Haakaa Breast Pump - Breast Milk Catcher

Whether you are using a double electric breast pump for work or exclusively breastfeeding at home, having a breast milk catcher is beneficial.

In the first six to eight weeks postpartum your breast milk supply has not yet regulated.  Using a silicone breast pump as to catch milk on the opposite breast is a great way to improve milk supply and begin storing milk for upcoming work or emergencies.  Many exlusively nursing mothers have called us with questions as to how to get a stash for an unforseen trip or medical procedure.

A silicone breast pump, when used properly is a great tool.  To use the Haakaa Breast Pump, squeeze out the air.  Then make sure you are establishing a seal with the flexible flange by everting the mouth of the flange, much like you would roll a pair of socks.  Then as you place the silicone breast pump on the breast empty of air, the suction will be created and the lips of the flange will roll back into place and securely onto the breast.  Watching the How to Use the Haakaa Breast Pump video is helpful.

If you prefer to manually express milk, rather than passively collect milk while nursing, the Hygeia Manual Expression Cup is a wide mouth cup with bottle that will catch milk when hand expressing.  We recommend using a heavier glass bottle so that it will be more stable or using a bottle stand
with your bottle to keep you from crying over spilled milk!

For the best hand expression technique, the Marmet Technique for hand expression is widely used.

You will want to massage the breast first, place your hand is a C hold and then follow the instructions for manual expression as outlined by Chele Marmet, MA, IBCLC. Below is a short summary, but I would encourage you to view the full article.

Collecting breast milk passively or hand expressing breast milk is a helpful tool in using expressed breast milk to entice the baby to the breast, using manual expression or the Haakaa to evert the nipple and even later on to collect breast milk for storage or adding to baby foods.  If you have flat or inverted nipples, Haakaa also has an Inverted Nipple Corrector that works well.

Cheers to breastmilk, however you cghoose to extract it!

Tanya

How to Clean, Store and Dry Breast Pump Parts

Believe it or not, there is a wrong way and a right way to clean and store your breast pump parts.
Certain practices can actually damage your parts, increase your chances of a yeast infection and
make it difficult to pump comfortably.

Let's start with what NOT to do.

1.  Never, ever use a bottle brush on your bottles or breast pump parts.  Bristles on bottle brushes
can cause fine scratches and these micro grooves can harbor yeast spores.  And you don't want to know how many microbes of bacteria sponges have so using a bottle brush with a sponge tip is not the answer.  Your best defense is rinsing immediately after use, but if you did not get to it, use a clean paper or cloth towel and a spoon to push it around at the bottom if necessary.

2.  If using boiling water to sterilize, don't boil the breast pump parts as long as you boil the water.  The water should come to a boil first and then put the parts you are sterilizing in for just 3-5 minutes.
This not only helps you not to go off and forget them and end up with a melted mess, but it helps to minimize the cloudiness that comes from over-sterilization.  When breast shields are cloudy, they are more difficult to center on the nipple which could lead to painful pumping.  For your convenience, microwave steam sterilizer bags can minimize your risk of over sterilization.

3.  Don't leave the valve on the breast shield aka breast flange when sterilizing.  Failure to remove the valve from the breast shield can cause breastmilk to be caught between the two parts which can in turn spoil and later be ingested by your baby.  Remove the duckbill valve by the top and not the tip to prevent tearing.  If you pump has a two part valve head and valve membrane, you will also need to remove the membrane disc from the valve head in order to get a good cleaning.

4.  Assess the barrier.  If you are using a pump with a diaphragm or backflow protector, you will need to clean that part if you did not remove the breast shield immediately or the milk reached that part for any reason such as tipping the breast flange.  The Ameda Diaphragm is not to be sterilized, but washed in warm water and replaced every six weeks.  Three part backflow protectors such as are included with the Spectra S2, Motif and Ameda Mya breast pump will need to be disassembled and sterilized.  Make note that the membrane is seated in the part with the tip and then the cap is snapped over the top.  See image below.

While it is unnecessary to sterilize your parts with every use, rinsing with hot water and sterilizing once per day is adequate as long as you keep your parts in an air dry bag.  Never store wet breast pump parts in a sealed Ziploc bag as the wet warm environment can also grow yeast.

How should you clean, store and dry your breast pump parts?

1.  Remove your breast shield from the tubing immediately.  This prevents milk from draining into the backflow protector, diaphragm or even into the tubing if you has a non-recommended open instead of closed system.

2.  Remove the breast pump valves from the breast shield. As we mentioned before, this allows for the sterile water to reach all parts and prevent trapping bacteria.

3.  Rinse with hot water after each use. The CDC does not recommend storing parts in the refrigerator between uses so using an air dry bag that dries while allowing air to circulate is best.

4.  Air dry your breast pump parts.  If you are doing this at home, you can put your parts on a clean towel and cover with another clean towel or use an air dry bag.  The two most common air dry bags on the market are the Pumpin' Pal Air Dry Bag and Breastmilk Bandit Store & Dry Bag.  Both work well to air dry, but the Breastmilk Bandit air dry bag is machine washable making it easy to throw in the wash and have a freshly cleaned bag to start your work week. In addition, the Breastmilk Bandit Store & Dry Bag has a hang hook making it easy to hang in your pantry or cabinet.

Here is to clean breast pump parts for pumping!
Tanya

Authentic Spectra Breast Pump Parts: How to Spot Genuine or Fake

If you have been to a lactation consultant or breastfeeding class, you will hear the importance of  maintaining your breast pump, especially if you are a working or exclusively pumping mother. So why spend a little extra on genuine breast pump parts?  Or another question we get is how can I tell if I am buying authentic Spectra parts?

1.  Buy from a reputable company and not one that has multiple sellers that they cannot control.  Companies like Lactation Connection have beens serving nursing mothers since 1993 so when you see a brand listed on their products, you can be assured that is the brand you are getting.  In addition, they work closely with the manufacturer, so if there is ever a warranty issue you are getting quick and accurate contact information and a liaison to help you get the items replaced if necessary.

2.  Examine your parts.  You will see the Spectra brand embossed on certain parts such as the Spectra breast shields and white duckbill Spectra valves.   The Spectra backflow protectors have the Spectra name embossed on them and Spectra tubing do not have a logo, but they are secured with a gold-tone twist tie .

3.  Replace your bottles with genuine Spectra bottles for the best fit with your flange.  Spectra bottles will carry the Spectra brand logo. Spectra Bottle Nipples do not have a logo.

Replacing your breast pump parts frequently, helps your Spectra breast pump function at optimal suction levels for peak performance in maintaining your milk supply.  For working mothers who pump three times per day, valves should be replaced every 6-8 weeks or any time they won't close or obtain a tear.  Backflow protectors should be routinely replaced every 8-12 weeks.  Your breast flange AKA Spectra breast shield should be replaced any time it gets scratches which can harbor yeast or anytime new valves are no longer tight.  Heat from sterilization can change the shape of the flange creating a loose fit with a new Spectra valve.  And as always, genuine Spectra breast pump parts will help  maintain the life of your breast pump without compromising the suction and performance.

Happy Pumping!

Tanya

Troubleshooting your Spectra Breast Pump: Backflow Protector & Duckbill Valve

When it is time to replace a Spectra Backflow Ptotector or Valves?

1. Reduced Suction

If you’re noticing a reduction in suction while pumping, this is a sign it is time to replace your Spectra Backflow protector and Spectra duckbill valves.  Valves may need replacing more often than the backflow protector, but not less often so a good rule of thumb is if your backflow protector needs to be replaced, replace your valves at the same time.  Thes two Spectra parts are the most critical when it comes to suction and worn out valves and backflow membranes are the most common reason for reduced suction.  Please note that if you are testing suction, you will need to use your Spectra Air Cap port cover in order to close off the other tubing.

What about no suction when I’m pumping?

A sudden loss of suction while pumping is most often because the backflow protector is not assembled correctly or duckbill valve or is not attached correctly to the breastshield, or has fallen off.

What if the backflow protectors still moving when your pump is on?

If the backflow protectors are still moving back and forth with the sucking motion of the pump or if the backflow protectors fall off, then chances are the suction issue is because of the membranes. When they lose suction or fall off, it’s usually because they have worn down and it’s time to replace them. Check to make sure your membranes are still properly assembled to your kit, and remember that to properly maintain the pump. 

How often does Spectra recommend replacing Backflow Protectors?

Backflow protectors should be replaced regularly, as often as every two to three months.  Any time your breast pump has been stored, duckbill valves and backflow protectors should be replaced as well as any brittle or crimped tubing.

2. Backflow Protectors are Flopping Around

If your backflow protectors are moving erratically or hitting the casing, this usually means the duckbill valves need to be replaced.

3. Moisture in the Backflow Protector

While condensation is common on the breast shield side of your backflow protector, moisture on the side where the tubing is attached is a problem that can then create moisture in the tubing. If your parts are completely dry prior to assembly, but you notice moisture in the tubing during and after pumping, it’s most likely an issue with the backflow protector. Improper assembly of the backflow protector or a broken or worn out backflow protector will allow condensation to built up while pumping. Once moisture enters the tubing, there’s no way to safely clean, dry, and sterilize it. You also risk getting moisture into the pump motor itself, which can cause damage to your pump motor and grow mold. This is why backflow protectors need to be replaced regularly.  Working mothers or moms who pump exclusively shoud always have extra Spectra valves and Spectra backflow protectors on-hand for for when you need them.  Your milk supply will thank you!

4. Valves Don't Snap Back into Place

Spectra breast pump valves and backflow protector membranes for that matter are made of a flexible silicone material which stretches and releases each time your breast pump cycles. This creates the suction you feel and that draws out your breastmilk. After regular use, the elasticity of these parts break down. When the valve wears down, it makes your breast pump less efficient because the motor has to work harder to create the same amount of suction.

5. Valves Fall Off

If your valves fall off, the most common cause is that the elasticity has been compromised and it is time to change your valves.  If you purchased new valves, but they fall off your breast shield anyway, this may be because of the changes heat has made to the breast shield during sterilization.  If this happens, you will need to replace the breast shield as well.

6. Torn Valves

If you notice a decrease in suction or if you’ve noticed your pump doesn't feel as strong as before and you’re getting less milk, take a good look at your valves.  If it has been more than a month since you have replaced them or if there is a tear in your valve, it’s time to replace it.  Tears most often occur at the tip of the valve.  

How often does Spectra recommend replacing breast pump valves?

How often Spectra recommends replacing valves depends on how frequently you pump.   If you pump once daily, you may only need to replace valves every two to three months.  If you pump frequently such as for working or exclusive pumping, every four weeks is recommended.  

Keeping a Spectra Spare Parts Kit on hand is always a good idea!

Here is to trouble-free pumping!
Tanya

Troubleshooting your Spectra Breast Pump: Spectra Flange Size

How do you know when you need a different breast flange size?

Spectra breast pumps include the most commonly fitted flange size, 24mm breastshields. Although this is the most common size, many women will fit better in other sizes. A properly sized breast shield aka breast flange is important to ensure the best performance of your pump and the most milk output. An improperly fitted breast shield can hinder milk supply and cause discomfort. To determine the shield size you need, pump for five minutes using the standard size provided with your breast pump. Your nipple will expand while milk is being expressed, therefore it is important to measure after five minutes of pumping so that the size you select will provide adequate room. After five minutes, measure the diameter of the nipples at the base with a tape measure that uses millimeters. Click the link to access a printable tape measure.

Ideally, you should select a shield size that is 2-3mm larger than this measurement, but up to 5mm may be acceptable.
Spectra flanges are available in the following sizes:
Spectra 20mm Breast Shield - Small
Spectra 24mm Breast Shield - Medium
Spectra 28mm Breast Shield - Large
Spectra 32mm Breast Shield - X-Large

See the images below for fitting examples.

Ensuring the proper fitment is essential for protecting milk supply especially in moms who use their pump frequently for working or exclusive pumping.  An ideal fit compresses the milk sinuses properly ensuring good milk transfer, less pain and fewer clogged milk ducts.

When purchasing new breast shields, you should also replace your duckbill valves.  Duckbill valves and breast shields that are not sterilized together may not fit well causing the duckbill valves to be loose on the breast shield.   Normally, Spectra valves should be replaced every 6 weeks for moms pumping 15 times per week.  Backflow protectors do not need to be replaced as often but at minimum, Spectra Backflow Protectors should be replaced every 2-3 months.  

Best wishes for comfortable, effective pumping!

Tanya
Lactation Connection

Breast Pump Comparison - Which Insurance Pump Should I Choose?

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 infants do 220mmHG when they suckle, but since breast pumps suction can depend on which type of power you are using and whether or not the valves and filters or diaphragms have been changed regularly, starting at 250mmHG gives you a little wiggle room.  Lansinoh breast pumps only do 220mmHG, so you can rule that one out as well.

Another big consideration is flange fitment.  Newer brands like Motif Medical only offer flanges in 24mm and 28mm size.  You will want a brand that offers at least four sizes ranging from 20mm to 32mm to find the size that works best for you.  In addition as I was doing research on the Motif brand, I noted that several of their replacement parts were out of stock on their website including the all important double pumping kit.  In addition, this brand is new on the scene so until more parts and information is available on this company, I would rule them out as well. Evenflo also does not offer a small flange size and not many parts are available individually without buying an entire double pumping kit.  I would rule out Evenflo because of this and because they are typically a bottle company so not as invested in your breastfeeding success as you would want them to be.

Ok, enough of the "don't choose this pump" warnings.  With 25 years experience 
in the breastfeeding industry, which pumps do we recommend?

#1 Choice - Spectra S2 Plus Breast Pump
Pros:  The Spectra pump has a two year warranty on the motor, does 250mmHG and offers a wide range of breast flange sizes and replacement part options.  We love the night light on the Spectra S2 Plus for exclusively pumping moms or for moms with babies in the NICU that have to pump at night. This pump offers a hygienic closed system using a backflow protector.  In addition, a Spectra breast pump parts subscription service for the most important and commonly replaced parts.  Cons:  Spectra company does not offer a combination cooler carrier tote bag or a car adapter for power, but there are great aftermarket options that cover those needs.

#2 Choice - Hygeia EnJoye Breast Pump
Pros:   Quality breast pump with a one year warranty that not only does 250mmHG, but also cycles up to 80 times per minute (the average baby does 60 sucks per minute).  Also offers a closed system with an apparelled bacteriostatic filter.  Cons:  Only three flanges sizes are available in this brand, but the flange connector does fit the Pumpin' Pal brand of angled Supershields, so smaller options can be obtained.  To see if your insurance qualifies you for the Hygeia EnJoye, visit the Hygeia website.

#3 Choice - Ameda Finesse
Pros:  Ameda has been the most consistently breastfeeding forward company since double electric breastpumps were invented 75 years ago by Einar Egnell who founded the company formerly known as Ameda Egnell.  While Ameda pumps do not offer the most whistles and bells on the market, they are consistently good and their quality control is apparelled.  They offer a two year warranty on the Ameda Finesse and offer flange sizes and inserts in a wide range of sizes including the Flexishield silicone insert that not only reduces to 22 mm, but is the best made silicone insert on the market today.  I have personally seen moms with smaller nipples get an ounce of extra milk with the Ameda flexishield.  Ameda was the first to offer a closed system with a diaphragm barrier to protect breast milk.  Cons:  Not as smooth or quiet as some other pumps, but definitely gets the job done!

#4 Choice ARDO Calypso
Pros:  Closed system double electric breast pump with a wide range of flange sizes from 22mm -31mm.  They have a one year warranty on the ARDO Calypso and are the only company to offer a insert in a 26mm size silicone flange insert called the Optiflow.  Considered quieter than the Ameda Finesse.  Cons: This pump is not as popular with moms as the top three choices.  I would only choose this one if the other three were not available.   Having sold breast pumps for 25 years, I can see the writing on the wall so while this pump may work well for you, I do not know how long this company will be around.

Power is also important!  All four of our recommendations: Spectra S2 Plus, Hygeia Enjoye, Ameda Finesse and ARDO Calypso have an AC adapter and either a branded or aftermarket car adapter available.  If you need battery power regularly, the Hygeia EnJoye LBI model is a good investment even if it not covered by insurance.  While most pumps include a battery compartment, don't rely on AA or AAA batteries for good suction if you can't plug in to an outlet or a car lighter as your pump will not have the same power and your milk supply will suffer. The Hygeia EnJoye LBI Breast Pump model with battery is not usually available through insurance as it is a more expensive model.

This review is for the breast pumps most frequently offered by insurance companies and includes information on Medela, Lansinoh, Motif Medical, Spectra, Hygeia, Ameda and ARDO.  If your insurance company offers another brand that you would like us to review, please include it in our comments section and we will update this review as needed.

Best wishes for the best milk expression!
Tanya

Drinking Water While Breastfeeding: Too Much of a Good Thing?

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 much water while breastfeeding is the increased elasticity in the nipple tissue.  This can negatively effect latch as well as cause the nipple to be swollen and draw too far into the breast flange.  While some mothers naturally have more elasticity to their nipples and need a smaller breast flange or a flange that grasps the tissue better such as a silicone breast flange to prevent the nipple from drawing too far into the flange, over-hydration can actually exacerbate this problem increasing the need for smaller and smaller flanges to be used.  

This over-hydration often begins at delivery as many insurance companies are insisting that patients receive IV fluids to prevent dehydration during delivery even if it is not indicated in that particular patient.  

What is the answer?  First of all drink to thirst rather than force fluids.  If you are taking in more than 70 oz per day postpartum, reduce your intake to one 8 oz glass when you are feeding your baby so 8 times per day.  You should notice the elasticity in your nipples return to normal after 10 days.  

How do I know if I am drinking too little?  If your mouth is dry and you are licking your lips, chances are that you are not drinking enought.  Your urine should also be pale and not dark if you are properly hydrated.

What about milk supply?  First, know what your baby actually needs - not what the mom next door produces.  An infant needs 2.5 oz per lb of body weight.  Between 3 weeks and 6 months should be gaining 5-7 oz per week.  If your baby is gaining this amount without supplementation, then your milk supply is good.  After all, the proof is in the pudding!

If you need additional help with increasing milk supply, please visit our website and contact us with your questions.  Make sure to give us your baby's date of birth, birth weight, current weight, feedings and any other pertinent information so that we can assist you.

Here is to drinking to thist!

Tanya