Choosing the Right Breast Pump for You

Registered nurse Karen Pohl shares her pumping insights for newly nursing mothers.

Many lactating parents choose to pump breast milk at some point during their breastfeeding journey. The reasons a parent may choose to pump may determine what pump they choose, how often to pump and for how long. Prior to choosing a pump, check with your insurance for any coverage, decide on a budget and check to see how easy it is to buy replacement parts.

There are many different brands of breast pumps at different price points with various features. They all fit into one of two categories – open or closed systems. Open systems are meant for single users with one baby. There is no backflow protection, meaning milk can flow through the tubing into the motor. These systems should not be shared or sold secondhand. Most Medela models are open-system. Closed systems have backflow protection, meaning milk cannot get into the tubing or into the motor. Ameda, Spectra and hospital grade pumps are all closed system and safe for multiple users as long as new pump kits are used for each child.

There are three different types of breast pumps. Manual pumps are ideal for occasional use. They are affordable and small. Single electric pumps allow you to pump faster and more efficiently but only one side at a time. These are great for occasional use. Double electric pumps are efficient and great for exclusive and frequent pumpers.

Recently Haakaa (and similar) “pumps” have become very popular. These are ideal for collecting leakage on the opposite side than you are pumping or feeding from. It’s important to understand that these are not true pumps. They help collect milk with mild suction and minimal stimulation but they are not an active pump, they won’t increase your milk supply.

Flange size is very important to effective pumping. Most manufacturers have a size guide online. If you can measure your nipple size prior to deciding on a pump, you can get an estimate of your flange size. Some manufacturers have more flange size options than others, this should be taken into consideration when choosing your pump. If the nipple is touching the sides of the tube, the flange is too small. If the areola is getting pulled into the tube, the flange is too large.

Cleaning is essential to protecting your baby and ensuring the breast milk does not become contaminated by bacteria. Before pumping, wash your hands with soap and warm water then assemble your pump kit. After each use, take the pump kit apart and rinse all parts contaminated with milk, under running water. Use hot soapy water and a brush to scrub all parts, rinse thoroughly and let airdry. Using a microwave, plug-in system, dishwasher (on sterilize) or pot of boiling water, sterilize all pump parts at least once daily and let parts air-dry. Once dry, store in a clean place such as a zippered storage bag. If you are unable to thoroughly wash your parts between each use, invest in extra pump kits so you always have clean parts available.

TIP: Keep an extra set of tubing and soft parts like the valves and membranes on hand as these parts can tear easily.

If you are pumping to replace a feed, you will need to pump about every 2-3 hours or as often as your baby is feeding while you are away. Pump until milk stops flowing, massaging your breast with one hand while pumping can help fully empty the breast.

If you are pumping to increase your milk supply, pump after your baby eats for 15-20 minutes. You may not get any milk (that’s OK!). Add 1-3 power pumping sessions per day. These should happen at the same time each day and may take 3-7 days to see any increase in milk supply.

Power Pump:

Pump for 20 minutes

Rest for 10 minutes

Pump for 10 minutes

Rest for 10 minutes

Pump for 10 minutes

If you are pumping for a freezer stash to give your baby occasional bottles, you can use a Haakaa or similar product that collects the leaking milk when you are feeding or pumping off the other breast. When storing your milk remember “the rule of six”: breast milk can spend six hrs at room temperature without spoiling, six days in the fridge and six months frozen.

Some people are able to collect enough throughout the day for at least one bottle. Otherwise use your pump of choice 1-2 times per day. A lot of parents will pump after the first feed of the day or right before bed but you can pump whenever it fits into your schedule. Generally having about 1.5-2 oz per hour you will be gone should be enough. Babies need about 24-32 oz of breastmilk or formula per day.

Karen Pohl

Karen Pohl is a Registered Nurse and mother of three young children serving the Grey and Bruce Counties and Collingwood area. Since beginning her nursing career in 2007 with a specialization in pediatrics, she’s gained extensive experience providing pediatric and newborn care including as a registered nurse in the oncology and emergency departments of Sick Kids Hospital. Karen currently offers pre-natal, postpartum and early childhood support to parents and families at The Mama Coach and Inkblot Therapy.