Tag: breastfeeding

Pumping Support

Do I Have Elastic Nipples?

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

Our skin is naturally 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’ve previously posted about flange sizing, but this post is all about elastic nipple tissue.

So how can you tell?
An elastic nipple may stretch lengthwise and even reach the end of the flange tunnel.
An elastic nipple may swell widthwise to fill the flange tunnel no matter what size flange you use. THAT’S the kicker- If you don’t have elastic nipple tissue and your flange is too large, you’ll experience what I call the “nipple mountain”, pulling in a lot of areola with a little nipple pulsing on top with each suck of the pump. The nipple itself wouldn’t swell or stretch like an elastic nipple would. Check the video below for a visual:

The Nipple Mountain!

(I really should copyright this term! 😜)
When I do flange sizing consultations, this is the easiest way to know whether your flanges are too large or whether you have elastic nipple tissue (as you saw in the video above.) When a flange is too large, part or all of the areola gets sucked inside the flange tunnel while pumping, and the nipple pulses on top like a little nipple mountain. That signals to me that the flange is too large. When a momma has elastic nipple tissue, the nipple itself would swell either sideways to fit the whole flange tunnel and/or extend down the length of the flange tunnel toward the end. Notice in the drawing above how the nipple itself is not swelling. This momma would want to consider selecting a flange that is smaller in diameter.
Why does this matter? When a flange is too large it could hurt- rubbing the areola resulting in friction blisters, peely skin, or a red raw feeling. A flange that is too large might also not remove milk efficiently. The mother might take a long time to empty or experience ‘clogs’ or reduced milk supply. A flange that is too large can easily become off centered which could result in some milk ducts being stimulated more than others, which could cause a ‘clog’ (inadequately emptied breast, in this case) as well.

What can you do about elastic nipples?

So you decided that you DO have elastic nipples, and you are finding it to be problematic. What can you do about it?
You can’t turn elastic nipples INelastic (like, you can’t make that go away) so you have to work with it instead of against it! I highly suggest that 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. (Book a consult or flange sizing here.)
What do I mean by “style” flange? 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! Check out my go-to flange style options below.

BeauGen Breast Pump Cushions

My go-to solution for elastic nipples that extend down the entire flange tunnel: BeauGen cushions! (They fit into flanges sized 21-27 and bring the size down by 2mm so are ideal for mommas who need a flange size of 19-24) They gently hold back the stretchy nipple tissue so that the nipple can’t stretch all the way down the flange tunnel. SAVE on BeauGen cushions with code PUMPMOMMAPUMP.

Lacteck Silicone Flanges

⭐️ MY ABSOLUTE FAVORITE ⭐️
I wouldn’t even say I’m “team silicone” over here because I’m just straight “team Lacteck!“ They are SO COMFORTABLE… great for elastic nipples, YES, but I do not have elastic nips and my nips also love ‘em! Use code PUMPMOMMAPUMP10 to save on Lacteck flanges.
(Spectra/Motif users will need this additional connector to use Lacteck flanges)

PumpinPal Flanges

PumpinPal flanges are angled, silicone or plastic flanges. While they aren’t for everyone, I’ve had many a momma tell me that they “saved their pumping journey.” They can be good for elastic nips because the silicone variety (smaller sizes) help hold the areola back from the tunnel and all styles provide a different, more ergonomic way of pumping. They also come in a variety pack as opposed to being individually measured in mm. Save on PumpinPal flanges with code PUMPMOMMA5.

What about coconut oil as lubrication?

I always suggest using a food-grade coconut oil as lubrication when pumping. However, for mommas experiencing problematic elastic nipple tissue, I caution against coconut oil. While it can relieve friction, it can also make elastic tissue stretch even more! Mommas who are experiencing width-wise expansion, definitely try coconut oil. Mommas who are experiencing length-wise expansion, you might benefit from NOT using coconut oil. Try it and see! Pumping is all about experimentation and finding what works for you.

*I make sure to get discount codes for you on all product links, and for select products, I receive a small commission on those purchases at 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, Tips & Tricks

Nipple Care for the Pumping Momma

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Take care of those nips, mommas! To effectively treat nipples that have become injured from breast pumping, you have to figure out what’s causing the pain in order to prevent further damage. Let’s heal those hurting nipples and problem solve together so it doesn’t happen again!

(Is it just me or do you see nipples everywhere?! 🎈😜)

A bit of soreness or sensitivity, especially at the beginning of your pumping session/journey, is normal. PAIN is not normal. And don’t let someone tell you “Oh you just get used to it.” If you’re experiencing pain with pumping, which has resulted in an injured nipple… there’s probably something causing that injury, NOT just the fact that you are pumping in general.

Possible causes for nipple injury:

  • 😖Incorrectly sized flange- Your nipple should pulse freely within the flange tunnel without rubbing the sides or pulling too much of your areola into the tunnel. For more on flange sizing, revisit my blog post about it HERE.
  • 😖Poor latch- Nursing mothers who think latch may be a contributing factor to their pain should make an appointment to get baby’s latch assessed by a lactation consultant. See if your insurance covers lactation appointments!
  • 😖Abrasion- Rubbing can cause the nipple/areola to become saw and sensitive. I suggest using a small dab of coconut oil on areola before pumping for lubrication. I do not suggest using nipple balm/butter, as it is too thick for lubrication.
  • 😖Pump suction is too high- Higher suction does NOT equal more milk! Turn that dial down for comfort. Pump at a strong but comfortable suction level.
  • 😖Mastitis- Flue-like symptoms, redness, and pain. These infections need to be treated by a doctor. Rest, ice, and anti-inflammatory medication may be prescribed.
  • 😖Thrush- Yeast can really hurt and itch. Mommas often report random shooting pain in the core of their breast. Change nursing pads frequently and keep them dry! Talk to your doctor if you think you may have thrush.
  • 😖Elastic nipple tissue- If your nipple swells and stretches to fill the entire flange tunnel no matter what size flange, you might need a specialty flange like pumpin pals or beaugen cushions. I suggest setting up a consultation or flange sizing!

How do you treat injured nipples?

  • 😅Air nipples- When possible, go shirt/braless for 5-10 minutes to air out your nipples.
  • 😅Moist wound healing techniques (see below)- Wet/moist wound healing often works better for nipples because they constantly get wet.
  • 😅Warm saltwater/normal saline soak- Use an unscented Epsom salt in warm water. Do not use a Hakkaa suction pump. Many mommas dangle the breast into a bowl of water.
  • 😅Allow breastmilk to sit onto nipples- Your own breastmilk has wonderful healing properties! Dab some on, or wet a small cloth with your breastmilk and lay on nipples.
  • 😅Avoid soaps- Your montgomery glands self-clean your nipples. Avoid washing nipples directly with soap in the shower.
  • 😅Natural nipple ointment- I like Mother Love or Earth Mama! Consider staying away from anything containing Lanolin, as some women are allergic to this wool derivative.
  • 😅Silverette cups or Medela shells– Silverettes have natural healing properties and Medela softshells provide a nice barrier to allow nipples to heal.

What is “wet wound healing?”

💧 Usually what we think of when we think of healing cracked skin is DRY wound healing- airing the injury to form a scab. (This works well on your arms/legs/etc) HOWEVER, wet/moist wound healing works better for nipples because they constantly get wet. If that scab gets repeatedly wet and pulled off, healing can take forever.
💧 Instead, consider practicing WET wound healing for cracked nipples!
Apply a dab of breastmilk on the nipples. Consider a barrier that allows the nipple space to heal, like using Medela soft shells or Silverettes. Use a natural nipple butter after pumping for healing. A doctor may prescribe an all-purpose nipple ointment (commonly called APNO cream).
💧 Make sure you are applying a lubricant before pumping (food-grade coconut oil works well) to avoid further abrasion. Use the lowest suction allowable while still removing milk, and some light compressions to the breast to allow for full emptying. In extreme cases, hand-expression may be necessary until cracks heal.
AVOID soaps. Change breast pads frequently.

⚠️*The key is figuring out WHY nipples are becoming damaged- flange size? Strong suction? Poor latch?

⚠️You should speak to your health visitor or GP if you have signs of infection (like abnormal swelling, inflammation, discharge, fever and/or chills, or feeling ill), or if your wound doesn’t heal after a few weeks.

PAIN is not normal during nursing or pumping. Pain is not something you’ll just get used to. Your nipples will not get calloused or toughened up. If you are experiencing pain, it’s a sign that you may benefit from a latch assessment or flange sizing with a lactation professional.
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When you first begin breastfeeding, you and your baby are learning together. They might not automatically form a good, comfortable latch. Watching videos on good latch will help you know what a good latch looks like, but working with a lactation consultant as soon as possible will 100% help getting baby into and out of a latch and avoid damaging your nipples.
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Breast pumping should not hurt either. Yes it might be slightly uncomfortable. Some women do experience briefly painful letdown. With a correct flange size, lubricant if you need it, and suction that is high yet comfortable, pumping can be pain-free.

Other types of pain you might experience-

  • 😖Engorgement as your mature milk comes in- Use ice packs and make sure you are remove that milk regularly and frequently! Do “reverse pressure softening” before nursing or pumping.
  • 😖Clogged ducts- Check my “Pain” highlight on Instagram for my best tips for unclogging clogs as soon as possible so it doesn’t turn into mastitis.
  • 😖Mastitis- Usually comes with a fever and flu-like aches and fatigue. Can be a red and painful breast. Contact your doctor for treatment!
  • 😖Thrush- Yeast infection of the breast- needle/lightning like pain in the core of your breast, can be white patches in baby’s mouth- see your doctor or a lactation professional for treatment
  • 😖Vasospasm- nipple turns white and extremely painful when you unlatch or take the flange off- applying immediate warmth will help. Look up this term for more info.
  • 😖Nausea during letdown- The sudden rush of oxytocin during letdown causes smooth muscle contraction which can make you feel nauseous or need to use the bathroom. Sip ice water or suck on ginger or peppermint lozenge.
  • 😖DMER- Extreme feelings of rage, anger, anxiety, depression, during letdown that passes quickly. Look up this term for more info.

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

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Pumping Support

Pumping in the NICU

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Welcome to the NICU club. You probably didn’t plan to be here…. but here you are. Let’s make the best of it, together. See what keeps pumping mommas motivated during their time in the NICU (Neonatal Intensive Care Unit), and make sure to check out the ultimate Pumping Supply List for NICU Mommas!

First, my own NICU experience:

I am often hesitant to talk about my NICU experience because we were only there for two weeks. Recently, I was reminded by Project NICU: “There is no such thing as “ONLY” in the NICU. Regardless of your length of stay, your NICU experience matters. Regardless of the degree of medical complexity, your NICU experience matters. Regardless of your baby’s gestational age, your NICU experience matters. Regardless of what your NICU journey looked like, your NICU experience matters. Do not compare your journey to someone else’s. What you experienced in the NICU and all of the emotions and thoughts you have surrounding it are valid.”

The story

Our first baby arrived, much to our surprise, one month early. While the birth went well and he aced that initial APGAR score, he lacked the stamina to nurse, which landed him in the NICU for two weeks. Leaving the hospital without my baby was heartbreaking, but only for a moment- I reminded myself that I had a baby, and he was well cared for in the NICU. He was gavage-fed through a tube that ran into his nose, down his throat, and into his stomach, until he could latch and transfer properly from a bottle. His vitals were monitored with several wires attached to various places on his small body- baby robot. Since he was otherwise healthy, we were able to hold him, change him, and eventually feed him.

Speaking of feeding… here is where I owe an eternal debt to one very special NICU nurse- She taught me to exclusively pump. I saw three lactation consultants employed by the hospital, each forcing the idea of nursing and not even mentioning pumping. It was this NICU nurse who not only taught me how to use a pump, but gave me much-needed tough love to stay on my frequent pump schedule of every 3 hours, day and night. The nurses celebrated every mL of breastmilk I brought in as though it were quite literally liquid gold. I pumped while my husband fed, and we both did skin-to-skin holding our son before leaving until the next visit. It was because of this experience that I discovered that exclusive pumping worked so well for our family that I chose to do it again for our second baby. It was because of this experience that I started Pump Momma Pump, in fact. See? Eternal debt.

If you asked my husband, he’d agree- we loved the NICU. It was like “How to be a parent 101.” The nurses taught us everything, which was extremely helpful for my husband, who had no prior experience with babies. We got time to finish doing what we planned to do in that 9th month of pregnancy I didn’t get to have- build the crib, put the baby gifts and clothes away, install and get the car seat installation approved (surprise, we did it incorrectly. Go get your car seat checked!). We even got one last date and pedicure.
We spent the night before discharge in the NICU “family room” which was like a mock hotel room a family can sleep in to practice their first night with their baby. So cool, right? While I am aware that our NICU experience differs from other’s… I remind you about what Project NICU said- “Do not compare your journey to someone else’s. What you experienced in the NICU and all of the emotions and thoughts you have surrounding it are valid.”

My mommas were asked… What helped you survive pumping in the NICU?

The NICU can be really Here is what kept my mommas motivated to pump for their NICU babies: (All are direct quotes from the Instagram, community)

  • Watching baby grow stronger because of my milk.
  • Pumping kept us linked through distance. I thought about my baby every minute of every pumping session. It was the only motivation I needed.
  • Pumping for my twins in the NICU was rewarding and stressful but luckily I got the point and made more than enough for them. Pumping helped me navigate through my emotions during that difficult time
  • Every milk delivery was relief baby was getting some antibodies. 
  • Pumping was actually a way to get my mind off things, it was something mindless for me- since I was stressed the whole time my baby was in the NICU.
  • Knowing I was giving my baby food to stay alive is what kept me going.
  • Our hospitals had cameras we could access at home so I could watch baby live while I pumped
  • Creating a daily routine/schedule and sticking to it!
  • The nurses! They were so positive and upbeat- They treated his like normal people!
  • I took photos and videos to watch at home
  • The feeling of wanting to help my little one grow so he could come home sooner.
  • A strong support system goes a long way
  • This was the only thing I could do for my babe when he was going through so much. It made me all the more determined to be able to give him this one thing!
  • Asking for a screen to pump next to the crib instead of going into the pumping room
  • Using the hospital-grade pump
  • Watching my milk come in. I felt like it [pumping] was the one thing that I could control.
  • The nurses! No matter how much I pumped, they made me feel like it was huge.
  • Honestly I didn’t like pumping while she was in the NICU. But I was unhappy the entire time, any moment I spent away from her. I did eventually start pumping in the NICU while I watched her sleep. That was more enjoyable 

Pumping for Your NICU Baby

Like many of the mommas in the Pump Momma Pump community said, pumping can be a way to feel connected to your baby while you are apart, to focus on what you can control, when everything else seems out of control.
Here are my top tips for pumping in the NICU:

  • Get a manual pump and learn how to use it. (This post could help.) The manual pump could be more effective in extracting colustrum in those first days after birth.
  • Use the hospital’s pump- it should be stronger, and they should be able to provide you with all the accessories you need.
  • Bring your own pump to the hospital so that someone can show you how to use it at home. If you didn’t get one through insurance yet, do that now.
  • Book a lactation consultation if you cannot get one at the hospital.
  • Get your flanges sized by someone who knows what they are talking about. If the hospital’s staff sizes you above the standard 24mm, I can almost guarantee you that they are wrong. Trust. Me. Purchase some correctly sized flanges on Amazon.
  • Wash your accessories well and sterilize every time. (You can do this less often once you get baby home- be extra careful about cleaning while in the hospital.) Use my list below to see what items could help, if the hospital does not supply everything you need.
  • Do skin-to-skin with your baby/babies or have your partner do skin-to-skin. Heck, if you have another family member who is willing, any skin-to-skin can really help, if you are able.
  • If they allow it, bring something into your NICU to help you feel comfortable while pumping, like a lap blanket and pillow, or a fuzzy cardigan, jacket, or robe sweater to drape over your shoulders. It can get cold in there!
  • Read or sing to your baby. Hold your baby’s small hand while talking to them if you cannot hold them. There are so many ways to bond with your NICU baby!
  • Get on a pumping schedule of every 3 hours, around the clock, and stick to it.
  • Take care of yourself. Make sure you are eating and drinking. If you had a rough birth, REST and take the time at home to heal. Ask for help.
  • Now might be a great time to find a therapist if you don’t have one. I am super pro-therapy and you’ll have A LOT of emotions to work through. Helps to have some tools in your toolbox tow work through them- a therapist can help.
  • Treat yourself if you can. Go on a date, even if it’s a breakfast or lunch date. Get that mani/pedi or get your hair cut/colored, if that’s your style. You’ll get much busier when baby gets home!

Pumping Supply List for NICU Mommas

Your Neonatal Intensive Care Unit may supply everything you need to pump, so before you go buying everything off this list, make sure to ask your NICU nurses for pumping supplies. Then, cross-check this list to make sure you have everything you need!

Know a brand new momma with a baby in the NICU? Be a godsend and share this blog post! Better yet, ask her how you can support her on this journey! We NICU mommas can use all the support we can get!

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

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Tips & Tricks

Introducing a Bottle After Exclusively Nursing

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Hopefully you’re not reading this the night before your baby’s first day at daycare… *laughs nervously* …that’s actually a pretty common scenario for many mommas! Nursing is going so well, with no “need” to introduce a bottle, so the transition to a bottle gets rushed right before mommas returns to work. And how do you even transition baby to a bottle? Or, Maybe you’re planning ahead and looking for the “right” way to introduce a bottle to your breastfed baby. You’ve come to the right place! You’ll find my own advice, plus links to trusted sources with valuable tips to help you on your way!

[Disclaimer- A lot of this is going to be trial and error, so start EARLY and leave enough time introduce baby their bottle!]

WHEN? When should you start?

If your breastfeeding goal is to nurse (directly latching baby at the breast), concentrate on establishing good latch and milk transfer (often working closely with a lactation professional) in those first few weeks after birth. Once you and baby are comfortable with nursing and your baby’s doctor is happy with their growth, you can begin to think about bottle feeding. Ideally, you’d want to introduce a bottle before baby loses their automatic suck reflex. What’s an automatic suck reflex? If you touch the roof of your baby’s mouth with your finger, a pacifier, or a nipple, they will automatically begin sucking. This reflex can diminish as early as 2 months old. A good range to introduce a bottle is between 6-10 weeks postpartum after a good nursing latch has been established. (Latch by Robin Kaplan, M.Ed. IBCLC)
At the VERY least, Start two weeks before you’ll be leaving baby with a caregiver!

Special thanks to my client/cousins Josh & Shelley

WHY? Why use a bottle?

If you are planning to be away from baby during their feeding time, for any reason, you’ll want to ensure that they are able to successfully take a bottle. For some mommas, this means a solo-trip out of the house, girls night out, or a much needed date night to reconnect with a partner. For some mommas, this can mean returning to work after maternity leave. For some mommas, this can mean sharing the responsibility (and joy!) of feeding with a family member or friend. There’s no one reason to use a bottle, and some mommas choose to stay close to baby and offer the breast whenever they are able. This is not a space for division or judgement, this is a space for learning, together.

This is also not a space for guilt. If you are feeling guilty about giving baby a bottle… Let yourself feel it, yes, but let’s work on that. Your baby will be cared for. They will be nurtured and loved and nourished while you are separated and then nurtured and loved and nourished when you reunite. Will you feel guilt when they begin to use a spoon in addition to your breast? Probably not, right? Group a bottle in with all the other utensils that will eventually help nourish their bodies. That mindset may ease your mind a bit, so remind yourself of that when feelings of guilt creep in.

WHAT? What bottle should you use?

Every bottle is different… but it may be the NIPPLE that your baby is rejecting! Try a few different kinds! (For example, many babies prefer the narrower based nipples even though they aren’t marketed as the ones that have a wide base and look like a breast. Some babies find silicone nipples to be too slippery. Some babies like the slightly textured or angled nipples. Etc) It’s widely recommended to use a NARROW BASED nipple with a GENTLE SLOPE. These can be easier for a nursing baby to latch onto. In the image below, I show you a gradual slope (Lansinoh, one of my favorites) and a more rounded one (Comotomo). Select a SLOW FLOW nipple so that they can be paced-bottle fed and work for the milk, like they do at the breast.
What about “Nipple confusion?” When we hear that term, we can get scared that baby will never go back to the breast. What this comes down to is flow preference- with baby preferring the quick, passive flow of a bottle to the breast, which they have to work at. This is why selecting a slow-flow nipple and using paced bottle feeding is so important!

Some of my favorite bottles for nursing babies:

WHO? Who should feed baby?

There are two schools of thought on this tip- Some advise you to leave the house so baby can’t smell you. If you are present, they may wonder why they are latching to a bottle instead of you. On the other hand, some people swear by having your partner use your pajamas or something that smells like you next to baby while they feed from the bottle so they CAN smell you. You could try both!

HOW? How do you transition?

It helps to ease into this SLOWLY and gently. Allow baby to play with or suck on just the nipple, detached from the bottle. You can even dip the tip of the nipple into breastmilk to attract baby. Make it a sensory experience, don’t force it! Do it when baby is in a good mood. You might have heard advice to wait until baby is super hungry so they give up waiting for you and just take the bottle. This seems kind of drastic and sad to me… and a distressed baby is actually LESS likely to want to try a bottle. You could actually try the opposite- feed them partially from the breast, and switch to a bottle while they are still hungry but not starving.
Begin by allowing baby to play with the bottle nipple before attaching it to the bottle. Then, when you are ready to feed, stroke baby’s upper lip with the nipple and let them taste/smell it. Wait until they open their mouth wide, and let them latch onto the bottle. Make sure whoever is feeding baby is using paced-bottle feeding, holding the baby at an upright angle and holding the bottle more horizontal, allowing baby to have control over the flow of milk. Be sure to take frequent pauses for baby to burp and digest. Don’t rush it! Watch for baby’s hungry and full cues.

More tips and tricks from professionals I trust:

…But wait, we didn’t even talk about PUMPING!

Ah yes… this is a super common question I get over on Instagram. If you’re nursing… when are you supposed to pump? This depends on personal preference/situations. Some mommas pump once a day, to store a bit of a stash in their freezers. A great time to do this is after your first feed of the morning, when your body is naturally making more milk. Some mommas only pump before leaving baby, or only pump at work. Remember, if you are skipping a feed, you’ll need to pump instead. Regular milk removal is so important in protecting your supply and feeling comfortable, not engorged, when away from baby!

Pumping on my anniversary night away with my husband

Do YOU have any tips to share? Leave them in the comments for other mommas to try!!!

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

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Tips & Tricks

Protecting your milk when the power goes out

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It’s September! Storm season is upon us, in many part of the U.S. (Or maybe you’re reading this in the winter when there’s about to be a snow storm!) Here’s how to get prepared before a power outage, or react to an unforeseen outage, and protect your frozen breastmilk.

An outage is coming! What do I do?

If you have a heads-up about a planned power outage or impending storm, take precaution now. If you have a small/easily manageable amount of breastmilk, this will be an easier task. If you’ve amassed quite a freezer stash, this could take some more intensive planning. You’re already here reading this, so that’s a great start. *High Five* You’ve got this, momma!

Move your stash

With advance notice, you can move your stash to a safer location. Chances are, a neighbor is sharing the same electricity grid, so move it farther than next door. If you have family or friends with space, ask if you can store your milk at their house. In extreme cases, I have known families to load an entire chest freezer into a pickup truck and plug it in at their parent’s garage.
If your house is in danger of flooding and you must evacuate, transfer your milk to a quality, hard-sided cooler and take it with you. Pack the cooler with hard ice packs surrounding your breastmilk.

Dry or bagged ice

Run out for bags of ice to load into your freezer. Surround your breastmilk with the bagged ice. You may even want to double-bag the ice incase it begins to melt. If you choose to get dry ice, be sure to handle it carefully, with thick gloved. It is recommended to put your dry ice in a separate container away from your milk. If it comes into contact with your breastmilk bag, it can burn through the side of the bag and cause milk to leak out.

Fill your freezer

A full freezer stays colder, longer. Fill any large empty spaces with crumpled newspaper, or even a bed comforter! If you are using a cooler instead, make sure to pack any open space with crumpled newspaper. This reduces air flow and keeps the freezer colder for longer.

The coin trick

Freeze a cup of water and place a coin on top of it in your freezer. After power returns, check your cup. If the coin is still on top, everything has stayed frozen. If the coin is at the bottom of a cup of water, a full thaw has occurred. If the coin is at the bottom of a frozen cup of water, the freezer has fully thawed and frozen again. Breastmilk should not be refrozen once fully thawed. (Though if it’s only partially thawed, breastmilk can be refrozen!)

My power went out with no warning, what do I do?

Your freezer = a cooler

The power is out… no electricity… your freezer is now a really great cooler, so treat it like one. Surround your breastmilk with freezer gel packs, which stay cooler longer than ice made with water. Resist the urge to obsessively check on your freezer stash! The less you open it, the cooler it will stay, so keep it tightly closed! Consider taping the seal on your freezer to keep it from getting opened, and to resist the urge to open it yourself.

Winter = nature’s freezer

Are you living in an area with current snowfall? Consider double or triple bagging up your milk stash and moving it into a shady, protected spot, completely surrounded by thick snow.

Refreezing breastmilk

If you breastmilk has only partially thawed, and still has ice chunks or ice crystals, you can refreeze it! The clock does not start over, it’s still good for up to 12 months.

Fully thawed breastmilk

If your milk has thawed completely (no ice crystals left) it will need to be used within 24 hours. If you have milk that has thawed longer than 24 hours, give it a smell. If it smells ok, write “do not feed” on the bag of milk, refreeze, and use for milk baths! If it smells sour, dump it. (You wouldn’t want to bathe with spoiled milk!)

My own experience

The longest outage I have personally experienced was 35 hours without electricity. I had several bricks (See the brick method of storage HERE) of breastmilk in my chest freezer and harldy any of it thawed. A few baggies began to thaw and could be refrozen. We tried not to open the freezer during the outage, to keep it cooler, longer. Huge *High Five* to our chest freezer, right? Phew!

Sources:

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

You Need A Manual Pump

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If you’re a breastfeeding momma, you need a manual pump. Period. I’m looking at you, nursing momma, and you, back-to-work momma, and definitely positively absolutely you, exclusive pumping momma! Sure, there are a lot of pumps that would be nice to have… but this one is a must. And here’s why…

Why get a manual pump???

A manual pumps is an essential tool for breastfeeding mommas. I’ll list out the reasons first, and then elaborate on each one below.

  • Freedom!
  • Small and quiet
  • Great for extracting colostrum
  • Clogged duct buster
  • Mini sessions
  • Different stimulation/variable speed
  • Pump one-handed
  • Helps with weaning from the pump

Freedom! Switch it up with a manual pump!

I felt much less controlled by my pumping schedule when I started taking my manual pump on-the-go with me. That way, if I couldn’t get home in time to pump, I had my hand pump with me! I’ve pumped so many many places, whether it was the mother’s room at Target, family gatherings, county fairs, or even my minster’s office! I could grab it on my way out the door and pump in the car (passenger) without having to wait to leave until after my pumping session. I could duck out of the room to pump quickly at events without having to lug everything and hook up to tubes and stuff.
Are you getting mentally drained by hooking all your pumping stuff and tubes up every time? Switch it up! Use this pump for a session to switch things up. Mentally, it just feels different!

Pumping on a road trip with my 3-month old

Manual pumps are small and quiet

This pump is so small that it fits effortlessly into my diaper bag or purse. I find that it’s much less awkward to pump in front of family or friends, than hooking up to something with tubes coming out of you. (I liked to wear a loose scarf overtop for modesty.) It’s nearly silent, too! The sound of the milk hitting the bottles is the loudest part about it! I’ve even used on on a zoom call and no one knew it!

Manual pumps are great at extracting colostrum

Colostrum is a sticky subject. Scenario: You just had a baby yesterday but nothing is coming out when you pump! A manual pump (or hand expressing) can often get that thick colostrum out better than your electric pump if baby can’t latch!

Pumping on the day I gave birth to my second baby- manual pumps work best for colostrum!

Manual pumps are great for busting clogs!

These pump are GREAT for clogged ducts because you can angle it toward the clog, and use the other hand to massage out the clog, and use deep slow squeezes of the handle to extract the milk! (Keep in mind that some ‘clogs’ are due to inadequate removal of milk, and some are from inflammation. Read more on that topic HERE.)

Great as a back-up pump

Storm season coming, with frequent power outages? Is your pump out of batteries? Are you away from an electrical outlet? Did you forget your electric pump when you left your work? Having a manual pump can really save the day!

Do a mini-session with a manual!

Don’t have time to strap everything on for a full pumping session? Get a mini-session in with a manual pump! A short pumping session is better than no pumping session, and there’s no huge set up tear down process with a little manual pump!

Pumping at the beach

A manual pump has different stimulation/variable speed

Different bodies responds differently to different pumps. You may respond really well to a manual pump! I know a few exclusive pumpers who use a manual exclusively! Also, YOU control the speed! You can go reaaalllly slow if you need that kind of suction speed (like me!) or any other speed that your body needs.

Pump one-handed!

Have a clingy baby? Manual pumps only take one hand! Comfort baby on the other side. You can even side-carry with a baby carrier and pump at the same time!

Taking a break to pump on Thanksgiving
with my 5-month old son

Weaning helper

If you are in the process of weaning and you are feeling so engorged but but don’t want to fully empty your breasts… Use a manual pump to relieve yourself while trying to wean. Use it just enough to relieve the pain, it will not trigger your body to produce more milk.

Pump Momma Pump’s favorite manual pump: the Medela Harmony

My love for the Medela Harmony knows no bounds, and NO they aren’t paying me to say that! (But they should. Anyone know a rep from Medela? LOL) I love the dual-mode handle shown in my video below. It’s so lightweight and there’s not a lot to clean!

Available HERE on Amazon, or in a Target or Walmart near you! (Amazon usually has the best price, in my experience)

How to use your manual pump

You might be scrolling through this post thinking… well that’s all well and good for some mommas, but I could never get my manual pump to work for me! Check out the quick tutorial below and practice with your pump! There’s a little bit of a learning curve, but once you know how to use it, you just might fall in love, too! Remember, start out quick for letdown, then go slow for expression.

Troubleshooting your Medela Harmony

Has your pump suddenly lost suction? Take it completely apart and make sure it’s set up correctly. Make sure your valve and membrane is snugly attached It’s a good idea to have extra white flappy membranes on hand to replace if it becomes worn out. Check that your diaphram stem still has a tiny white o-ring on it. (They can fall off over time especially with an older or well-loved pump.) Are you pressing down too swiftly during pumping? Try a long, slooow squeeze of the handle instead.

What about a haakaa?

Ah the Haakaa. Here is where the Haakaa company and I never agree- I say that the Haakaa is NOT a pump, in the truest sense. (Though the company would state that they are indeed a pump.) I say this because the Haakaa creates a continuous suck, not a suck-and-release cycle like a traditional “pump” or like a nursing baby’s suck.
Do I think this silicone suction style pump has its place in a breastfeeding momma’s life? Sure! They are GREAT for collecting milk on the side not currently being nursed on. They are also great for collecting milk on the opposite breast when a momma is using a manual pump. Would I use one as a replacement for a traditional electric, rechargeable, or even manual pump? I would not.

Image from Haakaa UAE

Manual Pump FAQs:

  • I usually pump for 15 minutes. Do I have to pump each breast with my manual pump for 15 min each? Nope! You don’t time a manual pump… you just pump until empty. When you see milk start to stop, lightly compress the breast with the opposite hand to ensure that you are emptying completely.
  • Milk is leaking from my other breast while I pump! Simply stuff a napkin or breast pad in there, or attach a haakaa or milk collector.
  • Can I use the fridge hack with this pump? Sure! (If you are comfortable with that method.) After pumping, wipe the inside of your flange with a medela wipe (or cottonelle, nothing with harsh chemicals/soaps.) Empty the milk into a feeding or storage bottle, reattach connector/flange to pumping bottle, and store in the fridge until the next time you pump! Do not rinse.
  • What do I have to wash? Everything that touches milk: Bottle, valve, connector. You don’t have to wash the handle and the disphram thingie under the handle.
  • Can I use two manual pumps at the same time? Techically, yes. I have a good friend who does. I ‘ve never even tried that sorcery! Haha!
  • My body just doesn’t respond to a manual pump. Are you using it correctly? Be sure to watch my demo video from today’s blog post! There are more demos in my manual pump highlight on Instagram.
  • Why did I completely lose suction? Take your pump apart. On the underside of the handle there is a stem with a tiny white o-ring on it. Is that missing? Is your yellow and white vale-and-membrane attached securely?
  • Do I turn the handle around to use the small side? Nope! As you saw in my video, it is designed to use at the top of your pump, to achieve small, quick fluttery sucks that stimulate your milk-ejection reflex or “let-down.”
The hot pink Sarah Wells Ally bag is perfect
for toting around your manual pump!

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

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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
See any available DISCOUNTS by clicking HERE

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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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

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?