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:
- 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.
- 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).
- Get someone to check your flange size. It could save you some discomfort and frustration.
- 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!!)
- 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
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!
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! 😄
OOOOOPS! Haha 😅 mom brain front and center here!