How you feed your baby is one of the most talked about, most challenging and most guilt-laden topics of new parenthood. Framed often as a choice, “breast vs bottle,” “mother’s milk vs formula,” it seems many of us find it to be far more complicated.
My baby feeding status: full time pumper. When your baby won’t nurse but “breast is best” haunts your every waking moment, this is what I ended up doing. Exclusive pumping doesn’t seem to be a common topic; I struggled to find stories and information from others in similar circumstances, so I think it’s an important part of my motherhood experience to share.
H O W & W H Y I G A V E U P N U R S I N G
At Roman’s first pediatrician appointment, his second day home from the hospital because he was a coombs baby, he had lost about a pound and we were instructed to start supplementing with formula to make sure he was being nourished. My milk was in, but he wasn’t getting any and I was unknowingly engorged. We made a stop at the Breastfeeding Center and I picked up a Medela hand pump so we could feed him little breast milk bottles. We had a lactation consultant from the center come to the house, and after two hours of observing Roman’s struggles, she recommended we rent a hospital grade pump and bottle feed him breast milk, with the hopes that when he was a little bigger and more mature he would have better luck nursing. We were encouraged to keep trying.
Roman’s problem wasn’t latching per se, or any of the typical problems I had read about. He was three weeks early so we thought maybe that was a part of it. He would flail and cry through entire feedings; it took four hands to nurse him. My husband would help hold him on to me, while I positioned his head and worked my nipple towards his mouth. He would latch, and then pull away after a few sucks. He showed the same over zealous behavior on the bottle, but it was still the easier way to get him fed. I eventually got used to the routine of pumping and more comfortable with feeding him the bottle. I continued to make periodic attempts at nursing, but it was always the same and I just didn’t see the point in putting him through that torture. Since then, I have observed so many women breastfeeding peacefully while their little babies just laid there suckling, and each time I feel more sure of my decision; Roman’s behavior was just not normal.
M Y P U M P I N G E X P E R I E N C E
After 6 weeks I got my free insurance pump and have used that successfully ever since. I was very fortunate as far as my supply. Pumping did not cause any delay or reduction in my milk production. I pumped fresh milk for Roman every two to three hours at the beginning, including a middle of the night pump. Eventually I was down to four to five 10 minute pumping sessions a day — whatever it took to make sure there was always a fresh bottle ready. I managed to make a small amount of frozen reserve for emergency use, but Roman devoured most of what I pumped each day. He seemed to be on a constant growth spurt, “cluster feeding” all day long, eating over three times what was said to be normal.
As an infant he cried nonstop if he was not being held and bounced, and woke up as soon as he was laid down, which made pumping so frequently quite challenging. I began to resent the common advice to “sleep when the baby sleeps.” I had a hard enough time keeping the bottles and pump pieces clean and making enough milk; naps were impossible! Eventually as he got older, this all got easier. I liked the control it provided, I could enjoy a glass of wine if there was enough milk pumped, without worrying that he would decide to feed before the necessary two hours. My husband was just as capable of feeding him his bottle as I was, so if I was desperately exhausted in the middle of the night he could take a turn.
H O W I T C A M E T O A N E N D
After a breast engorgement disaster on our way home from a trip to Puerto Rico slightly traumatized my supply when Roman was 8 months old, I transitioned to three pump sessions a day and began supplementing one or two bottles a day with formula. Weaning down to three sessions made “full time pumping” much easier. I had considered weaning off completely before summer, Roman turned one in July, and with the increased amount of real food in his diet it felt like an okay time to cut off the breast milk. The inconvenience of having to pump, becoming engorged when you’re trying to enjoy a day out, etc. was something I hoped to avoid. I was surprised at how much less of an inconvenience it had already become with three instead of four pumps a day. I became much less engorged and started occasionally missing the afternoon pump session, further depleting my supply.
Pumping twice a day felt so easy that I planned on continuing that until at least his first birthday. Then there were a few random days where I missed my morning pump and accidentally weaned myself down to pumping once a day, until my supply was so low that I weaned completely by Roman’s 10th month. It happened so gradually and easily (with the exception of that accidental day that set off the whole thing.) I kept waiting for some sort of painful “drying up,” but it never happened. Unfortunately it also happened in part against my will. I eventually realized that the milk depletion was most likely somewhat due to becoming pregnant. While I was pleased with the my new freedom, fully appreciating all I went through once it was over, I felt a little sad. Sad that I didn’t make it for the full first year. Sad that we were no longer connected in that way. It was so amazing to look at him before we introduced solids or started supplementing, and know that all of that, every inch of his chubby baby body came from me.
. . . . .
When I was expecting, people asked my baby feeding plans, and I claimed with confidence that I would breastfeed, providing milk until his first birthday because I would be staying home and therefore did not foresee any real hurdles. I was warned it could be a challenge, but armed with the breastfeeding advocates’ inspiration and information I felt prepared to struggle through and make it work. The more I talk to moms now, the more I learn about what we all go through to keep our growing babes satisfied and well nourished. Some women breastfeed with ease and find pumping to be the greatest annoyance, some struggle with terrible pain from nursing, some babies won’t latch, some women don’t have the necessary support, many supplement at some point for some reason, many who breastfeed use breast and bottle, most wean off before the first year for some reason or another, and many struggle with the hormonal transition of weaning.
For the longest time I felt guilty for failing (as I saw it) to nurse my baby. I supported everyone’s “normalize it” breastfeeding selfies with a tad bit of envy, left out of conversations about breastfeeding in public and that beautiful bond. Now I look back and feel sort of proud for struggling through the incredible challenge of pumping full time while home with a baby who refused to be put down even while sleeping. I had the best breastfeeding resources available to me, excellent support, personal enthusiasm and the guilt drive, and yet it still didn’t work out the way we’re told it should… and that was okay. It was a rewarding experience… and I am (mostly) glad it is over!
I’m always so curious about other women’s milk producing experiences, please do share! And if anyone finds themselves in a similar position and has any questions, please do ask!
kiwi / 511 posts
I do classify myself as an exclusive pumper because LO and I could not get a latch despite our best efforts and a supportive lactation consultant. I wanted almost needed to provide breast milk and since the little one was small (full term) I really wanted to give him a great start.
My supply meh, very small I tried an immediate nurse/latch right in the delivery room. I did get hooked up (literally
) with a hospital grade pump in the hospital and I would pump and then feed him that and it worked. But he didn’t drink much, there was jaundice etc (no lights needed just a lot of heel pricks). I ended up eating lactaion cookies and I pumped all the time (ok it just seemed that way but I did it every 3-4 hours with the last pump around 11 PM and then first thing at 5 AM) I always pumped the same amount.
We would supplement with formula, so if he needed 4 bottles and I only produced 3 he would get the 4th as a formula bottle. Heck he was still so small that we would (per dr.’s orders) add a full scoop of formula to ever BM bottle. It was a very regimented time and very constricting and played some havoc with my mental well being.
Our approach was go for 3 months and then re-evaluate the process in terms of if it was good for both my LO and myself and even DH since he had to pick up while I was tied to a pump several times a day. We did this twice and I pumped for 9 months total. I would have liked to go a full year but it just wasn’t in the cards and I know I did my best and that my LO is great. I also dried up very quickly and non painfully.
I was also jealous of my little sister who gave birth 2 months after I did, she had no issues nursing and had an obnoxious (to me) supply built up for day care.
In the end I know breast feed babies and formula feed babies that are now in their pre-teens (they are my nieces and nephews) and I don’t think you look at their lives and say oh this one was formula fed and this one was breast fed.
I tried to keep that in mind at all times while I was pumping and right after I stopped. I focused on the fact that I fed my child, end of story.
cherry / 220 posts
My little guy (big guy, now) was a preemie and I had to pump with and add in high calorie formula until he was 4 month sold so off the bat not a great start. When we tried to nurse he fought it hard, it just ended up being more exhausting.
I exclusively pumped for 8 months when I got a stomch bug and dehydrated so my supply tanked, I continued to pump and supplement until little man was a year old. The first time supplmenting I was wracked with guilt but it eased over time and if I have to do it again I would in a heartbeat without the guilt.
I tracked each pump session in time and ounces and tallied it up at the end of the year, all together I spend three months being milked, a quarter of the year of my little mans first year, ugh. I had a trash the pump party unto myself when I was finally done pumping.
guest
My son was born at 10lbs, and since he was in the NICU I had to pump from day one. We alternated nursing and pumping for the first 3 months, until he started eating more than I could make and we had to supplement with formula. I’m hoping to make it to 6 months before my milk dries up completely, but it’s on its way out with 6 weeks left to go. I don’t love pumping, but I honestly loved pumping way more than nursing, and it was so much faster. I love knowing he’s getting nutrients from me, and however baby gets fed is ok. Good for you for making it 10 months!
pomelo / 5628 posts
I EP’d for 11 months and like you had no supply issues so I was able to drop pumps pretty quickly after the first 10 weeks. My lo was a preemie too and he needed the calories to desperately to fight hard to learn to BF. It was definitely harder for me than him and it was great that my husband could be involved with feeding right from the start. (I also supplemented with formula the whole time because that’s what worked best for my refluxy baby – even though my supply was plenty.)
clementine / 806 posts
I exclusively pumped for a whole year. I was a little too crazy about being regimented about the pumping every 3 hours during my maternity leave which led to overproduction. I ended up donating over 3000 oz in addition to what I fed my LO. Second time around, I’ll probably be a lot less crazy over the “I need to pump every 3 hours” nonsense. I only need to pump what the baby needs and if I need to, formula is okay too.
cherry / 235 posts
I exclusively pumped with my first son from 6m to 12m.
This time around, my 2nd son is 4.5 months old, I was determined to nurse for longer (still mixing in pumping because I work, but not exclusive). Things didn’t go as planned though because he was born with a heart defect and after two weeks of him losing weight and me suffering from major engorgement and mastitis, the pediatric cardiologist and his pedi recommended exclusively pumping because he was having to work too hard to nurse.
With both boys I had/have an overwhelming milk supply, so the option to pump rather than go to formula seemed like the best one. I feel like if I have the milk to give than I should be giving it to him.
Pumping does take a lot of time and some days I think how ridiculous it is that I’m pumping and then feeding the baby with a bottle, but it’s what works best for both of us. The first few weeks were rough, finding the time for pumping and adjusting my supply yet again.
Now, 4.5 months into it I’m at 5 pumping sessions a day and am hoping by 6 months to go down to 4. I’m also hoping that my freezer stash will sustain a month or 2 of milk so that I can stop pumping before a year.
guest
Your start to nursing sounds very similar to mine (down to the army of hands trying to hold my daughter down so she’d stop flailing around like crazy and nurse.) My lactation consultant finally suggested nipple shields which worked for our particular issue. I used them for the next 5 months and was able to continue nursing without them after that, who knows why!
If the nipple shields hadn’t worked for me I would have been faced with either switching to formula or exclusively pumping like you. You should receive a medal for pumping as long as you have because it takes serious dedication! Congratulations on your beautiful boy and the one on the way!
blogger / cherry / 204 posts
@Mrs.Maven: Thats such an important point about remembering the lack of longterm effects, my mom would always remind me that I was mostly formula fed!
blogger / cherry / 204 posts
@SwanSong: I always wished I had kept track of how much time and milk I pumped so I could have added it up at the end!
blogger / cherry / 204 posts
@aegie: oh my goodness thats amazing!
blogger / cherry / 204 posts
@milano14: good luck Mama!
clementine / 849 posts
I too am part of the EP world. For the first 4 months – I pumped 8x a day, even through the middle of the night. The first 12 weeks are crucial to establishing a supply!!
I make 40 oz a day now with 3 pumps a day (8 months pp), even though I have to pump 30-40 minutes to empty. My max was at one time 60 oz! I’ve donated 2500 oz so far, and I have another 1500 in the freezer. I’m hoping to be able to quit at 10 months and be able to feed her from my stash for quite awhile.
olive / 57 posts
I EP’d for about 6 weeks after LO and I could not make nursing work. I found it sooooo draining (I think the post-partum hormones really ruined it all for me) and we switched to formula around the 6 week mark. I do not regret my decision, it was definitely the best for our family! Good for you for maintaining the pumping! Phew, what a job!
hostess / wonderful persimmon / 25556 posts
Sounds like you did a fantastic job! I started off breastfeeding but M popped on and off like your son over and over and she lost too much weight after birth. No one told me to go see an LC, my pediatrician just told me my milk wasn’t caloric enough (lies) and had me start supplementing with formula. Finally the popping on and off and pain made me go to EP for a while. We did eventually get back to breastfeeding but I could never really do it in public like all the moms I was jealous of! I stopped pumping daycare bottles at 11 months and quit breastfeeding at 17 months.
blogger / cherry / 204 posts
@AmandaB8: good work and good luck! Its so interesting how different everyones supply can be!
blogger / cherry / 204 posts
@mediagirl: its such a shame when doctors aren’t well enough informed on these subjects, and very impressive when people manage to make it work despite that lack of support!
blogger / cherry / 204 posts
@Mamagoose: After my experience, I am such a huge advocate of doing whats best for the family whenever I talk to new moms, the extra stress of these things is not worth it if it isn’t working!
honeydew / 7917 posts
I EP’ed with LO1 for 13 months. When he was born he had a difficult time sucking, even from a bottle. Breastfeeding didn’t come naturally to him, and every time I tried I felt like I was forcing him. I decided early on to EP, but I felt lost because there wasn’t a lot of information available. Everyday was a struggle, and I broke down almost daily in the beginning. Caring for a newborn was already hard enough, but pumping around the clock was draining. I made small goals for myself — 1 month, 3 months, 6 months. I was so scared of my supply decreasing that I pumped every 2-3 hours for months, and at the end I had only dropped down to 5 or 6 pumps a day. To make it even more difficult, I eliminated dairy, wheat, and eggs from my diet to help with his eczema (later we confirmed the dairy and egg allergy).
I’m currently breastfeeding LO2 (10+ months), and I’m happy to say that it has been a great breastfeeding experience. I was really scared at first since it was all new to me, but it has been relatively easy. We still have food allergies, and I’ve eliminated gluten, dairy, eggs, peanuts, tree nuts, and soy from my diet to accommodate.
Having EP’ed with my first and breastfeeding my second, I am very happy that my body has been able to nourish both of my kids. The methods are different, but it works.
guest
I like you had fully planned to breastfeed fully to my babe was a year old even though I would be working full time. I thought with all the information I would be able to overcome struggles. Unfortunately, when Cooper’s birth did not go smoothly and he ended up in the NICU immediately so I wasn’t able to try breastfeeding with him until he was over a day old and had already been on bottles. On top of this my milk never fully came in. And on top of that we are still struggling at 16 months to get him to gain weight. So with all that said while I did breastfeed until he was 8 months old we always supplemented with formula. You just never know how things are going to go!
guest
I, too, had a difficult time breast feeding. My son was born with a posterior tongue-tie as well as a lip-tie. Both my pediatrician and lactation consultant recommended that he have his frenulum clipped. We all hoped it would help him latch better. An ENT clipped his frenulum, and we saw an osteopath to help build a good latch. Unfortunately, his latch never really improved.
We tried nipple shields, SNS, pumping, etc. Because of his decline in weight, I decided to exclusively pump and bottle feed my son. My supply of milk never quite fulfilled my son’s hunger, so I ended up supplementing with formula as well.
It was so hard for me emotionally, since I really wanted to breastfeed my son, but now that my son is 13 months old, I can look back and say I tried my best. Pumping is so hard, especially when you return to your job after 4 months post partum. I am proud to say that I did pump for 6 months, before I decided that formula was ok and that my son was still healthy and happy. It was the best decision for our family.
I truly believe that everyone needs to decide what is best for their circumstances. It is most important that your baby is full, satisfied, and happy!
apricot / 490 posts
I am so interested and hopeful to see what happens with your next little one.
blogger / cherry / 204 posts
@yin: I’m so happy to hear that breastfeeding went so well with your second, I’m really hoping I can say the same with mine!
guest
I too ended up exclusively pumping after delivering a baby with suspected Hirschsprung’s disease and her admitted to NICUor the first 5 days of her life. I’d never met or heard much about it as a full time option and while I wanted to breast feed I desperately needed to relieve my engorgement and so my pumping journey began. It drove me crazy to start with as I kept to the schedule of every three hrs. I had to just to relieve myself. I made sure to pump at night 10pm, 1am and 4am for 10 weeks believing I had to establish my supply……all the while I developed an oversupply. I made so much milk we had to purchase a new freezer to store it in! Sadly as we live in Dubai in the Middle East there is nowhere to donate milk so towards the end a lot of my stash had to be thrown out as it was too old for my daughter to use.
Since weaning and returning to work and going through the process that only full time pampers understand I feel so proud of myself when I sit back and think what I achieved for my daughter to exclusively be given breast milk. Friends have since had babies and only pumped part time and even then given up as it was just too much hassle for them – agreed it each persons decision to make but I feel so happy that I pushed on through and succeeded!
Congrats to everyone here who pumps full time – it’s hard and time consuming and more people that talk about will help others know it’s another option as I often find it’s never proposed by midwives and or medical professionals – it’s breast or formula and we know there is always pumping!
Love the stories everyone!
guest
I currently have 10 week old and this is my story.
He was born 6 weeks early via emergency csection so even though i wanted to breastfeed only it wasnt really an option as he needed the special formula they prescribed. After 2 weeks in hospital we came home and I breastfed 6 of his 8 feeds a day and then suddenly week 4 came and a growthspurt. I just couldnt make enough and his weight started dropping. I started to pump at the end of a feed to stimulate production and just topped him up more with formula. By week 5 he was so hungry he would scream at the breast so I would bottle feed him and pump 6 times a day for about 45min to a hour at a time. At first I was managing to maintain pumping enough to make up 4 of his feeds but then my supply just kept decreasing and his intake kept increasing.
Its now week 10. I am physically exhausted. I pump 5x a day and all added together the milk is not enough to make-up a single feed of his. That five hours of pumping gets me 130ml a day and he feeds 160ml in a single feed. What kills me is his face when he finished my milk and i give him his formula top up. Its heartbreaking especially when he spits the formula out and cries.
Yesterday was a real low as one of my nipples started bleeding. So tomorrow I will start cutting down pumping till I can stop without pain. I feel like a failiure but in my good moments where im not crying I feel a tiny sence of achievement that I tried my best.
In one way I like pumping as you can visually see what intake the baby has and introduce the bottle which makes night feeds easier. It also means my hubby can feed him. On the other hand it can be demoralizing when a whole days pumping gets into 5/6 hour territory and not just 10min a session.