Exclusive pumping, also known as EPing, is a method of feeding your baby breast milk solely through pumping rather than direct nursing. This approach is chosen for various reasons, such as when breastfeeding is not possible or uncomfortable, the need to share feedings, or when you have to be away from your baby. Exclusive pumping requires dedication and commitment, as it involves adhering to a pumping schedule around the clock. However, it allows you to provide your baby with the benefits of breast milk while not nursing. In this article, we will explore exclusive pumping, its benefits, and offer tips to make it work for you and your baby.
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What is Exclusive Pumping?
Exclusive pumping involves expressing breast milk using a pump and then feeding it to your baby through a bottle. It is estimated that about five to six percent of mothers choose exclusive pumping as their preferred feeding method. There are various reasons why you might opt for exclusive pumping:
- Baby’s Inability to Breastfeed: Some babies may have difficulties breastfeeding due to prematurity, hospitalization, physical issues like cleft lip and palate or tongue tie, or other latching challenges.
- Returning to Work or School: If you need to go back to work or school, exclusive pumping allows you to continue providing your baby with breast milk.
- Breastfeeding Challenges: In cases where breastfeeding is painful or uncomfortable, but pumping is manageable, exclusive pumping can be a suitable alternative.
- Monitoring Milk Intake: Exclusive pumping allows you to measure how much milk your baby is consuming, which can be helpful if you’re concerned about weight gain or monitoring feeding amounts.
- Sharing the Feeding Experience: Exclusive pumping enables partners or other caregivers to participate in feeding the baby, fostering bonding and involvement.
- Multiples: For mothers with multiples, exclusive pumping can provide assistance in managing multiple feedings efficiently.
- Discomfort with Breastfeeding: Some mothers may have personal reasons, such as a history of sexual abuse or other discomfort, that make breastfeeding challenging, but they still want to provide breast milk to their baby.
- Biting or Refusal to Nurse: If your older baby has started biting during nursing or is refusing to nurse altogether, exclusive pumping ensures they still receive the benefits of breast milk.
How to Exclusively Pump
To successfully embark on an exclusive pumping journey, it’s essential to establish a routine and create a comfortable environment for pumping. Consider the following tips:
1. Choose a Suitable Breast Pump
Begin with a hospital-grade breast pump, which you can often rent from the hospital or breastfeeding centers. These pumps have larger motors and generally yield better results, aiding in establishing a good milk supply. Once your supply is well-established, you can transition to a retail electric pump. Opt for a high-efficiency, electric pump that allows simultaneous pumping from both breasts, saving you time and increasing milk production.
Breast Pump Product Suggestions: Philips AVENT Double Electric Breast Pump Advanced
2. Proper Milk Storage
Use bottles made of glass or hard plastic with tight-fitting lids, or specialized breast milk storage bags. Ensure you store the milk in the amounts your baby typically consumes in one feeding. Remember to leave room for expansion if freezing. Date each container and use the oldest milk first. Breast milk can be stored at room temperature for four hours, in the refrigerator for four days, and in the freezer for six months or more.
3. Comfortable Breast Shields (Flanges)
If the flanges that come with your pump are uncomfortable, try different sizes until you find the right fit. The flanges should not compress milk ducts or cause your nipples to rub against the sides. Consider trying breast shields made with silicone for added comfort and a better fit. Keep in mind that your nipples may swell during pumping, so ensure the flanges accommodate for this.
4. Milk Collection Cups
Consider using silicone cups or manual silicone breast pumps that can be tucked inside your bra to catch any leaking milk. These cups can be especially helpful if you are pumping from one breast at a time.
5. Hands-Free Pumping Bra
Invest in a hands-free pumping bra that allows you to multitask while pumping. This way, you can work, use your phone, or care for your baby without having to hold the breast pump flanges in place. If you don’t have a pumping bra, you can also use the flaps of a regular nursing bra to secure the flanges.
6. Hot/Cold Gel Packs
Some mothers find it beneficial to apply a warm pack on their breast shields before pumping to encourage letdown. Warm compresses can help with milk flow and letdown reflex. Additionally, cold gel packs can provide relief for engorgement or discomfort between pumping sessions.
7. Lactation Massager
Consider using a vibrating massager designed for lactation purposes. These massagers can help treat plugged ducts, reduce engorgement, and improve milk flow by enhancing milk letdown.
8. Pumping Spray and Nipple Cream
To minimize friction and moisturize your nipples, use a pumping spray on the flanges of your breast pump. Additionally, nipple cream can soothe and moisturize your nipples, both during pumping and throughout the day.
9. Feeding System
Depending on your baby’s specific needs, you may be using bottles to feed breast milk or, in some cases, require alternative methods to deliver milk to their tummy. For babies who are unable to feed enough by mouth, a nasogastric tube (NG tube) may be necessary. Before leaving the hospital, the staff can provide guidance on using the feeding system that best suits your baby’s needs.
Exclusive pumping may initially seem like a daunting task, but with determination and the right tools, it can be a successful and rewarding experience. In fact, a study conducted on mothers of preterm infants who exclusively pumped showed that they were able to fully feed their babies by pumping six or more times a day.
Remember to seek support from lactation consultants, breastfeeding support groups, or online communities. They can provide guidance, answer your questions, and offer valuable tips from their own experiences with exclusive pumping.
Related: Tips for Boosting Your Breast Milk Production
Exclusive pumping pros and cons
1. Pros of Exclusive Pumping
Flexibility and Convenience: One of the significant advantages of exclusive pumping is the flexibility it provides. You can store pumped breast milk and feed your baby whenever and wherever necessary. This allows you to maintain a feeding schedule that fits your lifestyle, whether you’re returning to work, attending school, or need to be away from your baby for any reason.
Shared Feeding Responsibility: Exclusive pumping enables partners or other caregivers to participate actively in feeding the baby. This not only helps foster bonding but also provides an opportunity for others to develop a close relationship with the baby while supporting the mother.
Measurable Milk Intake: Pumping breast milk allows you to measure the exact amount your baby is consuming during each feeding. This can be particularly beneficial for monitoring your baby’s intake, tracking weight gain, or addressing any concerns about milk supply.
Extended Breastfeeding Duration: Exclusive pumping can help mothers continue providing their babies with the benefits of breast milk for an extended period. By expressing and storing milk, mothers can ensure a consistent supply even when direct breastfeeding is not feasible.
Supportive for Babies with Special Needs: Exclusive pumping is often chosen by mothers whose babies have physical challenges such as cleft lip and palate, difficulties latching, or prematurity. It ensures that these babies receive the valuable nutrition of breast milk, promoting their growth and development.
2. Cons of Exclusive Pumping
Time and Commitment: Exclusive pumping requires a significant time commitment and dedication. Establishing and maintaining a pumping schedule can be challenging, especially when it involves pumping around the clock. It is essential to find a balance between pumping sessions, caring for your baby, and managing other responsibilities.
Potential Decreased Milk Supply: Some mothers may experience a decrease in milk supply when exclusively pumping. This can be due to the absence of direct breastfeeding, which stimulates milk production differently than pumping. It is crucial to monitor milk supply and seek support from lactation consultants if any concerns arise.
Discomfort and Nipple Pain: Exclusive pumping can sometimes lead to discomfort and nipple pain, as the suction from the breast pump may differ from the sensation of breastfeeding. It is important to ensure proper flange fit, use lubricants if needed, and seek assistance if discomfort persists.
Additional Equipment and Expenses: Exclusive pumping requires the use of a quality breast pump, milk storage containers, bottles, and other accessories. These items can add to the overall expenses associated with feeding your baby. Additionally, there may be ongoing costs for replacement parts or renting a hospital-grade pump.
Emotional and Psychological Factors: The decision to exclusively pump can have emotional and psychological implications. Some mothers may experience feelings of guilt or disappointment due to not being able to breastfeed directly. It is essential to prioritize self-care, seek support from loved ones, and connect with support groups or professionals if needed.
Exclusive pumping offers an alternative to breastfeeding that allows you to provide the benefits of breast milk to your baby while not directly nursing. With the right equipment, a well-established pumping routine, and a supportive network, you can successfully navigate the world of exclusive pumping. Remember that every mother’s journey is unique, and it’s essential to prioritize your well-being and the bond you share with your baby. Exclusive pumping may require dedication, but the rewards of providing your baby with the nourishment and comfort of breast milk are immeasurable.
