Pumping is often an integral part of the mother-baby relationship. Whether a mom is exclusively breast pumping or needs some independence from baby for work (or any other outing), it will be significantly more efficient when the pump is set up correctly. A big part of this setup includes flange size. Having a poorly sized flange can lead to breast damage, pain, and poor output, which can lead to premature weaning of baby from breast milk.
Here are some quick tips to follow when measuring your flange size:
Getting an accurate measurement.
Finding the proper size for a breast flange is based on the diameter of the nipple, not the areola (the softer pigmented skin around the nipple). When the tunnel of the flange is placed on your breast, it should only have a few millimeters (3-5) of wiggle room around the nipple. The entire nipple should fit comfortably without much, if any, of the areola entering the tunnel. All these details should be assessed before actually pumping since it can cause mild swelling of the nipple and skew measurements. Spectra Baby USA has a great PDF that you can use to measure nipple diameterhere.
How it should look when pumping.
When the nipple is suctioned into the tunnel, these sensitive tissues should be able to move freely with no rubbing against the sides. If the shield is rubbing, it may simply require an adjustment of the shield itself (making sure it’s well centered) or decreasing the suction level. Otherwise, it could mean that the shield is too small and causing excessive friction. On the other hand, if the shield is too large it can cause the tissue of the areola to be pulled into the shield, also causing irritation and hypersensitivity. It will be obvious after the use of a breast pump if the areola has been pulled in excessively, as it will deform the tissue to the shape of the tunnel and most likely cause redness. For a good visual of how the shield should look on your breast, checkhere.
The standard size that comes with most pumps is 24 mm. Companies have found that this size fits the average woman. The added benefit of purchasing a Spectra pump is that two sizes are included: 24 and 28 mm. However, if these don’t fit there other options available. Spectra flanges come in 20, 24, 28, and 32 mm. Other brands vary but the general range is 20-34 mm. These flanges are relatively inexpensive and completely worth the purchase to make sure you have the highest level of comfort and ma inimal level of tissue damage to the breast with pumping. Using the flanges included with your pump can help gauge the most appropriate size (whether you need to size up or down) prior to any further purchases.
Pumping should always be comfortable, with shield size being key to this. Don’t forget other factors like suction level and the quality of the pump. In between sessions, be sure to give your breasts some love as well to prevent issues like dryness and cracking. If you are still having issues, contactSpectra Baby USA for further guidance and they can help make you experience more enjoyable and efficient.
If you’re breastfeeding your baby, you may have been warned about cluster feeding by your other mom friends. It can be a difficult phase to get through and you may even question if you are making enough milk, but we’ve got your back with all the information you’ll need.
What is Cluster Feeding?
Cluster feeding is a normal phase, especially for breastfed babies. While babies eat often — somewhere between 8 to 12 times in a single day — with cluster feedings, a lot of those feedings will be close together. It often happens in the evening — suddenly your baby will want to be at your breast endlessly. Cluster feeding is completely normal and usually occurs in your baby’s first six months. You’ll likely see it for the first time soon after your baby is born. It’s a hard time for moms. It’s tiring, and it prevents them from getting anything else done. Cluster feeding may last just a couple days or it can last for a few weeks. Only your baby will decide that — it will know when and for how long it needs more milk. Your little one is basically telling your body to increase your milk supply with the extra stimulation at breast to meet their growing body’s nutritional needs.
What Causes Cluster Feeding?
No one is really certain what causes cluster feeding. It could be caused by a variety of reasons. Perhaps a baby is having a growth spurt and needs more milk to fuel it. And since so many cluster feedings tend to occur at night, it can feel soothing to your baby to do when they are undergoing developmental stages.
How Cluster Feeding Can Help Moms
Because your baby is attached to your breast for sometimes hours at a stretch, cluster feeding doesn’t feel like a good thing for you, even though you may love the extra snuggles from your babies. But it’s so demanding, it can leave you feeling exhausted and overwhelmed. When that happens, you need to keep the positives of cluster feeding in your mind so you feel better about your situation. Looking on the bright side can really help, so here are a couple of big positives about cluster feeding.
It can increase your milk supply: Because your milk supply ramps up with frequent breastfeeding or pumping sessions, you’ll feel less worried about potentially running out of milk as your baby grows. You can use that extra milk to build up your freezer stash. It’s amazing how your body knows exactly what to do to meet your baby’s needs!
Your baby might sleep longer stretches in the night: There’s an outside possibility that cluster feeding might make your child sleep longer at night, which means you could also sleep longer. While there’s no guarantee, it’s nice to have that to daydream about — a good night’s sleep.
How To Survive Cluster Feeding
Any way you slice it, cluster feeding is tough. Your baby will be so fussy, you’ll wonder what’s going on, and after a while, you’re going to be tired of being treated like an all-you-can-eat buffet. You may feel like you’re barely clinging to sanity, but there are some ways you can take the sting out of the experience.
Make a cluster feeding kit: You’re going to be tied up for hours during these cluster feeding sessions so you need to be prepared. Have a movie ready to watch, have snacks and water nearby, and grab a few magazines or a book to keep on hand.
Enlist help: You’re the only one with the breast milk your baby needs, but that doesn’t mean others can’t help too. Your partner should also be in on this non-stop fun. If your baby takes a break in the breastfeeding action, even just for a few minutes, hand your little one off to your partner and give your body a much-needed break.
Don’t skimp on the food and drinks: Aim for nutritious food and don’t forget to stay well-hydrated. Breastfeeding is a lot of work for your body and it needs all the nourishment it can get. Breastfeeding torches an estimated 500 calories a day normally, and you may burn more than that when your baby cluster feeds.
Get enough sleep: Because of all the extra feedings, you’re going to be more tired than ever. Even if it’s the early evening hours and you have a million other things you’d rather be doing, lay down when your baby does and try to get some power naps in there.
Let your baby dictate what it wants: You might be so tired of breastfeeding after a few days of cluster feeding that you’ll look for other ways to soothe your baby. Babies know what they want and what they need when it comes to how much milk they take in, so feed them as often as they need it.
Give your arms a rest: Put your baby down whenever possible — in a baby swing, a crib, or a pack ‘n play. Babies may be light, but they feel super heavy on the arms after a while. You could potentially be holding your baby for hours, so you need to pencil in a break for your arms whenever you can.
Let the chores go: Your house may look like a disaster zone during cluster feeding episodes, and you’ll have to be okay with that. You can ask your partner to pitch in more during this time. If that’s not possible, just let it go and do your best to catch up with it when things are back to normal.
Don’t turn on the lights at night: If your baby gets up frequently in the night during cluster feeding episodes, make it your goal to get your baby back to sleep as soon as possible. Keep those lights off, don’t make any loud noises, and change their diaper before the feeding begins so they can be put in their crib as soon as they get their nourishment.
Making Sure Your Nipples Can Handle It
Even if you sail through the exhaustion and all the sitting you’re going to have to do, you still might have other issues with cluster feeding. Your mind might be strong, but your nipples could be feeling like they have been dipped in lava. What’s a girl to do when her nipples are cracked and possibly bleeding but her baby is screaming for more? First of all, ensure that you have the baby latched properly at breast to prevent nipple trauma. It’s not about having baby on like a “bullseye”; it’s more about the proper latch. If you are concerned baby is only getting the nipple when latching, reach out to a Lactation Consultant for help.
Outside of proper latch and positioning, here are some solutions when you feel like your nipples have gone around with sandpaper.
Put nipple cream to work: Nipple cream can be soothing. You can either use coconut oil, creams available in stores, or you can even try rubbing a few drops of breast milk over your nipples when feeding time is done. If you use a cream, make sure to wash it off your nipples before feeding your baby again if that’s required on the instructions.
Skip the tight bras: While your nipples are sore, you should avoid tight bras or ones that are made of scratchy material. That will just make you feel even worse.
Use warm moisture: Keeping your nipples hydrated will help and using warm, not hot, water will feel soothing and keep them from drying out. You can put a damp and warm towel over your nipples for a few minutes and see if that helps.
Ditch the shirt: If you don’t have any older children living with you and you have shades or blinds up over your windows to block you from any nosy neighbors, you can go shirtless too. That will stop any unnecessary chafing.
Use different positions while breastfeeding: Changing the angle slightly during each session may protect your nipples a bit.
Should You Be Concerned?
When your baby deviates from their established routine or what is normal for them, of course, you’re going to be worried. You’ll wonder if something is wrong with your baby or if you’re doing something incorrectly to cause them to act that way. To make yourself feel better and cover your bases, make sure your baby is still frequently having wet and dirty (stool) diapers in case you are suddenly having problems with your supply. You should see at least five very wet diapers a day from your baby — if you don’t see this many, call your doctor. It may also be a good idea to call your doctor or Lactation Consultant if your baby’s cluster feeding has gone on for more than a few days. While it can be normal for it to last longer than that, you’ll probably be really worried by this point and a quick doctor’s visit would be worth it to ease your mind.
You Can Do It, Super Mom!
Cluster feedings are just a minor speed bump during all the years you’ll have as a parent, so it’s helpful to keep it in perspective when you’re in the midst of it and it feels insurmountable. You’ll be through this challenge in just a few days and you’ll feel more confident that you can get through anything.
About the Author
Jenny Silverstone is the mother of two, and breastfeeding advocate and an editor and writer for the popular parenting blog Mom Loves Best. Jenny’s loves helping inspire and educate other mothers on all topics related to breastfeeding, pumping breastmilk, and dealing with low milk supply.
It never ceases to amaze me how much conflicting information is “out there” about how much breastmilk a baby needs when away from their mama – and the ways to provide it.
Actually, you can look at it in so many different ways:
How much breastmilk a baby NEEDS.
How much breastmilk a baby COULD HAVE.
How much breastmilk a baby SHOULD HAVE.
And let’s be honest, there’s also – How much breastmilk the mama is comfortable/able to provide for baby.
It has to be said. Every baby is different. Needs are personal and situational. This is MY experience with MY children and breastmilk. If you have any questions about your child’s needs and your specific situation, reach out to an IBCLC on staff with Spectra Baby USA.
With my first two, I always followed the “rule” that 4ish ounces of breastmilk per bottle every three hours away from me was sufficient. But my middle guy’s daycare felt he needed more milk and so that meant buying the bigger bottles and giving him 5 ounces per feeding. 5 ounces of breastmilk in a bottle that can hold 8-9 ounces of breastmilk looks fairly ridiculous. Like something is missing. But hey, you have to think of it as “half full” not “half empty,” am I right?
With my newest little guy, I bought all new bottles, tried a few and ended up back with the same ones I used for the other guys. And bought all preemie nipples for the bottles, because that’s what I always knew to be true. Give 4 ounces of breastmilk every three hours and use the slowest flow nipple. His daycare thinks that because each bottle is taking around 45 minutes for him to finish and he is “looking for more milk” once the bottle is done that he a. needs a faster flow nipple and b. needs more milk per feeding. So what’s a girl to do?
Everyone always says that people who give breastfed babies bottles should pace feed. And so I always give that direction. But the truth is, I’m no bottle expert. All I do is fill them up in my nightly chemistry-like situation of pouring and preparing. And of course, I’m pretty awesome at pumping with my S1 at work all day.
The Senior IBCLC with Spectra Baby USA, Jenn Foster, shared an interesting article with me that questions whether babies should continue use of a preemie nipple and it was pretty eye-opening. From the article, it definitely sounds to me like Charlie is ready for a faster flow nipple. Oops.
So that leads to the next question – does he need more milk per feeding? Who knows? It’s all trial and error, just like so much of motherhood.
The positive in all of this is that there are so many options. And lots of days to try. And lots of variables – like teething, illness, fussiness, daycare vs. home, bottles vs. nursing, etc. I’m willing to try it and figure it out.
In this case, the conflicting information isn’t overwhelming me. It’s an awesome reminder that there isn’t always one answer when it comes to feeding our babies.
What’s your opinion? Are you slowest flow nipple until baby is done with bottles? Faster flow? More milk? I’d love to hear what you think.
About the author
Lindsey Schedler lives in New Jersey with her frat house of three boys (4 if you count her husband). By day, she’s a social and digital media strategist. For fun, and to connect with others, she shares about life as a working mama /fitness enthusiast and yummy food via @thindseyon Instagram. Lindsey is passionate about breastfeeding and pumps with her S1 or S2 when she’s away from her baby.
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