Pumping 101: How to pump? From Struggle to Strength. -

When I first embarked on my breastfeeding journey, I was completely clueless about how to pump. Terms like flanges, let-down, and expression modes were unknown to me. I had no idea how long I needed to pump or the differences between the modes. Thankfully, my insurance covered unlimited sessions with a lactation consultant. She walked me through everything, from ensuring I had the right pump and flange sizes to explaining the intricacies of the pumping process. Today, I’ll share what I learned from her.

First read these intro articles:

How Does the Pump Work?

A breast pump is designed to mimic a baby’s sucking pattern to stimulate milk production and extraction. When a baby starts nursing, they suck quickly to create a let-down reflex, which is the release of milk from the breast. Once the milk starts flowing, the baby’s sucking slows down. The pump replicates this process with two primary modes: let-down and expression.

Let-Down Mode:

This mode imitates the rapid sucking of a baby to stimulate the milk let-down.
On the Spectra S1, the let-down mode operates at 70 cycles per minute.
The vacuum strength (suction power) can be adjusted. A commonly recommended setting is a vacuum of 3 to 4.
Use this mode for about two minutes or until you feel the milk start to flow, which is signaled by a warm, tingling sensation in your breast.

Expression Mode:

Once the milk is flowing, switch to expression mode.
On Spectra S1, press the middle white button
This mode slows down the cycles to mimic the baby’s slower, deeper sucking.
Cycle options range from 38 to 54 cycles per minute. Adjust the cycles and vacuum strength to find what works best for you. Many moms start with higher cycles (54) and a moderate vacuum (7) and then adjust as needed.

How Long to Pump (Let-Down vs. Expression)?

The duration of pumping varies for each mom, but here are some general guidelines:

Let-Down Mode:
- Pump for about two minutes or until you see milk flowing.
- Adjust the vacuum strength to find a comfortable setting that stimulates milk flow.
Expression Mode:
- After the let-down, switch to expression mode.
- Pump for an additional 15-20 minutes per session. If using a double electric pump, you can pump both breasts simultaneously.
- Adjust the cycle speed and vacuum strength as needed. Some moms find that gradually reducing the cycle speed while increasing the vacuum strength helps to fully empty the breasts.

Spectra pumping cheat sheet

Troubleshooting and Tips

Clogged Ducts:
- Increase the vacuum strength to help clear the clog. Massage the area gently to aid in milk flow.
- Warm compresses can also help in clearing clogged ducts. I used these packs and just pop them in the microwave. I had clogged ducts when I breastfed only from 1 breast and didn’t pump the other. So the one that was full with milk clogged. Just empty your breast as soon as you feel them full.

Comfort:
- Ensure you have the correct flange size to avoid pain and ensure efficient milk extraction. Get your flanges sizes from Maymom.
- Aim for the lowest suction setting that effectively expresses milk without causing discomfort.
Routine:
- Consistency is key. Establish a regular pumping schedule to maintain a steady milk supply.
Hands-On Pumping:
- Gentle breast massage during pumping can help fully empty the breasts and prevent clogged ducts. Massage from the top of the breast towards the nipple.
- Using a hands-free bra allows you to keep your hands free for massaging, which can significantly improve milk flow and comfort. Below is my favorite one because it’s not putting any pressure on my breasts like others I’ve tried.

Pumping can be a trial-and-error process, but with patience and practice, it will become a natural part of your routine. Remember, every drop of milk is precious!

You got this, mama!

If you own the Spectra S1, this video helped me a lot.