How to use a Medela breast pump: 12 top tips
Learning how to use a breast pump can take time and dedication but is well worth the effort. Read our expert breast-pumping tips to help set you on the path to successfully expressing yourself. 1: There’s No Need To Rush To Start Pumping… In the first four weeks, you and your baby work together to initiate and build your milk supply. If your baby is healthy and breastfeeding is going well, you won’t need a pump to help with this. Pumping is, however, really helpful if you need to be apart from your baby any time (see tip below). If not, enjoy this time with your baby and be reassured that even if you plan to pump regularly in future, there’s no need to ‘train’ your body to express milk in the first few weeks. 2: …Unless Your Baby Is Unable To Breastfeed If your baby can’t feed directly from the breast, perhaps because she’s premature or has special needs, or you are separated for any reason, start double pumping breast milk as soon as you can after the birth. Research shows that starting to express within the first few hours (when a healthy newborn would usually have her first breastfeed) helps mums produce a higher volume of milk in the early days and weeks,1,2 giving their babies the best chance of being fed exclusively on mother’s milk. If you’re expecting your baby (or babies) to be born pre-term, in need of intensive care, or to have a condition that might make breastfeeding difficult, prepare yourself. Learn about expressing, source equipment you might need, and ask a healthcare professional, lactation consultant or breastfeeding specialist for support. There will probably be a hospital-grade double breast pump at your hospital or birth facility, so ask staff to show you how to use it. It’s important to remove milk from your breasts whenever your baby would normally drink – this means your breasts will still get the message to make milk. Aim for eight to 10 pumping sessions every 24 hours at first,3 and continue this frequency once your milk comes in. 3: Time It Right For your first breast-pumping session, express for at least 15 minutes. Don’t worry if you don’t collect much milk at first – regular extra suction should soon stimulate your breasts to produce more milk. Some mums find pumping one hour after a feed gives the greatest milk yield, others prefer to pump straight after every second feed – try expressing at different times to see when best fits your lifestyle. When you find times that work for you, stick with them so your body gets used to your breast pump use and the extra demand on your milk supply. You may be tempted to extend the time between expressions in a bid to collect larger volumes of milk. However, if you wait until your breasts are full one pumping session won’t drain them very well,3,4 so the key is to pump frequently and regularly. 4: Be Hygienic Always wash your hands before and after breast pumping, and clean any pump parts that have been in contact with your milk or your baby’s mouth. You will also need to sanitise them after cleaning at least once a day. Be sure to allow all the pieces to completely dry and you can then store the pump set in a clear bag or container until next use. 5: Be Prepared To avoid interrupting your breast-pumping session, have everything you need close by before you start. You might want a drink and snack, your phone or TV remote, bottles or milk storage bags for your expressed milk, and a muslin cloth to soak up any drips. A specially designed breast pumping bra allows you to keep your hands free, making it much easier to operate the controls and do other things while you express. 6: Make Yourself Comfortable The best position for pumping is one in which you feel at ease. Being relaxed is essential for the release of the hormone oxytocin, which stimulates your let-down reflex. Discomfort and distractions can hamper this process,5 so choose somewhere private and comfortable, and make sure your arms and back are well supported as you pump. If you’re not using a pumping bra, hold your breast shield between your thumb and index finger, and use your palm and other fingers to support your breast. Hold the breast shield gently against the breast – pressing too hard could compress your breast tissue and obstruct milk flow. Some mums find deep breathing, soothing music, visualisation techniques, or having their partner massage their back and shoulders, can help them express more milk. 7: Kick-Start Your Let Down Most Medela electric and battery-operated breast pumps have 2-Phase Expression technology, which mimics the way your baby feeds (with fast, light sucking followed by slower and stronger sucks), to help trigger your let down. Massaging your breasts before and during pumping,6 as well as warming your breasts7 by applying a warm compress (such as a flannel) on them before expressing has been shown to help stimulate your milk flow and increase the amount you collect. Scientists have discovered that having skin-to-skin contact with your baby before and during pumping can help you express more milk too.8 This is because the warmth and touch of your baby’s skin against yours releases oxytocin in your body.9 In fact, some mums find expressing works best if they feed their baby from the other breast while they pump because of the extra stimulation. If your baby isn’t with you, try looking at a photo or video of her, or smelling an item of her clothing, while you express.10 Being able to connect with your baby at the same time as pumping is another way to raise your oxytocin level and help get your milk flowing. 8: Take Advantage Of Your Milk Flow Many mothers don’t sense their let down, so watch out for it as you pump. When you start to see jets of breast milk squirting into the collection bottle or bag, you’ll know it’s happening.11 If you’re using a breast pump with 2-Phase Expression technology, it will have a stimulation mode