pumping – Page 2 – Pump Momma Pump

I was asked this question today in a DM over on Instagram, and I’ll admit… it’s not the first time I’ve had a bewildered mother ask a similar question. Since Pump Momma Pump attracts mommas who pump, most are coming to seek pumping-specific answers they haven’t found elsewhere. Many times, all the experience they’ve had with lactation professionals is with the one who came to see them in the hospital after giving birth, if that. And I’ve found that most of those experiences were bad. But… Why?

I’d love to admit that the title of the blog was easy click-bait, but unfortunately I hear it frequently. So frequently, in fact, that I felt the question was worth devoting a blog post to. Have you yourself had a bad experience with hospital lactation staff? This post is for you! I hope that by the end, you understand why we hear this complaint so often, and hopefully, you leave feeling a bit more gracious toward them.

* No place for hate *

This is actually NOT a roast post. As a CLC myself, I cannot write a blog post promoting a negative view about fellow lactation professionals, especially ones that have higher credentials and more experience. It is not ethical and goes against the principles of respect and inclusion. We all know that lactation consultants play a crucial role in assisting mothers with breastfeeding and ensuring that the baby is receiving the best nutrition and care possible. They are trained and certified professionals who provide support and guidance to both the mother and baby during the breastfeeding journey. It is important to give credit where it is due and respect the professionals who work hard every day to ensure that mothers and their babies are healthy and happy. The point of this post is to acknowledge the elephant in the room and leave with a greater understanding of why women might not have gotten the specific help they needed.

Maybe you’re only hearing the bad stuff

First, let’s talk about why we hear this complaint so frequently. We usually hear more about what goes wrong than what goes right, right? Think of all the mommas who had a smooth start to their breastfeeding journey…. you don’t always hear those stories. In fact, some mommas feel guilty admitting how well things went, especially around someone who’s had a rough time. Misery loves company. It can feel comforting knowing you’re not the only one struggling, so we talk about our pain points to know we’re not alone.

Staffing and scheduling issues

I’d wager that most hospitals are understaffed. Lactation professionals (I don’t always say IBCLC because many hospitals allow professionals with other letters after their names!) have far too many patients and far too little time. With that many mommas on their caseload, it’s impossible to give each one thorough, personalized, extensive care. When a momma comes to me and says, “All they tried to do is get baby to latch, they didn’t even talk about pumping!” I wouldn’t call that a bad thing! If they have 15 minutes with you, and you express the desire to breastfeed, then yes, they are going to focus on nursing. They’ve got to make the most of the time they do have with you!
*If you yourself work in hospital lactation, email or DM me, I’d love to hear your experience!*

Widespread lack of pumping education

Many members of hospital lactation staff are undereducated on pumping. Pumping was an incredibly small part of my own formal education and a CLC and also shamefully lacking in the IBCLC program as well, as confirmed by a fellow professional who recently sat for the exam. There is an even greater disparity if the shadowing hours they performed were with lactation professions who were not well versed in pumping, or perhaps not as up-to-date on flange sizing, etc. To gain knowledge about breast pumping, I used my continuing professional development hours to focus on pumping-specific topics, I read pumping-centered books and ebooks, and I learned through peer support and feet-on-the-ground experience. I don’t share this specific passion with everyone, I can tell you that! It takes desire, time, and honestly money, to educate yourself on pumping beyond formal lactation training.

“We have size 24 and size 28.”

Say the lactation professional is knowledgeable about using the hospital pump and getting on a pump schedule. That’s an awesome start! Even better if they understand how to fit a momma for a correctly sized flange. The problem then becomes… “We have size 24 and size 28. If one isn’t working, try the other.” Many hospitals only carry theses two sizes! These may be considered “standard” but they are not average. If I had to pick an average sized flange, I’d pick 17 or 19. Seriously! So it may not be the lactation care you take issue with, but the lack of resources they have to use.

Feed the baby

Coming back to what I said earlier about “respecting the professionals who work hard every day to ensure that mothers and their babies are healthy and happy….” That’s the goal! Feed that baby! If that baby isn’t latching, isn’t eating, and the lactation worker has 15 minutes to meet with the momma… do you think they are going to sit there and read your pump manual with you? I don’t think so!

Emotions run high

Giving birth is a wild experience, physically and emotionally. I remember asking one nurse not to touch me, and telling my husband that she was “too nice.” When a lactation professional grabbed my breast to make a “titty taco” to help my son latch, probably without much warning, I was like… wtf? To them, it’s something they do all day every day. To a brand new, highly hormonal, highly sensitive momma, it can seem invasive and unnatural. I am not gaslighting myself or any other new mommas. We had every right to feel whatever we felt at the time. I just know that I wasn’t exactly in the right mindset to offer much grace toward the lactation staff who did try and help.

Compassion and grace

Speaking of which… that’s the main takeaway here. Having compassion and grace. We don’t know what’s going on behind the scenes in these hospitals. We don’t know how many patients they have, how much experience they’ve had with pumping, what little supplies they are equipped with… We only saw one side of it. So, I encourage you to look back on your experience with hospital lactation staff through a more compassionate lens. To think about the overscheduled, probably underpaid, definitely overstressed staff and offer them grace.

Melissa’s own experience

When my son was born a month early, a team from the NICU was bedside and immediately whisked him to a station next to me to check his APGAR score and make sure he was okay. He didn’t get immediate skin-to-skin or do the “breast crawl” we learn about in breastfeeding class. While he did ace the APGAR test, he was on the small side, was very tired, and had verrrry little stamina for nursing. Nurses made sure I tried to latch him often, and three lactation consultants came into my room to help him latch (that’s unheard of!) However, he wasn’t transferring any colostrum/milk and he developed jaundice and landed himself in the NICU to be gavage-fed formula through the tube. It wasn’t until day 4, if I recall correctly, that I learned about pumping. It wasn’t from a lactation consultant (they didn’t even bring up the topic) It was from a helpful NICU nurse who taught me to use a pump and gave me the tough love I needed to get on, and stay on, a rigorous pumping schedule. The gratitude I have for that NICU nurse has far outweighed the bitterness I felt toward the lactation counselors. Several year removed from the situation, I can now look back on it with gracious compassion toward them and the work that they do.

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

How was YOUR experience with hospital lactation staff? Share with us in the comments!

Pumping Support

Never Quit [breast pumping] on a Bad Day

August 23, 2024 pumpmommapump

You’ve heard the phrase “don’t quit on a bad day,” right? This helpful phrase can apply to many areas of your life- a bad day at soccer practice, a bad day at work, a bad day attempting a new hobby or trying a new recipe… and it can definitely apply to breast pumping. For new, or even experienced pumpers, there can be some days when you just want to throw in the towel and pack up that pump (Or smash it to pieces, LOL) Here’s why I don’t think you should quit just yet…

Emotions Are Temporary, Decisions Are Permanent(ish)

When you’re having a bad day, your emotions are heightened. Stress, frustration, and exhaustion can cloud your judgment, leading to decisions you might regret later. It’s easy to feel like the only way out is to quit, but this decision is made under the influence of temporary emotions. Once the storm passes, you might find that the situation isn’t as dire as it seemed. Also… relactation is hard, sometimes impossible. It’s not always possible to just start lactating again after your body has weaned.

“It’s all right to cry; Crying makes you feel better”

There’s a song I used to listen to on a record *record scratch* yes, a RECORD at my grandma’s house. It was from 1974 (No, I’m not THAT old.) by Rosey Grier called “It’s all right to cry” from the album “Free to Be… You & Me” This was waaaaaay before “social emotional learning” was a legitimate science. This was back when kids were told to stop crying, that crying was for babies, that crying doesn’t solve anything. Way ahead of its time, for sure. The point is- It IS alright to cry. In the song, Rosey says “Feelings are such real things, and they change and change and change. It’s alright to know that feelings come and feeling go. It’s alright to cry, it might make you feel better.”
That’s what I want you to keep in mind. Feelings come and feelings go. They change and change and change. How you feel right now is VALID, and it’s okay to cry, but you won’t feel that way forever.

You WILL have a bad day, that’s part of the journey

Every breastfeeding journey, whether exclusive nursing, exclusive pumping, or a mixture of both, has its ups and downs. You will spill the milk, we all do at some point. Bad days are inevitable, but they are also a part of growth. They teach resilience, patience, and the ability to navigate challenges. Bad days tell you that there’s a problem to solve. They can actually be useful in helping you realize what you need. (Getting what you need is a whole ‘nother story, though.)

Clarity Comes with Time

On a bad day, it can feel like the challenges you’re facing are insurmountable. But taking a step back and giving yourself time to reflect can bring clarity. There might be a lot going on that can add to your bad mood (your baby is crying, you are tired, you’re hungry, and you need a shower) Going into a pumping session when you’re already in a bad mood suuuucks. Making a decision to quit when you’re in this mood can be a rash decision, and giving yourself time may help you approach the decision with a clear mind. You might realize that the problem is solvable or that it’s not as significant as it initially seemed. By giving yourself time, you’re allowing your rational mind to take over from your emotional one. Sleep can also help. There’s a reason “sleep on it” is common advice. One of the most comforting thoughts on a bad day is that tomorrow is a new day. Things can change dramatically overnight. A good night’s sleep (or even good stretch of sleep), a conversation with a friend, or simply the passage of time can make a world of difference. When you wake up with a fresh perspective, the problems of today might seem much more manageable.

You’re Stronger Than You Think

I’m not gonna sit here and pretend that everything is just dandy and slap on the ole “You Got This, Mama!” smile. Maybe you don’t “got this.” Bad days can make you feel weak or inadequate, but they also reveal your inner strength. Pushing through difficult times builds resilience and confidence. By not quitting, you’re proving to yourself that you can handle challenges, which will serve you well in the future. Not feeling strong? Talk to someone who has been on a similar journey. How did they work through it? What problems did they face and how did they solve them? If you don’t know any pumping mommas personally, hop online. In the online pumping community, there are maaaany mommas eager to share their struggles and successes with you. As you solve your pumping problems, you might identify strengths in yourself you never knew you had! Give yourself GRACE, and then when you are able, give yourself a high five.

Save now on Baby Buddha breast pump with code PUMPMOMMA

Why “Don’t quit on a bad day” isn’t good enough advice.

I realize I just spend an entire blog post telling you not to quit on a bad day. Don’t get me wrong, “Don’t quit on a bad day” is GREAT advice… It’s just not good enough. Why?
So you’re having a bad day… a really bad day… you’re at your wits end… you wanna stop pumping. But you don’t, because you heard to “never quit on a bad day.” So you go to bed, hoping for a better day tomorrow.
And often, sleeping and waking refreshed DOES help. But what if it DOESN’T HELP?
Then what? Here’s my advice: YES, sleep on it. Making an important decision on heightened emotions is never a good idea.
THEN, if things aren’t magically better, vent and problem solve. What we call “venting” is simply sharing your emotions with someone, can be your partner or mother or cousin or friend or an online mom group. Share how you are feeling with SOMEONE. preferably, someone who shares a similar experience.
THEN, problem-solve. What isn’t working? How can you make it work better? Do you need to have a discussion with your partner about how they can support you better? Do you need to outsource something like ordering groceries or getting a cleaner? Do you need to find a better system for pumping and feeding? Do you need to change your pump schedule or drop a pump to increase your sanity? Do you need to begin supplementing with formula or donor milk? Do you need to begin the weaning process and bring your pumping journey to an end?
With a rested, clear mind, you CAN make important decisions.
You CAN do hard things, momma. I believe in you. 💛

It’s OKAY to quit if you need to. I repeat, It’s okay to quit if you need to.

Momma. *Takes your hands in my own, and looks you straight in the eyes.* If your mental or physical health is at stake, it’s okay to quit. Yes, I just spent an entire blog post giving you reasons why quitting on a bad day is a bad idea… but quitting, when you have really thought it through, is OKAY. You need to take care of yourself. A happy, healthy momma is waaaay more important than feeding your baby breastmilk. Here’s my best advice on weaning from the pump, to help the transition go as smoothly as possible for you.

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

Use code PMP15 to save on Kindred Bravely

Pumping Support

Do I Have Elastic Nipples?

October 26, 2023 pumpmommapump

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

September 18, 2023 pumpmommapump

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!)

Pumping Support

Pumping in the NICU

September 11, 2023 pumpmommapump

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!

Manual pump- I like the Medela Harmony
Electric pump
Hands-free pumping bra
Bottle brush
Nipple Brush
Bottle soap
Wash basin (the hospital should give you one)
Drying rack
Sterilizer bags (the NICU may have a microwave, so these are great for the hospital)
Boobie ice packs for engorgement
Nipple cream to use after pumping
Disposable breast pads or washable breast pads
Pumping bag and cooler to go back and forth from home to hospital
Lap blanket, Chapstick, water bottle, snacks

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!)

Shop Sarah Wells Bags and save with code: PUMPMOMMAPUMP15

Must-Have Products

You Need A Manual Pump

August 21, 2023August 21, 2023 pumpmommapump

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!

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.

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!)

Save on Sarah Wells Bags with code: PUMPMOMMAPUMP15

Must-Have Products

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

June 27, 2023June 27, 2023 pumpmommapump

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!)

SAVE on Pumpables with code PMP10 : https://pumpables.co/?ref=PMP

Must-Have Products

Top 10 Amazon Must-Haves for Pumping Mommas

June 19, 2023June 18, 2023 pumpmommapump

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?

June 9, 2023June 20, 2023 pumpmommapump

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

How do I know what Flange size to use?

May 8, 2023December 14, 2023 pumpmommapump

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.)

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.