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

Everything You Need To Know About Biting and Breastfeeding

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Melissa Portunato MPH, IBCLC, RLC

Not all babies bite and the ones that do learn pretty quickly that mama does not like it and stop. If you’re part of the lucky few that does have a baby shark don’t worry mamas! Biting down at the breast is almost always temporary. With patience, time and support your breastfeeding journey doesn’t have to come to an end. Check out our expert tips to keep your baby from chomping down and get you back on track with breastfeeding pain free! 

Why does my baby bite down when nursing? 

Teething 
Every baby is different, but generally babies will start to cut their first tooth between 3 months and 12 months. During this time, baby’s gums can get sore and the pressure of biting down can bring them relief. Freeze a washcloth dipped in breastmilk and before nursing let baby chew on it. Breastmilk triggers the production of endorphins, a natural pain numbing effect. The anti inflammatory properties in breastmilk may also help reduce soreness and pain. Wrap your finger around the cold washcloth and softly massage the gums providing counter pressure before nursing. Massaging the cheeks and ears from the outside can also help soothe pain. These techniques can relax baby before nursing and they will be less likely to bite down. 

Sometimes teething can result in a shallow latch which overtime can make nipples tender. Try “breast shaping” and compression when nursing to better position the baby on the nipple. Using lying back breastfeeding and dangle feeding can help your nipple go deeper into the baby’s mouth. 

Baby not feeling well 
Other reasons babies might bite down when nursing could be because of a sickness like a cold, ear infection, sinus pressure, headache, or a stuffy nose. If baby has nasal congestion, use a mucous removal tool, like a nasal bulb or the NoseFrida, to clear baby’s nasal passage before nursing. Use breastmilk or saline water to moisten the inside of the nostrils before suctioning to make the process less irritating. Nursing your baby in an upright position, straddled on your lap, or using a sling or carrier can help make the airway stay clear and make breathing easier.

Oral Restriction
Sometimes newborns will clamp down when nursing at the breast. It doesn’t always mean there are oral restrictions but it could be an indicator. Oral restrictions can vary and can come in the form of a tongue tie, lip tie, and buccal tie (these ties can be found on the inside of the cheek). The shape of the palette and tongue can also influence how a baby will nurse at the breast. If your baby continues to clamp down when nursing, work closely with your pediatrician and connect with your local International Board Certified Lactation Consultant, IBCLC for a thorough breastfeeding consultation to determine the cause of the issue and develop a plan for resolution. 

Forceful Letdown 
If mom has a forceful letdown this can also cause a baby to clench down on the nipple. Using nursing positions that are counter gravity can slow the overactive letdown and baby will be able to manage milk flow easier. Nursing lying back with baby’s body flat directly over you or sitting baby upright to nurse can slow the flow, allowing baby the rhythmic suck and swallow necessary for nutritive feeding. In addition, hand expressing first or pumping for 5 min prior to nursing sessions can help baby latch on easier and slow forceful letdown too! 

What else can I do to make baby stop biting? 

No matter the reason for biting it can be painful. Try not to scream! Instead, put your baby down in a safe place and leave the room. It’s important to know a baby that is actively nursing can not physically bite down on the breast. Babies tend to bite down towards the end of a feeding, when distracted, or not interested. Watch your baby closely when nursing and end the nursing session before baby has the opportunity to bite down. Babies are pretty keen at sensing our body language and behavior. Talk to your baby often when nursing. Tell your baby things like “we don’t bite mama” or “biting hurts mama, outchy.” Babies look for facial expressions to communicate. Be expressive with your emotions when you talk to your baby. Smile and positively reassure your baby when latch on happens carefully and smoothly. 

Managing Nipple Pain and Milk Supply
If baby’s biting has your nipples sore, caused abrasions, or cuts be sure to treat them to prevent infection. Air dry as much as possible and wash with non antibacterial soap in the shower. Applying a cool hydrogel can soothe sore nipples and keep them healthy. For deeper cuts and abrasions temporarily applying a mupirocin, prescribed by your doctor, can help speed up healing and avoid infection. Small amounts on the nipples do not need to be wiped away before nursing. Always remember mamas! Your doctor is always a quick call away if something doesn’t seem right. 

If nursing directly at the breast has become too painful, pump to maintain your milk supply. Use the slow 38 cycle steady with the Spectra breast pump S1/S2 and lubricate the tunnel well with breastmilk or olive oil to prevent friction and further discomfort. Be gentle on your breasts and nipples. Use massage and compression to stimulate more effective letdowns allowing for less time on the pump. 

Remember you and your baby are a dyad. You are one. Your baby will learn quickly biting hurts mama and they will stop. Your baby loves you and doesn’t want to knowingly hurt you! You’re an amazing mom and your baby thinks so too.

References

Nishitani S, Miyamura T, Tagawa M. et al. The calming effect of a maternal breast milk odor on the human newborn infant. Neurosci Res (2009) 63(1): 66-71

In: Drugs and Lactation Database (LactMed). Bethesda (MD): National Library of Medicine (US); 2018 Oct 31.

http://www.nancymohrbacher.com/breastfeeding-resources-1/2016/6/10/your-breastfeeding-baby-is-biting-you

Re-lactation: One Mother’s Journey

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By Jacquelyn Ordner BSN, RN, IBCLC, RLC

I had met my breastfeeding goals with three out of my four children, with the fourth still nursing once or twice a day.  Number four was about 2.5 years old and had decided he only needed “milkies” at naptime and bedtime.  I was comfortable with this, and we were moving through this transition happily.  But, when my husband and I decided we were going to adopt, my thoughts around weaning began to change. What if my next child needs my milk too?

As we completed the international adoption application process and began the home study process, we really began to think about the little person who would be joining our family.  We had told the agency that we’re open to parenting a child with significant medical needs. Our child could need a myriad of medical interventions, and I immediately began thinking that I needed to store breastmilk to help support him or her.  I’m an RN and IBCLC, so that’s just how my mind works. I KNOW that just 15 ounces of breastmilk can provide up to:

29% of a toddler’s energy requirements

43% of their protein requirements

36% of their calcium requirements

76% of their folate requirements

75% of their vitamin A requirements

94% of their vitamin B12 requirements

And 60% of their vitamin C requirements (Dewey 2001).

Breastmilk does not suddenly become non-nutritious or suddenly lose its bioactive and immune boosting components at a certain age! So, in the waiting and through the mountains and mountains of paperwork, I could be working toward making more milk to save for our fifth child! 

I began with the basics…..pumping! In an effort to store every ounce, I gently encouraged our current youngest to cut back to nursing just once a day.  This was easy at first, and he didn’t even seem to mind me pumping. I was double pumping with the Spectra S2 just 3-4 times a day to start. Let me tell you, this wasn’t very encouraging!  I was only yielding a total of 1-1.5 oz per DAY! That’s when I hit the first major setback….my toddler became jealous of my pump! He cried when he saw me pumping and asked for “milkies” multiple times per day.  I felt so conflicted at this point because my natural instinct was to scoop him up and provide that loving comfort as we had done thousands of times before. However, I also knew my goal was to collect and store as much milk as possible before we brought kiddo #5 home.  Knowing that an effectively nursing baby (or toddler in my case) was far more efficient at stimulating milk production than my pump, I allowed him to nurse up to three times per day while I continued to pump 3-4 times per day. 

We were hitting our stride, and my pumping output was SLOWLY increasing, when we had another setback.  My work schedule changed, and this put stress on the whole family. My little guy had to start a new daycare during at this time as well.  So, I took a break from pumping for a couple of weeks. I could kick myself for this now, but I can’t go back to change it. That two week break set me all the way back to the beginning. Still, once we found our new rhythm, I was determined to get my production up.  I began faithfully pumping 5-6 times per day and VERY SLOWLY started to see an increase! Over the course of 4 weeks, my pumping output went from 1-1.5 oz per day to 3 oz per day in addition to the milk I was providing to my nursing toddler. Though my output is small, I’m confident that I can continue to increase my supply with dedicated pumping. Re-lactation takes time!   If you are considering starting the re-lactation process, there are a few things to keep in mind:

  •  Milk supply is easier to influence in the first 4-6 weeks postpartum.
  • The amount of time and pumping needed to re-lactate depends on many factors such as how long you were nursing or pumping before stopping, how long it has been since you stopped nursing or pumping, and how much milk you were producing at the time you stopped.
  • Pumping alone can be an effective way to stimulate re-lactation.  The use of galactagogues should only be done so with the help of a knowledgeable practitioner.
  • An effectively nursing baby is the MOST efficient way to stimulate milk production.  If your baby will latch, this is very helpful to the re-lactation process. The use of an at-breast-supplementer can be significantly helpful as well.
  • The knowledge and expertise of an International Board Certified Lactation Consultant, who has experience with re-lactation, can be extremely beneficial for a mother who is pursuing this goal!

Dewey KG. Nutrition, Growth, and Complementary Feeding of the Breastfed Infant. Pediatric Clinics of North American. February 2001;48(1).

The American Academy of Pediatrics (AAP) Issues Updated Breastfeeding Guidelines

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By Melissa Portunato MPH, IBCLC, RLC

On June 27, 2022, The American Academy of Pediatrics updated its existing policy statement on breastfeeding. The revision has come at a controversial time amidst the current formula crisis, failed legislation, and the recent Supreme Court ruling on reproductive health rights. Read on for the full breakdown and what this means for public health in the US. 

What’s NEW?
The previous AAP policy recommended breastfeeding for the infant’s first year and has now been updated to 2 years and beyond. The policy now states, 

“ The AAP supports continued breastfeeding, along with appropriate complementary foods introduced at about 6 months, as long as mutually desired by mother and child for 2 years or beyond.” 

This wasn’t the only change that came with the revised policy. Social and cultural calls for action were also at the center of the guideline revisions to support parents who want to meet the new recommendation. The official statement includes the need for paid maternity leave and more support in public, child care, and workplace facilities. In addition, maternity care practices were urged to improve breastfeeding initiation, duration, and exclusivity. The organization also acknowledges that babies born to gender-diverse families may not have equal access to human milk, and clinical support may be more challenging. Overall, the AAP calls for clinicians to equip themselves to provide evidence-based quality medical care to ensure all families best meet their personalized breastfeeding goals. 

Why Now?
As the formula crisis rages on, parents may be asking themselves, why now? The truth is this has been a long time coming, but the formula shortages did help to revive the conversation. Significant research has long backed up the nutritional and immunological benefits of human milk feeding past one year. The extensive studies are not limited to the above benefits; instead, they reveal psychological advantages when the young child continues to nurse directly at the breast and boast benefits for the mother as well. It’s important to note that the new revision is now in line with the World Health Organization’s long-standing breastfeeding recommendations for 2 years or beyond. 

Now What?
We all know exclusive breastfeeding is the goal, but that can seem far-fetched or unattainable for families struggling to make enough milk, experiencing latching difficulties, or simply lacking breastfeeding education or support. Nevertheless, many experts still agree the revision to the AAP policy is a step in the right direction. It will likely prompt the availability of more community resources for pre/post-natal education, diversity of lactation clinicians, and easier access to low-cost breastfeeding support platforms, i.e., telehealth.

Unfortunately, the Pump For Nursing Mothers Act which would extend breastfeeding mothers pumping rights to 2 years, was denied in the wake of the AAP’s updated guidelines. The failed legislation covered salaried breastfeeding individuals that were not covered under the Affordable Care Act. Another bill already introduced to the Senate, the Pregnant Workers Fairness Act, prohibits employers from discriminating based on pregnancy, childbirth, and related medical conditions. This bill appears ready to pass soon and is set to protect working breastfeeding families similarly. Good news! 

How can Spectra Help?
Breastfeeding for 2 years or beyond may not be realistic for all families, yet there are ways Spectra baby USA is making it easier for parents that decide to breastfeed past one year. All Spectra Baby USA’s high-quality electric breast pumps have a 2-year product warranty. Complimentary virtual consultations with a Certified Lactation Consultant (IBCLC) are available with the purchase of any Spectra baby USA breast pump. No matter the amount of breastmilk you can provide or the length of time, breastfeeding is an accomplishment, and human milk provides irreplaceable health benefits to your baby. If you have questions about achieving your breastfeeding goals, message us at ibclc@spectrababyusa. In addition, we always recommend connecting with your local International Board Certified Lactation Consultant for evidence-based advice and community support. 

Sources:

American Academy of Pediatrics calls for more support for breastfeeding mothers within updated policy recommendations. Home. (n.d.). Retrieved July 5, 2022, from https://www.aap.org/en/news-room/news-releases/aap/2022/american-academy-of-pediatrics-calls-for-more-support-for-breastfeeding-mothers-within-updated-policy-recommendations/ 

Text – H.R.3110 – 117th Congress (2021-2022): Pump for Nursing Mothers act. (n.d.). Retrieved July 5, 2022, from https://www.congress.gov/bill/117th-congress/house-bill/3110/text 

Bonyata, K. (2018, January 15). Breastfeeding your toddler: What to expect • kellymom.com. KellyMom.com. Retrieved July 5, 2022, from https://kellymom.com/ages/older-infant/toddlernursing/ 

 

Should I Introduce A Pacifier to My Baby?

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Melissa Portunato MPH, IBCLC, RLC

Babies are born with a strong innate sucking reflex necessary for survival. When combined with the rooting reflex, a newborn baby can find the breast, suck and swallow milk. Sucking can also bring soothing comfort to a newborn baby, and parents often run to a binkie for a quick fix. Read on to learn the pros, cons, and helpful tips about introducing a pacifier to your breastfed baby. 

When Can I Introduce a Pacifier? 
All major baby experts agree parents should wait to introduce a pacifier until breastfeeding has been well established. Baby should have gained back their birth weight and be gaining weight appropriately (around 3-4 weeks). Avoid supplementing with a pacifier if baby is hungry. Limiting the pacifier for naptime and bedtime is best. After the initial first weeks, a pacifier can be considered and has some evidence-based benefits too!

Which Type of Pacifier is Best?
Pacifiers were created to mimic a breastfeeding mother’s nipple and first debuted in the early 1900s. Originally they were mostly made from natural rubber, later latex, and most recently BPA-free silicone. 

Choosing a pacifier with a rounded tip better encourages nursing at the breast. In addition, the silicone material is soft and smooth, which resembles a mother’s nipple. If baby doesn’t seem interested in the pacifier offered, you can try a different one to discover the baby’s preference. 

Pros & Cons

✔ In the first 6 months, decreased risk of Sudden Infant Death Syndrom when given at the onset of sleep 

✔ Suck training and shorter hospital stays for premature infants. 

✔ A distraction for car rides and airplane travel, especially during take-off. 

✔ Pain management for minor procedures. 

✔ Provides comfort if the mother is not nearby to nurse. It should not replace a feeding but rather temporarily soothe a fussy baby. 

✖ Early pacifier introduction has been linked to a shorter duration of breastfeeding, sore nipples, and engorgement. 

✖ Prolonged use can increase the risk of ear infections and thrush. 

✖ Pacifier use is associated with poor dental development if continued after 2 years old.

✖ Overuse and prolonged use may interfere with language development.

✖ It can be tough to break the pacifier habit, and weaning can be difficult. It’s recommended to ditch the paci before baby’s first birthday.  

Helpful Binkie Tips

★ Clean often and sanitize pacifiers daily 

★ Replace if torn or broken 

★ Wean baby before one year

★ Limit to bedtime and naptime

★ Never use a pacifier with a clip or strap, which can pose a hazard 

★ If baby is happy and content no need to introduce a paci 

★ Don’t push pacifier back in if baby refuses

More to Consider 
Interaction with your baby is vital for language and social development. Your baby will be less likely to coo or try to communicate while sucking on a pacifier. Moderation is key. Many breastfeeding families temporarily introduce a pacifier and continue to meet their breastfeeding goals. 

For guidance and support anytime, connect with a Spectra IBCLC at ibclc@spectrababyusa.com.

Sexton, S., & Natale, R. (2009, April 15). Risks and benefits of pacifiers. American Family Physician. Retrieved June 27, 2022, from https://www.aafp.org/pubs/afp/issues/2009/0415/p681.html#:~:text=Early%20breast%20weaning-,AAP%20recommends%20pacifier%20use%20in%20infants%20up%20to%20six%20months,procedures%20in%20the%20emergency%20department.&text=AAP%20suggests%20offering%20pacifiers%20to,reduce%20the%20risk%20of%20SIDS. 

 

When and How To Drop A Pumping Session

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By Melissa Portunato MPH, IBCLC, RLC 

The first 12 weeks of your breastfeeding journey requires frequent breastmilk removal, stimulating healthy milk production. Studies show moms who exclusively pump for a minimum of 120 minutes per day can make enough to feed their babies primarily breastmilk. After 12 weeks, your body has gotten the hang of milk making, and it could be an optimal time to drop a pumping session. Every breastfeeding experience is personal and unique. 

Read on to decide if you are ready to drop a pumping session and how to do it the most effective way.

How Often Are You Pumping and How Old Is Your Baby?
Trying not to go more than 4 hours without pumping/nursing is a general breastfeeding rule while breastmilk is being established. It’s best to wait until after the first 12 weeks to start eliminating pumping sessions. Frequently draining the breast every 2-3 hours will ensure your body produces enough milk and avoids engorgement. If you reached the 12-week milestone and pumping 8x or more per day, dropping a pumping session can be safely considered. 

How Much Milk Do You Currently Make Per Day?
Babies from one to six months old will consume on average 25oz per day. Research tells us exclusively pumping will yield a range from about 19oz to 30oz per day. On average, that’s 2-4oz combined every 2-4 hours. Milk production usually peaks at around 40 days postpartum, and it’s normal for this amount to fluctuate from day to day or session to session too! If you are nursing your baby at the breast and currently adding in pumping sessions, expect to see half the amount, ½ -2oz combined. 

Are You OK with Supplementing?
This could be a deal-breaker for some parents. If your baby has only received breastmilk up until now, you may be a bit more hesitant to offer formula. Others may supplement from the beginning and are comfortable adding additional formula if it means less pumping. Having an open and honest conversation with your trusted pediatrician can help you decide what’s best for you and your baby. No matter what you choose, you love your baby and are doing the very best you can. 

How Do I Start Dropping a Pumping Session?
Gradual weaning from the pump is always best. Start with eliminating a pumping session by 3-5 minutes until eliminated. It can take about a week or more to drop the session completely, and even then, set the alarms and listen to your body. Hand express or pump for 5 min for relief if needed to avoid clogged ducts and engorgement. Pumping on a low vacuum (3-5) and slower expression cycle (38 with the S1/S2) can gently drain the breast, allowing an easier transition. Once a pumping session has been dropped, the remaining sessions can be spaced out more evenly. 

Need help dropping a pumping session? Our IBCLCs are experienced with pumping schedules, weaning from the breast pump and more. Schedule a complimentary consultation with us today. 

Sources: 

Bonyata, K. (2018, January 02). Exclusive Pumping • KellyMom.com. Retrieved September 21, 2021 , from https://kellymom.com/mother2mother/exclusive-pumping/ 

Bonyata, K. (2018, January 16). I’m not pumping enough milk. What can I do? • KellyMom.com. Retrieved September 21, 2021, from https://kellymom.com/hot-topics/pumping_decrease/ 

Lawrence, R. A., & Lawrence, R. M. (2016). Breastfeeding: A guide for the medical profession. Philadelphia, PA: Elsevier. 

Mohrbacher, N. (2012, November 27). How Much Milk Should You Expect to Pump? Retrieved September 21, 2021 from http://www.nancymohrbacher.com/articles/2012/11/27/how-much-milk-should-you-expect-to-pump.html 

 

A Guide to Pumping on Vacation

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Melissa Portunato MPH, IBCLC, RLC 

Are you ready to hit the road with your breast pump this summer? Planning ahead will eliminate unnecessary stress so you can enjoy the time away and make long-lasting memories. Read on for our practical and easy-to-follow guide to pumping while on vacation. 

Ring Before You Go
When booking a hotel, make sure you have a freezer you can use. Ideally, there will be one in your room. However, you may be able to use the hotel’s main freezer if there is no other option. If you’re struggling with hotels, opting for a private home or condo may be a great option.

Have a Good Flight
In case you were wondering…YES, you can absolutely pump on a plane! And your breast pump does NOT count as an additional carry-on. Find out more about the TSA guidelines on carrying a breast pump and breastmilk here. Don’t pump in the restroom! Most airports now provide private pumping pods where you can nurse or pump in a clean, quiet space. Download the app to plan ahead and find the nearest pod if you need to pump before boarding. 

Vacay Must-Haves! 

  • Rechargeable Breast Pump – A portable breast pump like the S1 or 9Plus will give you more flexibility when pumping on vacation. We recommend charging your Spectra rechargeable pump for 3-4 hours; leaving it to charge overnight can ultimately damage the battery.
  • Grab a Car Charger! Spectra has car chargers for both the Spectra 9 Plus (9 volt) and the Spectra S1/S2/SG (12 volt). In addition, if you’re traveling abroad, Spectra baby USA beast pump power cords are internationally compatible, which means all you need is the country converter, and you’re all set!
  • Cooler Kit – Keep your breast milk cool when a refrigerator is unavailable. Transport refrigerated/frozen milk by placing breastmilk in an insulated bag or cooler with a frozen cold pack. According to the CDC,  milk should be refrigerated or frozen within 24 hours. Instant ice packs are nice to have on hand!
  • Extra Parts – It’s recommended that you wash your pumping parts (except tubing) after every use in a designated basin with warm soapy water. The CDC recommends sanitizing parts once daily for extra germ removal. If you know you won’t have access to a sink, bring enough sets of pump parts to get through the day. Placing pumping parts in the refrigerator in between uses is not recommended.
  • Hand Pump – Every mom should have a hand pump as a backup. They are lightweight, convenient, and can be your lifeline in an emergency! Throw it in your pump bag and never get left without pumping if you run out of battery or can’t find an outlet.

Pump and Chill 
Go ahead and sleep in or enjoy a late-night dinner! It’s OK if you don’t pump at the same time every day! Skipping a pumping session or going over in-between times occasionally shouldn’t have a drastic effect on your supply. Pumping every 3-4 hours should be the goal, but you don’t have to be a stickler with exact times. Pump before you head out; always pump before bed and in the morning when you wake up. If you miss a pumping session, pump as soon as you can but most importantly, cherish the time away and the memories that will last a lifetime. 

Pumping Packing List 

✔ Pump Bag

✔ Power cord 

✔ Breast pump 

✔ Car adapter 

✔ Extra accessories – duckbills, backflows, flanges, bottles, caps, and disks

✔ Wet bag for used pump parts

✔ Milk Storage Bags

✔ Cooler kit with an ice pack

✔ Hand pump

✔ Nursing Cover

✔ Paper Towels or Napkins for spills

✔ Hand Sanitizer 

Have more questions before your epic vacation? Email us at IBCLC@spectrababyusa.com! 

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