The Great Big Pumping Post

August 23, 2016

I’ll start with a bit of background so that you mamas know where I’m coming from:

  • I breastfed my first daughter, Olivia, from the time she was born and finally weaned her at 18 months. I had a pretty decent maternity leave and was almost exclusively nursing her for the first 4 months, and then I had to go back to work (eh, medical school) full time. Once I was working it was a mix of breastfeeding and bottle-feeding my pumped milk.
  • I’m currently also breastfeeding my second daughter, Elliot, and she’s 6 months old now. She didn’t take to the breast as easily as her sister did, and though I knew it was bad because of how much pain I was in, I didn’t realize just how bad until she actually started vomiting ingested blood. With her I started pumping much sooner, and because of the latch issues that we were working on and then unfortunately going back to work so soon (I went back to work the day she turned 1 month), I ended up almost exclusively pumping.

Alrighty, with that bit of background out of the way, let’s jump into the post!

Exclusively pumping

The choice to exclusively pump is a hard one – and for most mamas it really just comes out of necessity – if I had it my way we’d have a nice mix of pumping and nursing, but that just didn’t work out that way this time around! Exclusively pumping calls for some extra dedication and commitment, but I know many mamas who make it work! I know many mamas who exclusively pump because they had to be away from baby for some reason or other – either mom or baby had to be hospitalized, or mom had to go back to work much too soon! And for some others it really is a decision they make – some just don’t enjoy nursing, and others really appreciate the extra help that comes with bottle feeding. Whatever your reason is for doing whatever it is you decide to do, that’s fine. I like to say that a lot, because I truly think mamas don’t hear it enough. Everyone wants to say that their way is right or better or healthier – but guess what – you just do what’s best for you and your family and ignore any unsolicited advice!

Pumping at home - Overhead view of mother holding a cup of coffee while using her pump in style advance

Pumping at home presents its own set of difficulties, especially when pumping with an infant and toddler at home! The easiest thing is really to find time when both babies are sleeping – this usually means I’m pumping early in the morning or late at night!

Pumping at work - Overhead view of mom in scrubs using Freestyle pump. Stethoscope and beeper laying next to Freestyle.

Pumping at work this time around is actually the hardest thing for me. With my first I was spoiled in an environment with a relatively flexible work schedule, and even on the toughest days I could always at least count on a lunch break! Now as a physician in the hospital (and frequently being the “on call” physician, which means I am the only one available to respond to nursing or patient questions or any emergencies) it has been so much harder. I know my mamas who are fellow hospital workers or in retail, etc might feel me! We have no official break time, so I really do need to advocate for myself, but even then I can still be interrupted! It’s been tough for sure but we’re making it work!

A few things that have helped.

  • Having a small, no-fuss pump. At home I usually use my Medela Pump In Style(I bought this one to use with Liv, and then for Elli my health insurance provided this pump for free), but for work I love having my Freestyle (thanks so much to the team at Medela who sent me it)! I charge it maybe every few days, but I can pump anywhere and don’t have to worry about being near an outlet since it’s wireless. For those of you with the Pump In Style there definitely is the option to buy a battery pack, but the pump itself is still on the larger side.
  • Pump handsfree so you can catch up on emails or whatever while pumping. Personally, I have small enough breasts that I’ve always been able to just put my pump inside my nursing bra and use that (along with the suction of the pump) to be able to pump handsfree. They also make nifty tops for women who might need more support like this one. And for my DIY mamas I loved the idea of cutting two holes into an old sports bra and using that (like this) – that was totally my plan until I figured out any bra actually worked for me!
  • Skipping cleaning parts in between pumping sessions. After I’ve pumped I literally just toss my parts in a gallon-sized Ziploc bag and put them and my pumped milk into the fridge. The cooler temperature keeps bacteria from growing. I just wash my parts all together at home at the end of the day with plain old soap and water – boiling etc. etc. is really not necessary!
  • Drink plenty of water throughout the day. As busy as it gets you can’t forget to stay hydrated!
  • Coffee is ok. Many women are terrified to drink coffee if nursing/pumping, but coffee in moderation is absolutely ok. I would definitely recommend observing your baby, but neither of my girls have ever been bothered by my 3+ cups of coffee habit. If you are concerned, just pump right before you have your coffee and limit your intake to an amount you feel comfortable with. There is also rumor that coffee decreases your supply. While itis true that caffeine is a natural diuretic (meaning it makes you pee more) – coffee isn’t just caffeine – it’s mostly water! So it really should all balance out. Regardless, though, if you’re at all concerned just make sure to drink plenty of non-caffeinated beverages throughout the day as well.
  • Wear pump-friendly tops. There are amazing companies that make nursing/pumping tops (check out a great selection here), but many of them can be pretty pricey – I have a few though and completely love them! But, there is no need to invest in a new wardrobe. One of the easiest things to do is wear any top you like and always wear a stretchy v-neck camisole underneath (pretty much what I always do when wearing scrubs) – that way you can just lift up your top but still stay covered. You can also get away with pumping easily with a button-up top or most V-neck cut tops. Even dresses that have a few buttons up top or are V-neck or wrap-style are pumping friendly! There are days that I’ve completely forgotten to dress “pumping-friendly” (think, full on sheath dress) and pretty much just had to completely undress from the waist up and it’s not the end of the world either!
  • Don’t be embarrassed to speak up for yourself. It was always hard, especially with my first when I was on rotations as a “student” having to tell new professors or attending physicians that I was going to miss lunch, but I still never let that stop me. “I’m sorry I have to pump.” is enough. Those who don’t know what you’re talking about will ask, and then likely feel embarrassed for asking when you explain (it happens to me all the time and it’s alright) and those who know will completely understand.
  • Know your rights. Check out this site to educate yourself as an employee or arm yourself to educate your employer.

Pumping on the go - Overhead view of mother using Freestyle in the car. Freestyle is placed on center console, iced coffee is seen in cupholder.
Traveling with Liv when she was still nursing was always a breeze – I could simply nurse her whenever we needed to and that was that. Traveling with Elli takes a tiny bit more planning – I need to pack along my pump and parts, as well at least a bottle or two of already pumped milk so I wasn’t playing catch up all trip. For the most part, though, I try to stick to my “regular” pumping schedule – again, having a pump that doesn’t require an outlet is a huge plus – I can even pump on the plane if I need to!

Traveling without the girls is the bigger issue – but we’ve now done it multiple times and I think we’ve got a great system! I will say though, my milk supply almost always takes a hit when we’re traveling without the girls, simply because I do try and space out my pumping sessions as much as possible. I know it’s not good (again, it’s all about supply and demand, so if the demand drops so will the supply!) but sometimes it’s hard to pump while celebrating a wedding weekend or something of the sort – even with the smallest and most convenient pump! Alright with that out of the way – here are some tips for pumping while traveling.

Bag with built in insulation makes travel a breeze

  • Bringing along the right bag. I love traveling with our XLR8 backpack– technically it’s a diaper bag and functions amazingly as such, but I actually think it makes for the perfect travel bag even without the kiddos. Obviously leave the changing mat out, but the insulated pockets are key when it’s time to bring my pumped milk back home after traveling. And there are the sweet extras like a charger, a blue tooth speaker (makes for fun dance parties in the hotel room), the little LED flashlight to find your stuff when you’re hunched over the airplane seat trying to find a pack of gum, and of course all of the organization! And as a bonus my husband has no problem carrying it around like it’s his (in fact, he tends to pack his stuff in it more than I do and I just bring my purse)!
  • Booking the right place to stay. For a while we were doing a ton of Airbnbs, and while it always was a great experience, the more and more I read about landlords evicting tenants (and usually those with lower incomes) to convert the apartments into Airbnbs that they can make more money on has somewhat turned me off (although I’ve still used it for renting out entire homes etc, it’s overall still a fantastic service)! Anywho, lately I’ve just been using the app on my phone to book places – I love that their reward system is so straight forward and I find better deals on the app then I do on the website (I’m not sure why this is). The key is to find a place that at the very least has a fridge/freezer. This is key for storing pumped milk and being able to bring it back home! Now obviously if you’re someone who really has built up a serious stash, you may be able to simply pump to keep your supply up but dump where you’re staying and don’t have to worry about bringing any back – lucky you! For most of us though, I need all the milk I can pump!
  • Bring along a convenient pump and milk storage bags. When you pump and fill your bags, lie them flat in the freezer. When it’s time to head back home these flat little bricks of frozen milk make for easy packing! Honestly I’m not sure what the latest airline regulations are about bringing frozen milk in your carry-on, but I will say that I’ve done it now at least 4 times at different airports and have never had any problem. I just leave it in my bag and figure if it’s a problem they’ll tell me, in which case we’d just check the bag, but again, so far I’ve never had an issue.
  • Try to stick to a regular schedule. As I mentioned above, this is personally the hardest part for me when traveling with my husband. It’s so rare that we get “just us” time that I don’t want to be spending it pumping every couple of hours! But it is key to making sure you keep your supply up! Everyone’s schedules are different, especially if you usually nurse and pump, but as someone who exclusively pumps, I actually tend to pump only 3-4 times a day – roughly every 6-8 hours. But each session I get 5-6 ounces from both breasts so my body is just adjusted to that schedule! When I do come back after screwing with that schedule, I tend to increase the frequency of nursing sessions to build my supply back up and follow some of the tips below.

Keeping up supply

The key to keeping up supply is increasing demand, which means pumping (or nursing) more frequently! It’s also critical that you drink enough fluids throughout the day (and calories). One other factor that plays a huge role is stress. I can directly see the effects of stress on my milk supply – there are days that I’ve changed absolutely nothing except for being stressed about an upcoming presentation or whether or not I’ll have time for xyz, and I’ll only pump 2 or 3 ounces instead of my usual 5 or 6. When pumping, it really is best to keep your mind off the task at hand and instead relax – if I’m having trouble I’ll scroll the pictures or videos of the girls doing something adorable, or even play a mindless game on my phone that distracts me. It’s hard because especially when our supply takes a dip, the first thing we do is stress about making enough milk and becoming hyperaware of our output, but seriously try and keep your mind off of it as this only exacerbates the problem!

I love having snacks I can depend on to boost my supply – Mrs. Patel’s has been a go-to of mine since having Liv and I still love her peanut butter fenugreek bars more than anything! Others love mother’s milk tea, although I can’t always tolerate the licorice taste – these supplement pills also have great reviews, but when I tried them I couldn’t get over the licorice taste and felt it made Liv more gassy (it could have been pure coincidence though as others love them)! When it comes to snacks – oatmeal is a great one, and there are even lactation cookies too!
So, those are some of my best tips on exclusively pumping as a busy mom! You can read the full, original Great Big Pumping Post and find much more here:

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