r/BabyBumps•
ithink

Exclusively Pumping: What I wish I'd known before I had a baby

There’s a weird limbo between exclusively breastfeeding (EBF) and exclusively formula feeding (EFF) called exclusively pumping (EP). I suspect few people plan to EP before they have a baby. Those of us who do are thrust there by circumstance. Some people are separated from their baby for medical reasons or the baby is not strong enough to breastfeed. Some people’s babies have tongue or lip ties that make it nearly impossible to breastfeed until the issue is identified and corrected, and by then it is “too late”. And some people (like me) and their babies just can’t get the hang of breastfeeding and we don’t know why. We still want to feed our babies breastmilk, so we start pumping to fill in the gap.

At the beginning, I felt I had accidentally landed in a place I had never intended to be, and I had no business being there. My breasts hurt, I wasn’t getting much milk, and I was trying to take care of a baby at the same time. Here are some things I wish I’d known before I started:

  • EP is like having another kid. First you have to feed the pump, and then you have to take the output and feed your actual kid. Just like you have to figure out your kid’s hungry cues, you’ll have to figure out your breast’s full cues and what your breasts respond best to. You’ll have to research how to increase your supply and how to manage your freezer full of milk. You will spend more time washing pump parts than you spend washing your actual child. If you leave the house for an extended period of time, you will need both your pump, a way to clean the pump, and all of the gear for feeding your baby.
  • All pumps suck. (ha!) There is no perfect pump. Some pumps are mobile, but not very powerful (and usually very expensive). That means if you use those pumps, you may not get as much milk as you can, and you may have more clogged ducts or even mastitis. On the other hand, some pumps are too powerful (even on their lowest setting) for some women. The only way to know is to keep buying pumps until you find one you can live with.
  • There are almost endless accessories that solve various pumping problems. There are custom-sized flanges, there are silicone flanges, there are cushion inserts, there are massaging cushions, etc. You can really geek out on this stuff if you want to.
  • You can’t quit cold turkey. If you decide you don’t like it, it’ll take a couple of weeks for you to wean (at least). If you go faster than that, you risk clogged ducts and mastitis. This is a good thing, because it gives you a chance to change your mind if you want to. But if you get overwhelmed, you can feel a bit trapped.
  • You’ll get less sleep. The middle of the night (MOTN) pump is often the most productive. Even when your baby starts sleeping more, you’ll still be getting up at 2 or 3 in the morning to pump - unless you’re one of the lucky “oversuppliers”.
  • This is controversial, but: the benefits of breastmilk may be overstated. (For example, read Emily Oster’s breastfeeding chapter in Cribsheet.)

If you find yourself in this boat, here is my advice:

  1. Make sure your motivation is clear. Unlike breastfeeding, you will not be bonding with your baby while pumping. In fact, pumping will take bonding time AWAY from you and your baby. So check in with yourself about which of the benefits of breastfeeding you’re hoping to confer on your baby and make sure there’s evidence for that benefit.
  2. Join facebook. The best support for exclusively pumping is on facebook. If you're looking for an "instruction manual" for how to increase/decrease your supply, deal with various boob-illnesses like clogged ducts and mastitis, figure out how to make pumping more comfortable, the facebook groups have this info laid out really well. (I often see Kellymom recommended, but I didn't find it as well organized, practical, or tailored to the EP-use-case as the FB groups).
  3. Get someone to check your flange size. It could save you some discomfort and frustration.
  4. Optimize your time. Find a configuration that lets you multitask - might be an Elvie/Willow, Freemie, or just finding a way to attach a Spectra/PISA to your body so you can be hands free. You’ll definitely need a pumping bra. Look for ways to save time - perhaps an extra set or two of flanges would make the cleaning easier. (But make sure you have the right size/brand before you invest!!)
  5. If you think you need support from a lactation consultant, make sure your insurance will cover the one that you choose. I spent $500 talking to lactation consultant, and my insurance will only reimburse $100 because she’s considered out-of-network. (There are only 2 “in network” LCs in the entire US!) Fortunately I only talked to her twice, otherwise I could’ve easily had thousands of dollars in lactation bills. I am appealing, but I don’t have my hopes up.

Posted Aug 20, 2020, 8:42 PM UTC

8934
star_jammin•

You are amazing! I HATE pumping and the women who exclusively pump are troopers! I feel like pumping is more work than formula feeling and breastfeeding combined. Right now I’m pumping 2 times a day while LO is at work and it is my least favorite part of the day. Also, these are all great points!

20

I know you meant it the other way, but your post says you pump while your LO is at work and I legit snorted. Hope they are paying him or her well! 😄

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star_jammin•

OOOOOPS! Haha 😅 mom brain front and center here!

4

This is a great post. At 11 weeks my baby started straight up refusing the breast, screaming when I put her to them, and in hindsight it may have been the silent reflux we later discovered. But I didn’t want to put her just on formula so I started pumping. That shit was such hard work and I don’t know how I did it every day til she was 7 months old (she never would take the breast again after 4 months which was devastating to me). I was pumping every 2-3 hours at first and then every 3-4. Time consuming, so time consuming. I am in awe at anybody who pumps for however long they do it because pumping sucks (hardy ha) and nobody as of yet has invented a pump that is goddamn good enough for the job.

I’m expecting my second baby now and honest to god the dread I have is that I might have to go down that road again. Im going to do all I can to BF exclusively and if somehow the new baby doesn’t BF successfully I might just quit and reach for the formula, because I don’t think I can stand pumping that much again - this time with a toddler around too!

To anybody currently pumping or anybody who has spent any length of time attached to a pump, you deserve a medal and you are amazing. No, really. That you put all that time and effort into such a hateful task shows that you are a good parent.

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timelinepusher53221 boy | 1 girl | Team done•

I EPed for 3.5 months with number #2. If we have a 3rd, I’m going straight to formula. My (more) formula fed kid has been healthier and I’ve bonded with quicker.

6
SpicyWonderBread•

I’m only 16 days in, so I am probably totally naive here. But I don’t feel like EPing is taking away bonding time with my newborn, yet. I have her next to me on a boppy or on my lap napping while I pump and watch an episode of something dumb on Netflix. It’s great snuggle time and helps my letdown and production so far! I’m sure it’ll no longer be possible once she’s mobile though.

I also really like knowing exactly how much she is eating, and getting to sleep more. I pump twice at night, and my husband and I do shift sleeping. So we’re both getting long chunks of time “off” and good sleep. Even with bottle feeding, little one cluster feeds a bit and nursing would mean me being up every hour at night.

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[deleted]•

[deleted]

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aithril1Team Pink!•

I EP for my first kiddo for two months! My two cents:

  1. Not fucking worth the drain on my mental health. Holy shit. Will never EP again. (YMMV! : ) )

  2. Sudafed helps dry things up faster when you’re ready to stop and prevents you from getting clogged ducts/mastitis unless you’re truly going cold turkey.

  3. Become a pro at pumping and driving. Hands down my favorite time to pump! It’s efficient, relaxing, and I felt like I got more milk when I was focusing on other things.

Best of luck to anyone who does it! It’s a hard job but if you can make it work, more power to you!

10
em617•

Amazing advice!! I wish I had read something like this before my first. He came a bit early and just wasn’t strong enough to get anything from me (or stay awake long enough to). I exclusively pumped while still attempting to “teach” him how to breastfeed for 6 weeks before switching to formula. The whole process took about an hour (attempt breastfeed, pump, bottle feed) and I did it every two hours so I was just deteriorating mentally and physically by the time I made the decision to stop.

I think your first bit of advice about establishing your motive is so important. This was what finally gave me the confidence to switch to formula. I realized I was not bonding with baby and I was just dreading every moment of his infancy, wishing it all away. I was only doing it because “breast is best” was so engrained in my brain and I wanted it to work so bad. Turns out it just wasn’t for us!

I am in awe of anyone who does this for months!! You are actually superwomen.

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raeina118•

I exclusively pumped for a year for my twins. If I could go back I'd have quit at 6 months or earlier. You're 100% right about missing out on binding time.

I pumped every time they ate, so about every 2 1/2 hours for a long time, then had to put it in bottles or store it, clean everything, and get it set up for next pump. Managing frozen milk and sanitizing at nights on top of that was basically a part time job.

Theyre 2 now and you see no difference between them and previously formula fed babies. They say 2oz a day gives them the immune boost. I wish I spent more time sitting on the couch just cuddling and playing with them but it is what it is. 🤷‍♀️

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absmacked•

As an exclusive pumper for my first (2 years) and planning on EPing again for the one I am carrying now, I appreciate the post for adding some light on EPing though I do disagree with a few of the statements and would like to add some of my thoughts and experience.

I personally found EPing worlds easier than direct nursing. We, like many, tried direct nursing first. My son unfortunately was hospitalized around 2 weeks due to loss of greater than 15% birth weight and we discovered he was slow starving on my breastmilk. Our pediatrician had us pumping to determine how much I was making, where we found I was making less than half of his daily needs. It didn't matter how often we fed, I simply wasn't enough. From that point, we never went back to direct nursing and instead focused on providing what breastmilk we could with the pump and supplemented with forumla. Eventually, my body caught up. But as a family we were in a rhythm and we stayed that way.

With my personal experience and the shared information in my support groups, these are the most important things to me:

-It really is important to find both the right pump for you (concerning the mothers preference on suction levels) but also finding a pump that is meant to be used for EP demands. I initially had my pump in style advance and it was a horrible choice for an EP breastfeesing style, as the motor was not meant for the demand I had.

-Cleaning pump parts/flanges/bottles aren't much of a deal. Especially with an active partner. My husband and I were a breastmilk feeding machine together. We made the decision to have multiple sets of pump pieces, and they were cleaned simultaneously with the bottles. I personally can't relate to the idea of the cleaning being tedious or exhausting as it was as simply as rinse, place in basket for dishwasher, then sanitize with boiling water. We did this exact process for the bottles, and it wasn't a problem to add the pump parts. A popular "hack" some EPing moms have though are to have the single set of pump parts, and place them after use in a ziplock baggie and place in the fridge to keep it safe for next pump. I personally preferred washing at each use, so we had 6 sets which at the most resulted in 2 washing per day, though it was easily split between hubby and I.

-As for bonding, I found a much greater bond with my baby by pumping instead. Direct nursing was stressful for both me and baby. He was constantly crying, repeatedly coming off latch, and never satisfied even after a good feeding session. It was mental anguish for me. Pumping was great, because while pumping I often sat in our recliner with him propped up on my knees, and he was commonly content with playing with the hoses or with me just holding him while he slept to the chuuuf chuuuf chuuf of the pump. Additionally, it allowed the wonderful bonding time of feeding to be afforded to BOTH me and my husband. Which I loved, and so did my husband.

-As for travel, I never went out with cleaning supplies for my pump. I only did cleaning at home. Once I established my supply level that worked for us, well then pumping was awesome because you set your own schedule based off of your supply desire. I was a Just-Enougher. No bonus milk going to the freezer for us. I was barely one feed, then eventually 1 day, then a few days ahead in supply for the fridge. But there were no baby cues on demand for boob juice forcing me to hook up. I wanted to pump every 6 hours because that is what worked for us, so thats what I did. It was super easy to schedule brunch or lunch with the ladies, or date night, or whatever I wanted because I knew my body well and knew I'd be very comfortable for 6 hours. And if I needed to go an extra hour or two, that was okay occasionally too. I'm military and had to bring my pump and bag to work, and the hardest part was just getting a proper room for my privacy. The pumping was never the problem.

-As for clogs and mastitis....many women do not experience these as EPers. And clogs do not mean you will get mastitis. I never got mastitis, but did get an occasional clog. Though several friends never experienced clogs of any sort. Recent research is showing several pumps (not just the hospital grade) are just as effective or more effective at properly emptying the boob juice.

For me, the biggest problem with EPing has to do with the stigma- by far!

I've been shamed by women who have had the audacity to tell me I wasn't really breastfeeding, or people call out when I was bottlefeeding breastmilk "breast is best!" Because they were ignorant and rude, and there is a HUGE amount of lactation consults spreading massive misinformation about pumping (ex: false statements such as- pumping forces unnatural milk levels, pumping prevents milk, pumping causes over production, pumping will get you hospitalized with mastitis, pumping will cause permanent damage to nipples, etc).

So I was elated to see a positive post concerning EPing with some of the stigmas explained. I know we reflect different on some parts of the experience, but there can be lots of comfort with EPing (not everyone shares the feeling that EP has taken anything from them). You brought up a fantastic point about getting those flanges fit. The most important part of an EPing journy! You definitely can't be comfortable if you don't have the right sizes. But I have also seen friends who have felt some of the similar mental stress youve expressed over pumping, and that has to be a huge toll on those who experience it. In our group, we push Fed is Best, add some breastmilk if you can, but if you cant- you're still feeding your baby.

Thank you for sharing your experience and thoughts, I appreciated being able to comment on it as well.

8
p0tat0queen_•

I know this is kind of an old post, but I'm pretty new to EP. I'm interested in how you pumped just enough, and only pumping every 6 hours. Did you have to wean down to this? Everyone tells me I have to pump every 4 hours or I will lose my supply. But I'm massively over producing. I've been pumping for almost 3 weeks now, baby will be 3 weeks tomorrow. Based on research I've done, it sounds like I need to wait until week 6 or later to really start tweaking my schedule.

Right now I pump every 4 hours, 6 times a day, for 15 minutes each session. I currently pump about 55 Oz per day, which is almost triple what we need in a day. I don't necessarily need a huge freezer stash (already up to 3 gallons).

It sounds like you had a really good grasp on pumping, so I'm open to any advice you have!

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absmacked•

I'm sending you a PM, I want to be sure I can give you all the info you need <3

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ChopperNotChomper•

Hi! I’m basically in the exact same position as p0tat0queen_ and would love to get details from you as well!

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absmacked•

Hi! I'll send you a PM too so we can chat about you individually <3

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Luckyducks•

I did it for a year and I regret it. I missed out on so much. Time I could have been cuddling my baby, sleeping, or taking time for myself that i spent pumping or cleaning pump parts is time I will never get back. In the beginning I was pumping for 30 minutes every 2 hours. Thats 6 hours a day that doesn't include the time to actually feed the baby, burp baby, and wash all the stuff.

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AggressiveResult2•

If you leave the house for an extended period of time, you will need both your pump, a way to clean the pump, and all of the gear for feeding your baby.

Having a manual pump and a water bottle to rinse it off helps a lot in this area. Yeah, manuals take longer but it takes a lot less space than an electric pump.

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greentea_macaron•

Sadly most manual pumps don’t have the array of custom flange sizes needed. Also sometimes a manual pump just doesn’t work for some moms.

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[deleted]•

[deleted]

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sailorsun777•

Thanks for sharing your POV! I've been interested in EP too, but wanted to know why EP is expensive? Is it more expensive than pumping + breastfeeding?

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[deleted]•

[deleted]

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sailorsun777•

Thanks again! This is really helpful. I'm in the US so at least one is covered by insurance, but you're totally right, it might not work out with the first one.

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langelar•

Former exclusive pumper here. Yes. To all of it!

3
vivemente32/FTM Baby Boy Due 09.13.20 •

I plan on exclusively pumping so I appreciate your post!

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ShireenaaFTM ~8/29~ Team boy!•

Wow yes. This is honestly where I’m headed— baby latches but doesn’t get hardly anything out, so it’s nurse-pump-bottle every two hours. I keep waiting for some miracle moment where he just gets it, but I don’t have my hopes up. I want to keep nursing him, but it’s such a job to do all of it, especially at night.

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BebopandRocksteady•

So true. I EPed for 8 months because of daughter’s high arched palate. She’s older now and I’ve had almost three months off the pump. Thinking about it now, it’s almost traumatic. Like basically being assaulted 4-10 times a day. No bath towel was ever soft enough for what pumping did to my nipples.

Also adding, get doubled sets so you can pump from both breasts at once. Definitely buy extra sets to help with cleaning.

Replace soft parts every 3 months.

Get a really good nipple cream.

3

Way to go mama! I pumped for 13 months, and while it was hard and it sucked, I'm proud of myself. Joining the EP Facebook group was the best decision I ever made. Unfortunately, I joined late, after 12 weeks, and hadn't set up my supply enough. My biggest tip for anyone who pumps - pump for as long as you can. Almost everything you read will say 15-20 minutes. NO. This is for breastfeeding moms who want to up their supply. You need to do at least 30 minutes, and especially in the beginning up to 45. Remember, a baby would be eating a lot and frequently, so trick your boobs into thinking you have a very hungry baby (of course, does not apply to oversuppliers!)

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ithinkOP•

Agreed - in fact, lots advice you read is for breastfeeding mothers and doesn't apply to exclusive pumpers! I was struggling with my supply pumping only 15m, and it started to improve immediately when I began pumping for 30m. Unfortunately, it also meant I was pumping for 2x the time every day!

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Mrs_BizzTwin Boys June '19•
  1. Make sure you mental health is staying strong while EPing.

Mine did not, quitting pumping was the best damn thing ever, and I wished I would have done it sooner. Unfortunately, the (possibly overstated) benefits of breast milk kept me hooked to the pump, which was also sucking away my good mental health along with the milk. Was of course put there by circumstance, twins - premature, one couldn't latch yada yada

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[deleted]•

Thank you for posting something so thorough and helpful.

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SisterStereo•

Breastfeeding was a negative experience for me because despite reading, support groups, two lactation consultants, gizmos, guzzling water by the gallon, a Breast Friend and a Spectra, I just wasn’t producing much. So I pumped all the time. The middle of the night pump crushed me. I was so tired and I didn’t want to wake to pump but I was terrified of missing the window and losing the feed entirely.

The exclusive pumpers aren’t as represented in discussions that seem to be largely you’re nursing or you’re not. If I could scream it from the rooftops I would - do what works for you and the baby. That’s all. Ignore the expectation and perception. That may include pumping every drop, not pumping at all or weaning earlier than you expected.

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rawkfemmeEmmett arrived 3/16/15! Sophie arrived 5/16/16!•

EP is the worst of both worlds and I hated it. But it was free and fed my kid, so whatcha gonna do? Between my flat pancake nipples and societal pressure to feed breast milk, I did EP for a loooong time. When I had Kid 2 there was no shame in my formula game. I don't think the pump ever really came out for her. She was a bit better at nursing though, so that helped.

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sublimeinsunshine•

I made the choice to EP and supplement my LO because she was an early bird who needed a little extra. I had gone into BF with the intention to try, but if it wasn’t gonna work then I didn’t want to stress myself out about it. While it sucks to be tied to a pump every couple hours (MOTN sucks!!!) I’m grateful my husband can bond with her over feedings and she took to the bottle easily.

I’m only 16 days into this parenting thing so I’m definitely in need of some support groups and the like. Thanks for writing this post!

2