I laugh about this now, but when I was pregnant with Little Lion I didn’t think I would need a breast pump. “Get the double electric one! You will be glad you have it.” Mr. Lion assured me. But I was convinced that, since I was going to be staying home, a single manual pump for emergencies would be all I would need. Thankfully, Mr. Lion won that disagreement, because in Little Lion’s first year of life, I spent a great deal of time with that double electric.
LL was born 5 weeks early, and thus he began his life in the NICU, where I was instructed to pump frequently. I was loaned a hospital pump and taught how to use it, while also learning the ins and outs of breastfeeding a preemie, nipple shields, and supplemental nursing systems.
Post-bottle snuggles with Daddy
Long story short, nursing never really got easier for us over the first few months. LL had a teeny mouth and required a nipple shield to nurse at all, and eventually I decided that for my sanity, I would become an exclusive pumper. I was already pumping frequently during the day, and this decision was lifesaving for me.
While this solution did make life so much easier and less stressful for us, it was far from easy. But I did learn a lot about how breast milk is produced by the body, how to maximize output, and how to save time (which is very important when undertaking such a time consuming commitment!) I thought it may be helpful to share what worked for us during our pumping journey!
1. You need a GOOD pump. – Many insurance companies will provide these. You can also use HSA or FSA money to purchase these. Rentals are also an option, but if you are going to be using it for a long time getting your own may be your best bet. I used a Medela PISA and was very happy with it.
2. Pump A LOT in the beginning – In the beginning especially, breastfeeding is a supply and demand operation. When milk is removed from the breasts, your body is signaled to make more. When milk remains in the breasts, your body is signaled to make less. Just as baby needs to eat every 2-3 hours, I needed to pump every 2-3 hours in the beginning. I didn’t go by the clock when pumping, but rather went by what I was pumping. I would pump until the milk stopped flowing, and then for a few minutes after that. Many experts recommend pumping between 15 and 20 minutes, and this was roughly how long it took me too in the beginning. You will need to pump in the middle of the night too in the beginning, until your supply is well established.
3. Power Pump! – This was something I did a lot in the early days, at the recommendation of the hospital LC. The purpose of this is to imitate cluster feeding, which is when a newborn nurses on and off for long periods of time. Find a comfy spot where you can relax, and alternate between periods of pumping and breaks. The LC recommended watching a tv show and turning the pump off during commercials and on again when the show resumed. During this time you would continue pumping even if milk is not flowing.
4. Massage, Massage, Massage – This was another great tip I got from the LC in the hospital. Massage really helps to remove milk from all parts of the breast, which in turn increases supply (remember, any milk left behind will stimulate your body to make less!), prevents clogged ducts (they can’t get clogged if there’s nothing in there!), and in turn, prevents mastitis. There are lots of youtube videos available that show how to do this. I didn’t go a single pumping or nursing session without massage, and I think it made a huge difference in maintaining my supply pain free!
5. Get a hands free bra, and wear a cami every day – The hands free bras were an absolute necessity for me. You cannot both hold the bottles and successfully massage while pumping both breasts at once. I survived with just one hands free bra, but if I end up EPing for baby #2, I will invest in a second. Without it, I was only able to massage and pump one side at a time, which takes twice as long. Also, unless you like sitting around your house completely topless (no judgment here if you do!), the camis will help keep you covered up a little. I was able to take off my top layer and then pull the straps down around my arms so that my mid section was still covered.
6. Designate a location – I hated putting the pump away and getting it back out every time I needed it, so I set up a station in my living room. I took the pump itself out of the giant bag it came in (I was only pumping at home, so portability was not necessary for me) and put it in a small basket so that it took up less room. Make sure you have a flat surface nearby so that you have a place to set the bottles when you are disassembling.
7. Store pump parts in the fridge – Lots of people buy extra parts so that they don’t have to wash so often, but I found that storing the parts in a container in the fridge was much more time saving. Most times I would start one morning with clean parts and then use them for two days before washing. I would hand wash them the second evening, and they would be ready to go the following morning. You could wash more often if you wanted, but I wouldn’t go longer than 48 hours.
8. Don’t be afraid to drop sessions – Once your supply is established, it isn’t always necessary to continue pumping around the clock. For me, I was eventually able to drop down to only 4 sessions a day without compromising my supply. To decrease the total number of sessions, drop no more than one, and keep your new schedule for 3 days. This will give your supply time to adjust. If your output stays the same after 3 days you are fine to try to drop another. If your output does decrease, you can add that session back and your supply should increase again within 3 days. Dropping sessions takes some trial and error, but when EPing it is FAR more manageable when you have to stop your day to pump 4 times vs. 8! Also, if you need to miss one session occasionally, it is unlikely to do any damage to your supply. Just get back on track the following day.
9. Try not to quit on a bad day, but it’s okay if you want to stop – EPing is really really hard sometimes, just like breastfeeding in general. There were lots of times I wanted to throw in the towel after a hard day, but I was glad the following day when I had a chance to see the bigger picture that I didn’t. Eventually I did decide to stop and switch to formula at 10 months, but it was after a lot of consideration, and not out of frustration. When I did stop, I had no guilt. I knew I had weighed the pros and cons, and made the best decision I could (isn’t that all we can really do as parents anyway?) If you find that it just isn’t working out, it is more than okay to stop, whether it has been weeks or months! Your baby needs a happy healthy momma more than he/she needs breastmilk! Any amount of EPing should be celebrated, because it is really a tough job!
10. Enjoy the benefits of bottle feeding! – Breastfeeding gets a lot of the glory (with good reason!), but there are some really great things about bottle feeding too! One of the most wonderful things I witnessed when LL was tiny is watching him bond with his daddy in this way. Let’s be honest, there isn’t a lot of interaction going on when babies are newborns, and feeding is probably the most interactive part of the day. I am glad Mr. Lion didn’t miss out on this experience. It also allowed us to leave home sooner, and I was able to get a lot more sleep than I would have if I was exclusively breastfeeding because we could share the middle of the night feeding responsibilities. These, of course, are in addition to the fact that nursing was stressful and emotionally draining for us, so my most calm moments of the day were when I was snuggled up with LL as he contentedly drank his bottles.
Despite the inconveniences and time consuming nature of exclusively pumping, I am so grateful that I was able to make it work so that LL could have breast milk for most of his first year. Do you have any tips to add for making EPing a successful experience?
blogger / pomegranate / 3044 posts
+1000. Great tips!
I did break down and buy a 2nd hands free bra when pumping for D, to have a spare when I would fall asleep pumping in the middle of the night and wake up with milk everywhere
blogger / grapefruit / 4836 posts
@Mrs. Tiger: Those were the times I really wished I had another one! Or the few times that I hooked up and forgot to attach the bottles…and wondered a couple minutes later why I was soaked! Sigh.
kiwi / 511 posts
Easy hands free bra, get a sports bra that hooks in the front cut and X over each nipple, and voila hands free. The bra should be snug but not overly restrictive. That tip came from my LC. For my little one he never latched and despite the cookies and pumping often (although I didn’t know about the cluster feed simulation thing) I could never produce enough milk. So my guy was what I like to call a hybrid, he had my milk plus formula, he always had formula since he was a lightweight and the pedi wanted him to weight more so we always added a scoop of formula to every breast milk bottle, and we did a concentrated version of the formula if it was a formula only bottle.
guest
The Freemie!! It replaces the flange and bottle and works with several pump brands, including Ameda and Medela. It makes pumping totally hands free and allows you to wear “normal” clothes. I also found it to be much more effective and efficient at getting milk out than the traditional flanges. You look a little like Jessica Rabbit when you have them in, for better or worse.
guest
I second the Freemie. Pumping is so much easier and can be done discreetly with any bra and virtually any shirt.
blogger / cherry / 247 posts
this was a tremendously helpful post (and timely)! i have a question for you regarding the hands free pumping bra. with my first, i bought a bra and it was flimsy and didn’t hold the shields close enough to my breast so i wound up having to hold them anyway. i found this so annoying that i stopped using the bra and just held the shields there through the whole pumping sessions. with baby #2, i would like to avoid this and actually experience hands-free pumping. do you have a recommendation for a good, well fitting bra that actually works? sounds like you do, so the brand and model would be very helpful. thank you!
guest
I think the Simple Wishes hands-free pumping bra is the only one worth buying. It has super strong velcro closures that allow you to adjust your band size as you body changes post-partum. It has a little strip between the breasts that can be inserted or removed to space things out as appropriate for your body. It has flaps that cover your whole nipple and help to hold the bottles more securely and also provide more modesty.
guest
And most importantly, it’s possible! I built my supply with a pump and exclusively pumped for my son and I got nothing but negativity and neigh-saying from the lactation consultants. I wish I would have been encouraged to follow my instinct and pump exclusively from the beginning because it would have saved me some heart ache and stress. I did it for 12+ months – it was tough but it worked.
Also, these shields were a lifesaver. I couldn’t have done it without them. http://www.pumpinpal.com/
apricot / 370 posts
I used the simple wishes hands free bra, very secure and easy to use, and it folded up nicely when not in use, and just threw it in the wash for easy cleaning. I had a cover that I also threw into my pump bag. I used the Medela Freestyle double electric pump, and i loved how I could walk around with it, and I could just easily throw it in any bag if I was out and about. It also had memory settings so I didn’t have to time myself each time. I used Pumpin’ Pal slanted shields which seemed to fit nicely for me, and more comfortable. I set up my laptop in the nursery, and had it loaded with streaming videos and my reader, so I was all set for entertainment.
pea / 24 posts
Great timing for this post! DD Is 6 days old, I am breastfeeding after a reduction and LO is having trouble nursing effectively on my flat nipples. Having to pump and supplement which wasn’t part of my plan. Thanks for the tips which make me feel that this is doable.
blogger / grapefruit / 4836 posts
@Mrs. Scooter: Sorry I didn’t see your comment sooner! I used the Medela hands free bra and it was okay as long as I was sitting. It didn’t hold very well if I had to get up and move. I have heard great things about the Simple Wishes bra though, so if I end up EPing again that is the one I am going to try!