USING A BREAST PUMP 17340 Breastfeeding Answers How do I use a breast pump?
Like breastfeeding, pumping is a learned skill. Most
Preparing the breast pump
mothers are able to express only a few drops of milk
Read the instruction sheet in the kit
when they first try a breast pump. With practice and
knowledge of how the breast works, the mother will
All parts of the pump need to be sterilized
After each use, all parts of the pump need
No matter what method of pumping is used, the
to be washed in warm, soapy water, rinsed
success of pumping depends on the body’s ability to
“let-down” to the pump. Some times if mother don’t
towel. Plastic tubing does not need to be
see milk immediately after beginning pumping, they
cleaned unless milk gets into it. If washed,
start to pump harder or increase the suction with the
it should be hung to allow it to drain and
mistaken idea that more pressure will “pull” the
milk out. Doing this can cause discomfort and
If your doctor feel it’s necessary, the entire
anxiety and actually discourage the let-down
kit can be sterilized daily according to the
response. Understanding how the let-down works
instructions included with the pump.
When beginning with a full service electric
The let-down reflex releases milk from the back of
the breast into the ducts to make it available to baby
or the pump. As the nerves in the nipple and aerola
gradually increased to what is comfortable
are stimulated by baby’s sucking or the action of the
pump, the pituitary gland receives a signal to release prolaction and oxytocin into mother’s blood stream.
Getting started
Prolactin relaxes the mother and stimulates the
Warm compresses, gentle breast massage
alveoli to produce more milk. Oxytocin causes the
alveoli to contract and squeezes milk into the ducts.
Relax while doing breast massage and
during pumping. Some mothers close their eyes and think about nursing the baby, imagining the baby in their arms. Many mothers use a picture of their baby to focus their thoughts. The more relaxed a mother is, the better let-down she will have and the more milk will be expressed.
The first attempts at pumping should be
considered practice sessions with learningto use the pump as a goal, not how much milk is expressed. In these early sessions, it is normal to get a very small quantity of milk, especially if you are learning with a hand, battery or small electric pump. Pumps that allow you to nurse on one side while pumping have the advantage of using the body’s natural response to let down the milk for the baby. USING A BREAST PUMP 17340
When using a hand pump, short pluses at
alternating breasts several times during
stimulating and imitates more closely the
result in a higher volume of milk. Double
pumping can save time and may result in a
freely, long, steadier strokes are effective
Drinking enough fluid and getting
When learning to pump, practice for 5
adequate rest are important. Getting into
minutes on a side once or twice a day. Pick
the habit of having something to drink each
the least stressful part of your day for
time a mother sits down to pump is a good
pumping. A good time for many mothers is
intake. It is best to limit daily intake of
caffeine containing drinks since excessive
caffeine can cause some babies to be wakeful. Helpful hints
A young breastfed baby usually needs to
Many pumps provide inserts that fit into
nurse every 2-3 hours. It is best to pump on
the shield portion of the breast pump or
are stimulated, the more milk is produces.
mother to choose a size of breast shield
that feels more comfortable for her. Some
experts recommend using both sizes during pumping (5 minutes on both sides with
Relaxing and realizing that the pump is a friend is
smaller insert; five minutes with larger
the most important thing the mother can do. There
shield; continue switching until milk is
are many things mothers can do to help themselves
expressed). Doing this stimulates different
relax such as: putting a picture of baby on the pump;
play cards or a game with her mate or friend; watch
television; read a book; talk on the phone. Watching
The length of time spent pumping varies
the milk collection bottle is not helpful.
with each woman and with each day. Expect to spend about as much time
Easing the transition to the breast for the sick
pumping as your baby does nursing. Using
a double pumping system can cut this time
Mother and baby need lots of time together
Frequency of pumping depends on the
breastfeeding at all, pump 6-8 times a day.
Expectations need to be realistic. Baby will
If the baby is nursing, it may be necessary
start nursing gradually and gain skill with
If baby was pre mature or low birth weight,
he will become more interested in sucking
necessary. In any circumstances, becoming
as he gets closer to the originally expected
If large amounts of milk are not expressed
Each baby takes to the breast at his own
breastfeeding. No pump expresses milk as
whom the pump is rented may be able to help, or can refer the mother to a breastfeeding counselor. USING A BREAST PUMP 17340
For more than 50 years, our breast pumps have helped mothers
give babies the very best – their milk.
For more information, or to find the Ameda breast pump rental
1800 227 464
Written by: Judy Minami, MS, CLE. Series Editor: Julie Stock, BA, IBCLC 2005 Advantage Health Care Pt Ltd. All Rights Reserved.
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