Acelleron Medical Products

Category: Breastfeeding

  • Understanding Your Lactation Support Options: From Peer Support to IBCLCs

    Understanding Your Lactation Support Options: From Peer Support to IBCLCs

    Have you ever been told during pregnancy to get to know your lactation support options before baby arrives? It is great advice! Yet, actually doing so can be very confusing. What type of support is needed? Which lactation providers are “best?” Is care available at home, in person, virtually? And how do resources like WIC or support groups fit in?

    Listen – we get it! The best thing is to take it step-by-step, so let’s break it all down.

    Types of Providers

    The “who is who” in lactation and feeding is the most confusing part of this entire discussion. There are many different types of providers, and who you should work with depends on you, your baby(ies), and your individual needs. Instead of viewing lactation providers as a hierarchy, think of them as a spectrum of support – from community-based help to advanced clinical care.

    Lactation support generally falls into three main categories that are built upon each other:

    • Peer Support
      Great for basic questions, encouragement, and community connection. These providers often have personal experience with breast/chest feeding, a strong passion for supporting others, and may have training focused on basic education, support, and resources.

    Examples of peer support:

    Examples of educators and counselors:

      • BEC – Breastfeeding Educator Certification
      • CBE – Certified Breastfeeding Educator
      • CLE – Certified Lactation Educator
      • CLEC – Certified Lactation Educator
      • LE(C) – Community Lactation Educator
      • BFC – Breastfeeding Counselor
      • CBC – Certified Breastfeeding Counselor
      • CBS– Certified Breastfeeding Specialist
      • CLAAS: Certified Specialist in Advanced Lactation and Safe Infant Feeding
      • CLC– Certified Lactation Counselor
      • CLS – Certified Lactation Specialist
      • IYCFS: Infant and Young Child Feeding Specialist
      • LEC – Lactation Education Counselor
      • MiLC – Military Lactation Counselor
    • Clinical consulting
      Provides expert-level clinical assessment, guidance, and solutions and is great for more complex concerns. IBCLCs complete 95 hours of lactation-specific and communication coursework, 300-1000 hours of clinical experience by supporting lactation, 14 health science courses at an accredited higher education institution, and the IBCLC exam.
      Provider:

    You can learn even more about the types of providers here.

    • Do families always need to seek the highest clinical level for basic feeding questions?

    No. Most basic feeding education questions can be answered by lactation professionals, such as educators, counselors, or peer support providers.

    • Should families stay on any particular step if they feel they are not receiving adequate care?

    No. Families deserve and are always able to change or seek additional care and support if it doesn’t feel right.

    • Should provider choice solely rely on recommendations from a friend or a clinician?

    Recommendations are helpful, but they are not the only considerations.

    Other Paired Backgrounds

    Many providers may also hold non-lactation certifications or licenses, and/or multiple lactation-specific certifications such as: RN, NP, MD/DO, CNM, Dentist, Chiropractor, SLP, LICSW, and more. These will add to what the provider can offer to you about your lactation support.

    Important Note: Unless a provider also holds an accompanying certification or license (paired background noted above) that expands their scope of practice, neither a Lactation Counselor nor an IBCLC can:

    • Give medical advice
    • Give a medical diagnosis
    • Prescribe medication
    • Conduct medical treatment

    For example, an IBCLC cannot diagnose someone with mastitis or a baby with thrush or a tongue-tie, but can offer anticipatory guidance on how to contact their provider for medical care, as needed. Their role is focused on functional oral assessment, observation of feeding, exploring different causes for feeding issues or concerns, and collaborating with medical providers, as needed. IBCLCs can support families before and after any diagnoses and/or treatments by a medical provider.

    Types of Lactation Support

    Everyone needs different types of support as they go through the perinatal period: prenatal through postpartum. You may use all these resources below or just one. Many of these are important even if it is not your first pregnancy too! If possible, consider which type(s) of support may apply to you and find out what options you have during pregnancy.

    WIC offers peer-to-peer support and education through Peer Counselors, and some states also have IBCLCs available that can provide additional guidance, as needed. You may be eligible if you:

      • Have a nutritional need (WIC staff can help you determine this)
      • Are a new mom, a pregnant or breastfeeding woman, or have a child under 5
      • Have a family income less than WIC guidelines
    • Support Groups

    Conversation-style groups offer basic breastfeeding support, answer questions, and create a space to lean on & learn from others in a similar season of life. They are often run by IBCLCs, but may also include breastfeeding educators and/or counselors.

    Example: Newborn to 6 months support group held weekly at your local hospital.

    • 1-on-1 Lactation Consultations
      • Typically, 30, 60, or 90 minutes
      • May be over-the-phone, in-person, or virtual
      • Often paid out of pocket, but some can be covered by insurance benefits. To find out what type of benefits you are eligible to receive through your insurance, reach out to your insurance provider directly.
      • Can be offered by IBCLCs or educators/counselors and what support can be offered depends on who the consultation is with (see Types of Providers above).
    • Education classes
      • Can be offered prenatally or postpartum
      • May be in-person or virtual (live or pre-recorded/self-paced)
      • Can be offered as group classes or one-to-one
      • Can be offered by educators, counselors, or consultants (see Types of Providers above)
      • Often paid out of pocket, but some can be covered with insurance benefits. To find out what type of benefits you are eligible to receive through your insurance, reach out to your insurance provider directly.

    Locations for Lactation Support

    Lactation support can be accessed in a variety of settings, allowing families to choose what feels most comfortable and practical for them.

    • In home
    • Virtual
    • Social media
    • Meeting platforms like Zoom or Teams
      • Some offer texting/messaging
      • Should be HIPAA compliant
    • Hospital-based (immediate postpartum or outpatient support)
    • Private office spaces (IBCLC private practices)
    • Public support spaces (support groups in libraries, community centers)

    The Acelleron Example: How Our Team Supports You

    Education and support through Acelleron aims to support lactating individuals within our areas of expertise and primarily focuses on lactation and its relation to pumping.

    Pump Experts (Peer Support)

    Our team members, who are especially enthusiastic about the products we carry, have in-depth knowledge of each breast pump model. They can help with:

    • General product questions
    • Basic troubleshooting
    • Basic use, function, and care
    • Refer up to our CLCs, CBSs, and IBCLCs, as needed

    CLCs & CBSs (Education and Counseling)

    Many on our team have chosen to further their education by certifying as a CLC or CBS, and some of the topics they can help with include:

    • Basic lactation education and support
    • Pumping schedules
    • Different pumping options (e.g. power pumping)
    • Planning for return to work
    • Refer up to our IBCLCs for higher-level questions or significant concerns for the mother or baby (e.g. weight gain, certain medical diagnosis)

    IBCLCs (Clinical Consulting)

    Our IBCLCs have completed extensive education, clinical practice, and passed the IBCLC exam. They provide clinical lactation support and collaborate with medical providers when more specialized care is needed.

    Acelleron is here to support you along your lactation journey, especially if your journey includes pumping! We recognize the importance of referring families to providers outside of our organization when needed. Patients, families, and providers can feel confident that we always have mom and baby’s best interest at the forefront of all education and support we provide.

    Where to Start

    Start your search by focusing on what you need.

    • Reassurance? ➝ peer support
    • Education and planning ➝ educator/counselor (CLC, CBS)
    • Clinical-level help? ➝ IBCLC

    Your needs may evolve overtime, and your support should evolve with you.

  • Postpartum During the Holidays: A Gentle Guide for a Season of Change

    Postpartum During the Holidays: A Gentle Guide for a Season of Change

    The holidays have a way of bringing both joy and pressure at the same time. And when you’ve just welcomed a new baby or are days or weeks away from giving birth, the season can take on a whole new meaning. The pace is different. Your body is healing. Your emotions may be tender. And the things that once felt simple may now feel heavy or overwhelming.

    This isn’t a “get everything done” season. It’s a “go at the pace that feels safe for you and your baby” season. And that’s more than enough.

    Setting Boundaries with Love

    The holidays often come with expectations – visitors, invitations, and longstanding traditions can bring pressure during the postpartum season. But postpartum requires gentleness, rest, and space to bond. It’s okay to create a smaller, quieter version of the holidays this year.

    You can say:

    • “Short visits work better for us right now.”
    • “We’re keeping things calm so we can rest.”
    • “We’ll let you know when we’re ready for visitors.”
    • “We’re skipping events this year to focus on healing.”

    Boundaries aren’t about pushing people away. They’re about protecting the healing and bonding time you and your baby need.

    Preparing for Visitors

    New babies naturally bring excitement, but you’re allowed to guide how and when people visit. Keeping visits short, choosing specific times, or setting health expectations can make things feel more manageable. When people ask how they can help, let them. A meal drop-off or a quick hand with chores can make your day easier and give you more time to rest and recover.

    Common boundaries that help:

    • Visits during certain times
    • No surprise drop-ins
    • Hand washing upon entering or before holding baby
    • Limiting how many people hold the baby (or at all!)
    • Ending visits early if you’re getting tired

    Choosing what feels right for you helps create a calmer and healthier environment for you and your baby.

    Feeding or Pumping Through the Holidays

    No matter how you’re feeding your baby – breastfeeding, bottle feeding, pumping, or a combination – feeding adds another layer to the holiday season. Schedules may shift, routines may feel less predictable, and that’s okay. The goal isn’t to keep things perfect, but to keep them manageable.

    A few gentle reminders that can help:

    • Feeding routines don’t have to look the same every day to be effective
    • Shorter or slightly adjusted sessions still count
    • It’s okay to step away from gatherings to feed or pump when you need to
    • Having supplies organized ahead of time can make things feel less stressful

    If you’re pumping, keeping a small pump kit ready can be especially helpful for outings or visits away from home. And if travel is part of your holiday plans, our blog Nailing Pumping on the Go During Holiday Travel shares practical tips for staying on track while away, including packing, storage, and keeping your routine flexible.

    However you’re feeding your baby this season, give yourself permission to follow a rhythm that works for you. Feeding doesn’t need to fit into the holidays; the holidays can adjust around feeding.

    Going Out, Staying In, or Something in Between

    For many new families, staying home during the holidays feels safest and most restful. Others might choose a short visit with loved ones, or a brief outing just to get some fresh air. There’s no right or wrong way to approach this, only what feels manageable and supports your recovery. This season is all about giving yourself permission to move at a slower pace than usual.

    No matter what you choose, staying in, stepping out briefly, or taking a trip, let it be centered on what feels right for your family in this moment.

    Simple, Meaningful Traditions That Don’t Add Pressure

    This year doesn’t need to be filled with big celebrations. Your holiday traditions can be small, gentle, and just for your little family:

    • Cozy pajamas all day
    • A quiet family photo
    • Reading a short holiday book
    • A candle, a prayer, or a moment of gratitude at night
    • A keepsake ornament for baby’s first holiday
    • A slow morning with cozy blankets and warm drinks

    These memories often become the ones that matter most.

    Supporting Your Mental and Emotional Health

    Postpartum emotions can feel unpredictable, especially during the holidays. Some days may feel light and joyful, and others might feel foggy, overwhelming, or nothing like you expected. This is incredibly common in the early weeks.

    Many moms experience what’s known as the “baby blues,” a short period of mood swings, tearfulness, sensitivity, and feeling easily overwhelmed. It usually shows up within the first few days after birth and often improves on its own within a few weeks. These shifts are brought on by major hormone changes, interrupted sleep, and the physical and emotional adjustment of becoming a parent.

    If these feelings become stronger, last longer than a few weeks, or start making it hard to function day to day, you may be experiencing postpartum depression or anxiety. That doesn’t mean you’ve done anything wrong. It simply means you need support.

    Reaching out to your OB-GYN, midwife, primary care provider, or a therapist can make a meaningful difference. You can also find trusted resources, support lines, and provider directories through Postpartum Support International. The holidays can heighten emotions, but you don’t have to navigate them alone. Asking for help is a healthy, strong step. Not a sign that you’re failing.

    Support can also come from the people around you. Partners and trusted support people can help by checking in often, helping with day-to-day tasks, supporting feeding and pumping routines, and creating space for rest. Sometimes, just having someone notice when you’re overwhelmed and step in can make a meaningful difference.

    A Final Word for This Season

    You’re navigating healing, feeding, emotions, expectations, and a newborn all during one of the busiest times of year. That is a lot. And you’re doing it with more strength and tenderness than you probably realize.

    This holiday season doesn’t need to look perfect. It just needs to feel safe, supportive, and right for your family. However you choose to spend it – at home, with loved ones, or in quiet moments – may it bring rest, connection, and grace for this new chapter you’re stepping into.

     

  • Finding Time to Pump: Creating a Routine That Works for You

    Finding Time to Pump: Creating a Routine That Works for You

    Finding time to pump consistently can feel overwhelming, especially in the early weeks. Whether you’re new to it or navigating this again, it’s not just about sticking to a schedule – It’s about managing the emotional weight, the pressure to do it “right,” and the guilt when things don’t go as planned.

    Much of that pressure comes from the flood of information we see every day – advice from social media influencers, online communities, and even well-meaning friends. Some of it helps, but much of it can leave you feeling behind or not good enough. The truth is, what you’re seeing online is often curated, not real, and comparing yourself only adds stress.

    Let’s take a step back from the noise and focus on what really matters: creating a flexible, sustainable pumping routine that supports both your milk supply and your well-being.

    The Truth About Milk Supply: It’s About Consistency, Not Perfection

    Every time you pump or nurse, you’re sending a signal to your body to make more milk. The more thoroughly and frequently you empty your breasts, the more milk your body will produce. That said, life happens and missed sessions, or an inconsistent schedule won’t automatically ruin your supply. What matters most is staying as consistent as you can and remembering that even a short session makes a difference. Ten minutes is better than none. The truth is, there’s no perfect schedule.

    When Life Gets Busy, Flexibility Wins

    There will be days when your schedule goes out the window. When you’re traveling, returning to work or school, or just trying to survive a rough day. Your routine might shift, and that’s okay. Consistency supports supply, but flexibility is part of what makes your routine sustainable. Normalize imperfect routines, because this is just the beginning for you and your growing family!

    Strategies to Help You Stay on Track

    You don’t need a perfect plan, just a few strategies that can help you build a rhythm that works for your life. These are commonly recommended and have supported many moms across a variety of routines:

    • Exclusive Pumping: If you’re exclusively pumping, aim to pump every two to three hours, or at least 8 times a day, to establish your supply after birth. Once your supply is well established (around 2-4 weeks postpartum), you can discuss spacing sessions to follow your baby’s routine and needs. For example, when your baby is back to birth weight, has good diaper output (urine & BMs), and pediatrician approves longer sleep stretches overnight, your pumping routine may shift to 1-2 pumping sessions overnight instead of 3-4.
    • Hand Expression: Can be used as a backup when you don’t have your pump available. Hand expression can be a simple and effective way to stimulate and collect milk and can also be helpful after a pumping session if you’re not feeling fully drained. Note, if you are consistently not feeling fully empty after pumping sessions, touch base with an IBCLC or the breast pump manufacturer to ensure effective fit and use of your pump.
    • Check your flange size and replace valves regularly: Your flange size can change throughout your breastfeeding journey, and that’s normal. If you’re experiencing discomfort, poor output, or longer sessions, check your flange fit. And if you notice your milk output dropping, worn valves might be the culprit. Replacing them regularly can help improve performance. Learn more in our blog
    • Proper Use: Using your pump effectively can make all the difference! Incorrect use can impact your supply and leave you feeling defeated. Reach out to an IBCLC, our team, or your pump manufacturer for support and
    • Hands-free pumping bra: If fitting a pumping session in is tough because it limits your mobility, consider a pumping bra! While it’s generally recommended to pump in an upright, fairly still position, having access to your hands, even if it is simply to have a snack, can be a huge win.
    • Pumping at Work: Block off time in your calendar ahead of time or set reminders to help you stay on track.
    • Try power pumping if needed: Power pumping mimics cluster feeding and can help stimulate supply. Learn more in our blog and quick Power Pumping video, which walks you through how to make it part of your routine and why.
    • Keep an extra set of clean pump parts: It sounds simple, but having a backup set on hand can save you time and reduce stress, especially on long days.

    Sample Pumping Routine

    Here are two sample routines if you’re pumping at home or returning to work and have no weight or growth concerns for baby:

    At home with 4-month-old baby, exclusively pumping:

    • 6:00 AM – “Wake up for the day,” pump session #1
    • 10:00 AM – Pump session #2
    • 1:00 PM – Pump session #3
    • 4:00 PM- Pump session #4
    • 7:00 PM Pump session #5
    • 11:00 PM Pump session #6
    • Middle of the night session(s), depending on supply and baby’s needs

    Returned to work with 7-month-old baby in daycare, primarily nursing:

    • 5:00 AM – “Wake up for the day,” latch
    • 8:00 AM – Right before daycare drop-off, latch
    • 11:00 AM – Pump at work session #1
    • 2:00 PM– Pump at work session #2
    • 5:00 PM – Pump at work/on commute session #3
    • 6:00 PM – Return home, latch
    • 9:30 PM – Last latch before bedtime
    • Middle of the night latch(es) or pumping session, depending on supply and baby’s needs

    (Remember: every mom’s routine will look a little different, and these are just examples.)

    Take Care of Yourself Too

    Your body is working overtime making milk, holding it all together, and often doing it on little to no sleep. Especially in the early days, it’s easy to feel like you need to put yourself last. But here’s something we don’t say enough: when you consistently put yourself last, you’re not truly putting your baby first.

    It may feel like you need to breastfeed or pump before you eat, or skip breaks when your baby cries, but taking a moment to nourish yourself is just as important. Your body is burning more calories and energy than ever, and giving yourself fuel is essential.

    Something as simple as having a snack and a water bottle within reach while you’re feeding can make a difference. Check out our blog Nourishing Your Body with Nutrition from Pregnancy to Postpartum and Beyond for more helpful tips and food ideas.

    What Support Can Really Look Like

    Support in real life can look so different from what we’re used to seeing online, and that’s okay. Some days, that support might come from a partner, family member, or friend. Other days, it might be a quiet moment to yourself or finally reaching out for the help you’ve been needing.

    If you’re in that place and need extra guidance, please reach out to an International Board Certified Lactation Consultant (IBCLC) or connect with one of our Certified Lactation Counselors for a virtual consultation through our Education & Support Programs.

    Give yourself the grace you deserve. Every journey looks different, and that includes yours, whether it’s your first time or your third. No matter what it looks like today, you’re doing enough, and support is always within reach.

  • Birth and Breastfeeding: How Irth Is Creating Better Experiences for Black and Brown Families

    Birth and Breastfeeding: How Irth Is Creating Better Experiences for Black and Brown Families

    Every expecting parent deserves a joyful pregnancy journey. However, too many Black and brown women and birthing people are robbed of this joy, instead often facing the kind of bias that leads to disproportionate risks.

    In the U.S., Black women are three times more likely to die from pregnancy-related causes than white women, and these outcomes aren’t tied to income, education, or location. It’s a painful reality shaped by medical racism, implicit bias, and lack of culturally competent care. From being unheard during doctor appointments, to pain levels being dismissed during delivery, to experiencing other forms of biased treatment, the disparities in maternal healthcare are real and dangerous. These issues are not just statistics; they are lived experiences, and they require urgent, community-driven solutions.

    That’s where Irth™ comes in.

    Irth (as in “birth” but without the “b” for bias) is a groundbreaking, non-profit, digital platform where Black and brown women and birthing people can find and leave reviews of OB/GYNs, birthing hospitals, and pediatricians. Think of Irth as a “Yelp” for Black maternal health but community-powered and mission-driven.

    “I created Irth because I wish I had it when I was giving birth,” says founder Kimberly Seals Allers, an internationally recognized maternal health advocate, former senior editor at Essence magazine, and author of The Big Letdown–How Medicine, Big Business & Feminism Undermine Breastfeeding (St. Martins Press). “I went to a hospital that was very highly rated on every media list, but none of those sources considered how I would be treated as a Black woman who was, at the time, unmarried, and in graduate school with basic health insurance. Instead of the joy of being a first-time mom, I walked out feeling disrespected, dismissed, and disgusted. I deserved better.”

    Now, Irth works to improve the maternal healthcare system for all.  On the back end, Irth’s anonymized reviews are turned into robust patient experience data to work directly with hospitals, payers, and providers to help them provide more respectful and equitable care. Irth’s innovative Birth Without Bias™ Hospital Improvement Program is now active in eight hospitals across six states including New York, California, and Minnesota.

    “We want every mama and birthing person to get the five-star birth experience they deserve regardless of race, ethnicity, language proficiency, marital status, or insurance type. And we’re driving more accountability and transparency within health systems,” adds Seals Allers, who is also a co-founder of Black Breastfeeding Week.

    Users can leave reviews of prenatal appointments, birthing experiences, postpartum visits, and pediatric appointments up until the baby’s first birthday. Irth’ Crown Rewards program allows users to earn points for leaving reviews, which can be redeemed for discounts and for cash in 15 cities. Irth’s new Crown Community is an in-app birthworker-led digital village, where parents can ask questions and get answers from other parents and birth professionals.

    The birthing track asks questions about the doctors, nurses, and lactation consultants in the experience. “Hospitals are ground zero for lactation support, and those early interactions can impact breastfeeding duration,” notes Seals Allers.

    Every voice matters. If you’re a Black or brown birthing person, share your experience on Irth. Your review could change someone’s birth story — or even save a life.

    Irth is a non-profit, grant-funded project of Narrative Nation Inc., a New York City-based technology and media non-profit that creates narrative-centered digital & media products to address racial disparities in maternal and infant health. Narrative Nation also produces Birthright, a podcast showcasing joyful Black birthing stories to disrupt the doom and gloom narrative common in mainstream media coverage of Black maternal health. Narrative Nation is the fiscal sponsor for Black Breastfeeding Week, held annually August 25-31, the only national awareness campaign focused on optimal infant feeding in the Black community. The 2025 theme for BBW, now in its 14th year, is Boots on the Ground.

    You can learn more and explore Irth’s mission at irthapp.org.

    Follow @theIrthApp and @iamKSealsAllers on Instagram, Facebook, & X.

    This guest blog was contributed by Irth™, a nonprofit app working to improve birth and breastfeeding experiences for Black and brown families.

  • Hands-Free Cups vs. Wearables: What’s the Difference?

    Hands-Free Cups vs. Wearables: What’s the Difference?

    If you’ve decided that holding standard flanges to your chest for about 15 minutes every time you pump just isn’t for you, you’re not alone. Let’s talk about some alternative options: hands-free collection cups and wearable breast pumps.

    Wearable pumps and hands-free collection cups, may seem like the same thing, and while the terms are often used interchangeably, they’re not exactly the same. Think of it like this: all squares are rectangles, but not all rectangles are squares. Similarly, all wearable pumps are hands-free, but not all hands-free pumps are fully wearable. They have some clear differences and few similarities, so let’s break it all down.

    Portability

    • Hands-free collection cups
      These cups tuck into your bra, but still require the use of tubing and a separate motor. The motor might be clipped to your waistband or placed nearby.
    • Wearable pumps
      Fully wearable options have the pump motor and collection system all in-bra, making them a fully integrated unit.
    • Both options have a built-in rechargeable battery, but most cannot operate while plugged in for charging – something to keep in mind for busy days or travel.

    Discretion

    • Hands-free collection cups
      Often smaller and lower profile, these cups may be less noticeable inside your bra. However, the tubing must run out of the top or bottom of your shirt to connect to the pump motor, which can make it more visible.
    • Wearable pumps
      Because they house the motor inside the unit, they may be more obvious under clothing, often projecting further out from the chest and possibly taller or wider to accommodate the motor and collection.
    • Both options typically have very quiet motors.

    Control/Bluetooth

    The ability to control suction strength, speed, and modes is important when choosing a pump. Many hands-free and wearable options now come with Bluetooth functionality, allowing for more control via smartphone apps. These features may include:

    • Tracking pumping sessions (time, duration)
    • Controlling pumping sessions (changing modes, suction strength, and more)
    • Volume estimates showing how much milk you’ve collected during pumping sessions
    • Auto shut-off when the collection container is full

    Storage Capacity

    When comparing pumps, consider how much milk the collection container holds:

    • What is the max fluid capacity for the collection container?
    • Are the containers clearly marked with mL and oz?
    • The right capacity depends on many factors: singleton vs multiples, age of baby(ies), overall feeding needs, etc.
    • The bigger the container, the more it may show when being worn under clothing, with or without tubing.

    Examples: Elvie Double Electric Wearable Breast Pump, Lansinoh DiscreetDuo Wearable Pump, Medela Freestyle Hands-free Breast Pump

    Cleaning/Parts

    How easy a pump is to clean and maintain can make a big difference in your daily routine. Be sure to consider assembly, part availability, and cleaning guidelines before choosing.

    • Ease of use: Consider how easy it is to put the pump and parts together, take them apart, clean them, and then reassemble.
    • Warranty: What is the warranty and/or lifetime on the pump motor and required pump parts?
    • Replacement parts: What is the lifespan of key parts, and can you access replacements easily? Can parts be purchased in stores or online, and/or are they covered through insurance?
    • Compatibility: Many pumps that offer hands-free collection kits can also be used with standard flanges, but may require different tubing and/or buying the standard flanges separately.
    • Cleaning guidelines: Each manufacturer has specific cleaning guidelines that may differ slightly from the overarching recommendations set out by the CDC. For example, some do not allow certain sterilization methods, like the dishwasher or certain sterilizers (microwave and/or stand-alone options).

    Flange Fit and Sizing

    Does flange sizing matter for wearable and hands-free options? Absolutely – possibly even more so.

    • The shape and material of the flange are just as important as the size itself.
      • These flanges are different from standard ones, so be open to different sizing adjustments to ensure comfort and effective milk output.
      • Your body may react differently to hard plastic vs. silicone, depending on what the pump uses and what insert sizes are available.
      • Some pumps will come with hard flanges, but only offer smaller sizes as silicone inserts rather than full replacement flanges.
    • Some wearables use a “continuous latch” design, never fully releasing the nipple.
      • These are the most portable of any wearable because even with movement, the nipple stays engaged.
      • Using the correct size is extremely important because the nipple is experiencing constant stimulation during every pumping session.

    Cost Considerations

    • Hands-free and wearable options typically cost more than traditional pump options, with ranges varying from less than $200 to $500+.
    • All options require replacing parts over time to ensure the pump functions effectively, and some parts may not be covered by insurance.
    • Some wearable pump models come with single-use milk storage bags, requiring additional out-of-pocket costs.

    Pro Tip: Any Pump Can be “Hands-free”

    With the help of a hands-free pumping bra, almost any pump model can become “hands-free.” The bra holds the flanges in place so you don’t have to – just make sure it fits well to maintain proper alignment and try to remain in a seated position while pumping. Even with most hands-free and wearable options, too much movement can interfere with the flange fit, alignment, and effectiveness, pumping bra or not.

    What’s Next

    Choosing between hands-free cups and wearable pumps really comes down to your lifestyle, comfort, and priorities. Think about where you’ll be pumping most often, how much mobility you want, and what feels best for your body. The right choice is the one that helps you pump effectively, fits your routine, and supports your feeding goals, whether that’s using one of these options occasionally for convenience or as a backup, or sticking with your primary pump for most sessions.

    If you are still unsure which option works best for you, our pump experts can help. Visit our Education and Support page to connect with an IBCLC or CLC, explore our free on-demand Pump Exploration Webinar, or watch our Breast Pump Unboxing Series to see different pumps in action.

  • What is a Letdown and How to Trigger Milk Flow While Pumping

    What is a Letdown and How to Trigger Milk Flow While Pumping

    Those are some heavy words: letdown and trigger! Let’s talk about what this all means and make it a little more oxytocin-forward.

    What actually makes milk flow?

    There are two main hormones that directly affect breastfeeding: prolactin and oxytocin.

    • Prolactin, also known as the “milk hormone,” stimulates milk production in the mammary glands
    • Oxytocin, known as the “love hormone,” is responsible for the milk ejection reflex (also called the letdown reflex), which helps milk flow when a baby nurses or when using a breast pump.

    Oxytocin acts as both a hormone, released to the bloodstream, and a neurotransmitter, sending signals to the brain. It causes the cells around the alveoli (milk-making glands) to contract or push milk through the ducts, which should occur within the first minute of pumping.

    Fun Fact: Oxytocin also helps the uterus contract!

    3 Ways Our Bodies Get Oxytocin Flowing:

    1. Mental/Emotional: Thinking of your baby and the love you have for them can get things flowing. Many people’s bodies get “excited” to nurse or pump that just getting into position (e.g. favorite chair, positioning baby, or grabbing pump parts) can prompt milk to start flowing!
    2. Sensory: Your senses play a big role. Smell, touch, sight, and sound all help to release oxytocin. Smelling your baby, touching their skin, seeing their cute cheeks, and/or hearing their little baby grunts and groans can all help in the process by lowering stress and improving your mood. Picture the new mom walking around a store hearing another baby cry and then hang to hold her arms tight to her chest to avoid leaking!
    3. Suckling: When baby begins to nurse, their suckling creates suction and pulls on and massages the nipple. This stimulation triggers the release of oxytocin.

    How Breast Pumps Get Oxytocin Flowing:

    Nipple movement and stretching helps stimulate the release of oxytocin, a hormone that supports milk letdown. When using a breast pump, the vacuum creates a negative pressure, which pulls or suctions the nipple into a breast shield tunnel, helping with milk production. This is similar to a baby suckling but limited in its effectiveness when compared to a successful and strong latch for a parent and baby dyad.

    How to Simulate to Stimulate When Pumping:

    To help stimulate and release oxytocin while pumping, try recreating the experience of what might occur if you were to nurse your baby instead of pumping:

    1. Mental/Emotional: Follow your general routine and take breaks to pump. Pumping when you would typically be nursing, or frequently throughout 24 hours if exclusively pumping, will help maintain your supply. Your body will get into a rhythm. Try not to disrupt that rhythm with added stressors like work or school – step away to pump when you can.
    2. Sensory Cues: Use pictures, videos, or clothing to remind your senses of your baby. If you cannot be with your baby while pumping, watching a video or smelling one of your baby’s recently worn hats can help stimulate your senses and emotions. Note, this step may even bring a few emotional tears, especially during early separation from your baby. Skin-to-skin contact and gentle breast massage (as a form of hands on pumping) can also be helpful. The keyword here is: gentle! Remember to move your hand around rather than focusing on just one spot. You can learn more about hands-on pumping here.
    3. Suckling: Most breast pumps have directions and/or certain modes to help mimic how a baby first sucks to get the milk flowing. Start with those beginning modes, then adjust based on how your body feels. Remember, comfort is important.

    What Could Impact Your Milk Starting to Flow When Pumping

    • Flange Size: Using the wrong flange size can cause a delay in your milk releasing, extending pumping sessions and possibly causing discomfort. Learn how to find the right flange size in our blog.
    • Stress: Stress hormones can interfere with oxytocin and may delay your milk release. Take a few deep breaths, look at your baby (or a favorite picture/video of them), have a snack, or try to think about things other than your stressors in the moment.

    Did You Know?

    Some people will have a sensation when their milk begins to flow, like tingling within the nipple, but others don’t feel it at all. There is no right or wrong, but don’t be surprised if you experience this sensation. It usually only lasts a few moments.

    If you ever have concerns over your milk ejection reflex, pumping, or lactation in general, do not hesitate to reach out to a local International Board Certified Lactation Consultant (IBCLC) for personalized support.

     

    Illustration of the internal anatomy of the breast from the World Health Organization’s breastfeeding guide, showing lobules, ducts, and nipple.

     

     

     

     

     

    Image source: Figure 3, “Anatomy of the breast” from Session 2: The physiological basis of breastfeeding,Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals (World Health Organization, 2009). View original here.

    Disclaimer: Image used for educational purposes only. Acelleron does not claim ownership. Content adapted from the World Health Organization via the National Library of Medicine (NCBI Bookshelf).

  • Finding the Right Breast Pump for You: Types, Features, and What To Look For

    Finding the Right Breast Pump for You: Types, Features, and What To Look For

    So, you have decided to look for a breast pump? Well, you don’t want just any breast pump. We recommend finding the best pump for your needs and lifestyle. Though opinions from family, friends, and influencers may be a small part of your research, it should not be the core focus of it. In this blog, we’ll walk you through the different types of breast pumps, the parts of a breast pump, the features to consider, as well as additional accessories and support on your journey to find the right fit for you.

    3 Types of Breast Pumps:

    1. Manual:
      Manual, also known as a hand pump, are non-electric, single pumps used for the expression of milk. They are generally more affordable, smaller, and lighter than electric pumps, but they can require more effort and time to pump. Manual pumps are useful in the absence of electricity, on car rides, and for parents who may not pump as frequently. You can learn more about these in our “Manual vs. Silicone Breast Pumps: Which One Should You Choose?” blog here.
    2. Personal Electric – Our focus in this blog!
      Personal electric pumps are fully automatic due to their motors, which use suction to extract breast milk. They offer adjustments for cycling time (speed) and suction levels (strength) for comfort. Most are double electric pumps, which enable you to pump both sides simultaneously, saving time. These pumps are ideal for various reasons such as maintaining milk supply, managing engorgement, or for a baby who cannot directly breastfeed. In addition, they are extremely helpful when returning to work, school, or for anyone that may need to pump multiple times a day.
    3. Hospital-grade Electric
      Hospital-grade pumps are designed for multiple users, meaning the same motor can be used by more than one person (using individual collection kits and cleaning the motor between users). These pumps are stronger in their suction strength and power and offer different suck and release cycles than personal pumps. Hospital-grade pumps are often a good solution for parents with preemies, multiples, or for mothers with a medical condition that affects milk production.

    Parts of a Breast Pump

    While thinking about how to decide which pump is best for you, it is important to know the basic parts of a breast pump and how they may play into your decision.

    Flanges/Breast Shields

    Flanges and breast shields are cone shaped cups with a tunnel that fit over your nipple and areola, an essential component that creates a seal between your breast and the pump. They come in various sizes and connect to your collection bottle, as well as other parts. Pumps will come with at least 1 size set of flanges, but other sizes are available. It is important to get the correct size flange/shield for optimal stimulation, comfort, and expression.

    Inserts are used to adapt a standard flange size to better fit within a flange/shield to reduce the tunnel opening and are typically silicone. Flange fit can change depending on what type of flange, shield, or insert you use. In addition, your flange size can change throughout your breastfeeding journey.

    Membranes & Valves

    Small, flexible parts, and typically silicone, breast pump membranes and valves aid in the suction and vacuum seal needed to allow milk to flow into the collection bottle while pumping. This pulls the nipples, stimulating lactation. Some membranes also stop expressed milk from flowing back into the pump motor. They should be replaced regularly, as their flexibility and durability wear down over time, which impacts suction and milk output.

    Tubing

    The tubing connects the pump motor to the collection kit, supporting the suction process. It is important to keep the tubing clean and dry to prevent mold and ensure effective suction. Only air belongs in the tubing – no milk! Some models use adapters on one or both ends of the tubing to connect to the different parts of the pump. Note: fully wearable pumps do not have any tubing.

    Pump Motor

    The main “control system” that creates the suction that helps to draw out your milk from the breast. The suction level and cycle rate should be adjustable to control the intensity and rate at which the pump pulls and releases.

    Collection Containers

    Bottles or storage bags that directly attach to the pump to collect expressed milk. Not all collection containers are compatible with all pumps, so check with the manufacturer. Some companies make bottle adapters to collect milk in different bottle sizes or storage bags.

    Power Source

    All electric pumps run on a power cord, a battery back, or both. The length of the power cord varies depending on the pump models. Battery options include AA internal, external battery pack, and internal rechargeable.

    Features to Consider

    There are many different parts of a breast pump, but there are even more opinions on how to decide between breast pumps, or which is best! To keep YOU at the focus of this decision, we have broken down what to consider into two tiers. The first tier includes features we believe to be the most important to consider. The second tier includes features that are also important, but meant to narrow down tier one top choices or reinforce one you may have already chosen.

    Tier 1

    Suction/Cycle Settings

    Breast pumps are designed to mimic a baby’s natural nursing rhythm by both the suction pressure (mmHg) and the suckling speed (cycles per minute, CPM). Most pumps have different modes and phases to help guide you through pumping sessions. You can decide how much control you prefer to have by choosing a pump that has more preset settings, or one that lets you customize and fine-tune the settings further.

    Portability

    Pump weight, size, and power source options all contribute to portability. Are you planning to carry the pump back-and-forth to work or school? Consider a lightweight or smaller sized pump. Will access to an electric outlet be a concern? A pump with a car adaptor, or that can be run on battery power, may be useful. For extra flexibility, hands-free and/or wearable options may be suitable for your lifestyle.

    Tier 2

    Warranty

    Most warranties cover a length of time (e.g. 1 to 2 years). If you’ll be using your pump often or have goals regarding your overall length of lactation, aim for a longer warranty.

    Extra Parts/Accessories/Guarantees

    Some pumps come with additional flange sizes, a carry case/bag, extra parts, or cooler packs. How easy will it be to obtain replacement or spare parts – can parts be found in store, online, or both? What other resources does the pump manufacturer offer to support you on your pumping journey? For example, some manufacturers may offer guidance on trying and obtaining different flange sizes.

    Other Features

    What options does the display have – timers, strength and cycle indicators, touchscreen, backlit? Would a nightlight be helpful for your pumping sessions, whether to light up the area around the pump or above, too? How important is app connectivity to track, control, and/or measure milk volume while pumping? Do you want the option to customize your pump to match your style more? Try a pump with personalization/skin decals.

    As with many decisions around pregnancy and parenting, advice is often shared and may be appreciated, but it is important not to solely rely on how a pump worked for someone else. Everyone reacts to pumps in different ways, and each individual has their own separate lactation goals.

    If you ever need help with your breast pump or breast/chest feeding in general, please reach out to an International Board Certified Lactation Consultant (IBCLC).

    What’s Next

    If you are still not sure which breast pump to choose, we’ve got you covered! Watch our Breast Pump Unboxing Series on YouTube, register for our free on-demand Pump Exploration Webinar, or check out our Breast Pump Selection Guide to help you make the best choice for you. When you’re ready, you can order your pump here!

  • Understanding Breast Pump Modes, Cycles, and Suction Settings

    Understanding Breast Pump Modes, Cycles, and Suction Settings

    How often do you read the user manual when you get a new product (e.g., cell phone, coffee maker, kid’s toy)? While some people turn to the user manual right away, many of us “wing it” when trying something new. That approach might work ok for a phone, but when it comes to breast pumps, a bit more background knowledge goes a long way – even if you’ve already pumped before. Let’s explore and understand how breast pumps operate before using it on a such a sensitive area of our body!

    All breast pumps are designed to follow a general framework that aims to mimic a baby’s natural nursing pattern. Most pumps have modes, with the two most common being Letdown Mode (otherwise known as Massage Mode, Stimulation Mode, or Initiation Mode) and Expression Mode. It is recommended to start your pumping sessions in Letdown mode, which typically has a faster suck pattern with a lower suction strength to encourage milk to begin to flow. This frequent nipple stimulation and stretching from the pattern in a Letdown Mode helps your body release oxytocin – often called the love hormone – which stimulates the release of milk. Once milk flow begins, Expression Mode is then used to collect the milk with a slower suck pattern and the option of higher suction strength.

    Fun fact: Oxytocin is also responsible for stimulating contractions during labor!

    Terms to Consider:

    • Cycle (speed)
      • Measured in CPM= Cycles (or pulls) Per Minute
    • Vacuum/Level (strength)
      • Measured in mmHg, represented by a negative number
    • Letdown/Stimulation/Massage/Initiation
      • Mode or settings used to stimulate milk to begin flowing
    • Expression
      • Mode or settings used to express & collect milk after it begins to flow

    Examples: Cimilre S6, Lansinoh DiscreetDuo and Spectra SG Portable 

    So, what do these terms actually mean when using a pump?

    The wide variety of pump choices available allows everyone to choose a pump model that works best for their lifestyle and preferences. Whether you prefer a more user-friendly option or one with extensive customization, there are benefits to both. Pre-set pumps are often more intuitive and easier to use, while pumps with cycle speed control may have a bigger learning curve but offer more options to fine-tune settings.

    Breaking Down Mode Options

    • Pre-set CPM vs. CPM control
      • Some pump options have their cycle speed (CPM) pre-set for each vacuum level.
      • Others allow users to change the CPM independently from the vacuum level.
      • The Cimilre S7 allows for both options above!
    • Vacuum Levels and CPM Gaps
      • Each pump has its own unique spacing – or gaps – between vacuum strength and CPM levels.
        • Example: CPM may increase in increments of 5 (e.g., 60-65-70-75-80 CPM)
        • Example: Suction strength (measured in mmHg) may increase in increments of 20 (e.g., 120-140-160-180 mmHg)
      • Two pumps may share the same max mmHg, but the number of available levels may differ.
        • Examples:
          • Two pumps have a max of -280 mmHg:
            • One has 8 suction strength levels to choose from
            • One has 9 suction strength levels to choose from
          • Two pumps have a max of -285 mmHg:
            • One has 10 suction strength levels
            • One has 12 suction strength levels
          • As a result, the differences in suction strength between levels will vary across all of the above pumps!
        • Tip: Because of these variations, it is highly recommended to take it slow when trying out different speeds and strengths on a pump that is new to you!

    Mode Control

    Did you know it may be possible to have more than one letdown during a nursing session? Well, that is also true for pumping! While it is usually recommended to start in Letdown Mode and then switch to Expression mode, you can also start the process again if you find your milk flow has slowed down during a pumping session. This may help stimulate another significant flow of milk!

    • Most pumps can go back and forth between modes, some cannot.
    • Many pumps include an automatic switch from one mode to the other, after 1- 2 minutes or when they “sense” milk has started flowing.

    Outside of the two most common standard modes, many manufacturers have added extra options. However, no matter how many modes your pump includes, always start with the more traditional Letdown and Expression Modes as you get to know your body (and your pump!). Once you feel confident and comfortable, you can explore the additional modes your pump offers.

    Extra Mode Examples:

    If you are ever unsure about how to use your pump or just want to feel more confident in your pumping journey, don’t hesitate to reach out to an International Board Certified Lactation Consultant (IBCLC). They’re here to support you!

    You can also check out our Breast Pump Unboxing Series for a closer look at how different pumps work. These short videos walk through key features and setup tips to help you feel more prepared before your first session.

     

  • Understanding Mastitis: What Every Nursing Mom Needs to Know About the New Guidelines

    Understanding Mastitis: What Every Nursing Mom Needs to Know About the New Guidelines

    Mastitis is a common topic in support groups and can often be described in ways that sound overwhelming or even scary. In 2022, the Academy of Breastfeeding Medicine (ABM) released a new Clinical Protocol, The Mastitis Spectrum #36, to help individuals better understand inflammation, mastitis, and their treatment options. Below we explore the new guidelines and steadfast recommendations for anyone experiencing inflammation, engorgement, and/or mastitis.

    Inflammation vs. Postpartum Engorgement

    Inflammation occurs when the milk sacs within the breast become very full. It can be uncomfortable and can occur on one or both sides. While inflammation could lead to mastitis, it doesn’t always.

    Postpartum Engorgement usually occurs between days 3-5 postpartum, when milk increases in volume during Lactogenesis II (the transition from colostrum to mature milk). It often affects both breasts and is caused by interstitial edema (extra fluid between cells, causing swelling) and hyperemia (a lot of blood vessels) in the area.

    Mastitis: Inflammatory vs. Bacterial

    All mastitis starts with the milk ducts narrowing due to inflammation, and this is referred to as inflammatory mastitis. If not addressed initially, it can develop into bacterial mastitis, which often requires further treatment options such as antibiotics. Bacterial mastitis can also develop through a wound on the chest, breast, and/or nipple.

    What to Do if You Think You Have Mastitis

    Know what is normal (and what’s not):

    Everyone’s chest or breast anatomy can be slightly different, but some signs may suggest something’s off:

    1. New lumps or bumps within your breast
    2. New breast discomfort in specific spots
    3. Redness with no external cause (like rubbing or massage)
    4. Hot to touch in targeted areas

    Important reminders

    It is important to know that your milk, breasts(s), and feeding are all safe for your baby when you have mastitis! In fact, continuing to nurse is helpful to move the milk, even with bacterial mastitis. Your baby will not become sick from ingesting your milk while you have mastitis.

    Although mastitis symptoms can come on quickly and can feel overwhelming, the best, and often hardest, thing to do is take a moment and not let yourself panic. Don’t hesitate to reach out to your lactation support (International Board Certified Lactation Consultant/IBCLC) with questions, but note that if you require antibiotics, those will be prescribed by your OBGYN/midwife/primary care provider. If possible, plan ahead and keep a list of best contacts for future concerns. Less to figure out in the moment!

    Keep track of your symptoms – when they start and any changes you know of leading up to the start of symptoms (like a new bra, missed feedings, or a change in schedule).

    On-demand feeding

    Mastitis and inflammation are often uncomfortable, but it is important to continue to nurse your baby on demand or follow your typical schedule as closely as possible. Do not space out any feedings or pumping sessions as this can make symptoms worse.

    Pumping considerations

    If you can avoid pumping and limit stimulation to direct nursing only, this may help reduce the chance of breast or nipple injury. If you are not able to avoid pumping, make sure to pump only to maintain supply and not to fully empty your breasts as this can make symptoms worse.

    Often, people will use their pump at a higher strength to try to “move” or “release” any milk they feel is “stuck,” but this is actually not a helpful practice. Using a strength that is too high can possibly cause pain, damage, and/or worsen inflammation.

    As always, ensure you are using the correct flange size for your body. Using a flange that is too large could cause more pain, damage, and/or make your symptoms worse.

    Cold vs. heat

    Heat was often recommended as a primary tool to help soothe discomfort due to inflammation and mastitis. The new guidelines recommend using cold therapy to help reduce inflammation and pain.

    Warmth can still be used if you find it helpful or comforting, such as taking a warm shower, but with moderation.

    The shift from heat to cold stems from concerns that heat may increase inflammation, potentially worsening mastitis symptoms.

    Bra Fit & Comfort

    Bras – whether standard, nursing, hands-free pumping, or combo options – can be incredibly helpful during your lactation journey. But if they do not fit correctly, they can work against you. Your bra shouldn’t feel too tight on your breasts or around your chest. Extra compression can disrupt normal milk flow by putting pressure on your milk ducts, potentially leading to inflammation. If you are uncomfortable in your bra, it’s best to swap it out.

    Underwire bras should also be avoided if they are too small or if the wire is digging into your chest or breast tissue.

    Massage & Hands On Pumping

    Avoid any deep massage to your chest, breasts, or nipples if you are experiencing inflammation or mastitis, as this could worsen inflammation and potentially cause further damage. Instead, gentle massage and hands-on pumping are great for helping move the lymph fluid within your breasts and helping reduce inflammation.

    Cleaning & Sterilization

    No need to change your routine for cleaning or sterilizing your pump and bottle parts if you have mastitis. You can follow the standard recommendations found in your pump user manual or the CDC guidelines.

    If you suspect engorgement or mastitis, especially if you have symptoms that persist for more than 24 hours, reach out to your OBGYN, Midwife, or IBCLC for more info or support. You know your body best – trust that and reach out when something doesn’t feel right.

    References

    For additional guidance and to explore the full recommendations mentioned in this blog, check out:

    1. ABM Parent Handouts – Academy of Breastfeeding Medicine
    2. ABM Clinical Protocol #36: The Mastitis Spectrum (2022, Revised)
      *This updated protocol replaces Protocol #4 (Mastitis) and Protocol #20 (Engorgement).

     

     

     

     

     

  • Manual vs. Silicone Breast Pumps: Which One Should You Choose?

    Manual vs. Silicone Breast Pumps: Which One Should You Choose?

    When you picture a breast pump, what comes to mind first? Chances are, it’s not a manual pump – also known as a hand pump. If you are exploring pump options now vs. 20+ years ago, electric pumps likely dominate your thoughts. While manual pumps often end up in the shadows to their electric counterparts, they can be incredibly useful for supporting your lactation journey!

    What is a Manual Breast Pump?

    A manual pump, also known as a hand pump, is a non-electric, single pump used for expressing milk. Using a lever or squeeze handle to create suction, the “motor” of the pump is your hand! Manual pumps often fall into three main categories:

    1. Traditional all-in-one – Includes everything you need to operate the pump and collect your milk.
    2. Handle-only add-on – A detachable handle that can be used with or in place of other parts from the same manufacturer’s other pump models.
    3. Silicone: A one-piece setup that uses passive and/or active milk collection.

    Manual-vs.-Silicone-Breast-Pumps

    Why Choose a Manual Pump?

    • Control – You get to be the motor, setting the pace and strength of the suction, depending on how fast, slow, hard, or soft you use the lever/handle. There are no predefined options, so you can truly follow your body’s lead!
    • Cost – With fewer parts, manual pumps are budget-friendly, typically costing between about $10-$35.
    • Battery/motor free – No need to worry about an outlet, charging, or replacing batteries because you are the motor! No power? No problem!
    • Size – Most are single-sided (for use on one side of the chest at a time in place of pumping both sides at once) and take up very little space. They’re small, lightweight, and easy to clean, making them a great choice for travel or on-the-go pumping.

    Does Flange Fit Still Matter?

    Yes, absolutely! The size of the flange is just as important with manual pumps! A proper fit is key to your comfort and milk output.

    Do Manual Pumps Have A Warranty?

    Manual and silicone pumps are often classified as accessories, meaning their return policies or guarantee warranties are usually shorter than a typical electric breast pump warranty (which typically last 1 to 2 years).  Depending on the brand, warranties for manual and silicone pumps often range from 14 to 90 days.

    Should a Manual Pump Be Your Only Pump?

    There is no real “should”- it depends on you, your needs, lifestyle, and preferences! Many parents use a manual pump as a back-up to an electric pump, or for the added flexibility, making them a great tool in certain situations (think power outages, battery failures, or when an electric pump isn’t as practical).

    How Do You Use a Manual Pump?

    Using a manual pump will follow the same general pattern as an electric pump:

    • Start by stimulating your milk to flow, with fast, light squeezes on the pump’s handle or lever. This mimics a baby’s natural suck rhythm.
    • Once your milk is flowing and you’ve had a let down, switch to slower, stronger or longer squeezes of the handle.
    • If double pumping, switch sides once milk flow slows or stops, or whenever you are ready move to the other side.

    How to use manual pump

    Each manual pump model may be slightly different in how they function. For example, the Medela Harmony Manual Pump handle has two levers for different pumping phases:

    • Top (shorter) lever: stimulates your milk to flow with shorter and faster squeezes.
    • Bottom (extended) lever: has a wider angle from the pump base, helping with longer, slower pulls/squeezes.

    Other brands will often have a single handle/lever that allows you to create both patterns.

    What About Silicone Pumps and Collection Devices?

    Haakaa Gen 2 Silicone Pump

    Silicone pumps and collection devices are similar to manual pumps but function quite differently. While they share key features such as being motor-free, battery-free, and typically more affordable, their fit and how they are used can vary.

    There are two main use-case scenarios with silicone pumps:

    1. Passive Milk Collection – Capturing milk drips that naturally occur without additional stimulation like chest massage or suction. This type of collection usually occurs while nursing or pumping on the opposite side.
    2. Active Milk Collection – Controlling the breast in a way to encourage more milk release and collection, typically by applying suction.

    Passive collection does not stimulate milk production, while active collection (using suction) can impact your milk supply.

    The Haakaa shown above, is an example of a silicone option that can either passively collect milk or actively apply suction to the breast for more milk removal, depending on how it is positioned.

    Does Fit matter for Silicone Pumps?

    When it comes to fitting silicone pumps and collection devices, your comfort is most important. Unlike a manual or electric pump, silicone pumps pull in the breast tissue, areola, and nipple as part of the suction process, and they do not have different flange/cup/shield sizes. If you are experiencing pain while using any silicone options, please contact an International Board Certified Lactation Consultant (IBCLC) before continuing use.

    The number of options for expressing milk continues to grow! Deciding what to use is deeply personal. While electric pumps remain the most common, manual and silicone pumps are affordable, accessible, and are certainly worth trying.

    Watch Our Video!

    For a complete visual guide on manual and silicone pump use and helpful tips, check out our video here.

     

     

  • Nailing Pumping on The Go During Holiday Travel

    Nailing Pumping on The Go During Holiday Travel

    Holiday travel to visit our loved ones can be hectic, especially when traveling as a family with our little ones. Whether on the road or in the air, careful planning is essential for a breast pumping mama. But don’t worry, you can enjoy your time away from home without worrying about maintaining your milk supply. Here are some tips to help you pump like a pro, while on the go:

    Pack Your Pumping Kit

    Your travel pumping kit is your lifeline! Having things preassembled and/or packed in the order of how you will need to take them out will make it easier in tight travel spaces. Be sure to include:

    • Milk storage bags or storage bottles
    • A portable cooler
    • Ice or gel packs
    • Extra pumping parts
    • Cleaning supplies, such as a bottle brush, travel-size dish soap, and paper towels (in case there are spills!)

    Optional items that can be helpful depending on your travel plans and circumstances:

    If you’re traveling with previously expressed milk on a plane, know that it is exempt from Transportation Security Administration (TSA) regulations liquids restrictions in the United States.

    Prep Your Pump for Travel

    You don’t need to buy a brand-new pump for travel, but choosing the right one for on the go will make life a lot easier. If you have multiple pumps, opt for one that fits your plans—whether it’s portable, battery-powered, wearable, or manual. For plug-in-only pumps, consider bringing a manual pump as a backup for situations without easy access to outlets, like during a plane ride. If you’re using a battery-powered pump, ensure it’s fully charged (or pack extra batteries if it’s not rechargeable) just in case. For international travel, bring an outlet adapter to keep your pump functioning abroad.

    Don’t have a breast pump yet? Check if you qualify for a free breast pump through insurance here.

    Dress for Travel Success

    Comfortable, nursing-friendly clothing is a must. From head to toe, make sure you’re as comfortable as possible, especially if your journey is one of several hours. Layers are a great option for staying cozy, while also giving you the easy access you need for pumping. Some great options are nursing tanks, nursing tops, nursing hoodies, and of course nursing and pumping bras.

    Stay Consistent with Your Routine

    Even though traveling may disrupt your regular schedule, a little flexibility can make a big difference in keeping your routine on track as much as possible and is key to maintaining your supply. Make the most out of your down time even when you find yourself with little time. Remember, a shorter pumping session is better for your supply than skipping it entirely.

    Also, don’t forget about hand expression when you’re in a bind! It’s a valuable skill for situations where you may be unable to nurse or pump. Learn more about the benefits and techniques of hand expression here.

    Cleaning and Hygiene

    Keeping your breast pump parts clean is essential. If you’re unable to clean your pump parts between sessions, take advantage of those extra breast pump parts you packed until you can thoroughly clean your parts. Always remember to clean your hands with soap and water.

    Store Milk Safely

    Planning how you will store your breast milk throughout your travels is important. Per the CDC recommendations:

    • Breast milk can be safely kept at room temperature for up to 4 hours.
    • Use an insulated cooler with frozen ice packs to store milk for up to 24 hours.
    • Upon arrival, refrigerate or freeze milk immediately.

    Also, plan for your trip back home. Make sure wherever you’re staying has a fridge, freezer, and sink to keep your milk safe and ready for when you’re back on the move.

    Pro Tip: If your ice is not allowed through security, that is ok! Just empty your bag and ask for a refill at Starbucks or any restaurant. Then, get yourself a little treat while there too – you deserve it! (We recommend a couple gallon size Ziplock bags, to prevent leakage.)

    Don’t Forget About You

    Between holiday festivities and long travel days, it can be easy to forget to stay hydrated. Drink plenty of water, ideally with electrolytes when you can, to support your milk supply and keep some healthy snacks handy to fuel your body and maintain your energy.

    With thoughtful planning and keeping a flexible mindset, you can stay on top of your pumping routine and overcome the added challenges of the holiday travel, all while soaking in the joy of the season.

  • Feeding Multiples: What You Need to Know

    Feeding Multiples: What You Need to Know

    Expecting multiples, whether twins, triplets, or more, brings many decisions – especially around feeding. Many parents wonder, “Can I nurse two or more babies at once?” The answer depends on your health and your babies’ individual needs. These key factors will be discussed throughout your pregnancy with your healthcare provider. As your pregnancy progresses, you’ll explore how these considerations might influence your breastfeeding or feeding journey.

    Keep your healthcare team close and ask plenty of questions to prepare! In the meantime, here are some handy tips to help you prepare for feeding twins, triplets, or more – and manage the exciting challenge of keeping multiple babies well-fed!

    *All tips will be given around the general topic of twins, but can be applied to other multiple sets as well*

    Continuum of care

    As you may already know, care for multiples begins before they are born. Prenatal education on feeding basics is a first step in working towards your feeding goals. Most of what you learn in those classes can apply to feeding multiples. During your prenatal period is also a great time to search for other appropriate resources you may have access to, like lactation providers, free community support, insurance offerings, hospital offerings, and more. Creating your care team ahead of time will make the transition into postpartum easier. Find out more about postpartum supports to consider in our blog post, 5 Postpartum Supports You Don’t Want to Overlook.

    Single versus tandem feeding

    Tandem feeding can be so exciting and a time saver for sure! It is a lot to try to jump right into, though. With any nursing experience, it is a learning journey for you, your baby, and as a partnership. Consider this when your multiples are born. Feeding one baby at a time in the beginning can help you all get your bearings. You can learn about each baby’s cues, preferences, and more. Once you feel more confident, no matter when that is, then try tandem latching. There should be no pressure to do either single or tandem at any point in your feeding journey- it is up to you and your babies!

    Positioning

    Cradle vs cross-cradle: Which arm goes where for which one? The most important thing for positioning is not the name of the position. Here are the top 3 most important things to consider:

    You, the feeding parent, need to be comfortable as step one! Protecting your back, bringing baby(ies) to you (not you to them), and having whatever you need with you. In the beginning, it might be a lot of pillows, but things change and get more comfortable over time.

    Baby support – whatever you choose- pillows, positioners, etc.- just make sure babies are level with your chest and supported from head to toe.

    Nipples – Yup, we said it! It is you, the baby(ies), and your nipples that are most important. The best way to ensure nipple comfort is by being able to visualize the latch of each baby to make sure it is effective and not causing damage.

    Switching sides

    To ensure you are stimulating both sides, swap what side each baby feeds on each session. Don’t stress if you forget every now and then.

    Triple feeding

    Triple feeding is a short-term, optional strategy that can support the initiation of your milk supply or assist as babies improve their latch.  Each feeding involves three steps: direct nursing attempts, pumping, and bottle feeding. Learn more in our blog post, What is Triple Feeding and How Can it Help with Breastfeeding?

    Bridge milk

    Wondering how much milk is enough for newborn multiples? It is normal to be concerned about having “enough” milk for your babies, but every family’s situation is unique. Some parents find bridge milk – such as donor milk or formula – to be helpful during the early days in order to ease the transition to fully providing your own milk. Discuss bridge milk options with your healthcare provider before babies are born to know what your options may be.

    Donor milk

    Donor milk can be used as bridge milk, as discussed above. Some hospitals even offer pasteurized human donor milk while there! Read about one twin mom’s journey with donor milk here.

    Hand expression

    Learn it, practice it, and spoon feed it! Hand expression can be incredibly useful, especially during the first few days of babies’ lives. It is a great skill to have in many situations. Discover more about the benefits and techniques here.

    Paced feeding

    If any baby is taking a feed by bottle, pacing the feed can support both digestion and direct nursing. Slowing down a meal gives our bodies more time to process what we are taking in and to realize when we are full before we are too full! Paced feeding helps prevent a hungry baby from chugging the bottle and mimics the natural flow experienced when nursing at the chest. Find out more about paced feeding here.

    Community

    Whether you prefer group support or one-on-one connections, virtual meetups or in-person gatherings, or a mix of all of these, finding a supportive community to lean on during the unique ups and downs of parenting multiples is essential. Think of it as your “informal care team!”

    Pacifier use

    Pacifier use with multiples follows the same general guidelines as with singletons and is ultimately a personal decision. The difference is pacifiers may be used to “pace” babies if you are nursing one at a time, or even while you latch one baby before the other. If one baby becomes upset during these transitions, a pacifier can provide sucking input and may help distract them until you are able to latch or switch to the next baby. Be mindful, pacifiers should not be used to interrupt feeding cues.

    A fun fact to show how scientifically magical your body is!

    Did you know that each breast can regulate to different temperatures based on your babies’ needs?! Meaning if one baby is a little colder, then the breast they’re snuggled against will warm up to help regulate their temperature, while the other breast will not increase in temperature, staying just right for the second baby. It is your body’s amazing way of taking care of each baby individually!

     

     

     

     

    (J Health Popul Nutr. 2013 Dec; 31(4): 504–509. doi: 10.3329/jhpn.v31i4.20049, PMCID: PMC3905645, PMID: 24592592, Breastfeeding Twins: A Qualitative Study, Nursan Dede Cinar, Tuncay Muge Alvur, Dilek Kose, and Tijen Nemut, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905645/)