Using a Breast Pump
Health considerations when using a breast pump
Breastmilk is not sterile and its anti-infective properties hinder the growth of bacteria. Still, you do not want to introduce "outside" bacteria unnecessarily when getting ready to pump, during the actual pumping session, or when storing milk or transporting milk. To reduce the risk of infection, consider the following:
Always wash and rinse your hands thoroughly before handling pump parts, your breasts, or the milk collection bottles or containers.
Pump collection kit parts should be cleaned, according to the instruction manual.
The collection bottles or containers that attach to the pump and are used to collect and store your milk should be clean.
Read the instruction manual first, but you may have to experiment with different techniques and settings on the breast pump before you find ones that work best for you. Here are some general tips for using a breast pump:
Make sure the breast flange is properly fitted. The flange is the funnel-shaped part that centers over your areola, which is the pigmented ring around your nipple. If you have a question about the fit, ask your healthcare provider or lactation consultant.
Massage your breasts before you pump, as this results in faster let-down and milk with more fat. Massaging your breasts towards the end of the pumping session will ensure that you fully drain your breast of milk and may help you to make more milk, if you need to.
Some mothers moisten the rim of the breast flange before pumping to create a better seal on the breast.
Try different techniques for obtaining a seal on the breast. Some mothers prefer to center the breast flanges on the nipple and areola first and then turn the pump on; others turn the pump on first and then place the flanges over the breasts.
Start the pump at the low or minimal suction setting and gradually move the setting to increase the level of suction. The level should be set as high as comfort allows. Decrease the suction if it causes discomfort.
Suction cannot be maintained if the seal of the flange on the breast is broken. If you do not see a rhythmic pull and release of the nipple or areola within the flange, check the seal. Sometimes the tube can disconnect from the flange and needs to be reattached. Sometimes a portion of your clothing is under the edge of the flange and needs to be removed.
Expect to pump for a few minutes before you see a steady flow of milk. Most pumping sessions will last 10 to 20 minutes, but you can pump as long as the milk is flowing and is comfortable for you. Some women will experience a "second let-down." After the milk has stopped flowing, if they continue to pump, it will flow again.
Do not fill collection bottles more than two-thirds full to avoid any back flow or spilling of milk and to allow for expansion if milk is to be frozen. If you easily fill bottles, have additional collection bottles ready. Stop and change bottles as needed. You also might use bottles that hold more.
When you are ready to stop pumping, slide a clean finger under the rim of the flange. This should break the seal between the flange and the breast tissue. If milk has pooled in a flange, tilt forward so that milk can drain into the collection bottle as you remove the flange.
Keep in mind that women are able to pump very different amounts of milk. Working with your healthcare provider and/or lactation consultant will help you to determine how much milk you may be able to pump. Even a small amount of breastmilk is very good for you and your baby.
Be sure to properly store your pumped milk and appropriately clean your pump parts after pumping.
March 21, 2017
Dozier, Tennille, RN, BSN, RDMS,Rosen-Carole, Casey, MD, MPH