Pumping Log: the pump room

I’m sure every workplace has their own unique style of pumping room. It is a place of sanctuary and safety for many nursing moms during the day. At the hospital where I work, we have an employee lactation room on the first floor. Inside are two somewhat comfortable chairs, each with its own table, two curtains to separate them, and a sink. We are actually very blessed to be in a baby friendly hospital  where they at least attempt to take care of their breast-feeding moms. I have read about pumping room horror stories, though, of “pump rooms” that are nothing more then broom closets or electrical rooms with folding chairs. The law states that all employers must provide a non-bathroom room for breast-feeding employees. But their definition of “non-bathroom” is occasionally taken liberally. The room in which you pump can definitely impact your milk output. If the room you are in makes you stressed, you will see a decrease in milk production. If you are in a calm environment and don’t feel rushed, your milk will have a higher chance of letting down. Do you whatever you need to do to make your pump room as comfortable as possible. Make sure to surround yourself with plenty of pictures of your baby and since it is your break, if you can FaceTime or Skype your baby.

My hospital’s employee lactation room

I do have a funny story about my work pump room. The tables are older and one of them had a broken table leg. The table looked like it was going to collapse at any second. I put in a complaint through the proper chains. I came in the next day and the table was gone. But the two chairs were facing each other with the table in the middle as if anyone pumping at the same time would have a pump off! I don’t Think the maintenance department quite understood the purpose of the room 🙂 with a quick phone call to HR we were able to get a second table and move the chairs back to the proper positions. What are your funny pump room stories? Feel free to share your pump room pictures.

Let’s have a pump off.

Happy pumping!

Pumping Log: pumping is a full time job

I’m a lactation consultant. I’m also a first time mother. My daughter will be nine months old next week. I went back to work when she was just twelve weeks old. I’ve been pumping since then. No one told me how much work that would actually be. Pumping while at work is literally a full time job in and of itself. For most moms that plan to continue breastfeeding after they go back to work, you need to plan to pump when you would typically feed your baby. Feed the baby or feed the pump. That’s how you keep up supply.

But that can be tricky when you’re working. I try to pump three times in an eight hour shift. Every two and a half to three hours. For ten to twenty minutes depending on my break. I’m typing this over my lunch break as hard plastic suction cups suck on my tender bits.  It takes scheduling and planning. Some days are easier than others. Some days the milk flies better than others. The most important thing is to not give up and not get discouraged. In the end the benefits definitely far out weigh the risks. Like reducing my risk of breast cancer. Reducing the risk of allergies, eczema, respiratory and ear infections for my baby. Saving the environment from extra trash. Not to mention saving almost $3000 a year from formula costs. You definitely need to keep your goals and your humor about you to persevere.

This is a comparison of several days. My baby has always had enough. Every once in a while I will pump at night before bed to give me a little extra milk if I have a lower day. As you can see, first pump of the day (on the left) always gives me the highest amount with amounts dropping as the day goes on. That is normal for every mother whether she pumps or nurses.)

what have you found to be most helpful for keeping your supply up while pumping at work? Feel free to comment!!!

Pumping Log : Storage

We’ve talked a bit about increasing milk supply and about pumping. So now that we have all this yummy milk, what are we going to do with it? Let’s talk about milk storage.

The U.S. Centers for Disease Control and Prevention (CDC) offers ranges of time that milk can safely be left at for certain temperatures. Use this link to go directly to their website. But there is a simple rule that fits within these ranges and is easy to recall, even when you’ve had less sleep than a college kid in finals week. Just remember 5-5-5.

  • 5 hours at room temperature. If the room is very warm (more than 85 degrees F), 3-4 hours is a safer time range.
  • 5 days in the fridge (the back of the refrigerator is the best place to store your milk since it is the coldest.)
  • 5 months in a regular freezer (the separated compartment in a typical fridge/freezer unit) According to the CDC, milk frozen for longer than the recommended time ranges is safe, but may be lower in quality as some of the fats in the milk break down.

Other time ranges that don’t fit as neatly within the 5-5-5 rule, but are still helpful:

  • Human milk can be stored for 6-12 months in a chest or upright deep freezer.
  • Human milk can be safely stored with ice packs in insulated storage bags for up to 24 hours.

As part of my routine, if I work the next day, I put my milk into separate bottles and stick them in the fridge when I get home from work. That way my husband can feed them to my baby the next day while I’m at work. If the next day is a day off, I put my milk into disposable milk storage bags to stick in the freezer until the next time I work. The bags are labeled with the date they were pumped and always put in order from oldest to newest milk. This method saves going through a bunch of milk bags and saves both time and money. There are several brands of milk storage bags. I’ve found I really like the Dr Dudu bags. They’re larger size and with the double zipper I don’t need to worry about leaks in my lunch bag during the work day.

Milk from different pumping sessions/days may be combined in one container – use the date of the first milk expressed. I frequently pour all of my milk from one day of work into a larger bottle. This helps even out the calorie count and fat content since we know different pumping seasons yields different milk content. Avoid adding warm milk to a container of previously refrigerated or frozen milk – cool the new milk before combining. Breastmilk is not spoiled unless it smells really bad or tastes sour.

Safely Thawing Breast Milk

As time permits, thaw frozen breast milk by transferring it to the refrigerator for thawing or by swirling it in a bowl of warm water. You should avoid using a microwave oven to thaw or heat bottles of breast milk. Microwave ovens do not heat liquids evenly which could easily scald a baby or damage the milk. Bottles may explode if left in the microwave too long. Excess heat can also destroy the nutrients in your milk. It is recommended that you do not re-freeze breast milk once it has been thawed. Although I read on kellymom.com that if the milk had only been partially thawed and there are still ice crystals in it, you can safely refreeze the milk and thaw it on a later date.

When the fat in your milk separates in the fridge or freezer, make sure you swirl the milk to incorporate it back into a smooth, creamy mixture. Breast milk has living components in it which help protect your baby’s gut and promote digestion and immunity. Shaking breast milk actually denatured, or breaks down, the shaped molecules of the protective proteins, leaving them in pieces. Lactoferrin, lysozyme, and other protective components work their protection magic when they are in their original shaped molecular structure.

Other helpful website for breast milk storage Kellymom.com

Pumping Log #3

Every pumping session is a new session. Calories in breast milk range from 13-35 calories per ounce. The average amount of calories in typical breast milk around 20-22 calories. This fluctuation is due to changing fat content. The amount of fat in human milk changes depending on the degree of emptyness of the breast (empty breast = high fat, full breast = low fat). The longer a mom goes between pump sessions, the more water is in the milk and the lower the fat content. This is because the mom’s body thinks the baby is getting dehydrated and the water content is to rehydrate the baby. A breastfeed baby can take in the same amount of calories from different volumes of milk. For example, 4 ounces of 15 calorie pumped milk early in the morning has the same calories as 3 ounces of 20 calorie breastmilk pumped only a few hours later. This is unlike formula. Standardized formula has 20 calories per ounce.

For more info on the nutrition facts in breastmilk, check out these websites!!

Children’s Hospital of Philadelphia 

Kellymom.com

Happy Pumping!!

Nursing Bras

Many moms need to breast pump for a variety of reasons, from going back to work, to increasing milk supply, to feeding a preemie in the NICU. I think it’s pretty safe to say these models have never seen a breast pump in their life. And if they have, I think they may need to see a plastic surgeon to help with their nipple placement! For help with fitting your breast pump, nipple shield, or nursing bra, feel free to set up an appointment with me!

Pumping Log #2

What’s in my pumping bag. A well stocked pumping bag is the most essential item you will need when you go back to work. Packing the bag efficiently and with necessities can help eliminate stress and worry while pumping at work. Here are a few of the things in my pumping bag. Obviously the pump is the most important piece. Make sure to check that you have all the pieces and parts in the morning before you leave for work. I had forgotten one or two pieces several times. I actually now keep a spare pump in my car that is always ready to go in the event that I forget something. I always keep instant oatmeal, mothers milk tea, and honey sticks ready for a quick snack on the go. When I know I am going to work the next day, I bring empty bottles to put my milk in. That way I can keep it in the fridge and handy for the next days feedings. If I know I am going to be home the next day, I use disposable milk storage bags. I’ve tried several brands and really like the Dr. DuDu. They’re sturdy and have a double zipper. Plus they come in a handy 8oz size for streamlining in the freezer. I can put my pumped milk in the freezer and it will be ready to go the next time I’m at work. I always keep extra nursing bra pads. I wear washable ones made of bamboo fiber. But you never know when you might need to change them. I keep it small stash of disposable ones in my bag at all times. Another necessity is my stash of essential oil’s. I use fennel to help keep my supply up. Serenity, lavender, balance, and citrus bliss help elevate my mood when I’m feeling down at work. What’s in your bag?