Breastfeeding Tips & Breast Pump Guide | Lactation Connection

Moms often ask - "Of the pumps that are offered free with my insurance plan, which pump is my best choice?"  This is a great question because there are several factors to consider when choosing a breast pump. Most importantly, hygiene needs to be considered when choosing a breast pump.  Is this a pump that won't contaminate my breast milk?  The answer is in whether it has an open or closed system.  Closed system pumps protect your milk from having dust or bacteria blown into the bottles while you are pumping.  The biggest offender in this area are the Medela pumps.  They do not offer a closed system and the Medela company does not comply with the codes set up by the World Health Organization so it is easy to rule this brand out. The next consideration is the function.  Is it a double electric auto-cycling breast pump with at least 250mmHG which is milligrams of mercury, a measurement commonly used in measuring strength of suction. Most commonly inf...

Moms often ask, how much water should I be drinking while breastfeeding?  What they are really asking is how much water do I need to make more milk.  The answer:  water does not make milk .  Breastmilk is made from blood and while your body does not function well at any task if dehydrated, drinking too much water can have several negative effects on breastfeeding. The first was over-hydration can negatively effect breastfeeding is actually reducing milk supply.  Not only is there no data to support the assumption that increasing water intake significantly increases milk supply, there are actually studies showing the opposite. One significant study by Illingworth and Kilpatrick tested 210 postpartum mothers.  Half of which drank an average of 69 oz daily and the other half exceeded 100 oz daily.  The mothers forced to drink beyond normal amounts produced less milk and their babies gained less weight.   Another disadvantage to too...

Are your bags packed for the hospital?  Moms tend to read extensively about what they need for labor and delivery, but let's not forget about after the birth.  Breastfeeding can be easier if you have a few essentials to help a mama out.  So what should you take to the hospital for breastfeeding? 1.  Breast Pump    It is not an uncommon occurrence for moms to want or need to pump in the hospital.  Perhaps you have an exceptionally sleepy baby, are separated from your baby for health reasons, or have noticed you have flat or inverted nipples and need a little assistance.  Taking your breast pump to the hospital is a great way to ensure you have one if you need one.  There are limited "floor pumps" and since insurance may not cover the extras, you won't be billed for a personal collection kit if you have your own pump at hand.  Make sure you choose a good quality pump such as the Spectra S2 Breast Pump or Spectra Synergy Gold Br...

Although we love Pumpin' Pal Super Shields , some brands were just not working well with them.  The reason is that when you have a one piece breast shield that does not come apart, you had to insert the Super Shield into the primary breast shield to get the angled comfort of the Pumpin Pal breast shields . Not any more!  Pumpin' Pal now makes an adapter for Spectra so that you can use this system with your current Spectra parts avoiding any reduction of the suction on your breast pump when using the Pumpin' Pal Spectra Super Shields . These  Pumpin' Pal Spectra Super Shields  are offered a wide variety of sizes from x-small 15-22mm to x-large 35-40mm.  So now you can have the size that fits perfectly to properly compress the milk sinuses in a comfortable angled breast shield that allows you to sit back and pump instead of leaning forward which can cause back pain and fatigue.  The proper compression of the areola in this angle offers better milk ...

Need to troubleshoot your Ameda Breast Pump?  When you rely on your breast pump for exclusive pumping or working and breastfeeding, you need to know how to start with the correct flange size, maintain and troubleshoot any issues that may come up while you are using your breast pump. These issues can often be solved with maintaining your breast pump with genuine replacement parts. Let's start with breast flange size .  First you need to assess your nipple size at rest.  Most women fall between the XS and XL size for their breast flange so although there is no way to know for sure without trying out the flange while you are pumping, the rule of thumb (pun intended) is to compare your nipple size to the size of your fingers.  This works particularly well if you wear the average size 6 ring finger for a woman.  If you nipple is the diameter of your pinky, start with a smaller 21-22 mm flange.  If your nipple is the diameter of your ring finger then the Am...

The working pumping mama has more to consider than the mother who is able to put her baby to breast for each feeding.  After all, have milk will travel is a great lifestyle.  But for those who must or choose to work outside the home, managing their breast milk expression and storage is something that must be considered.  Here are some helpful tips and accessories to make this journey a little easier. 1.  Obtain an effective breast pump .  The first consideration is an effective breast pump.  Don't settle for a manual, single breast pump or a used breast pump.  These types of pumps can actually sabotage your results before you start.  Double pumping increases prolactin levels and since working mothers do not get as much non-nutritive suckling to assist milk supply, this feature is a must.  What about a used pump.  Non-hospital grade pumps meaning professional pumps that are under $800 are meant to last a certain number of pumping hours ...

I would love to tell you that breastfeeding is always easy, but unfortunately that is not always the case.  When you look up the word tenacious (te·na·cious) in the dictionary, I picture the nursing mother who has been tried by the challenges that sometimes come with breastfeeding. Today, I am addressing a challenge that literally tries a mom by fire, yeast infections.  Yeast on nipples often exhibits itself as a burning sensation and sharp shooting pains in the breast even in-between feedings.   If you have pain only during the feeding, you need to address the latch.  Yeast naturally occurs in our bodies, but the overgrowth of yeast often as a result of oral or IV antibiotics can be a real challenge.  The good news is that it is fairly easy to diagnose and curing the overgrowth is manageable, especially if you know how to avoid a recurring incidence. Lets start with the diagnosis.  As I said, the mother with yeast will normally have burning sensat...

Finding the right breast pump flange size is your first concern when starting to pump, but as you continue to pump exclusively or for working and breastfeeding, investing in a more comfortable flange can help not only your body, but your baby's milk supply.  Pumpin' Pal Super Shields offer a multitude of benefits including: Eliminating constriction of milk ducts that can be cause by traditional flanges  Promoting better milk flow Helping prevent plugged milk ducts and mastitis Reducing nipple irritation Saving mom from back aches caused by leading forward While Pumpin' Pal Super Shields are effective in most cases, you will want to know if and how they fit with your breast pump before you invest in these breast flanges.  Pumpin' Pal M-XL work best with breast pump brands that have two piece breast shields such as Medela, Lansinoh and Hygeia . Pumpin' Pal Small and X-Small include an adapter to work with two piece breast shields. Again, ...

It is recommended that breastfed infants are fed exclusive of a bottle for at least 6-8 weeks while learning to breastfeed.  Bottle feeding greatly changes the way the infant sucks and their expectations for immediate gratification while feeding.  Feeding from a bottle provides immediate gratification because bottle drips even when sucking does not occur.  This causes the infant to thrust their tongue to the end of the nipple or to arch their tongue to collapse the nipple on the roof of their mouth to control the flow.There are several methods of supplementing a newborn with breast milk during the early days.  For short term feeding solution, we recommend finger feeding with a syringe .  This method is tried and true and can be learned by both parents and baby in a matter of minutes. Instructions: Wash your hands. Sit with your feet on a stool or anywhere you can raise your knees. Place the baby in your lap facing you so they are in a reclined with their...

If your Hygeia Breast Pump is not suctioning the way it used to, the culprit is usually one of two parts, the duckbill valve or the bacteriostatic filter. The number one cause of low suction is a torn or worn out valve. The tip of the Hygeia duckbill valve must be able to close completely.  If it remains open, the amount of pressure your pump can provide is decreased.  As a rule, if you are pumping three times per day or more, replace duckbill valves  every six to eight weeks  at minimum.  If you are like most moms and you have multiple valves that you interchange and you notice a decrease in suction and want to determine which part needs to be discarded, switch to single pumping.  To do this, you will remove the tubing from one side and cover the opening with the port cover attached to the bacteriostatic filter.  Place the remaining breatshield still attached to the pump on one breast and test the suction.  If the nipple is being drawn in nor...

Once your newborn is at least 6 days old, there are some guidelines to help you be sure of your milk supply.  Note that insufficient milk supply is rare.  What is more common are practices that can hinder your milk supply or baby's feeding which I will detail at the end of this post. To assess good milk transfer, answer the following: Is the baby  wetting 6-8 diapers in 24 hours ? (Disposable diapers are so absorbent, that it might be hard to tell.  If you are unsure, take a clean diaper in one hand and the removed diaper in the other and you should be able to tell by the slight weight difference.) Yes  |  No Is the baby having  3-4 bowel movements in 24 hours  that are mustard yellow with curds in them? (These shold be silver dollar size or larger, not just a stain.) Yes  |  No Do the  breasts feel full before feeding  and  softer after feeding ?  Yes  |  No Do you  hear swallowi...

Recently, we have been researching the effectiveness of small breast flanges for moms who are trying aftermarket brands in 15mm.  Most manufacturer's do not offer flanges that small.  This mom in particular was having difficulty because even a 15mm was too large.  A smaller flange can often be too large if too much of the areola is being pulled in and the milk sinuses are not being compressed properly at the breast shield. This problem can ofte be solved with a silicone insert or silicone breast shield.  So where a 15mm plastic flange may be too large, a 15-19 mm silicone breast shield such as the x-small and small super shields by Pumpin' Pal will work very well.  The reason is the material.  Silicone helps hold the breast tissue in place whereas the hard plastic flange will allo the tissue to be draw in too far. If you have tried a silicone shield, and still need to the areola to be held in place more efficiently, rolling the silicone so that it suc...

If your breast pump is not suctioning the way it used to, the problem often lies in one of two breast pump parts.  Most breast pumps have a valve plus a diaphragm, filter or backflow protector.  The number one cause of low suction is a dirty, torn or worn out valve.  If you valve is the type that has a valve head and membrane shown here, it is imperative that you remove these parts when cleaning.  The valve membrane will retain a build up that decreases the suction.  Taking the membrane apart from the head is essential to remove this build-up.  If you see that the membrane will no longer close completely with the head or if it has a tear, replace it as soon as possible. If your breast pump has a duckbill valve (shown below) which in most cases is a clear or white valve, the tip of the duckbill must be able to close completely.  If it remains open, the amount of pressure your pump can provide is decreased.  As a rule, if you are pumping thre...

Happy New Year!  Lactation Connection has been serving nursing mothers since 1993 so we are celebrating our 27th year in business in 2018.  In honor of this event, we are launching a new program to answer your breastfeeding questions .  You will be able to email me directly and have 25 years of breastfeeding experience tailored to your situation. Just copy and paste the following into an email and fill out the information so that I can assist you in the best way possible! What is your baby’s birth date and birth weight? What was your baby’s age and weight at last weigh-in? How often (include specifics on number of times per day and how long) are you putting the baby to the breast? How often (include time of day and number of minutes) are you pumping? How many wet and dirty diapers does your baby have in 24 hours? What color are the stools? What specific breast pump do you have? If you are exclusively pumping, how many ounces are you getting per d...