jim
Im going to ask this for my wife and I. She started using a pump, Medela, and she is only getting about 1 oz total from both breasts. Does anyone have any tips for her? I would like to help feed, but without the milk in the bottle...that can't happen... :-/
Answer
Medela is a reputable brand, used by many hospitals, so this shouldn't be the problem...make sure she is not hurting herself with too much pressure as this can prevent a nice let down and flow.
Before putting the pump to the breast, try gentle nipple stimulation or hand expression first to encourage the hormone to be released which leads to milk let-down (oxcytocin).
Try making sure she is expressing every 3 hours to start with (from start of one expression to the start of the next). She could even try 5 mins per breast, then swap, then 5 mins, then swap, until each breast has had about 20 mins or more of expressing, this works with some people who have stubborn milk let down.
Use warm compresses and/or very gentle breast massage in the direction of the nipple area.
I found when I was expressing that I was watching the collection bottle for every drip that was coming out. I was hardly getting any out, then by chance the phone rang and I got completely distracted (still pumping while I was talking, but not looking or thinking about it). When I looked down there was 80 mls in the bottle - bit more than the ten mls before the phone rang!
Distraction is the best key to expressing the most milk...books, conversation, baby awake nearby entertaining mum, tv, etc...
Also - how long ago did she have bub?
- is she only expressing after breast feeds or is she trying to express full feeds that are then bottle fed?
This is important to know as it can affect the answers people will give...
Medela is a reputable brand, used by many hospitals, so this shouldn't be the problem...make sure she is not hurting herself with too much pressure as this can prevent a nice let down and flow.
Before putting the pump to the breast, try gentle nipple stimulation or hand expression first to encourage the hormone to be released which leads to milk let-down (oxcytocin).
Try making sure she is expressing every 3 hours to start with (from start of one expression to the start of the next). She could even try 5 mins per breast, then swap, then 5 mins, then swap, until each breast has had about 20 mins or more of expressing, this works with some people who have stubborn milk let down.
Use warm compresses and/or very gentle breast massage in the direction of the nipple area.
I found when I was expressing that I was watching the collection bottle for every drip that was coming out. I was hardly getting any out, then by chance the phone rang and I got completely distracted (still pumping while I was talking, but not looking or thinking about it). When I looked down there was 80 mls in the bottle - bit more than the ten mls before the phone rang!
Distraction is the best key to expressing the most milk...books, conversation, baby awake nearby entertaining mum, tv, etc...
Also - how long ago did she have bub?
- is she only expressing after breast feeds or is she trying to express full feeds that are then bottle fed?
This is important to know as it can affect the answers people will give...
Breast feeding/pumping question!?
laacceeyy2
I have a 6 week old who I breast feed. Sometimes I will pump his feeding to get him use to the bottle, so I know he drinks between 3-4 oz. Say I am going to be gone for his dinner feeding so I need to pump AHEAD of time so someone else can feed him..how do I get enough milk for that? I try pumping after I nurse him and I barely getting anything out (like 1/5 an oz)
Thanks!
I have the Medela double electric (Pump In Style) pump (which I love!)
Answer
You have to "up" your supply. By repeatedly pumping after each nursing your body will start to think the baby needs more milk, and will start making more milk. It always took me two to three days of pumping after nursing to get an adequate "extra" supply.
From kellymom.com
"How can I increase pumping output?
To speed milk production and increase overall milk supply, the key is to remove more milk from the breast and to do this frequently, so that less milk accumulates in the breast between feedings.
Increasing frequency
* Nurse more often when you are with your baby.
* Are you pumping frequently enough? Is there any way you can add a pumping session at work? If necessary, when pumping times are very limited, adding even a short 5 minute pumping session is better than not pumping at all.
* Add a pumping session or two outside of work hours or on the weekend. Try pumping after baby nurses, or pump one side while baby nurses on the other side. You might also try pumping while baby is napping, at night, or when baby goes longer than usual between nursings.
* Does your baby complain about slower milk flow when you pump between nursings? If so, try single pumping between nursings, instead of double pumping. Although single pumping is not as effective for increasing milk supply, this leaves one breast more full, so the milk will flow more quickly. See also these tips for babies who want a faster milk flow.
* Try cluster pumping, instead of a regular nursing/pumping session. Sit down with your baby and your pump, and nurse and pump every half-hour to hour for several hours.
* Some moms find it helpful to do a 2-3 day long power pump every couple of weeks to "super charge" their milk supply. This is simply a nursing vacation with pumping added in. On these days, get lots of rest, nurse very frequently and pump after as many nursing sessions as possible.
Removing more milk from the breasts
* Are you pumping long enough? When pumping to increase milk supply, it's recommended that you (double) pump for at least 15 minutes; to ensure that the pump removes an optimum amount of milk from the breast, keep pumping for 2-5 minutes after the last drops of milk. If you don't always have time to pump this long, remember that adding even a short pumping session (increasing frequency but perhaps not removing milk thoroughly) is helpful.
* Use a good double pump. Double pumping generally results in better pumping output and is better for maintaining milk supply. Pump quality can make a huge difference in pumping output, and different moms have better results with different pumps. However, some moms with abundant milk supplies do not respond well to pumping (even using the best of pumps) and do not get much milk when pumping. These moms may get better results using manual expression.
* Use breast massage (see "Assisting the Milk Ejection Reflex" toward the bottom of the link) and breast compression.
* If your pump has a soft shield or shield insert available (for example, the Medela SoftFit breastshield or the Avent "Petal" massager insert), then try using the pump with and without it. Some moms have also found that they can use the Avent "Petal" massager inserts with other brands of pumps (for example, Medela or Ameda). Some moms get better results with the softer shield; some get better results without it.
* Switching to a larger pump flange increases pumping output for some moms.
Galactagogues
* Many working and pumping moms have found that eating oatmeal is very helpful for increasing pumping output. It can also be helpful to snack on protein-rich foods during the day and to have something to drink every time you sit down to pump or nurse.
* Many moms have gotten good results using fenugreek or other herbs to increase supply, either on a short- or long-term basis. This is most effective when combined with increased nursing/pumping."
You have to "up" your supply. By repeatedly pumping after each nursing your body will start to think the baby needs more milk, and will start making more milk. It always took me two to three days of pumping after nursing to get an adequate "extra" supply.
From kellymom.com
"How can I increase pumping output?
To speed milk production and increase overall milk supply, the key is to remove more milk from the breast and to do this frequently, so that less milk accumulates in the breast between feedings.
Increasing frequency
* Nurse more often when you are with your baby.
* Are you pumping frequently enough? Is there any way you can add a pumping session at work? If necessary, when pumping times are very limited, adding even a short 5 minute pumping session is better than not pumping at all.
* Add a pumping session or two outside of work hours or on the weekend. Try pumping after baby nurses, or pump one side while baby nurses on the other side. You might also try pumping while baby is napping, at night, or when baby goes longer than usual between nursings.
* Does your baby complain about slower milk flow when you pump between nursings? If so, try single pumping between nursings, instead of double pumping. Although single pumping is not as effective for increasing milk supply, this leaves one breast more full, so the milk will flow more quickly. See also these tips for babies who want a faster milk flow.
* Try cluster pumping, instead of a regular nursing/pumping session. Sit down with your baby and your pump, and nurse and pump every half-hour to hour for several hours.
* Some moms find it helpful to do a 2-3 day long power pump every couple of weeks to "super charge" their milk supply. This is simply a nursing vacation with pumping added in. On these days, get lots of rest, nurse very frequently and pump after as many nursing sessions as possible.
Removing more milk from the breasts
* Are you pumping long enough? When pumping to increase milk supply, it's recommended that you (double) pump for at least 15 minutes; to ensure that the pump removes an optimum amount of milk from the breast, keep pumping for 2-5 minutes after the last drops of milk. If you don't always have time to pump this long, remember that adding even a short pumping session (increasing frequency but perhaps not removing milk thoroughly) is helpful.
* Use a good double pump. Double pumping generally results in better pumping output and is better for maintaining milk supply. Pump quality can make a huge difference in pumping output, and different moms have better results with different pumps. However, some moms with abundant milk supplies do not respond well to pumping (even using the best of pumps) and do not get much milk when pumping. These moms may get better results using manual expression.
* Use breast massage (see "Assisting the Milk Ejection Reflex" toward the bottom of the link) and breast compression.
* If your pump has a soft shield or shield insert available (for example, the Medela SoftFit breastshield or the Avent "Petal" massager insert), then try using the pump with and without it. Some moms have also found that they can use the Avent "Petal" massager inserts with other brands of pumps (for example, Medela or Ameda). Some moms get better results with the softer shield; some get better results without it.
* Switching to a larger pump flange increases pumping output for some moms.
Galactagogues
* Many working and pumping moms have found that eating oatmeal is very helpful for increasing pumping output. It can also be helpful to snack on protein-rich foods during the day and to have something to drink every time you sit down to pump or nurse.
* Many moms have gotten good results using fenugreek or other herbs to increase supply, either on a short- or long-term basis. This is most effective when combined with increased nursing/pumping."
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