is approx 25-30 ounces. (They may drink less as they begin to eat more solid foods toward age 1.) UNLIKE formula-fed babies, breastmilk-fed babies usually do NOT continue to need greater amounts of milk daily.👶🍼 Most babies plateau out at ~30 oz/day from 1 month onward. They might take slightly more per bottle but fewer bottles per day equaling the same daily total.

You might be thinking… What happens when my bottle-fed baby needs more milk? The goal, of course, is to already have that max output amount, right? But many of us can’t, or we might have had a “bad start” and didn’t pump enough in the beginning due to any number of reasons. What do we do then?
Power pumping is a way to imitate cluster feeding and signal to your body to increase output- You pump 20 minutes, rest for 10, pump 10, rest 10, pump 10. (It takes an hour) Do this once a day for a week or two. It should have a cumulative effect. Check out my page on Milk Supply for more tips! And of course,
Supplementing is OKAY!!! It may actually make you feel LESS stress after you begin to supplement!

How often should I pump?

Keep in mind that this is a pumping website… if you are nursing, follow baby’s feeding cues for nursing at the breast. Work closely with an IBCLC for any direct latching advice.

Here’s an EXCLUSIVE PUMPING SAMPLE SCHEDULE for those who need it!
You might see a different schedule that begins at birth with 8 ppd (pumps per day) and ends at 12 months with 1 ppd. That schedule is great if you’d like to be weaned by 12 months. Use THIS schedule as a sample for building and maintaining your milk supply until you are ready to wean. Alter as needed, based on what’s best for your schedule and family priorities.


This is a SAMPLE schedule based on typical/average output. Every mother is different! Every breast has a different storage capacity and every mother produces a different daily total. Some mothers need to pump more frequently, some can go longer between pumps because their breasts can store more milk!
‼️ If you see a drop in your supply after dropping a pump, you may need to remain at a higher number of pumps per day. Do what works for you and your baby. ❤️

What if I got off to a bad start?

Did your breastfeeding journey get off to a bad start? 😓
When I was researching low supply, one of the reasons for secondary low supply was “Bad Start.” I was thinking, phew that’s harsh! But literally there’s not much of a better way to say it! 🤔

We know that milk supply is usually based off of the demand for milk, whether it’s being demanded by baby nursing or by the act of pumping… and we know that this demand should begin within the first few hours after birth, literally as soon as possible. Milk must be removed frequently (every 2-3 hrs) around the clock beginning at birth, in order to establish a full supply.

But… life happens. C-section recovery, NICU stays, life events, stress, etc… and not every mother gets off to a “good start.” If that’s you…. HAVE GRACE WITH YOURSELF MOMMA. That’s the first step.

If you’re under 2 months postpartum, you have the greatest chance of still recovering/building your supply because it’s likely that your supply has not regulated yet. So….
1️⃣ Take a look at your priorities. If giving 100% breastmilk is a priority to you, get yourself on a strict schedule of pumping every 3 hours around the clock- set alarms in your phone.
2️⃣ Get a quality pump, correctly sized flanges, and replace parts as needed. (Exclusive pumpers should replace their valves every 1-2 months.)
3️⃣ Get yourself on a diet that supports lactation- HIGH calories full of good fats and protein. HYDRATE. Google galactagogues and eat them!
4️⃣ Try POWER PUMPING (See my highlight on it) It should have a cumulative effect so do it once a day for a week straight.

⭐️ IMPORTANT ⭐️ If you know that any breastmilk is better than none, and you cannot make pumping top priority, pump on as strict of a schedule as you can manage and supplement what you cannot produce. Like I said, give yourself grace. We are all living different lives and taking a good look at priorities will let you know if you can honestly make exclusive pumping work… AND THAT’S OKAY!

(YES there are outliers to low supply that an IBCLC can work with you on… the info I post is for the average/typical experience. UNDERSTANDING low supply can be really helpful- follow @lowsupplymom on instagram and learn more about Primary vs. Secondary low supply HERE.)

What was YOUR first week like? Tell us in the comments below!

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)

Pumping Support

How do I know what Flange size to use?

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Why is there so much conflicting information when it comes to flange sizing?

➡️The traditional school of thought is to measure your nipples and add 3-4mm for your flange size. (Example, if you measure 15mm, select a 18-19mm flange)

➡️The newer school of thought that is being presented to lactation professionals through professional development right now is to size a momma much closer to her exact nipple size. (Example, if you measure 15mm, select a 15-16mm flange)

What do I believe?🤔 Personally and professionally, (After two exclusive pumping journeys and hundreds of flange sizing consultations) I hover somewhere right in the middle, and I usually suggest a range of anywhere from 1-2mm larger than the nipple width. I don’t feel comfortable suggesting a 15mm flange for a 15mm nipple. Nipples expand during pumping, and I feel that there should be room for that expansion.🤗
That’s why I give mommas all the information and let them do a bit if experimentation to see what works for their unique body. ❤️ Want a little TMI? My nipples are 15mm and I comfortably used a 18mm Lacteck but would also fit well in a 17mm flange.

⚠️HOWEVER, flange sizing is SO MUCH MORE than “here, go measure yourself.” Mommas don’t usually know where/what to measure, and there are other factors that play into successful flange sizing than measurement alone. What are those factors?

⭐️FIT- Flange stays centered and does not gap or slide around
⭐️FEEL- Pumping is comfortable without pain to the nipple or areola
⭐️SPRAYS- Strong sprays of milk are a good sign it fits well (and good suction/settings on your pump).
⭐️EMPTYING FULLY- Meaning that milk is not left in areas of the breast/frequent clogs
⭐️EFFICIENCY- Sessions that take 15-30min max.

😵‍💫Confused? This is why a flange sizing appointment can be helpful! You don’t have to figure it all out on your own, momma! Get sized by a knowledgeable lactation professional.

Where do I measure?

For some mommas, it is unclear where the areola ends and the nipple begins. For many, the nipple has a different texture or skin tone shade than the areola. (The nipple may have a more textured/wrinkly appearance than the area around it) Gently pinch your nipple before measuring. Nipples cn get squashed inside bras and additional stimulation can help elongate/define the nipple.

How do I go about measuring my nipple?

Grab a ruler or tape measure with centimeters. Hold the centimeter side toward your body. It helps to get a second opinion, since you can only see it from one vantage point. From the picture on the far left, you can see that the nipple is about one line short of 1.5cm (this would be 14mm) See how it might be easier for someone else to look head-on, rather than you looking down from above? A caliper might work best, if you have one! (LINKED HERE)
If you are using a circle ruler (LINKED HERE), you want the circle that fits best without room to wiggle around (too large) and without catching onto your nipple skin as you put it on (too small). The circle ruler should encircle your nipple only and sit against your breast. (That’s how you know you are measuring the base of your nipple.)
A nipple of this size would most likely fit best in anywhere from a 15-18 flange size, depending on comfort and efficient and full milk removal.

Not to sound like a broken record, but this is another reason it helps to get professionally sized. It can be difficult to do on your own!

How do I measure a flat nipple?

“Rolling out the nipple” can help a flat nipple evert/become erect for measurement. Check out this video for an example of rolling out the nipple: VIDEO HERE (Starts at :34 timestamp) Video from IABLE: Institute for the Advancement of Breastfeeding and Lactation Education
Beginning to pump before measuring, or using a nipple everter like THIS one, can help make an inverted or flat nipple more evert and easy to measure.

Okay, but can we see a flange sizing video, please?

You got it, dude.

When do I measure myself?

I suggest waiting until AFTER birth to measure. Also, it’s a good idea to measure before pumping, not after. Nipples expand (or “puff up” during pumping and you may not get an accurate size after pumping.)

How do I select a type of flange when there are so many options out there?

Pumping is all about experimentation, momma! But where to begin? Let me introduce you to some of my favorite options:

  • Hard plastic flanges:
    Many companies carry a limited range of sizes. Check AMAZON for a greaster variety of compatible flange sizes
  • Lacteck silicone baby-motion flanges:
    Pump Momma Pump’s absolute favorite! Made of soft, flexible silicone, these can provide additional comfort and are a great option if hard plastic flanges don’t feel that comfortab;e, even when using your correct flange size. Save on lacteck by using code PUMPMOMMAPUMP10 and learn more over at lacteck.com
  • PumpinPal flanges:
    These are angled, gradually tapered flanges which come in a variety pack so you can try out different sizes to see which works best. I usually suggest these for women struggling with elastic nipple tissue (more about this below) To save on PumpinPal flanges, use code PUMPMOMMA5 and click HERE to learn more!
  • BeauGen Flange Cushions:
    Soft and sticky, these cushions can be added to your hard plastic flanges to provide a secure grip and soft feel. They are my go-to suggestion for mommas struggling with elastic nipples or leaking when using a wearable pump. Here’s your LINK for these cushions! (Note that they fit into flanges size 21-27 and reduce the flange size by about 2mm.)
A bouquet of flanges? Yes please!

What about Elastic Nipples?

How do you know if you have Elastic Nipples? 🤷‍♀️
(and what does that even mean???)

Our skin is elastic (I mean, just think about how much our skin stretches in pregnancy, doesn’t it!) and all nipples swell during pumping. However, some mommas have more elastic tissue in their nipples that can be problematic when pumping. (I go more in depth about this topic in my blog post on elastic nipples.)

Elastic nipple tissue has greater “stretchiness”/elasticity than other nipples. They can swell widthwise to fill any size flange tunnel and/or stretch down the flange tunnel and even hit the end of the flange tunnel. How do you know whether you have elastic nipples? Notice how the nipple in “Too big” image below doesn’t stretch, it sits atop a “nipple mountain” of too much areola being pulled into the tunnel. That nipple is not elastic. The nipple in “too small” is also not elastic, it’s being squeezed into a flange tunnel that is too small.

So what do you do if you have elastic nipple tissue? You cann’t turn elastic nipples INelastic (like you can’t make that go away) so you just have to work with it. You get sized professionally for the correct size flange, and you find the size and style flange that is both the most comfortable and fully empties the breast most efficiently. This can mean selecting a flange cushion, a silicone flange, an angled flange, and/or adding or eliminating lubrication while pumping. Confused? That’s why it’s best to work with a lactation professional 1:1 to figure this out!

Additional Tips

Flange sizing can REALLY improve your breast pumping journey. A well-fitting flange can increase comfort, help you empty quicker, and ensure that you’re fully emptying each time you pump. However, there are other factors that can also help. Adding a lubricant like a food-grade coconut oil to your areola/nipple before pumping can greatly reduce friction and increase comfort (especially if you are sizing down in flange size from what you were using before.) Making sure you change your valves regularly (every month for exclusive pumpers and every three months for occasional pumpers) will ensure that your suctions stays strong. Keeping your flange centered on your nipple will help you fully empty without keeping milk in part of the breast due to uneven suction on your milk ducts.

Image from Facebook user Brittany Fisher

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)

Pumping Support

Your period and milk supply

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Why did I get my period back if I’m exclusively nursing/pumping?

That’s difficult to answer. Many mommas can go their entire breastfeeding journey without the return of their period. This is called “Lactational amenorrhea”- a period of temporary infertility that accompanies breastfeeding and is marked by the absence of monthly periods. According to LLL, “In 1988, scientists and fertility specialists gathered in Italy at the Bellagio Consensus Conference to define the conditions for using lactation amenorrhea as birth control. They established that in order for LAM to be effective three important conditions must be met: 

  1. The infant is less than six months old,
  2. The menstrual cycle is absent, and
  3. The baby is exclusively breastfeeding.”

And since you’re going to ask, YES… exclusive pumping counts under #3.

Important note: The “Lactational Amenorrhea Method” of birth control can provide a certain level of protection, but please note that as soon as you get your period back, you are considered fertile. And even before you get your period back, there is a possibility you could become pregnant, because sometimes women ovulate before they get their first postpartum period. 

However, your period can return at any time, especially if you are nursing or pumping infrequently (like when you are not removing milk overnight or when you begin supplementing.)

Oh crap, there goes my milk supply…

Scenario- Your period DID come back, and there went your milk supply. *facepalm* So… is your milk supply going to come back? Many mommas experience a decrease in supply after their period returns. For some, this dip in supply only happens during menstruation. For others, the dip is more permanent.

Why did my period affect my milk supply? Hormones are powerful, momma…. remember, hormones are the reason you are lactating in the first place, right? They giveth and they can taketh away! When your cycle returns, the increase in estrogen causes a decrease in calcium levels in your blood, which can interfere with milk supply. (Which is a reason you might have been prescribed an estrogen-free birth control option, if that applies to you.)

So… can I bring back my milk supply after getting my period?

There are a few things you can try that have worked for many mommas… no guarantee, but why not give it a try? Deep breath… it’s gonna be ok!

  • Take a calcium-magnesium supplement (This is my go-to advice. Some mommas take it during their period week, some take it every day. Just make sure you get a vitamin with these combined- affects absorption) As always, consult your healthcare provider before starting supplements.
  • Add additional pumping sessions into your schedule.
  • Pump slightly longer, stopping then starting to initiate a second or third let-down, try power-pumping once a day for a week straight in an attempt to boost demand on supply.
  • Galactologues! Foods like oatmeal, flax, brewer’s yeast, and many herbal supplements can increase milk supply. Increase intake of Iron-rich foods, protein and healthy fats.
Link for Calcium-Magnesium tablets

My period is so much different now…

Did you know that your period might change when it returns after baby? Some mothers have cramping when they didn’t before, fewer PMS symptoms than before, a lighter or heavier flow than before, or irregular periods as their body begins cycling more regularly post-baby. (For some, there is no change. Just don’t be surprised if you do experience a change.)

If you are concerned at all about your period/period symptoms, please contact your healthcare provider.

Ouch! Why does pumping suddenly hurt since my period returned?

Another unpleasant side-effect of the return of your period can be increased sensitivity of your nipples. When hormone levels (estrogen and progesterone) go up, breasts can feel tender. Nursing and pumping can become uncomfortable during mid-to-late cycle. Ease off on the suctions strength of your pump during this time and know that it’s usually temporary discomfort!

Baby seems to be fussy during feeding now.

Another side-effect from the return of your period is that the flavor of your breastmilk may temporarily change, becoming less sweet and slightly saltier. Levels of lactose (sugar) decrease in your milk composition, and levels of sodium chloriade (salt) increase. While many babies don’t notice the change, some may become fussy during feeding and even reject the milk altogether.

If your baby refuses to nurse, protect your supply by pumping in place of nursing until your period is over.
If baby rejects your pumped milk, try mixing it with frozen milk or adding a drop of nonalcoholic vanilla. If you are supplementing with formula, try preparing the formula as directed and mixing it with the breastmilk.

SOURCES:

When did your period come back? Did it affect your milk supply? What worked for you?

Pumping Support

Help! Clogged Ducts

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Chances are, you’ve heard some conflicting answers regarding clogged ducts lately…

Why all the different answers?

Our knowledge of breast anatomy/”clogged ducts” is continuously expanding, helping lactation professionals find ways to help their clients feel better, faster.

AMB Protocol #36

The Academy of Breastfeeding Medicine put forth the following protocol regarding Mastitis Spectrum in 2022. LactApp covers it pretty succinctly in their post HERE and HERE. Don’t want to dig into it yourself? I’ll give you the quick’n’dirty version here:

The ABM changed the verbiage from “clogged duct” to “ductile narrowing” to describe the way milk ducts can become inflamed and swell/narrow, not allowing the milk to fully evacuate that area of the breast.

They are NO LONGER recommending:

  • Vigorous and deep massage to the affected area
  • Use of massage tools/vibration directly to the affected area
  • Extra pumping or nursing
  • Applying heat to the area
  • Using castor oil or Epsom salts

They ARE recommending:

  • Nursing on demand
  • Reducing any extra pumping
  • Using anti-inflammatory drugs to reduce pain/inflammation (like Advil)
  • Icing the area to decrease inflammation
  • Supplemementing with subflower lecithin
  • Adding a probiotic into your diet
  • Light, gentle massage
  • Lymphatic drainage techniques
Taking an anti-inflammatory like ibuprofen can reduce swelling and allow milk to flow

(Disclaimer- The updated 2022 clinical guidelines from the Academy of Breastfeeding Medicine (ABM) published in May 2022 now assert that mastitis should be considered “a spectrum of conditions”, ranging from oversupply (hyperlactation) to inflammation, bacterial infection and abscess. The new clinical protocol from ABM outlines several key changes that significantly shift what we thought we knew about the condition, namely that plugged ducts are more accurately described as “ductal narrowing,” that ice and other anti-inflammatory treatments should be used to manage mastitis instead of heat, and that extra pumping and other measures used to increase drain the breast will only hurt, not help.
⚠️*****This advice seems directed at nursing mothers experiencing mastitis, NOT exclusively pumping mothers with incorrectly emptied breasts, and does not account for the additional reasons pumping mothers get clogs. (actually, they advise against pumping- obviously not going to work for exclusively pumping mommas, right?)⚠️Though they changed the verbiage and don’t use “clogged ducts” anymore, I believe that clogs are real and my advice has been proven to work to relieve clogs in my clinical practice.)

Pump Momma Pump’s advice for treating clogged ducts

*My advice is for pumping mothers who have discovered, after a pumping session, that part of the breast has not emptied and has remained hard and full of milk.* This often occurs due to incorrectly sized or off-centered flanges. If this happens frequently, please look into getting sized for a correctly fitting flange and use a quality pump that you respond well to.

So what if you discover a clog?
😖Try to clear it ASAP, as it can develop into mastitis if left untreated
😖I find that a slow squeeze of a manual pump works extremely well, especially if you purposefully off-center the flange toward the clogged area
😖Take an anti-inflammatory medication Like advil
😖Soak the affected breast into a bowl of warm epsom salt water before pumping
😖Pump on all fours, called “dangle pumping”
😖Use vibration between your nipple and the hardened area of the breast before pumping
😖Gently massage the breast away from the nipple toward the chest wall- look up “therapeutic breast massage” on youtube to see examples of this
😖You can try latching baby (or your partner, honestly) to clear the clog

Let’s sum this up with some DOs and DONTs:

👍DO– Apply ice and take an over the counter anti-inflammatory medication.
DO– Soak the breast in warm epsom salt or a warm shower before pumping.
DO PUMP! (Obviously!) I suggest using my advice for unclogging using a manual pump, found in my Manual Pump highlight.

OPTIONAL– Apply gently vibration between the nipple and the clog, but this wouldn’t be my first suggestion. Look up “therapeutic breast massage” and gently do that. Dangle-pump. Latch if you can/want to (baby or partner, honestly)

👎DON’T– Apply heat, vibration, and harsh massage directly to the clogged area of the breast.

💡 MOST IMPORTANTLY– Work with a lactation professional to figure out why you keep getting clogged ducts- could be as easy as a flange-sizing issue!

When to see a doctor

You are free to contact your healthcare provider at any point- open communication about your body and your health is encouraged. PLEASE call your doctor if:

  • You develop a fever (could be Mastitis and your doctor may prescribe antibiotics)
  • Abscess forms and needs care (Symptoms can include pain to the touch, warmth in the affected area, a breast lump, nipple discharge, and fever and flu-like symptoms.)
  • You need help removing a bleb on the tip of your nipple
  • The clog remains unressolved for multiple days (The doctor may be able to relieve it with therapeutic ultrasound)

Prevention is so important!

I have found, in my own clinical practice, that exclusive pumping mommas usually develop clogs for the following reasons (some of which may be unique to pumping mommas as opposed to nursing mommas)

  • Flanges that are too large
  • Flanges that become off-centered while pumping
  • Pump that inadequately empties the breast
  • Not replacing your valves regularly, which reduces suction power of pump
  • Skipped pumping sessions (milk left in the breast for much longer than you are used to)
  • Prolonged pressure on the breast (sleeping on your side/stomach, extra tight underwire bras)

Be sure to follow Pump Momma Pump on Instagram for education, motivation, and support! (And more great tips like these!)