T.S. asks from Tacoma, WA on June 06, 2008
Advice on Pumping/Storing Breastmilk
I will be returning to work when my daughter is 6 weeks old. My husband will be home with her for another 6 weeks, and then she will be going to daycare. I have decided to pump and freeze breast milk, but I have some questions for working moms with experience, because right now I am completely confused.
1. What is the best pump? I am leaning toward the Playtex Embrace Double Electric.
2. Should I pump from day one and give her bottles, or should I breastfeed for the first six weeks and then switch to pumping and bottles? I am worried about the transition phase if I do this, but I also feel like I should really breastfeed while I have the opportunity.
3. Would it work better if I pump single-size servings (like 2 ounces) into a bag to freeze and use drop in bottles, or should I freeze full bags to thaw as needed and just dull out serving sizes into regular bottles? On that note, what is your favorite bottle?
I am sure I will have more questions later, but I will leave it at that for now. :)
Thanks for all your help!
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So What Happened?™
Wow! I cannot believe all the helpful information I have received. You all have solved all of my feeding concerns over the course of a weekend. I have decided to go with the Medela Pump In Style Advance since everyone recommended it so highly, and I have discovered my insurance will cover it! I would have never thought to ask without your advice. Also, all of your information about pumping and storing techniques and bottles were great! I am going to try pumping after feedings as soon as possible so that I can build up a supply in the freezer before returning to work, but I have also decided not to introduce a bottle until she is 3 weeks, and then start having my husband introduce it gradually, increasing the number of bottles each week until I return to work to get her accustomed to it. I cannot thank-you all enough!
Featured Answers
D.M. answers from Anchorage on June 08, 2008
I breast-fed exclusively for the first 8 weeks and then switched. If you start with bottles before 4 weeks there is a possibility she will not latch at the breast at all. I use playtex bottles with the linner and the playtex breastmilk storage kits. My babies tend to be to big for 2 oz bottles rightaway and the playtex kit is the only one I will be able to store 8 oz bottles with. I did start pumping about 2 weeks before I went back to work to build up a supply. Milk comes out of the bottle easier and some kids eat more so I pump when I'm home some too and still have a hard time keeping up.
I'm using a manual pump still so I don't have any advise there!
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B.W. answers from Seattle on June 09, 2008
I also had to return to work when my daughter was 6 weeks old, and she went to daycare around the same time your daughter will. I have continued to pump and breastfeed all year, and my daughter will be 11 months this week.
1. I used a hand-me-down Ameda Purely Yours pump most of the year and was perfectly happy about it--especially since it was free and double electric pumps are quite pricey. I recently bought a hand-me-down Medela double electric pump from a friend, as the Ameda one no longer seemed to be cutting it, and Medela is touted by everyone (doctors, books, lactation consultants, etc.) I know as being the best. If you can afford it, I'd go with Medela. You can buy one new, try one used, or rent one from a hospital.
2. Our lactation consultant said no bottles for about the first four weeks, or until she's nursing really well. Around then I started pumping a little so my husband could give her a bottle every day or two to get her used to it. That worked really well for us, as I didn't want to try a cold turkey switch at 6 weeks and have it flop. And some babies won't take a bottle from mom regardless, as they know she has the real thing!
3. Once you thaw frozen milk, you're supposed to use or throw away within 24 hours, so I debated about how much to put in a bag, too. You may find, as I did, that milk becomes "white gold" that is too precious to have tossed away if you thaw too much. So early on, I would pump and then store in 2 oz. increments. But as she started taking 4-5 ounces at a time, I would store that much in a bag, because bags also add up to a lot of money, and no point in thawing two 2 ounce bags every time instead of 1 four ouncer.
We used the Dr. Brown's system, but I would recommend making sure whatever system you choose doesn't have the BPA stuff that's being talked about now.
One other note, even with the best planning for breastfeeding and then switching to bottles, you will likely have to adjust your plans. :) Babies want what they want sometimes. We could all tell you one bottle type and your daughter may say, no way!
And my daughter started refusing the bottle at 8 months, so we had to just use pumped milk in her rice cereal from then on. C'est la vie. Oh, and when you go back to work, she may wake up at night more to nurse, trying to catch up on mom time. It's nice to have that special time, but murder on your sleep schedule!
Good luck, and enjoy the breast feeding as long as you can!
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T.O. answers from Portland on June 08, 2008
Hi T.,
I just read the last reply but not all of them, so I will piggyback on her response. The biggest thing she said is that your partner has to support you! My husband dind't know anything about breastfeeding other than what I told him. He didn't go to the class with me-which I highly reccommend if you can go to a class and bring your husband (most women do, mine travels for work and was out of town). That class I learned a TON!. Also the book-The nursing mother's companion was very good and up to date.
For me breastfeeding was something I really wanted and luckily was very easy for me and babe. So easy that she never wanted the bottle when I went back to work so that caused some anxiety. I waited to 6 weeks to introduce the bottle to build up my milk supply and also not have to pump, and she didn't take it. She also never took a pacifier which the more I talk to moms the more those 2 go together. She now will take a bottle at 6 mos. I only am away from her 3 days a week. She basically made up for it at night and I nursed her a lot at night.
My advice, just breastfeed exclusively for at least 4 weeks, you will be too tired to pump and it takes at least that long for both of you to figure things out. Your body will not react to the pump like it will your babe-not produce as much. It's easier and the bonding is amazing. Even if you pump and do a bottle at night you have to get up and pump. For me it was easier and faster to nurse. Introduce the bottle at 4 weeks-make sure you check for bpa free bottles.
I have the aveda purely yours pump it's great and just like the medela, either of those are great. Also make sure the milk storage bags are bpa free ( first years and medela I know are for sure).
I reccommend freezing no more than 2 oz in a bag, you have to use frozen breastmilk within 24 hours or throw it away. This way you can combine how much she needs in 2 oz increments. I had a friend who did 1, 2, 3, 4 oz as her babies needs changed. Freezing bottles takes up to much room. I write on the bag how many ounces as it expands in the freezer, lay them down and it won't take up as much room. The frozen bm will last 3 mos in a freezer.
Sorry for the long email, I did a ton of research and had so many questions and it isn't the easiest thing in the world for most people so I want to help give support when I can. So many questions with nursing and pumping. Feel free to email me ____@____.com if you have more questions.
One last piece of advice use the lactaion services wherever you deliver, they were so wonderful for me after I had baby with lots of questions I had.
Good luck, I hope it works for you it's truly amazing and so wonderful for your baby. My little girl is 6 mos and has never been sick, I have to think breastfeeding made a difference in that and she was a winter baby:)
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K.J. answers from Portland on June 07, 2008
I had to go into work for a couple of days about 2 weeks after my son was born so I know the dilemma you are facing.
1. I have the Medela Pump in Style pump and love it. It is more expensive but I have used it 3 or more times a day for the last 10 months and have not had any problems. Check with your insurance company - if they cover durable medical equipment you may be able to get it paid for.
2. You should pump and breastfeed from day one. I wouldn't give any bottles for at least a couple of weeks just in case it would interfere with her ability to nurse effectively. My son had an occasional bottle and nursed fine after 2 weeks of exclusive nursing. You will probably not be able to pump a lot initially, but it will be less stressful later if you start storing early. Plus, your supply will increase if you are pumping and nursing frequently. I work part time and my now 10 month old nurses when I'm home and has bottles when I'm not. I still pump when I'm at work.
3. I would freeze the amount that she will drink (2-3 oz). I have done it this way and even though you will use more bags, it seems to lead to less waste since you can't refreeze thawed milk. As she drinks more, you can freeze higher quantities. We used Dr. Brown's bottles when our son was very small because they seemed to reduce gassiness and the milk from the Avent bottles flowed way too fast. We now use Avent and like those as well. If you plan to continue to breastfeed while giving bottles, I would look into getting the preemie bottle nipples instead of size 1's. Breastfed babies have a stronger suck reflex since they have to work harder to get milk out of the breast than a bottle and even size 1 nipples are really fast for them. At 10 months my son is still using size 1's and a slower one would have saved us a lot of air bubble agony when he was little.
Let me know if you have any other questions - I am a big advocate of exclusive breastfeeding if possible and this was a major stress for me after the birth and returning to work!
Good luck!
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M.M. answers from Portland on June 06, 2008
T.!
You've got some great advice. I returned to work when my DD was 3 months old - I went back part-time, but I still had to provide 2-3 servings of milk for the three days that I worked.
1. I used the Purely Yours breast pump. This was perfect for part-time work, but I would recommend the Medela if you are returning full time.
2. Do you know where you'll be pumping at work? This is FAR more challenging than you think right now. Please don't get me wrong; women do it - you can do it - but there will be days when you'll want to quit. Try to mentally prepare yourself.
3. Expect to spend 30 to 45 minutes for each pumping session at work - that includes walking to the room you'll pump in, setting up the equipment, pumping, storing the milk, cleaning up the equipment and returning to work. You'll be doing this every 3 hours. That means you need to stop working every 2.5 hours while you're at work.
If you're busy at work - say, in an important meeting - and you want to skip a pumping session, you can't wait too long. Not only will your breasts start to throb because of the build-up of milk, but you will put yourself at risk for plugged ducts and mastitis.
Really think carefully about how you'll manage this at work. If you're in an important meeting and it's going longer than expected and you have to leave to pump, think ahead of time about what you'll do or say. Talk to your manager about all of this, if you can.
4. Around 3 to 4 months, your milk supply will drop to only what your baby needs.
If you were a SAHM and exclusively breastfeeding, you'd probably not notice it too much. But as a pumping mom, you'll notice it BIG time and, if you're like most of us, you'll be extremely worried.
Before this drop in supply, you'll be producing huge quantities of milk - more than your LO needs. All of a sudden, you'll set up your pumping equipment, and only 3 ounces will come out. It makes most FTM freak out - we think our baby will starve and this is when many pumping moms start substituting with formula.
Please remember this is NORMAL. Your body will produce MORE than it needs for the first 3 months or so, then it will drop to what your baby needs.
5. OK - last one. Breastfeeding babies, like formula feeding babies, will gradually drink more and more milk as they move from newborn to baby. However, breatfeeding babies cap off between 3 to 4 ounces a feeding. Formula feeding babies keep going until they're drinking 6+ ounces per feeding.
If your daycare provider (or husband or you) don't know this, you'll think your body is not producing enough milk. This is not true.
Formula fed babies have to drink more formula as they grow because they need greater and greater amounts of the appropriate vitamins and nutrients, and the only way to do this is to drink more formula.
Your breastmilk will naturally produce greater amounts of the right vitamins and nutrients within the same volume of milk.
Here's a website with info on this. I had to print this out and give it to my daycare provider, who was concerned that my baby was not getting enough milk because her feedings capped off at 3.5 ounces and stayed there until she was 1 yo and eating only solids at daycare. http://www.kellymom.com
Kelly Mom has tons of good information, including how to maintain or increase milk supply. you'll laugh at this during your first three months - you'll be producing enough milk to feed a small village - but if you continue to pump past three months - you'll be intensely interested in how to maintain a good supply!
OK - one last thing - it's fantastic you want to breastfeed - I breastfed until my LO was 20 months!! But if you decide to switch to formula part-time or full-time because it's just too tough with working, you are NOT a terrible mom. Don't let anyone make you feel guilty about it.
Good luck and congratulations!
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B.H. answers from Portland on June 07, 2008
I have used the Medela Pump In Style for 4 months now and am VERY happy. It is VERY sturdy and easy to travel with. I agree with everything that has been written but would add a couple of things:
1. It is VERY important to meet with a lactation consultant to be properly fitted for the "trumpets" that you put on your breast. Believe it or not, they come in different sizes. You can use the ones that come standard for a few days, but longer than that and they can make your breasts really sore. Many hospitals have a lactation consultation place and a store where you can buy pump parts and other things.
2. Buy a hands-free bra. It's like a tube top that zips in the front and has holes for the "trumpets." Holding the bottles while you pump gets old FAST.
3.Plan on having your nipples be sore. Use lots of lanolin-type cream. I use PureLan 100 (also by Medela). They adjust over time, but it is never as comfortable as breastfeeding can be...
4. Make sure you massage your breasts as you pump to help empty the ducts.
5. There are booklets that come with many breast-pump products that talk about how long milk lasts in various forms. In the refrigerator, fresh milk lasts approx 5 days. If you've frozen it and then thawed it, it will only last 24 hours. This is why you want to freeze it in small amounts: you only want to thaw what you will use right away. I agree it is best to use fresh (refrigerated) as much as possible.
Probably the best thing you can do is talk to a lactation consultant and/or someone from LaLeche League. But don't feel badly if it becomes too much for you. It seems like a lot of motherhood is finding a balance and what works for you.
Good luck!
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M.D. answers from Seattle on June 07, 2008
I am a mother who is unable to breastfeed for a couple different reasons, but here is my input on breast pumps:
First, if you do not breastfeed your child but want to pump and feed them from a bottle, that is fine, but exhausting. Also, if you do this you HAVE to rent or purchase a hospital grade breast pump to establish your milk supply, a pump you purchase would never do this for you. I have one of the best pumps on the market (the Medela double electric) and it is only capable of sustaining the supply I have created.
It is exhausting because not only are you getting up every three hours to feed your baby (maybe 20 minutes) but then you have to pump for the next feeding (another 20 minutes) and then you have to clean up all your pump supplies to be ready for the next feeding (another 10 minutes or so). So, if you round that out it takes you about and hour to do a "feeding", and then by the time you are done doing all that it is time to feed your baby again in another two hours! Also, while feeding your baby a bottle in public places is much easier than breastfeeding, when you are pumping you are limited with how long you can be gone unless you take your pump with you and pump in the restroom or something. Because it hurts to be engorged and if you skip a pumping your breasts will get very full and start to hurt. And if you skip too many pumping sessions while trying to establish your milk supply your supply will begin to drop off.
So, I would say if you can breastfeed first to establish a really good milk supply you will be in better shape. But, then again, I have never had to deal with switching my babies from breast to bottle. I have heard that when you do switch if you just deny them the breast so their only option is to take the bottle that they eventually will. It sounds harsh, but unless your baby is severely underweight or malnourished, they can handle it and will eat from the bottle once they are hungry enough.
Finally, I like Advent bottles, that is what my lactation specialist recommended to me. Also, take advantage of asking all these questions to the lactation nurse/specialist at the hospital - they are a great resource. They are also the perfect person to ask about what size ( I can't remember what they call them) but basically what size suction cup you need to fit your breast. Pumps come with a standard size but you can purchase larger or smaller ones depending on your breast size.
Sorry, for the length of this message, but I hope this helps. Breastfeeding is a blessing, but don't worry if you aren't able to do it once you return to work. Like I said earlier, I am not able to breastfeed my babies, and since I knew this going into having my second child I pumped and fed her breastmilk for the first 6 weeks of her life and then switched to formula. I just couldn't handle the little sleep without naps during the day, and when you have a toddler too, there is no time for naps during the day!
Take advantage of the time you have at home and sleep when your baby sleeps if you need to - naps are wonderful when you have a newborn!
Good Luck and Congratulations!
M.
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D.D. answers from Seattle on June 07, 2008
I loved the Medella breast pump. I have sensitive breasts and there were a lot of pumps I couldn't use. The pump I have you can pump both sides at once, which really saves time.
I also always purchased the nipples for the bottles that were the odd shape that are supposed to be imitative of mommy's nipples, and I had my children breast and bottle fed from the beginning (not the plain round ones) and almost never had any problem switching from one to the other with all 3. The bottle itself - I liked the playtex with the bags - that tended to give the baby less gas.
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J.K. answers from Portland on June 07, 2008
T., I went back to work at 3months and used pumped and frozen breast milk with my DS when I was away from him until he was 9 months (when I ran out).
1. I really liked the Medela "Pump in Style". It is a bit spendy, but has speed and sxn strength settings to make it "just right" for you. I pumped into bottles, then poured into bags for storage. Another one I see a lot at baby consognment is Avent... you can pump directly into feeding bottles.
2. I would start pumping as soon as your milk comes in and breastfeeding is well established so you can start storing a good supply. (make sure to date the bags and use the oldest first). Continue breast feeding as long as both you and your baby want to - you can pump and breastfeed at the same time (litterally... I've done it!). I would pump first thing in the morning, then nurse... DS could always get more milk than the pump could, but most women I think nurse then pump. Try to pump at work on the same schedule your baby would be nursing - every 2-3 hours if possible.
I would not introduce a bottle (or even a paci) until 4-6 weeks old, or at least until breastfeeding is well established. Some babies can have "nipple confusion" and have trouble BFing because a bottle nipple is a lot easier, so that's what they like. However, you want to introduce a bottle before you get back to work so baby learns how to take one. Have your husband or someone other than yourself be the one to give that 1st bottle... bbay often will refuse it from Mom because the breast is what they know and want.
3. I would freeze single servings. You cannot re-freeze breastmilk, but can always thaw more. Change the serving size as your baby grows. I thawed the bags, then poured into bottles. I loved Avent bottles, but they are the "bad" plastic, so if that's a concern to you, they do have a drop-in kind. Remember never to microwave breastmilk - it kills certain nutrients and antibodies in it.
Some laat advice for pumping: drink plenty of water; find a quiet place to pump; pump when your baby would normaly be BFing (if you can); remember you are doing a great thing for you and your baby - good job!
Talk to your employer before you go back to work about pumping at work. Oregon law provides that all employers provide a reasonable private place for pumping (no more bathroom stalls), and breaks to pump every 4 hours (unpaid, but you get them).
If you have problems with milk supply, there are several supplements that help - can't remember, but ask your pediatrician (or the WWW!)
Last, if you live reasonably close, there is a free Breastfeeding support group at Tuality Hospital on Tuesdays at 10am. Go before you have the baby as well as after (with your baby). It is a great place to get lots of advice!
Good luck!
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