The lactational amenorrhea method LAM of birth control may work during the first six months of exclusive breastfeeding, but it is not considered effective with pumping. Therefore, if you do not wish to become pregnant again right away, you and your partner should use another form of contraception. Be sure to let your doctor know that you are exclusively pumping, though.
Since some forms of birth control contain estrogen, they can cause a decrease in your milk supply. Exclusive pumping can be time-consuming and demanding. Fatigue and stress are known to decrease the supply of breast milk. So it's important to take care of yourself. Try to eat well , drink plenty of fluids , rest when you can, and relax while pumping. Don't be afraid to ask for help from your partner, family, and friends.
Their support can make all the difference when it comes to how long you pump exclusively. Get it free when you sign up for our newsletter. Pumping milk without ever feeding at the breast in the Moms2Moms Study.
Breastfeed Med. Jardine FM. Breastfeeding without nursing: "If only I'd known more about exclusively pumping before giving birth". J Hum Lact. American College of Obstetricians and Gynecologists. Breastfeeding your baby. Updated March Pediatr Clin North Am. Office on Women's Health. Your guide to breastfeeding. Ballard O, Morrow AL. Human milk composition: nutrients and bioactive factors.
Methods of milk expression for lactating women. Cochrane Database Syst Rev. The use of galactogogues in the breastfeeding mother. Ann Pharmacother. They also advise moms to use double pumps which help to extract milk in about 15 minutes rather than 30 minutes with a standard single pump.
After pumping, moms then need to feed their baby with a bottle. That is in addition to cleaning bottles and pump parts. All this extra time added to the feeding process can make exclusive pumping feel like a full-time job. It can also be pricey: While direct nursing doesn't cost any money, pumping will require an electric device for best results. Some insurance plans will partially or fully cover breast pumps, but there are still higher-end devices moms choose to register for.
Pumps can also be unwieldy and need to be taken everywhere, although modern versions are fairly compact and could fit in a small backpack. Not all public nursing rooms have outlets that are easily accessible, so it could be worth calling ahead if you are traveling or going to spend a significant amount of time in any one location.
You'll also need bottles to feed your baby your expressed milk and milk freezer bags or containers if you wish to store any extra supply. Myers realized quickly just how much forethought and planning had to go into exclusively pumping. You have to plan everything around when you pump because when it's time to pump, it's time to pump!
Some women may find that even if they are direct nursing, they still need to pump to encourage an increase in their milk supply. For nine long months, until a noticeable supply dip prompted me to wean, I pumped five or more times a day to provide my son with roughly 18 ounces of breastmilk and kept supplementing with formula.
She says that mothers of preterm babies often pump exclusively after working to supply breastmilk to their babies in the neonatal intensive care unit NICU. Historically, mothers of preterm and low-birth-weight babies comprised the bulk of mothers who pump exclusively. Now, the improved quality and availability of electric pumps make the option more viable for other groups of women.
Abuse survivors may choose to pump if the demands of nursing their babies trigger adverse physical or emotional reactions that they are unable to work through. In such cases, pumping instead of nursing directly may help them dissociate the breastfeeding experience from past abuses. Newborn babies nurse eight to 12 times a day on average, so a mother who pumps exclusively should pump that often to keep up with the demand for milk. Foster encourages mothers to pump every two or three hours.
I believe that deviating from this schedule throughout my early struggles contributed to my supply issues. As with direct nursing, pumping sessions should be timed from the beginning of one session to the beginning of the next. Most general guidelines suggest 15 minutes per session, but the exact amount of time varies based on individual responses to the pump. Foster stresses the importance of draining the breasts. Pumping several minutes past when milk stops flowing will ensure that a woman removes enough milk to maintain her current average output and avoid clogged ducts and mastitis.
After establishing their supply, they can continue to adjust their routine. There are various pump logging apps that allow women to monitor the time, duration and yield of each pump. Depending on the app, additional features may include monitoring totals, averages and trends and calculating when to wean based on freezer stashes.
Not all pumps are created equal, and what works for occasional use may not endure the rigours of pumping exclusively. Foster recommends that women who pump exclusively look for a quality , closed-valve, hospital-strength pump. Any pump rated mmHG or higher is hospital strength. Infants fed both at the breast and with bottles of expressed breast milk gained weight at a similar rate to those only breastfed, but infants gained more weight per month when fed only by bottle formula or breast milk.
There are multiple theories for why: Babies can get milk out of bottles quicker than breasts, caregivers tend to encourage infants to finish their bottles, and it is thought that breastfeeding teaches babies when to stop eating. Another analysis found that infants who were not directly breastfed have a significant increase in coughing and wheezing episodes compared to those who were. Some research suggests storing expressed breast milk may interfere with its beneficial properties.
The effects of these changes, if any, are unknown. The content of the breast milk itself may differ when it is exclusively pumped. As for contamination, everything breast milk touches outside the body during the process of expression and bottle-feeding is a chance for it to obtain harmful bacteria.
Bacterial counts are higher in milk expressed with a pump than in milk expressed by hand. She says babies fed by bottle miss out on these aspects. Everyone seems to think that EPing is a lifestyle choice, done for convenience. The nation suffers, in short, from a Human Milk Gap. There are three ways to bridge that gap: longer maternity leaves, on-site infant childcare, and pumps.
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