Tag: breast pump

The Importance of Lubrication While Pumping

- Julie Matheney

Breastfeeding can be a rewarding but challenging journey, especially when it comes to using a breast pump. One often overlooked aspect that can significantly enhance your pumping experience is lubrication. Here's why lubrication is essential while using a breast pump:

1. **Prevents Nipple Damage**: Dry pumping can lead to friction, which may cause nipple soreness, cracking, and irritation. Using a lubricant can help reduce this friction, keeping your nipples healthy and comfortable.

2. **Enhances Comfort**: Lubrication can make the pumping process much more comfortable. A smoother, less abrasive experience means you’re more likely to stick with your pumping routine, ensuring your baby gets the nourishment they need.

3. **Improves Suction Efficiency**: A properly lubricated nipple can help create a better seal with the pump flange. This can enhance the efficiency of the pump, allowing for better milk extraction in less time.

4. **Reduces Pumping Time**: When the pump is working efficiently and comfortably, you may find that your pumping sessions take less time. This can be a significant benefit for busy moms juggling multiple responsibilities.

5. **Prevents Plugged Ducts**: Consistent lubrication can help maintain a steady flow of milk and prevent issues such as plugged ducts, which can be painful and may lead to mastitis if not addressed.

### How to Properly Lubricate

1. **Choose a Safe Lubricant**: Opt for a nipple-friendly lubricant such as medical-grade lanolin, coconut oil, or a water-based lubricant specifically designed for breastfeeding. Avoid using lotions or products with fragrances and additives.

2. **Apply Before Pumping**: Before you start pumping, apply a small amount of the lubricant to your nipples and the inner part of the pump flange. Ensure even coverage without over-applying.

3. **Reapply as Needed**: If you’re pumping for extended periods, you may need to reapply the lubricant to maintain comfort and efficiency.

4. **Keep Clean**: Ensure that your pump parts are clean before applying the lubricant. Proper hygiene can prevent infections and ensure the longevity of your pump.

5. **Consult a Professional**: If you’re unsure about which lubricant to use or how to apply it, consult a lactation consultant for personalized advice and recommendations.

Incorporating lubrication into your pumping routine can make a significant difference in your comfort and efficiency. By taking this simple step, you can ensure a more pleasant and productive pumping experience, ultimately supporting your breastfeeding goals and your baby’s health.

Pace bottle feeding

- Julie Matheney

**What is Paced Bottle Feeding?**

Pace(d) bottle feeding is a responsive feeding technique designed to mirror the slower, more controlled flow of breastfeeding. The idea is to allow babies to feed at their own pace, promoting better digestion, reduced gas, and helping to prevent overfeeding. There are a few things about how it’s being taught to families with older babies, though, that have always bothered me as NICU trained SLP.

Pace bottle feeding was originally used and taught in the NICU setting with preemie babies for before their suck, swallow, breathe coordination was fully developed. We needed to be in charge of the bottle, because babies born before their due date lack maturity for self pacing and are at a higher risk of fatigue and other medical issues like aspiration and bradycardia/tachycardia from feeding.

Pace bottle feeding is often shown as baby sitting upright with the bottle nipple only half full of milk. Caregivers are encouraged to tip the bottle down frequently every few swallows to slow baby down. The bottle is also removed at regular intervals for burping. This can work fine for the first week or two while baby is learning to feed, but there are a few flaws to this.

📌I’m not a fan of half full nipples. Air mixed with milk is what increases swallowing air which can cause reflux and digestive discomfort. I recommend keeping the nipple full

📌Externally pacing the baby is fine in the initial weeks after birth, but we really want baby pacing themselves. If they are constantly chugging from the bottle, that’s a bottle issue. Decrease the level or nipple or change bottles to find a flow that allows baby to take breaks when they want to

📌An upright position is fine for babies 3+ months, but I see so many newborns hunched or scrunched in this position, which leads to pressure on the belly. Having baby in an upright side lying position mimics being at the breast and allows a long, straight torso for easier digestion

📌Yes!!!! We want baby to pace their feedings. That means it would take a similar amount of time as the breast: 15-30 minutes for the first 6-8 weeks and then to match the time at the breast after that it can range from 5-30 depending on how fast mom’s let down is.

How Paced Bottle Feeding has been taught:

👶🏻Hold Baby Upright: Sit baby in a semi-upright position to reduce air intake and reflux

🍼Controlled Bottle Angle: Hold the bottle horizontally, allowing milk to fill the nipple (some are taught to only fill it half way) but not flow freely.

🧭Pause and Check-In: Offer short breaks during feeding to gauge baby's cues for hunger or fullness.

💡Encourage Sucking Reflex: Let baby control the pace of feeding by actively sucking to draw milk, rather than having milk continuously drip.

🔮Observe Cues: Watch for signs of satiety (e.g., slowing down, turning away) to know when baby is full.

Benefits of Paced Feeding:

- **Supports Digestion:** Reduces the risk of overfeeding and minimizes gas and spit-up.

- **Mimics Breastfeeding:** Helps babies develop a natural feeding rhythm similar to breastfeeding.

- **Promotes Self-Regulation:** Encourages babies to eat until they are satisfied, rather than finishing a bottle due to continuous milk flow.

**When to Use Paced Bottle Feeding:**

- **Breastfeeding Transition:** Ideal for young babies who are both breastfed and bottle-fed to maintain consistency in feeding patterns.

- **Preventing Overfeeding:** Helps prevent babies from overeating by allowing them to control the pace.

- **Bonding and Interaction:** Fosters a closer feeding experience between caregiver and baby.

**Final Thoughts:**

Paced bottle feeding is not just about feeding; it's about creating a nurturing and responsive feeding environment for your baby. By tuning into your baby's cues and allowing them to guide the feeding process, you can support healthy growth and development while fostering a positive feeding relationship.

Have you tried paced bottle feeding with your baby? Share your experiences and tips below! 💬🍼 #PacedFeeding #ParentingTips #BabyCare

Breast milk supply tips

- Julie Matheney

It's crucial to remember that every breastfeeding journey is unique, and breast milk pumping outputs can vary widely from person to person and even from day to day. Comparing your output to someone else's can create unnecessary stress and pressure.

Natural Variation: The amount of milk a person can pump varies based on factors like breast storage capacity, hormonal levels, baby's nursing habits, and more. Some people naturally produce more milk than others, and this doesn't reflect on their ability to nourish their baby

Frequency and Timing: Pumping output can fluctuate throughout the day and with different pumping sessions. It's normal for milk supply to be higher in the morning and lower in the evening. The timing and frequency of pumping sessions can also impact how much milk is expressed

Storage Capacity: Breast storage capacity differs among individuals. This affects how much milk can be stored in the breast at one time and consequently how much can be pumped in one sitting

Baby's Needs: Babies' needs vary, and not everyone needs the same amount of milk. Your baby's growth and development are better indicators of whether they're getting enough milk rather than the volume you pump

Typically, a newborn consumes around 1-3 ounces per feeding in the first few weeks. However, this can vary based on baby's age, appetite, and individual needs. Here are some general guidelines:

Early Days: In the first few days after birth, when your milk is transitioning from colostrum to mature milk, you might pump smaller amounts (e.g., 1/2 to 2 ounces per session)

Established Supply: As your milk supply regulates (around 4-6 weeks), you might pump around 2-4 ounces per session

Later Months: Pumping output can range from 2-5+ ounces or more per session as your milk supply adjusts to meet your baby's needs

Remember, the best indicator of successful breastfeeding is your baby's growth, diaper output, and general well-being. If you have concerns about milk supply or breastfeeding, it's always a good idea to reach out to an IBCLC for personalized support. And most importantly, be kind to yourself and focus on the special bond you're nurturing with your little one.

Pump Flanges: Size Matters

- Julie Matheney

The history of the 24mm pump flange is closely linked to the evolution of breast pump technology. Breast pumps have been around for over a century, but significant advancements began in the 20th century. Early breast pumps were manual, cumbersome, and often inefficient.

In the mid-20th century, electric breast pumps were introduced, revolutionizing breastfeeding by making it easier and more efficient to express milk. However, these early models were still quite rudimentary in design.

The 1980s and 1990s saw significant improvements in breast pump technology, with companies like Medela and Ameda leading the way. During this period, a range of flange sizes was developed to accommodate different nipple and breast sizes. The 24mm flange size became a standard option, as it was thought to fit a significant portion of women effectively. However, over time, it has become evident that the 24mm size is often too large for many women. Research and user feedback have shown that the majority of women actually require smaller flange sizes for a proper fit and comfort.

The predominance of the 24mm flange as a default size reflects an initial lack of understanding and support for the anatomical diversity among breastfeeding mothers. Many women experience discomfort and inefficient milk expression due to using flanges that are too large. This mismatch can lead to reduced milk supply and a negative breastfeeding experience.

Today, there is a growing awareness of the need for a wider variety of flange sizes that truly support the diverse needs of breastfeeding mothers. Companies are increasingly offering smaller flange sizes and more customizable options to ensure a proper fit for all users. This shift towards inclusivity and better support for all anatomical variations marks a significant improvement in the breast pump industry, aiming to enhance the breastfeeding experience through better technology and design.

Do I need to use pump flange spray while pumping?

- Julie Matheney

Breastfeeding can be a rewarding but challenging journey, especially when it comes to using a breast pump. One often overlooked aspect that can significantly enhance your pumping experience is lubrication. Here's why lubrication is essential while using a breast pump:

1. **Prevents Nipple Damage**: Dry pumping can lead to friction, which may cause nipple soreness, cracking, and irritation. Using a lubricant can help reduce this friction, keeping your nipples healthy and comfortable.

2. **Enhances Comfort**: Lubrication can make the pumping process much more comfortable. A smoother, less abrasive experience means you’re more likely to stick with your pumping routine, ensuring your baby gets the nourishment they need.

3. **Improves Suction Efficiency**: A properly lubricated nipple can help create a better seal with the pump flange. This can enhance the efficiency of the pump, allowing for better milk extraction in less time.

4. **Reduces Pumping Time**: When the pump is working efficiently and comfortably, you may find that your pumping sessions take less time. This can be a significant benefit for busy moms juggling multiple responsibilities.

5. **Prevents Plugged Ducts**: Consistent lubrication can help maintain a steady flow of milk and prevent issues such as plugged ducts, which can be painful and may lead to mastitis if not addressed.

### How to Properly Lubricate

1. **Choose a Safe Lubricant**: Opt for a nipple-friendly lubricant such as medical-grade lanolin, coconut oil, or a water-based lubricant specifically designed for breastfeeding. Avoid using lotions or products with fragrances and additives.

2. **Apply Before Pumping**: Before you start pumping, apply a small amount of the lubricant to your nipples and the inner part of the pump flange. Ensure even coverage without over-applying.

3. **Reapply as Needed**: If you’re pumping for extended periods, you may need to reapply the lubricant to maintain comfort and efficiency.

4. **Keep Clean**: Ensure that your pump parts are clean before applying the lubricant. Proper hygiene can prevent infections and ensure the longevity of your pump.

5. **Consult a Professional**: If you’re unsure about which lubricant to use or how to apply it, consult a lactation consultant for personalized advice and recommendations.

Incorporating lubrication into your pumping routine can make a significant difference in your comfort and efficiency. By taking this simple step, you can ensure a more pleasant and productive pumping experience, ultimately supporting your breastfeeding goals and your baby’s health.

Exclusively pumping is like having unexpected twins

- Julie Matheney

The Double Duty of Exclusive Pumping:

🧑🏽‍🍼Time and Effort: Exclusively pumping requires significant time and dedication. You're not just feeding one baby directly; you're also spending extra hours feeding your pump. Not to mention all the set up and clean up that involves

🎛️Logistics:Managing the logistics of pumping and feeding your baby involves intricate planning and organization—keeping track of pumping schedules, milk storage, sterilization, and bottle preparation

🎢Physical and Emotional Demands: Exclusive pumping can be physically and emotionally demanding. It requires resilience and perseverance to maintain a steady milk supply while

Remember, You Are Incredible:

- Your dedication is extraordinary. Unlesss they’ve done it before, people don’t understand that exclusive pumping (or triple feeding) is like having twins. It’s not **just pumping**, it’s feeding two babies, one is just electronic

- It's okay to feel overwhelmed or exhausted at times. Stay hydrated. Make sure you have plenty of snacks. Naming your pump can help some feel more connected to the process. Find support to make sure you have a quality pump and the right size flanges as well as help with pump schedules to make sure you reach your goals

- Celebrate your achievements. Every ounce of milk pumped is a testament to your determination to reach your feeding goals

This message is a reminder of the incredible dedication and love that goes into exclusive pumping. It's important to acknowledge the challenges while also celebrating the immense strength and resilience of parents who undertake this journey

Why does my breast pump hurt? Can my breast pump cause plugged ducts and mastitis?

- Julie Matheney

You would think that the stronger a breast pump can suction, the better. But before you crank that pump to the highest setting, make sure you know the benefits (and risks) of doing that. Breast pump suction power is measured in mmHG (millimeters of mercury), the standard unit of measuring vacuum pressure. Studies were done on babies sucking at the breast and breasts pump suction levels are based off what we know of how babies remove milk from the breast. The suction level, or vacuum, is different than the cycle speed, which is how fast it pumps. This is why breast pumps should have two settings: cycle (speed) and vacuum (strength). Most pumps will cycle at 40-70 cycles per minute. This is based off of the average number of sucks a baby does at the breast in that same amount of time. Every baby sucks are their own pace and with their own vacuum strength.

Every pump has its own max suction strength that it can reach. “Hospital grade” pumps generally have maximum suction levels in the 300+ mmHg range while personal grade pumps are generally in the 200+ mmHg range. This doesn’t necessarily make a pump better or worse. The highest suction level on most pumps are actually above the comfort zone of the majority of pumpers. Most people feel comfortable expressing in the range of 150 – 200 mmHg regardless of whether the pump can reach 250 or 350 mmHg at its max. Using the suction too high, especially in combination of the wrong size flanges, can hinder milk flow and be the root cause of plugged ductsmastitis, dropping milk supply and breast/nipple damage!

Think of it like drinking from a milkshake with a narrow straw. When you suck too hard, the straw starts to collapse on itself and the shake is really hard to drink. Milkshakes move better with gentle, consistent sucking that doesn’t collapse the straw. Milk ducts are like compressible straws inside the breast that move milk from the milk-making glands called alveoli to your nipple pores in your nipple to your baby. Not only does everyone have a different number of these ducts, but the diameter of the ducts also varies from person to person. Too much breast pump suction compresses the areolar tissues which pinches off the ducts and actually decreases the flow of milk to the pump. With time this can cause milk to back up in the breast, increasing the risk of plugged ducts. This can also foster inflammation and risk damage. This also leaves milk behind which eventually can drop your overall milk supply. Having the right size flange AND using enough suction to move milk but not compress the ducts is essential to a happy pumping journey.

Need to treat mastitis fast? CLICK HERE FOR MY VIDEO ON MANAGING MASTITIS

 

Click the picture for the new mastitis protocol from the ABM

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How long is my breast pump good for?

- Julie Matheney
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Your pump motor has a warranty for the number of hours it will provide strong suction for pumping. Each company has a different motor warranty for how long their pump will suck. Most pumps have a 2 year warranty for regular use (3-4 pumps a day while working a 5 day a week job) and this would get you through pumping while breastfeeding that baby. Each manufacturer should have this information on their website or in the pamphlet that came with your pump. The Spectra, one of my favorite pumps and very commonly used, has a motor life of approx 1500 hours with general use. For most, they find this pump will provide good suction for about 3-4 years. For Exclusive Pumpers (EP), many find the pump will wear out around 700-800 hours of use. If you only occasionally pumped with your first baby, you may find the pump works great for your second baby. You may also then get a different pump, like a portable or wearable. But if you pumped a lot, consider getting a new pump for each new baby born.

How long did you use your pump for before it wore out?

Used pumps are considered electronic waste. Disposal options include recycling through the manufacturer, or contacting your local recycling center or electronic recycling site to see if they will accept it.

#spectrabreastpump #spectra #breastpump #breastpumping #pumpingmom #pumpingmilk #pumpingtips #pumpprincess #breastmilkstorage #breastmilksupply

 

Ready to WEAN FROM PUMPING? Click here for more information.

Pumping is not an indication of milk supply

- Julie Matheney

Hey you!!! Yes, you, the one pumping milk at 2am. Just a reminder pumping volumes are not a true indicator of your milk supply and don’t determine your work as a parent. There are many factors that go in to how much you can pump. Pump quality, the flanges you’re using, how you’re setting up the pump session, how long it was since your last session, time of day, medications, and where you’re at on your period all play a role in how much milk you will see in the bottles. 

Pumps were designed after babies and not the other way around. And they’re not usually as efficient as an efficiently feeding baby. A baby with no tongue or lip tie and a strong suck can remove more milk and trigger more milk to be made better than commercially purchased pumps. 

I expect you to be able to pump 1/4-1oz combined from both breasts when pumping after directly breastfeeding and 2-4oz every 2-3 hours when pumping in place of breastfeeding. Your worth is not measured in ounces. Nor is it measured by what that other lady on social media can pump. You’ve got this. Trust your baby and trust your body. 

If you’re struggling with pumping or how to understand the process better, consider taking my Pumped class. Or a personal flange fitting both in person and virtual.

Pump flange fit

- Julie Matheney

Finding the right size pump flange is essential. I’ve found there are 3 F’s to Flange Fitting:

FIT:  🗝Flange fit isn’t based on your breast or areola size, it is JUST the size of the nipple and how it changes with suction

🗝Proper fit isn’t as simple as measuring your nipple, but it’s a start.

🗝A small amount of space around your nipple in the flange tunnel is good. There should be no space around the areola or in the larger bell part of the flange 

🗝The nipple tip shouldn’t hit the back of the flange. This means you have an elastic nipple

FEEL: 🗝Pain or blanching (changing colors to white or red) means it’s the wrong size

🗝Nipples rubbing against the sides of the flange tunnel mean fit needs to be improved and there is a risk of pain and damage

FUNCTION: 🗝It should actually move your milk efficiently. If you feel like there’s still milk left after pumping, you’re getting recurrent plugs or seeing a drop in supply, it’s not functioning well for you and changing the size should help

🗝Every nipple is unique and each side may use a different size (or shape/brand!). There are all kinds of flange sizes, inserts, and cushions to improve the pump experience