How Often Should I pump?

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By: Melissa Portunato, IBCLC

If you’ve come across this article, chances are you’re deep in the newborn trenches—navigating life with a brand-new baby, adjusting to your growing family, and figuring out everything in between. Maybe breastfeeding is going smoothly, or maybe latching your baby at the breast has been a challenge. Either way, you’re asking yourself, How often should I pump? Whether you’re nursing at the breast, exclusively pumping, or doing both, it’s all breastfeeding! Keep reading for evidence-based info to help you find a pumping routine that works for your unique breastfeeding story.

Nursing & Pumping

If you’re nursing and pumping, the best time to pump is about 30 minutes after a nursing session—this gives your body time to rest and ready to signal your body to make more milk. The best time of day to pump is in the early morning, as prolactin, the hormone responsible for milk production, is at its highest levels overnight and peaks in the early hours. This means your breasts are naturally fuller in the morning, making it an ideal time to express extra milk. Keep in mind, if you are mostly nursing your baby at the breast, everything you pump after nursing is extra—think of it as your baby’s dessert! Most moms who pump after breastfeeding will see about half an ounce to two ounces combined, which is completely normal. Your body is incredibly efficient at making exactly what your baby needs, so don’t be discouraged if you’re not filling bottles—every drop counts!

If you’re nursing and preparing to return to work, pumping just once a day for 2–3 weeks before going back is enough to build a small freezer stash—there’s no need to overdo it if nursing at the breast is going well. Most moms find that having about a day’s worth of milk stored is plenty, as you’ll continue pumping while you’re away and bringing fresh breast milk home each day. Focus on nursing your baby instead of stockpiling a huge milk stash. 

Exclusively Pumping 

If you’re exclusively pumping, aim for 8–12 pumping sessions per day in the early weeks to establish a full milk supply—this mimics a newborn’s natural feeding pattern. It’s also important to include at least one overnight session, as prolactin levels are highest during the night, helping to support and maintain milk production. While exclusively pumping can feel like a big commitment, know that your body can make enough milk for your baby with the right routine and consistency. Many moms successfully provide all the milk their baby needs through pumping exclusively. Stay consistent with 8-12 pumping sessions per day, pump for 15-20 min each time with a hospital strength breast pump, and trust that your body is capable of meeting your baby’s needs!

Once your milk supply is well established, around 8–12 weeks, many moms start thinking about dropping the middle-of-the-night (MOTN) pump. Whether or not to cut it out depends on your breastfeeding goals and personal situation. Before making the change, ask yourself: Am I okay with a potential decrease in my milk supply? Can I sustain my current sleep pattern with pumping overnight? Am I comfortable supplementing if my milk supply decreases? Though not the case for all pumping moms, the good news is– lots of moms find they can get more rest while still maintaining their supply by focusing on daytime pumping. Aiming for a total of 120 minutes of pumping per day—spread across your sessions—can help you maintain healthy milk production.

Have more pumping questions? Reach out to the experts at IBCLC@spectrababyusa.com.

Source: Academy of Breastfeeding Medicine. (2017). ABM clinical protocol #5: Peripartum breastfeeding management for the healthy mother and infant at term, revision 2017. Breastfeeding Medicine, 12(3), 151–157. https://doi.org/10.1089/bfm.2017.29038.ajk 

World Pumping Day

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By Melissa Portunato MA, IBCLC

Every year, on January 27th, we celebrate World Pumping Day, a global event dedicated to recognizing and empowering parents who pump breast milk. This day shines a spotlight on the effort, love, and determination it takes to provide breast milk, ensuring babies receive this vital first food. At Spectra Baby USA, we firmly stand by the philosophy that “Pumping is Breastfeeding”, supporting parents in their unique feeding journeys.

World Pumping Day was created to honor parents who use breast pumps as part of their feeding routine. Whether exclusively pumping, supplementing, or combining methods, this day acknowledges their dedication. It also raises awareness about the challenges parents face, including balancing pumping with work schedules, addressing societal stigma, and accessing adequate support and resources.

Supporting Pumping Parents: The ACA and the PUMP Act

In the United States, legislation like the Affordable Care Act (ACA) and the Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act has played a significant role in supporting lactating parents.

The Affordable Care Act

The ACA requires insurance plans to cover breastfeeding support, supplies, and counseling without out-of-pocket costs. This includes access to breast pumps, enabling parents to sustain their infant feeding goals by pumping breast milk. 

The PUMP Act (2022)

The PUMP Act expands workplace protections for parents, ensuring reasonable break times and a private, non-bathroom space for pumping. It extends these rights to an additional 9 million workers, such as teachers, nurses, and agricultural workers, fostering an environment where pumping is supported and normalized.

Spectra Baby USA: Celebrating Pumping and Empowering Families

At Spectra Baby USA, we are committed to equipping families with the tools and knowledge they need for successful breastfeeding and pumping. Our innovative breast pumps are designed to make pumping convenient and comfortable.

We also provide educational resources, live Q&A sessions with lactation consultants, and a supportive non-judgmental community to address the emotional and practical aspects of pumping. 

This World Pumping Day, we honor the dedication of pumping parents and celebrate the progress made in the mom-baby community. Thanks to legislative advancements like the ACA and PUMP Act, along with the support of companies like Spectra Baby USA, pumping parents are receiving the recognition and resources they deserve.

At Spectra, we stand proudly by our belief that “Pumping is Breastfeeding” and are here to support every parent along the way. Happy World Pumping Day!

Trusted Resources for Pumping Parents

For evidence-based guidance, here are a few trusted resources:

  1. Academy of Breastfeeding Medicine Protocols
    • ABM’s “Clinical Protocol #8: Human Milk Storage for Home Use for Full-Term Infants” offers guidelines on safe milk storage.
      Available here.
  2. U.S. Department of Labor: PUMP Act Information
    • Learn more about workplace rights under the PUMP Act.
      Website: www.dol.gov/pumpact
  3. La Leche League International
    • Offers breastfeeding and pumping support with helpful tips and expert advice.
      Website: www.llli.org

All About Clogged Ducts

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By Melissa Portunato IBCLC

Clogged ducts can be extremely painful but completely treatable. How did you even get them in the first place? A clogged duct can be caused by a variety of different reasons from prolonged time without milk removal, shallow latch, restrictive clothing, or even stress. Read our IBCLC’s tips below on how to manage them, find relief, and when to call the doctor.

What is a clogged duct?
We all have around 15-20 milk ducts in each breast. A “plugged” or clogged duct can occur when a milk duct that leads to the nipple gets inflamed, restricting milk flow. It usually onsets gradually and can be associated with a hard, often painful lump. You can experience tenderness, warmth to the touch, and you might even feel the onset of flu symptoms. With proper care, most clogged ducts subside in around 2-3 days. Clogged ducts are most common during the first few months of breastfeeding when your body is getting insync with the demand of your growing baby. They are also common during the weaning process. The key to remember with clogged ducts is that they need to be getting better, not worse!

Help! I have a clogged duct!
The latest update to the clinical protocol from the Academy of Breastfeeding Medicine introduces several significant changes that reshape our understanding of clogged ducts. Previously, it was believed that milk blockages restricted flow from the ducts, but now “ductal narrowing” due to inflammation is identified as the likely cause. The updated protocol recommends treating mastitis with ice and other anti-inflammatory methods rather than heat, and cautions that additional pumping or measures to increase breast drainage can actually worsen symptoms rather than improve them. Deep massage, frequent pumping and breast vibration tools are no longer recommended.

Proper positioning during breastfeeding can help alleviate clogged ducts by ensuring effective milk drainage and reducing the risk of clogged ducts.. Some breastfeeding positions that can help position your nipple farther into the baby’s mouth include laid back nursing, side lying and nursing your baby upright. Alternate positions to find what works best for you and your baby.

If you are exclusively pumping, pump every 2-3 hours without going any longer. Practice massaging and compressing your breasts while pumping. You want to start massaging above the breast tissue and gently move your fingers towards the nipple and stop once you reach the areola. Hand expressing before pumping can help milk flow faster allowing for quicker and more comfortable milk removal.

Applying warm compresses before feeding can help bring relief for some moms while cold compresses afterward can reduce inflammation. Avoid frequent pumping and pump only as needed.

If you find you have a milk blister, avoid trying to squeeze because it can make things worse. The milk blister or bleb will naturally draw out as the clog subsides.

Mastitis or Clogged Ducts?
Not all clogged ducts lead to mastitis and even mastitis can be infectious or non-infectious. If your clogged ducts are getting worse, you develop flu-like symptoms that persist more than 24-48 hours, your breast is bright red and feels hot then it’s time to check in with your doctor. In some cases, antibiotics will be required.

Preventing Clogged Ducts from Happening
Wear loose clothing, and go braless whenever possible. Stay away from bras with underwire, a wire-free supportive bra is best. Keep your baby close to you and feed at early breastfeeding cues. Cracking or bleeding nipples are more susceptible to infectious mastitis since bacteria will be able to easily enter the breast. Routinely washing in the shower using a non-antibacterial soap can help prevent infection. Clogged ducts are more common and more difficult to treat with a lowered immune system.

Clogged ducts are common and treatable. If you feel they are not improving after a few days, it’s time to seek medical attention. In some cases, clogged ducts can lead to an infectious case of mastitis so it’s necessary to reach out to your doctor if you are getting worse or symptoms are not improving. Treat it like you have the flu! Rest, hydrate, and pump/nurse as needed.

Have a clogged duct and need advice? Send us an email at ibclc@spectrababyusa.com and one of our IBCLCs will be happy to chat with you. You’re doing the best you can! Take care of yourself and pump on.

Source:
Academy of Breastfeeding Medicine. (2022). ABM clinical protocol #36: The use of galactagogues in initiating or augmenting maternal milk production (Revision 2022). Academy of Breastfeeding Medicine. https://www.bfmed.org/assets/ABM%20Protocol%20%2336.pdf

Pumping 101

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Melissa Portunato, IBCLC

The majority of breastfeeding mothers will express breastmilk during some part of their breastfeeding journey. Sometimes it can be when returning to work, taking a break while temporarily working on baby’s latch, or choosing to pump exclusively from the start. Breast pumping can be intimidating for new parents, but it doesn’t have to be that way! Establishing simple-to-follow pumping strategies can ease worry and maximize pumping sessions. With manageable planning guidelines and evidence-based education and support, families can continue to reach their breastfeeding goals. Choosing to express breastmilk will ensure your milk supply is protected, and your baby will continue to receive the magical nutrition only you can provide. 

When to Start Pumping
If your baby is growing well and has unlimited access to the breast, there is no need to start pumping right away, but this really depends on your breastfeeding goals and when you will begin to be separated from your baby. If you are returning to work at 12 weeks, you can start pumping at 3-4 weeks after birth but keep in mind the very early weeks are for establishing your milk supply at the breast and bonding with plenty of skin to skin. There will always be instances where pumping will be necessary right from the start, like preterm infants or unexpected medical emergencies. 

If nursing is going well at the breast, start with a short pumping session about 5 to 7 minutes after the morning or evening nursing session. The best time to pump will be about 30 minutes after nursing your baby. Pump once a day at first and then gradually increase sessions according to your breastfeeding goals. If you are exclusively pumping aim for 6-8 / 20 min pumping sessions per day for a daily total of 120 min. 

Normal Pumping Output 
The newborn belly is super tiny. Studies show exclusively breastfed babies from 1 to 6 months old will consume an average of 25 – 30 ounces per day. Depending on if you are pumping for a missed feeding or pumping in between feedings, you can expect to pump roughly 2 – 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 learning to nurse at the breast. 

Check Flange Sizing 
The Spectra Baby USA S1/2 and Synergy Pumps come with two sets of flanges – 24mm and 28mm.  Spectra Baby USA flanges come in 16, 20, 24, 28, and 32 mm. Flanges are relatively inexpensive and completely worth the purchase to ensure you have the highest comfort level when pumping. 

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 your nipple is centered inside the flange tunnel before pumping, it should only have a few millimeters (2-3) of wiggle room around the nipple. The entire nipple should fit comfortably without much, if any, of the areola entering the tunnel before pumping. Nipple size can fluctuate and can vary from side to side. We recommend measuring before pumping or nursing then adding 2-3mm to the diameter. Here’s our helpful fitting flange guide. 

Cycles, Settings, and More 
Spectra’s Natural Nursing Technology utilizes customized vacuum and cycle patterns that closely mimic a baby nursing at the breast. This natural pumping experience provides productive, comfortable, successful pumping sessions and ultimately more milk in less time.

Try these Cycle Pumping Settings to get started with your Spectra breast pump:

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

Research shows moms can yield about 30% more 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. 

Cleaning and Milk Storage 
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 your baby by adhering to the CDC guidelines for storing and preparing expressed breast milk. 

Have more questions on getting started with pumping? At Spectra Baby USA, we understand the need for support, schedule a complimentary consultation with us here or email us at ibclc@spectrababyusa.com. 

We wish you all the best on your pumping journey and are here to support you every step of the way.

Latch Tips and Tricks

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baby latching on mom

By Jacque Ordner BSN, RN, IBCLC, RLC 

As an IBCLC people are constantly asking me for insights to make breastfeeding easier.  Today, I’ve got my top tips and tricks to make latching easier and more comfortable!  

This advice isn’t original to me, and isn’t original to any other IBCLC or breastfeeding professional.  It’s been around as long as breastfeeding has, but it hasn’t been readily passed from mother to mother in recent years the same way it likely was centuries ago.  

#1 ALLOW BABY’S HEAD TO TILT BACK Let’s start with a little exercise.  Tilt your chin down as if you’re looking at your toes.  Can you open your mouth very wide in this position? Now, imagine taking a drink…..can you drink easily and efficiently?  Not so easy is it?  Let’s try another exercise.  This time, look up at that wall about 6’-8’ high.  Your head should be slightly tilted back and you should be able to easily open your mouth nice and wide.  Imagine raising a glass to your lips in this position.  Could you drink well like this?  Of course you can!  These same principles apply when our babies are nursing! Allowing baby to tilt his or her head back, while supporting it with your hand just at the base of the neck, will make getting those deep latches much easier! To make latching even easier, make sure baby’s chin touches the breast while the nose remains free. Sometimes, this is referred to as the asymmetrical latch technique.  Click HERE for more information! 

#2 CHECK BABY’S BODY POSITION We also want to make sure the rest of baby’s body is in an appropriate position to support a good latch.  Just as we imagined drinking while staring at our toes, now let’s imagine drinking while looking over our shoulders.  Difficult isn’t it?  We want to avoid putting baby in a position where she might have to drink while looking over her shoulder as well.  The best way to do this is to align the ear lobe, shoulder, and hip and place baby belly to belly with mom (or belly to side for football hold).  This puts baby in a comfortable, well-aligned drinking posture.   

#3 SUPPORT THE BREAST AT THE APPROPRIATE LEVEL Supporting mom’s breast can also make latching easier for both mom and baby.  This is especially true for women with larger breasts.  Young babies do not yet have the strength and motor function to hold a heavy breast at the appropriate height for latching or to maintain that height once they have latched.  It can be especially helpful for mom to maintain support of the breast for the duration of the nursing session.  We all know moms are great multi-taskers and one way to free up a hand is to use a rolled hand towel under the breast to support it during feedings.  Mom can even use the freed hand to help shape her breast to make it easier for baby to latch onto.   

The overall takeaway is that the number one tip for a good latch is to think about what makes up good drinking posture.  Look at your baby’s neck, shoulders, and hips.  Are they in a position that makes it easy and comfortable for your baby to open wide and latch on?  What about your breast?  Does baby have to turn his head to find the nipple or is the breast supported at the appropriate level?  Taking the time to assess and adjust can make for a much easier and more comfortable nursing session! You got this, mamas! 

Need additional help getting into the right position?  Is pumping uncomfortable?  Our IBCLC’s can help!  Schedule your virtual CONSULTATION today or email questions to ibclc@spectrababyusa.com.  

 

Do I Have Elastic Nipples?

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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! 

 

 

Exclusively Pumping FAQ

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Spectra Baby USA collaboration with The Lactation Network
By Caitlyn Parker, TLN IBCLC

What is exclusively pumping?
Exclusively Pumping, also known as EP’ing, is breastfeeding your baby by pumping and bottle feeding. Exclusively pumping might mean the baby receives all breastmilk or a combination of breastmilk and formula.

How often do I need to pump?
A typical newborn breastfeeds a minimum of 8-12 times every 24 hours. When establishing a breastmilk supply, it is important to pump every 3 hours (8 times every 24 hours) for 15-20 minutes with a high-quality, double-electric pump to ensure that your breasts have adequate stimulation and milk removal. Once your milk supply is established, you can fine-tune your pumping schedule with your lactation consultant.

How much milk is normal at each pumping session?
The volume of expressed milk will vary greatly depending on many factors. For example, how old the baby is, the time of day, the kind of pump being used, the duration of the pumping session, etc. Some studies show the average pumped amount after 15 minutes is 1.5 – 2 oz from both breasts. The volume may shift over time depending on your baby’s needs.

Will I make enough milk for my baby if I’m exclusively pumping?
Yes, many parents are able to exclusively feed their baby breastmilk while EP’ing. The amount of milk needed for a baby will be dependent on their age for the first few weeks of life. Babies between 1 month to 6 months typically need 19-30oz every 24 hours with an average of 25oz.  Most exclusively pumping parents will make enough milk to feed their baby as long as they are following a plan which includes adequate milk removal and breast stimulation.

How can I bond with the baby if I’m exclusively pumping?
Some parents worry that by not feeding their baby at breast they will lose the benefit of bonding that accompanies breastfeeding. There are still many ways to bond with your baby if you are exclusively pumping. One of the best ways to bond with your baby is by doing skin-to-skin, also known as kangaroo care. You can also bond with your baby while bottle-feeding, making eye contact with them, playing with them, singing, talking to them, and reading them stories.

Can I still practice nursing at the breast if I’m exclusively pumping?
Yes, you can still practice nursing and latch your baby if you are exclusively pumping. Your baby may transfer milk, or they may latch for non-nutritive / comfort purposes only.  It’s very important that you have a proper latch in order to avoid issues like sore nipples.

If you are concerned about your expressed volume or your breastmilk supply, work with an IBCLC. Reach out to The Lactation Network to be connected with local IBCLC for consultations covered under your insurance. Working with an IBCLC from the start will maximize your chances of reaching your feeding goals.

 

Sources: 

Holmes, A. V., McLeod, A. Y., & Bunik, M. (2013). ABM Clinical Protocol #5: Peripartum Breastfeeding Management for the Healthy Mother and Infant at Term, Revision 2013. Breastfeeding Medicine, 8(6), 469–473. https://doi.org/10.1089/bfm.2013.9979

Karimi, F. Z., Sadeghi, R., Maleki-Saghooni, N., & Khadivzadeh, T. (2019). The effect of mother-infant skin to skin contact on success and duration of First Breastfeeding: A systematic review and meta-analysis. Taiwanese Journal of Obstetrics and Gynecology, 58(1), 1–9. 

https://doi.org/10.1016/j.tjog.2018.11.002

Which Spectra Pump Is Right For Me?

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Jacque Order BSN, IBCLC
Melissa Portunato IBCLC

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. 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 return to work or exclusively pump, a double electric breast pump will yield the best results.

Read below our comparison guide to choose the best Spectra pump that fits your lifestyle and personal breastfeeding journey.

Handy Manual Breast Pump

This manual breast pump is a convenient, no-fuss option for moms who only need to pump occasionally.  Every mom should have a hand pump as a backup to carry in your diaper bag for those pump emergencies. No outlets, no problem!  Many women are surprised at how much milk they can express with a manual pump.  This BPA-free pump holds up to 150ml and comes with a 24mm flange with an insert (22.5mm). It provides up to 350mmHg of suction all controlled by the user!  This affordable and versatile pump also makes a great baby shower gift.

Spectra S2 Plus Premier Electric

If you’re looking for a customizable pump with strong hospital strength that is often covered by insurance, the Spectra S2 Plus is it!  This hospital-strength, closed system pump allows for single or double pumping, along with loads of additional features, all in a pump unit that weighs in at under 3 lbs.  Boasting up to 270mmHg of suction via 12 vacuum levels and 5 Expression Cycles, this pump is perfect for moms any breastfeeding mom, and tailored for exclusive pumpers.  The multi-phase “suckle” makes pumping with the S2 feel comfortable and natural. The Massage Mode is also customizable with up to 5 levels of suction to help effectively elicit let-downs.  The BPA-free accessories, LCD screen display, built-in night light, timer, and 2-year warranty make this pump a top choice for breastfeeding families and healthcare providers alike!

Spectra S1 Plus Premier Rechargeable

A favorite among Exclusive Pumpers, the Spectra S1 Plus includes all the features and functions of the S2 Plus and a rechargeable battery!  The freedom of outlet-free pumping is often offered as an “upgrade” through health insurance plans.  Countless moms have reported the additional cost of the S1 as being a “must-have.”  It’s no doubt that the 3-hour battery life delivers convenience that can make a pumping mom’s life easier, and when you’re already juggling a thousand things convenience matters. Unplugging this pump doesn’t compromise suction like some other battery-powered pumps. You still get up to 270mmHg of suction whether plugged or unplugged! If a rechargeable pump with the customization of 12 vacuum levels, 5 Expression Cycles, and an adjustable Massage Mode sounds like a dream, then the S1 is for you!

9 Plus Premier Portable Rechargeable

The 9 Plus is Spectra’s smallest pump, weighing in at only ½ a pound!  This tiny, but mighty pump offers the ultimate in on-the-go single or double pumping.  The rechargeable battery allows for convenient pumping in almost any location.  Though this pump is small, it isn’t lacking in features. It provides up to 260mmHg of suction and is still considered hospital strength. The 9Plus also offers an adjustable Massage Mode along with 10 levels of vacuum in Expression Mode and a convenient timer. The backlit LCD screen is an added feature that moms love as well. Pair this little powerhouse with the hands-free CaraCups and you have a convenient hands-free pumping setup without sacrificing efficiency.

SG Synergy Gold Double Adjustable Electric Breast Pump

The Spectra Synergy Gold is a game-changer in the pumping world!  Never before have we seen a pump with so many features and customizable options!  The dual controls allow for independent vacuum settings at 0-270mmHg PER BREAST!  It also offers a mute mode for even more discreet pumping. The convenient night light has 3 levels for easy middle-of-the-night pumping, and the touchscreen LCD makes selecting your cycle and vacuum a breeze! With 5 cycles in both Massage and Expression Modes, this pump has something for everyone.  Where the S1 and S2 have 12 vacuum levels, the SG has 15 and each breast can be independently adjusted! The possibilities are endless with this incredible dual pump.

SG Portable Double Adjustable Breast Pump

Compact and hospital strength, the newest addition to the Spectra Baby USA product line is every pumping mom’s dream come true – powerful rechargeable dual motors with Spectra’s trademarked Natural Nursing Technology. The SG Portable’s double adjustable feature allows for comfortable and independent suction of up to 12 levels per breast. Customize your pumping sessions by alternating between 2 modes of massage and expression with preset cycle speeds. All breastfeeding moms will love the freedom and efficiency of the SG Portable. If you are busy at home, love traveling, or work at the office, you will want to make this pump part of your breastfeeding journey. Most smaller-sized portable pumps on the market sacrifice performance for mobility but rest assured, the SG Portable has the trusted quality of all Spectra baby USA breast pumps.

When you choose Spectra Baby USA you can feel confident knowing your breast pump is a high-quality product trusted by lactation consultants and loved by mothers worldwide. All Spectra Baby USA breast pumps have a closed system – creating a safe and hygienic pumping experience. Exclusive to Spectra, our unique Natural Nursing Technology closely mimics your baby nursing at the breast for optimal comfort and efficient milk removal.

Remember that no matter which pumps you choose, flange size, settings, pumping environment, and several other factors can make a huge difference in your pumping experience. Find the right size flange with our easy-to-measure breast shield guide. All Spectra Baby USA breast pumps have a 2-year warranty and are accessory compatible. Still, have questions? Email us at ibclc@spectrababyusa.com

Stress-free Breast Pumping During the Holidays

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By: Melissa Portunato, IBCLC

The holidays with a new baby are exciting, scary, and magical all rolled into one. Planning, entertaining, traveling, and shopping come with the season’s craziness, but how will pumping fit in? We’re sharing our top holiday tips for managing your pumping schedule stress-free during the holidays.

Be Prepared

Plans can often deviate from what we thought or intended, so plan for what you CAN control. Before traveling, check out potential pumping locations, and don’t be afraid to ask the staff at airports, train stations, or other places along the way. Give yourself time to allow for pump breaks to avoid unnecessary stress from rushing. If you’re going through security at the airport, it can take longer when breastmilk and pumps are involved.

*For more information on TSA’s policies regarding air travel with breastmilk, click here https://www.tsa.gov/travel/security-screening/whatcanibring/items/breast-milk

Whether on the road or staying home this holiday season, load up on extra accessories like duckbills valves and backflow protectors. It can definitely be stressful if you stop to pump and you notice a rip or tear – especially if you’re on the go. Your accessories should be changed routinely every 6-8 weeks depending on how often you are pumping.

Be Flexible

It’s OK if you miss a pumping alarm or skip one here and there. Overall it shouldn’t dramatically affect your milk supply. Try not to go more than 3-4 hours without pumping. Mothers that exclusively pump often find that by pumping for 120 minutes per day, they can establish and maintain their milk supply. That’s 6x per day for 20 min each pumping session. If you notice a dip in your milk output, it’s likely temporary. Once you have the time, try Power Pumping – 1x a day for 3 days to give your supply a boost.

If your pump has a rechargeable battery, like the Spectra S1 and 9+, be sure the battery is fully charged before your guests arrive or are ready to hit the road.  Consider purchasing a compatible car charger for road trips.

Be Present

It’s so easy to get caught up with crossing tasks off your to-do list and not make the time to stop to take it all in. Remember to enjoy every moment you can – even pumping time. Sometimes, pumping can be lonely especially if you feel the need to move to another room to pump. If you like more privacy, consider pumping with a nursing cover and staying in the conversation. If you want some quiet time, sneak away to another room with your new baby. Keep your baby close to you during your pumping session. Single pumping while holding your baby skin to skin can be a great way to bond, recharge, and relax.

Breast Milk Storage & Cleaning

According to the CDC, breastmilk is optimal for 4 hours at room temp, four days in the fridge, and 4-6 months in the freezer. If you are traveling with your breastmilk it’s best to keep it fresh rather than trying to keep it frozen which can be a much harder task. Refrigerated breast milk can be frozen within four days of expression. Keep your breast milk cool when a refrigerator is not available. Transport refrigerated/frozen milk by placing breastmilk in an insulated bag or cooler with a frozen cold pack. Milk should be refrigerated or frozen within 24 hours.

It’s recommended that you wash all your pumping parts after every use. If you’re traveling and you know you won’t have access to a sink, bring enough sets of pump parts to get you through the day. If you are home, having extra parts pre-assembled will be easier to grab what you need and start pumping. Placing pumping parts in the refrigerator in between uses is not recommended.

Spectra Exclusive Tips

Save time and pump directly into storage bags with the Spectra Simple Storage Kit. This innovative technology will keep your milk clean, safe, and always ready to use. Pump, store and feed your baby all from the same breastmilk storage bag.

Skip the pumping bra and pump discreetly with milk collection inserts like the Spectra Caracups. Pumping with the Spectra Caracups will make your pumping sessions comfortable and discreet while baking or catching up with family. Bundle the Caracups with the 9Plus and you have the perfect pair!

Pumping doesn’t have to be an overwhelming chore over the busy holiday season. You can totally keep up with the hustle and bustle with some planning, patience, and flexibility.  Need extra tips or have more questions? Email us at ibclc@spectrababyusa.com.

What Is Breast Gymnastics?

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By: Melissa Portunato, IBCLC

Breast Gymnastics is a gentle massage technique that can bring pain relief and easier milk flow for mothers experiencing engorgement, clogged ducts, and other common breastfeeding conditions. Maya Bolman, IBCLC and leading researcher in Therapeutic Breast Massage coined the phrase “breast gymnastics” to teach breastfeeding families and lactation health care professionals the benefits of gentle stretching and movement of the breast. Breast gymnastics triggers drainage of the lymphatic system creating milk to flow freely improving the quality of breast milk and decreasing swelling. Used in combination with hand expression, breast gymnastics effectively alleviate breast pain making nursing and pumping a more enjoyable experience.

THE BENEFITS OF BREAST GYMNASTICS

Breast pain is a leading cause of premature weaning and breast gymnastics can help resolve common ailments associated with early breastfeeding. Often relief is immediate, and breastfeeding can continue with no interruptions.

Chronic Breastfeeding Pain
If you are experiencing chronic breast pain, practicing breast gymnastics can bring relief. Chronic pain in the breast can sometimes be caused by a bacterial infection. It’s important to monitor your symptoms and check with your doctor if your symptoms are not improving.

Engorgement
Also known as “milk stasis”, engorgement comes from built-up milk in the ducts which can cause painful swelling, firmness, and sensitivity of the nipples and breast. Engorgement is most common among first-time mothers but can also happen when weaning from breastfeeding.

Clogged Ducts
A “plugged” or “clogged duct” occurs when a milk duct that leads to the nipple gets blocked. The onset is often fast and can be associated with a hard, often painful lump. Some causes of a blocked duct are prolonged time without milk removal, shallow latch, restrictive clothing, or even stress. With proper care, most clogged ducts subside within 2-3 days.

Mastitis
Mastitis can be infectious or non-infectious, and symptoms of both include fever, pain, swelling, redness of the breast, hard lumps, hot to the touch, and feeling flu-like symptoms. If you suspect you may have mastitis, make an appointment with your doctor. Breast Gymnastics can aid recovery, but you may also need medications to clear up the infection.

Latching Baby To Breast
Breast Gymnastics can soften the breast to allow your baby to latch on to your breast. The gentle movement and circulation with hand expression can protrude the nipple and your baby will be able to latch deeper for more nutritive feedings at the breast. You can move and stretch your breasts while simultaneously feeding your baby for more productive nursing sessions.

HOW TO DO BREAST GYMNASTICS

Step 1
Cup both hands under one breast

Step 2
Lift breast up and down

Step 3
Move your breast softly to the left and then right

Step 4
Move your breast gently all the way around in a circular motion – clockwise and then counterclockwise

Step 5
Repeat on the other breast

If your baby cannot nurse, protect your milk supply by breast pumping every 2-3 hours with a hospital-strength breast pump. If you are experiencing breast pain, connect with an International Board Certified Lactation Consultant, IBCLC for evidence-based information, counseling, and support to continue to meet your breastfeeding goals.

Source:

Mothers Value and Utilize Early Outpatient Education on Breast Massage and Hand Expression in Their Self-Management of Engorgement. Witt AM, Bolman M, Kredit S, Breastfeed Medicine 2016 Nov; 11:433-439.

Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts and Mastitis. Witt AM, Bolman M, Vanic A, Kredit S, J Hum Lact 0890334415619439, first published on December 7, 2015.

Recapturing the Art of Therapeutic Breast Massage During Breastfeeding. Bolman M, Saju L, Oganesyan K, Kondrashova T, Witt AM. J Hum Lact. 2013 Aug;29(3):328-31.

How to Pump, Store & Feed Breast Milk

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Melissa Portunato MPH, IBCLC, RLC

You’ve worked hard to provide breast milk for your baby and protect your milk supply. Keep your expressed milk clean and nutritionally intact for your thriving baby when you’re on the go, out for the day, or exclusively pumping. Read on for our top tips on pumping, storing, and feeding breast milk to your baby.

Before Pumping and Handling Breast Milk

Wash your hands thoroughly with soap and water for 20 seconds before pumping or handling breast milk. Always pump into clean containers or bags. Listen to music or watch videos of your baby in a comfortable, sanitary, and private area. Traveling and not sure where to pump? Search nationwide for a place to pump here.

Get Pumping

Every mom starts pumping for different reasons. Some start immediately after childbirth because of a health-related circumstance or others choose to exclusively pump right from the start. Others pump when they return to work and continue to nurse their babies when at home. Wherever you are on your pumping journey you will be giving your growing baby the very best nutrition by expressing your breast milk.

Express breast milk using a hospital-strength double electric pump. Pump both breasts simultaneously for 15-20 min using a cyclic pumping rhythm. Start on massage mode and when milk slows, switch to expression. Set the vacuum for comfort to optimize your pumping session. Use hand massage before, during, and after pumping to drain the breast adequately and make more milk for the next pumping session.

Easy Storage Solutions

Load up on extra Spectra Baby USA collection bottles so you won’t have to worry about washing & cleaning – especially when on the go. If you prefer to pump into a narrow neck bottle, a Spectra small cap adapter will convert any narrow neck bottle to a Spectra flange.

Pump, store and feed directly from the same bag with the Spectra Simple Storage Kit. This innovative storage solution also features a temperature sensor to ensure that breast milk is just the right temperature for feeding. Feed your baby right from the same bag with the Simple Storage adapter, Spectra bottle ring, and nipple.

Breast milk should be stored in clean food-grade containers such as BPA-free plastic, glass, or silicone as well as disposable milk storage bags. Spectra Baby USA’s quality high standard milk bags won’t leak or tear like most bags on the market.

Storage Quick Tips:

✔ Store breast milk in 2-4 ounce increments to prevent milk from being wasted.

✔ If using breast milk storage bags, pump directly into bags with an adapter and squeeze the air from the top before sealing tightly.

✔ Freeze breast milk bags flat to save space.

Feed Your Babe, Not Your Freezer

Breast milk is always best – no matter if fresh, refrigerated, or frozen! Fresh breast milk contains the highest anti-infective properties, next in line refrigerated milk and then frozen milk. Give your baby freshly pumped milk whenever available. Fresh, frozen, and refrigerated milk can be combined. It’s best to mix breast milk at the same temperature to keep the immunological properties intact though some sources do suggest breast milk composition is not substantially affected when varying temperatures are combined.

Breast milk should never be microwaved because it can heat unevenly and hurt your baby. In addition, microwaving can destroy valuable bioactive components found only in human milk. Gentle thawing of breast milk is best to preserve the quality. Thawing can be done in the refrigerator overnight or in a warm water bowl.

Feeding Quick Tips:

✔ Once frozen breast milk is defrosted, it’s good to use within 24 hours and shouldn’t be refrozen.

✔ Use leftover breast milk from feeding within 2 hours of finishing.

✔ Warm breast milk first, then gently shake. This technique will mix the fat which may have separated.

✔ Breast milk can be given cool, warm, or room temp to healthy full-term babies.

Breast Milk Storage Guidelines

According to the CDC, breast milk is optimal for 4 hours at room temp, 4 days in the fridge, and 4-6 months in the freezer. If you will be freezing your breast milk, it’s best to freeze it right away. Refrigerated breast milk can be frozen within 4 days of expression.

Keep your breast milk cool when a refrigerator is not available. Transport refrigerated/frozen milk by placing breast milk in an insulated bag or cooler with a frozen cold pack. Milk should be refrigerated or frozen within 24 hours.

Connect with a Spectra Baby USA IBCLC 24/7 via email at IBCLC@spectrababyusa.com. Our International Board Certified Lactation Consultants are happy to assist you with breast milk pumping, storing, and pumping.

Source:

Eglash, A., Simon, L., Brodribb, W., Reece-Stremtan, S., Noble, L., Brent, N., Bunik, M., Harrel, C., Lawrence, R. A., LeFort, Y., Marinelli, K. A., Rosen-Carole, C., Rothenberg, S., Seo, T., St. Fleur, R., & Young, M. (2017, September). ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017. Breastfeeding Medicine, 12(7), 390–395. https://link.edgepilot.com/s/57c2858d/KqhPD1RMGUCsOI2sn4jHRw?u=https://doi.org/10.1089/bfm.2017.29047.aje

Finding a Breastfeeding Friendly Pediatrician

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Melissa Portunato MPH, IBCLC, RLC

Breastmilk is a living substance loaded with nutrients, antibodies, and vitamins, providing the perfect nutrition composition for your growing baby. Experts recommend breastfeeding exclusively for the first 6 months and continued breastfeeding for 2 years or as long as the mother and baby desire. Some mothers exclusively express breastmilk for their babies, while others prefer to nurse directly at the breast. No matter how you decide to provide breastmilk for your baby, you will give them the very best start by feeding them your precious breastmilk. 

The pediatrician you choose for your baby will significantly impact your breastfeeding journey. Some pediatricians are more knowledgeable about breastfeeding than others, and it’s recommended for expectant parents to interview candidates for their baby’s doctor during pregnancy. Read on for questions you can ask and the answers you should look to receive. 

What percentage of babies are breastfed in your office?

The national breastfeeding rates published by the CDC depict that 45% of infants are exclusively breastfed at 3 months, and about 25% are fed only breastmilk at 6 months. Your pediatrician’s practice should have a high breastfeeding rate, but don’t be discouraged if they don’t know the current national breastfeeding statistics. However, they should know the average of breastfed infants in their office and be willing to listen and support you on your breastfeeding goals. 

Do you work with an International Board Certified Lactation Consultant (IBCLC) should any problems arise?

The IBCLC credential is the gold standard in lactation care, providing skilled, evidence-based breastfeeding support. Access to an IBCLC at your pediatrician’s office will make a big difference. It tells the pediatrician understands your concerns and values specialized lactation care for their patients. 

How much breastmilk should my newborn consume daily?

Breastfed babies consume between 25-30 ounces per day. The amount your baby will consume stays consistent for the first 6 months. If you are exclusively pumping, aim for that total, and if you are nursing and pumping about half (12-15 ounces). 

What growth charts do you use in your practice? 

Breastfed babies should not be compared to formula-fed babies. Research shows breastfed babies are leaner over time and grow in different patterns than their formula counterparts. Breastfed babies should be measured on the WHO growth charts, NOT the CDC growth charts. You can download a free WHO growth chart here. Remember, percentiles are just a comparison with your baby among 100 other babies. If your baby is not growing as quickly as their peers, it doesn’t necessarily mean feeding is an issue. Genetics should be considered, and seeking advice from an IBCLC. 

When is supplementation medically necessary, and how should it be given?

On average, your baby should not lose over 10% of their birth weight and be back at their birth weight at 2 weeks. If your baby requires supplementation, your pediatrician’s first advice should be to breast pump and provide breastmilk as a supplementation in addition to nursing directly at the breast. Alternative feeding techniques like a cup, spoon, or syringe should be suggested instead of bottle feeding. If bottle feeding is preferred, the paced bottle technique is the best way to feed your newborn with a bottle. 

When do you recommend introducing solids?

AAP recommends exclusive breastfeeding for the first 6 months, introducing solids at 6 months, and continued breastfeeding for 2 years or as long as mother and baby desire. Your baby does not need any other food, water, or juice – only breastmilk for the first 6 months. 

When do you recommend weaning from breastfeeding?

The answer here should be until mother and baby desire. There is no specific timeline for weaning, and every family should make a personal decision on when to discontinue breastfeeding. Studies show there are benefits to breastfeeding at one year and beyond. Breastmilk continues to be a source of nutrients, antibodies, and vitamins through toddlerhood and early childhood. 

Be prepared and educate yourself before you begin breastfeeding. Finding a pediatrician that supports your decision to breastfeed is important and can influence the achievement of your breastfeeding goals. If your pediatrician is not supportive of breastfeeding, you can always opt for a second opinion. You are your baby’s advocate. 

Need help getting started with breastfeeding? Schedule a complimentary consultation with a Spectra Baby USA IBCLC here. 

We’re here for you, and we support YOU! 

Source:

Kellams, A., Harrel, C., Omage, S., Gregory, C., & Rosen-Carole, C. (2017). ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017. Breastfeeding Medicine, 12(4), 188–198. https://doi.org/10.1089/bfm.2017.29038.ajk