June, 2021 | Spectra Baby USA

By: Melissa Portunato MPH, IBCLC, RLC

There’s been quite the buzz on “elastic nipples” lately. Whether you’re on social media or part of a virtual mommy group you’ve likely heard the term. It’s probably left you wondering if YOU have elastic nipples and if you’re even using the correct flange size. Don’t worry mama! We’ve got you covered. Read on to get the real 411 on elastic nipples.

Here’s the deal. The skin on and around your nipple (areola) was intended to be stretched by breastfeeding. The nipple stretching is actually a good thing! Moms with truly inverted nipples or skin that is less elastic, are at an increased likelihood to experience issues with low milk supply, soreness, and nipple discomfort. Now if nipple elasticity is associated with low milk supply, pain, redness, or discomfort then it definitely needs to be addressed. Pumping shouldn’t hurt.

But how much should the nipple stretch when pumping to be experiencing “elastic nipples?” For the most part, the nipple should stretch a little less than half way down the flange when pumping. If it’s way past that – like hitting the backflow protector or end of the flange and you’re experiencing pain or low milk output, then it’s time to troubleshoot. Otherwise, elasticity itself is no cause for concern.

Check out these 4 tips on how to get relief if you have “elastic nipples” and pain when pumping:

#1) Lower The Vacuum Strength

Please don’t think you have to work up your nipple tolerance to level 12 vacuum. Vacuum strength should always be set to comfort. Moms are surprised to see they pump the same amount whether pumping on a high suction or medium / low suction. Every mom is different. Keeping the cycle steady and lowering suction strength can help lessen the elasticity of the nipple. Pumping with your S1/S2 steady on the expression cycle 54 vacuum between 5-6 for 15-20 min can help minimize discomfort.

#2) Check Your Flange Size

This part could be tricky. Typically a flange that’s too big will cause the areola to be pulled farther into the tunnel but if a flange is restrictive the nipple will rub inside the tunnel and stretch it farther too. That’s why it’s important to work directly with an International Board Certified Lactation Consultant. It’s normal for nipple size to fluctuate. Measure to know your nipple diameter. But this only tells us a piece of the story. Some moms will benefit from going up a size or changing sizes throughout their breastfeeding journey.

#3) Lubricating Before Pumping

Hand express a few minutes before pumping and squeeze a few drops of breastmilk to lubricate the inside of the tunnel. This can help keep your nipple in place and help with soreness too. You can do this with lanolin or a few drops of olive oil too! Reposition your flanges every few minutes while pumping if needed. Hand express for a few minutes after pumping and let breastmilk air dry on them to help heal and keep them healthy. Bonus – hand expressing before and after pumping can trigger more milk production.

#4) Silicone Inserts / Massagers

A massager or silicone insert can offer relief sometimes but not always. Spending a ton of cash on accessories that either don’t work or fit properly can be frustrating.Too often moms find these products can actually decrease suction and they find them hard to keep in place. If you’d like to try one of these, go for it! But it’s best to look for an insert that offers a money back guarantee or can send you multiple sizes to find the best fit. If you do find it hard to keep an insert in place, try moistening it with a few drops of water or breastmilk. Moisture can help create a better seal.

Correct flange sizing and lower suction can usually be a quick fix to get relief from elastic nipples. But what if you’ve tried it all. You have the correct size, low suction and still have your nipple stretching way past the halfway mark but don’t have any pain? Then you’re good mama! Pump on! Your body is doing exactly what it was intended to do.

Schedule a virtual consultation with us and we can help with tips to manage pain and discomfort associated with elastic nipples. We can help with flange sizing and troubleshoot your pump too. You’re doing really great at breastfeeding mama. We’re proud of you!

Melissa Portunato MPH, IBCLC, RLC

The first few weeks after your baby finally arrives is the time to soak in those yummy newborn snuggles. You shouldn’t have to worry about pumping just yet. But when you are ready, you might pump for reasons like going back to work, a weekend get-a-away, low milk supply, special circumstances with baby, or simply “my nipples just really need a break.” It’s best to wait until 4 to 6 weeks postpartum to start pumping. However, pumping can be a lifesaver when you want a freezer stash of milk for returning to work or important “mommy time” away from baby! Depending on your personal needs, you might need to pump occasionally or around the clock. Regardless of your reasons, one thing is for sure: pumping will allow your baby to continue receiving all those valuable immunological benefits that breast milk provides.

Below are 5 facts to help you get started with your Spectra breast pump!

1.Choosing the right breast pump and flange size

There are a few basic types of pumps: manual pumps, battery-operated pumps, and electrical pumps. Each of these pumps extracts milk by providing a seal around your nipple and areola while it applies and releases suction as baby would do at the breast. Suction strength and cycle speed will vary depending on the type of breast pump and whether you are single pumping (one breast) or double pumping (both breasts at once). If you are returning to work or exclusively pumping, a double electric breast pump will yield the best results. You can learn more about finding the perfect Spectra Baby USA hospital strength breast pump here.

Finding the right size flange is an important part of the pumping process. A flange that doesn’t fit properly could leave you with nipple pain, redness, and full breasts. Yikes! No worries, it’s easy to measure your nipples using this breast shield guide that you can print out. This will save you time and stress with wondering whether or not you have the correct flange fit.

2. When should I start pumping?

If baby is growing well and has unlimited access to the breast, there is no need to start pumping right away. Pumping can add another layer to your busy day, and if breastfeeding is going well, no need to hook up the pump just yet. Waiting 6-8 weeks is best. You could even start sooner if you are returning to work around 4 weeks after birth, but keep in mind the very early weeks are for establishing your milk supply, bonding and nursing, not pumping. These guidelines are for healthy full-term infants. There are instances where pumping will be necessary right from the start, like with preterm infants or when medical conditions have been presented.

Start with pumping once a day at first and then gradually increase sessions according to your breastfeeding goals. Starting with a pumping session about 30 min after an early morning nursing session is a great time! If you are returning to work, you will have plenty of time to build a nice freezer stash for when you are away. Moms are often surprised at how much milk they can store in just a few short weeks!

3. Now, Let’s Get Pumping!

Wash your hands with warm soapy water, gather your pump and accessories, and find a comfy place to relax. Don’t watch the collection bottles slowly fill up drop by drop! Instead, watch a video of your baby or listen to music! This can help you feel more at ease and allow your milk to start flowing freely. Research shows moms can yield about double the amount of milk when stimulating their breasts while pumping. Using a hands-free bra will allow for easier “Hands on Pumping.” Massaging and compressing your breasts while expressing will help you get the most out of your pumping session. It’s recommended to pump for a total of 15-20 min.

Try these settings:

Massage 70
Expression 54
Massage 70
Expression 38
*Vacuum should always be set to comfort, 5 min on each setting.

4. How much milk should I be pumping?

The newborn belly is super tiny. Studies show exclusively breastfed babies from 1 to 6 months old will consume an average of 25 ounces per day. Depending on if you are pumping for a missed feeding or pumping in between feedings, you can expect to pump roughly 1.5 – 4 ounces. At first, when your production is ramping up, expect to pump less milk. It takes time and practice to get your body to respond to the pump, just like when you were learning to breastfeed.

5. Clean. Store. Prepare.

The CDC recommends sterilizing all your pump parts for the very first time before initial use. There is no need to sterilize the tubing since it will never contact your milk or pump! Have a designated bin to wash your pump accessories after each use in warm soapy water and then air dry on a clean dish or paper towel. Using non-antibacterial soap is ideal to ensure you aren’t leaving any film on the flanges that can inhibit the natural secretion of your Montgomery glands on your areola.

Keep your liquid gold safe for baby by adhering to the CDC guidelines for storing and preparing expressed breast milk.

Between breastfeeding, changing diapers, building baby gear, and managing all the visitors wanting to get a glimpse of your fresh bundle of joy (but seriously have a plan in place on handling visitors), you will have a full plate. Pumping really doesn’t have to be an additional item on your to-do list. During those sacred early weeks, concentrate on skin-to-skin and directly feeding your baby at the breast as much as possible.

Have more questions on how to get started with your Spectra Baby USA breast pump? Schedule a complimentary consultation with us here.

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