Pumping Tips for NICU Parents

By Melissa Portunato MA, IBCLC

As a parent with a baby in the NICU, you’re likely navigating a lot of emotions, and in addition to caring for your baby, you’re focused on establishing a solid breastfeeding routine. One of the most important steps to take in supporting your milk production while your baby is in the NICU is using a hospital strength electric breast pump. Spectra baby USA breast pumps are excellent tools for NICU parents, as they are designed to mimic a baby’s natural sucking patterns and support milk production in these unique circumstances.

In this post, we’ll cover evidence based pumping tips that can help you maintain or boost your milk supply during this critical time.

1. Skin-to-Skin or Kangaroo Care Whenever Possible

Spending time holding your baby skin-to-skin, also known as Kangaroo Care, is one of the best things you can do to promote breastfeeding success. Research shows that skin-to-skin contact helps regulate your baby’s heart rate, temperature, and breathing, and plays a pivotal role in promoting lactation. It can also trigger the release of oxytocin, the hormone that encourages your body to produce milk.

Even if your baby is unable to latch or breastfeed yet, simply holding your baby against your chest can help you produce more milk and create a closer bond during those challenging NICU days.

2. Pump at the Bedside When You Can

Pumping near your baby can make a significant difference in your milk supply. The sight, sound, and smell of your baby during pumping sessions trigger your body to release more oxytocin, helping to simulate the natural breastfeeding process. If you can, try pumping next to your baby’s crib or bassinet. 

You may even find that you produce more milk when you’re close to your baby, and the emotional connection might help make the experience a bit less stressful. In cases where you’re unable to be with your baby due to logistical reasons, some parents find that listening to a recording of their baby’s cry or voice while pumping can also help trigger milk flow.

3. Change Your Pump Parts Regularly

Keeping your pump parts in good working condition is crucial to maintaining optimal suction and ensuring your milk output is at its best. Over time, parts like duckbill valves and backflow protectors can wear out, reducing the efficiency of your pump.

• Duckbill valves: Replace every 4 weeks if you’re pumping exclusively.
• Backflow protectors: Replace every 3 months.
  

Worn-out parts can lead to lower milk production and inconsistent suction. Make sure to inspect your pump regularly and replace parts as needed to ensure the best performance.

4. Try These Cycle Settings with the Spectra S1/S2

NICU babies often have slower and more intermittent sucking patterns compared to full-term babies, so adjusting your pump settings to mimic these patterns can help with milk flow and comfort. The Spectra S1/S2 pumps offer customizable cycle settings to help you achieve this.

Here’s a suggested 30-minute pumping session based on recommended settings for NICU parents:

• Massage Phase: 70 cycle / 5 minutes
• Expression Phase: 42 cycle / 10 minutes
• Massage Phase: 70 cycle / 5 minutes
• Expression Phase: 38 cycle / 10 minutes
  

Always set the vacuum level to what is comfortable for you, and remember, massaging your breasts before and during pumping can help stimulate letdown and increase milk output. Using this cycle combination helps balance the faster stimulation needed for milk production with the slower, gentle rhythm that mirrors a NICU baby’s typical sucking pattern.

Tips for a Successful Pumping Routine

• Pump frequently: In the early weeks, the goal is to pump often to build a strong milk supply. Aim for 8-10 sessions a day to maintain your supply; pumping at least one time overnight.
• Stay hydrated and nourished: Drinking enough water and eating a balanced diet will help keep your energy levels up and support your milk production.
• Be patient: Establishing a milk supply while your baby is in the NICU can be challenging. Trust that your efforts are making a difference, and remember that every drop of milk is a precious gift for your baby.
  

5. Seek Support

Lastly, don’t hesitate to reach out for help. International Board Certified Lactation Consultants (IBCLCs), NICU nurses, and peer support groups can offer guidance and encouragement along the way. It’s important to remember that you’re not alone—many NICU parents go through similar struggles, and support is available to help you succeed.

Conclusion

Pumping for your NICU baby is a journey, but with patience, consistency, and the right techniques, you can maintain or boost your milk supply. If you’re using a Spectra pump, making small adjustments to your routine can make a big difference in how your body responds. We hope these tips empower you as you navigate this important phase of your breastfeeding journey.

Click HERE for a printable handout with tips. Download and share with other NICU parents who may benefit from these insights.

Sources

Academy of Breastfeeding Medicine. (2015). ABM Clinical Protocol #3: Hospital-Based Supplementation of Breastfed Infants. Breastfeeding Medicine, 10(6), 291-297. ABM Clinical Protocol #3: Supplementary Feedings in the Healthy Term Breastfed Neonate, Revised 2017