Pumping:

Breast pumps have become almost standard equipment for many new moms.

When should you pump?

• when baby can't or won't nurse at least 10 minutes per side. Baby will be your best pump, but complement what baby does until he catches on.
• to relieve engorgement. Don't worry about too much milk during the first couple of weeks - keep the milk moving.
• to soften the nipple if your breast is over-full, or to pull the nipple out for easier latching if your nipples tend to be flat or inverted. These are the only times you would pump before baby feeds.
• after the first couple of weeks of exclusive breastfeeding, family members may enjoy feeding the baby with a bottle occasionally.
• to increase a lagging milk supply, pump for 5 or 10 minutes after regular nursing (even if no milk is coming out).
• when you go back to work.
  

Which pump?
There are 3 categories of pumps: manual, electric (battery operated) single pumps, and double electric.

• Manual: most difficult to use because you provide the power. You tend to get tired before your breast has had enough stimulation. However, some moms are champs at this and it is the least expensive.
• Electric single pumps: most run on batteries, some plug in. These tend to be noisy, rough and not very effective for a lot of women. Look for one that will auto cycle, i.e. has a suck and release, not just a vacuum suction you have to control. Prices range from moderate to expensive
• Double electric pumps: the most effective, gentle and quiet. Again, look for one that will auto cycle, i.e. has a suck and release, not just a vacuum suction you have to control. These are designed to maintain lactation even when baby can't breastfeed and are a must if you are separated from your baby (hospitalization, working). Pumps both sides at once so you can finish in 10-15 minutes. Rental prices are moderate, decreasing with longer rentals. Purchase price: moderate (Medela Pump In Style) to expensive.

Studies have shown:

• prolactin levels (and thus milk output) are increased by double pumping (pumping both sides at once) and
• prolactin levels and milk output with various expression methods were compared to a nursing baby with the following results:
  - hand expressing - 1/2 as much as baby;
  - single, battery operated pump - about 1/4 as much as baby;
  - manual pump - 1/2 as much as baby;
  - electric double pump - about 1/3 more than baby.

Every individual's personal experience will differ . The important thing is to get a pump which will fit your needs whether pumping once in a while or all day every day.

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