Acelleron Medical Products

Category: Breastfeeding

  • 5 Postpartum Supports You Don’t Want to Overlook

    5 Postpartum Supports You Don’t Want to Overlook

    Don’t wait until you’re overwhelmed with a newborn and the demands of recovery to look for postpartum support. Preparing for postpartum care is just as important as preparing for your baby’s arrival. The best time to secure your options is while still pregnant!

    Here are 5 key supports to consider for a smoother postpartum experience.

    1. Lactation Support

    Almost everyone can benefit from lactation support after giving birth. We don’t mean just for initiating and maintaining a milk supply or navigating positioning and latching baby, but also for pumping, combo feeding, breast/chest and nipple care, and more. Lactation professionals can support families prenatally all the way through weaning, whenever that may be! Finding the lactation support that makes the most sense for your journey is based on a few factors and personal preferences:

    • Group or individual support
    • In or out of your home
    • In-person or virtual
    • What your insurance may or may not cover
    • Free community options

    2. Breast Pump

    Do you need to use a pump immediately after giving birth? Not necessarily! Many people find themselves without the need of a pump until closer to returning to work/school/time away from baby, while some need one earlier, and some never need one. No matter what category you fall in, most insurance plans follow the ACA and cover a breast pump per pregnancy/birth event. Not sure what type of pump you might need? The best way to decide is based on your needs and preferences, and we can help!

    Bonus Tip: Know exactly how to contact the manufacturer of your pump for any potential warranty concerns or questions BEFORE you actually have a need. Save their contact number and/or warranty email into your phone.

    3. Family/Friend/Doula Support

    Many resources have shown that peer and family support are extremely important to postpartum recovery and lactation. Know who your people are and talk about it with them prenatally:

    • Who can you call on in your most difficult moments?
    • Who is most open to helping with or listening to you talk about the more personal parts of recovery (lactation, mental health, diaper blow-outs, and more)?
    • Who are the ones that love a good errand or babysitting older children you may have?

    Hard truth about family and friends: establish boundaries, because often supporting yourself postpartum means not having certain interactions at certain times. For example, you may not want visitors in the hospital while you navigate feeding and early bonding with your baby. Guess whose choice that is? Not theirs! Figuring out and setting these boundaries ahead of time can save future you from awkward conversations, leading to less stress overall.

    If you find you need more than what your family and friends can offer, consider looking into a postpartum doula!

    4. Mental Health

    Everyone deserves mental health support! The postpartum period is a unique time in your life. It’s ok if your experience doesn’t match your expectations, and there is no shame in seeking support. You don’t have to label it as a “difficult” time to reach out for mental health support. Many of us put so much pressure on ourselves as parents, often neglecting our own needs to prove we can “handle it.” No one needs to, and no one should go through postpartum alone –  it is not something to be “handled.”

    Find postpartum planning guides, books, resources, recommendations, and so much more with Maternal Mental Health Leadership Alliance’s (MMHLA) 4th Trimester Fact Sheet, plus their website is a great resource too!

    5. Community

    Lactation support groups, new parent groups, WIC, and more:

    • Look for what your local community offers
    • Try to get out of the house if you can, or join groups virtually
    • Interact in whatever ways feel manageable to you
    • Make connections

    You will soon discover you are not alone in your postpartum journey. Shared experiences can turn strangers into friends, and building community connections can introduce you to valuable resources that support all 5 categories mentioned above.

    Bonus Tip:  Be sure to check what postpartum support services your hospital offers, whether free or paid. Many hospitals provide new parent groups, breastfeeding/chestfeeding support groups, lactation consultations, baby weight checks, and more.

  • How to Choose the Right Size Breast Flange

    How to Choose the Right Size Breast Flange

    Finding the right size for your breast flange or shield will help you ensure appropriate milk output and have the most comfortable pumping sessions possible. Don’t know what size breast shield you need? Find out more below!

    Breast shields, flanges, and inserts

    What is a flange?

    A flange, or breast shield, is the cone shaped funnel that fits directly over your nipple, areola, and breast. When using the correct size, it forms a seal between your breast and the plastic or silicone that then creates a vacuum to extract milk.

    Many manufacturers will also make smaller inserts* or cushions that go within an existing breast shield size. These reduce the opening of the tunnel where the nipple enters. They are often less expensive than a full flange or breast shield.


    Why size matters

    Using the correct size flange or breast shield will help optimize milk output. If a flange is too small, it could restrict the tissue, potentially causing clogged milk ducts. If the flange is too large, it may not remove all the milk, which could contribute to a lower milk supply. Using an ill-fitting flange can also cause nipple pain or injury.

    Flange sizes range from about 13mm up to about 36mm, depending on brand. That measurement has nothing to do with the opening of the flange, but is the size of the beginning of the flange tunnel. That is because breast shield size is about nipple size, not breast/chest size.

    Breast shield and flange diagram

    Breast pumps typically come with 1 or 2 sets of breast shields. They will most likely be around 21-28mm. In addition to the included size(s), some brands like Cimilre, have certain guarantees to help you get the size you need by offering you a third size option, free of charge! Outside of these guarantees, additional sizes typically require an out-of-pocket purchase or using a possible insurance benefit covering replacement parts.

    How to measure your flange size

    To determine the best flange size for you, you’ll need to measure your nipple. Start by lightly stimulating your nipple with gentle touch. Take a tape measure or ruler and measure the diameter of the tip of your nipple in millimeters. We recommend measuring vertically (up and down) and horizontally (left to right) and using the larger of those 2 measurements. Do not include measurements for your areola, the larger part around your nipple.

    Flange and breast shield size guide


    Not just the numbers

    The size of your nipple is not the only thing that matters. You also want to pay attention to what happens to your nipple once the pump is on and suction is applied to your body. Everyone’s body reacts differently- stretching longer vs wider. It is okay if your nipple touches the side of the flange tunnel, as long as it still moves easily and does not cause any friction, discomfort, or damage.

    Once you have your nipple diameter, it is recommended to try sizes around it (-1mm up to +2mm). You may be able to select the closest size flanges or inserts offered by your pump manufacturer.

    Examples:

    • Using a Cimilre S6, measuring 14mm: Next size is 16mm flanges.
    • Using Elvie, measuring 16mm: You could try the 15mm or 17mm inserts.
    • Using a Lansinoh SmartPump 3.0, measuring 20mm: Try 19mm inserts or 21mm flanges.
    • Using a Medela PIS MaxFlow, measuring 18mm: You could try the 18mm flanges.
    • Using a Spectra S2, measuring 19mm: Next size is the 20mm flanges.
    • Using a Willow, measuring 14mm: You could try the 13mm or 15mm inserts.
    • Using a Zomee Z2, measuring 22mm: Try 21mm flanges or inserts or 24mm flanges.

    If you ever feel like the sizes offered by the manufacturer of your breast pump will not work for you, reach out to them and ask them what they suggest! Some manufacturers are ok with you using any other flange or insert if they DO NOT offer the size you need. It is best to ask the manufacturer directly where to look because using off-brand replacement parts may undermine the warranty for your pump and/or impact the suction strength and/or effectiveness.

    Keep in mind, breasts are not identical. Each breast/nipple may require a different size flange. In fact, your flange size may even change throughout your pumping journey. Before you replace your pump parts, it’s a good idea to remeasure to confirm you are still using the correct size.


    The proper fit

    Signs of an incorrect fit:

    • Significant pain while pumping
    • Breast/chest/areolar/nipple discomfort between pumping sessions
    • A delayed let-down (2+ minutes)
    • Recurrent plugged ducts, with other causes ruled out

    Signs of a correct fit:

    • The flange fits comfortably around your nipple and breast/chest
    • Only your nipple and little to none of your areola enter the tunnel when pumping (because nipples are not perfect circles!)
    • Any movement of the nipple against the side of the tunnel is fluid and comfortable
    • Your letdown occurs within 1-2 minutes of pumping, at most
    • You see milk spraying out or a significant flow
    • After pumping, your breasts feel soft and emptied
    • Your milk supply remains the same or improves
    • Overall, your pumping sessions are comfortable and free of pain

    A final note

    Finding and using the correct size flange is important to ensure your pumping experience is as successful and comfortable as possible. Spending time to determine your flange size will go a long way toward helping you meet and exceed your breastfeeding and pumping goals. If you have questions about your flange fit, pumping, and more, check out our breast pump education resources. For additional support, reach out to a lactation provider in your area.

    Still looking for a breast pump? We can help you get your free breast pump through insurance!

     

    This blog includes, but is not limited to, recommendations from the study completed by Lisa A. Anders, PhD, RN, IBCLC, Jeanette Mesite Frem, MHS, IBCLC, RLC, CCE, and Thomas P. McCoy, PhD, PStat

    Click here to learn more about The Flange FITS™ Guide created by Jeanette Mesite Frem, Babies in Common. The guide is available in 21 languages!

    *Silicone inserts/flanges can interact with your body differently than a hard plastic shield and may not work as well. When trying these, the following may be helpful:

    1. Silicone items may need to be slightly larger than a hard plastic option (by 1-2mm)
    2. Using lubrication may help with nipple movement and comfort in silicone
    3. Do not try a silicone insert without the guidance of a lactation professional if you have any concerns about your milk supply

    **This post contains affiliate links, which means Acelleron may receive a commission if you make a purchase using these links.

  • Cimilre Spotlight: Helping You Get the Right Breast Shield Fit

    Cimilre Spotlight: Helping You Get the Right Breast Shield Fit

    Cimilre, one of the pump manufacturers Acelleron carries, is on a mission to help all breastfeeders get the resources they need for a successful pumping journey. Understanding nipple measurement and breast shield size can have a huge impact on your breastfeeding experience. With their “Get the Right Fit” program and breast shield sizing resources, Cimilre is empowering parents to take control of their breastfeeding journey with confidence.

     

    Why knowing your breast shield size is important

    It’s crucial to have the right size breast shield or flange for optimal milk production and comfort; yet, so many pumpers either aren’t aware this is something to consider or don’t have the means to get fitted and therefore don’t get the size they truly need. Acelleron’s 2022 “What’s Your Flange Size” survey revealed that 25% of respondents did not measure their nipple size, often defaulting to the standard sizes included with their pumps. However, for respondents who did measure their flange size before pumping, 63% needed flange sizes that were 21mm or smaller with 77% needing to purchase additional flanges or accessories to accommodate their size.

    While there is still little wide-scale research dedicated to this topic, we are often seeing that people need smaller breast shield and flange sizes that come standard with the pump they selected.

     

    Giving you the right size breast shield

    Acknowledging this need in the market, Cimilre made the switch to reduce the breast shield sizes (sometimes referred to as flanges) included in the boxes with pumps to 21mm and 24mm. This shift aims to accommodate more parents right out of the box.

    There are plenty of people who need sizes other than 21mm and 24mm. Cimilre gets that. That’s where their “Get the Right Fit” program comes in. With Get the Right Fit, parents can get a different size breast shield set for free if what comes in the box does not fit! This helps families access more sizes without the burden of cost of doing so. Having the right size breast shield or flange can have a tremendous impact on the success of a breastfeeding journey.

     

    A guide, a ruler, and a virtual consult

    To help parents better understand what size they may need, they can measure themselves with Cimilre’s Breast Shield Sizing Guide. This guide explains how to measure the nipple using the printable ruler and provides general insight into breast shield sizing. For those looking for a more personalized approach, consider scheduling a free Flange Fit Basics virtual consult with Acelleron. Cimilre also offers virtual breast shield sizing consults, available in English or Spanish and free for Cimilre breast pump users!

     

    Even more Cimilre benefits

    Beyond helping parents get the right fit, Cimilre has a lot of great benefits everyone can get behind like interchangeable pump parts for all pumps, a 2-year warranty, and super lightweight, modern designs. They even have cute skin decals you can use to #pumpUP your Cimilre pump; because let’s face it, we look at our pump a lot and might as well like the way it looks.

    With breast pump options ranging from the highly adjustable S6 and S6+ that feature 85 setting combinations and the dual motor S5+, to the ultra-portable E1 pump the size of a sticky note and palm-sized P1 with intuitive touch controls, Cimilre has options to help you meet your breastfeeding goals.

     

    Getting your Cimilre breast pump through insurance

    If getting your insurance-covered breast pump is still on your list, Acelleron has you covered. We can help you get the right breast pump for your needs and lifestyle, along with all the supplies that your insurance will cover, such as maternity compression, breast milk storage bags, and more! Fill out this form to get your breast pump through insurance.

     

  • Getting Started with the Spectra S1 and S2

    Getting Started with the Spectra S1 and S2

    Whether you’ve just unboxed your new Spectra pump or are in search of an insurance-covered, customizable option, you’re in the right place. The Spectra S2, designed for comfort and convenience, is packed with innovative features including personal control of 2 phases of milk removal and 12 levels of vacuum suction, reaching up to 270 mmHg.

    The Spectra S1 includes ALL the same features of the Spectra S2, plus a rechargeable battery. This highly sought portable option is offered as an upgrade through most health insurance plans. The 3-hour battery life delivers flexibility, making pumping sessions easier to manage, and working moms refer to the upgrade as being a “must-have!”

    Need to get your breast pump through insurance?

    We can help you get your breast pump and all the supplies that your insurance will cover, such as maternity compression, breast milk storage bags, and replacement pump parts! Fill out this form to get your breast pump through insurance.

    What comes in the box

    All Spectra breast pumps come with what you need to begin your pumping journey. In the box, you’ll receive an electric motor breast pump, milk collection bottles with storage caps, covers, and disks, feeding nipples, tubing, duckbill valves, backflow protectors, and two sets of flanges, size 24mm and 28mm. Spectra also offers additional flange sizes, including 16mm, 20mm, and 32mm.

    Choosing the right flange size

    Correct flange sizing is crucial for efficient milk removal and comfort. The ideal flange size is based on the diameter of the nipple, not the areola. When the nipple is centered inside the flange tunnel, it should only have a few millimeters (2-3) of wiggle room around the nipple. The entire nipple should fit comfortably without much, if any, of the areola entering the tunnel before pumping.

    For accurate sizing, consider scheduling a Flange Fit Basics virtual consult with Acelleron, or follow Spectra’s measuring guide, adding 3-5 mm to your nipple’s diameter.

    What makes Spectra different?

    A distinguishing aspect of Spectra pumps is their Natural Nursing Technology. Spectra explains that Natural Nursing Technology utilizes customized vacuum and cycle patterns that closely mimic a baby nursing at the breast. This natural pumping experience provides productive, comfortable, successful pumping sessions and ultimately – more milk in less time.

    Spectra pumps are also known for their abundance of setting combinations, making them highly customizable. The Spectra S1 and S2’s digital controls allow you to set the pumping program to the speed and rhythm most effective for your body. The suction is adjustable in both massage and expression modes. The cycle speed is adjustable in expression mode. The Spectra S1 and S2 are quiet and feature a timer and a night light. Plus, Spectra also provides IBCLC support for those who use a Spectra pump.

    How to operate

    As previously noted, there is a wide range of setting combinations. There is no wrong way to use a Spectra pump, but they do recommend starting with “Cycle Pumping.” Cycle Pumping mimics the way a baby nurses at the breast, triggering letdown, nursing rhythmically, triggering letdown again, then taking longer, deeper sucks toward the end of a session. Here is an example of Cycle Pumping with the Spectra S1/S2.

    1. Cycle 70 (Massage Mode) for 5 minutes
    2. Cycle 54 (Expression Mode) for 5 minutes
    3. Cycle 70 (Massage Mode) for 5 minutes
    4. Cycle 38 (Expression Mode) for 5 minutes

    As you continue pumping, you will find the settings that work best for your body. These may change throughout your journey, the day, or even your pump session.

    Want to learn more?

    If you are excited about your Spectra pump but have questions about what it comes with or how to use it, you can schedule an Unbox Your Pump free* virtual consultation with a Pump Expert to review how to set up and use your new pump as well as pumping tips, tricks, and more!

     

    *This consult is free to customers who ordered a breast pump through Acelleron only. If not a previous Acelleron breast pump customer, an invoice for the standard $25.00 fee will be sent and is due before the scheduled consult time.

     

  • Cigna Members: Your Guide to a Free Breast Pump and Supplies

    Cigna Members: Your Guide to a Free Breast Pump and Supplies

    Expecting or new moms with Cigna health insurance often ask: what breast pump and supply coverage do I have? Getting a high-quality breast pump and supplies through insurance can save you a lot of money, so let’s explore Cigna’s insurance coverage guidelines and see how you can make the most out of these benefits.

    Understanding Cigna’s Coverage for Breast Pumps

    The Affordable Care Act requires most health insurance plans to cover the cost of a breast pump as part of the women’s preventive health services. That means with Cigna, you can obtain a fully-covered double electric breast pump through a durable medical equipment company (DME), like Acelleron, at no cost to you. Plus, a prescription is not required with Cigna, making the ordering process even easier!

    New Addition: Milk Storage Bags Covered by Cigna

    Thanks to the Affordable Care Act’s recent expansion for women’s health, Cigna plans now include milk storage bags in their covered benefits. When you choose Acelleron as your breast pump provider, you’re gaining access to even more benefits. We will supply you with breast milk storage bags alongside your breast pump. Moreover, our team will be in touch after your baby’s birth to enroll you in our Breastmilk Storage Bag Resupply Program. This means you can focus on caring for your baby, and we’ll ensure you have a steady supply of milk storage bags when you need them, for free.

    Ordering Your Free Breast Pump and Storage Bags Through Cigna and Acelleron

    Getting your breast pump and supplies covered by Cigna has never been easier!

    1. Visit our Cigna breast pump ordering page: Enter basic information, such as the state you live in and Cigna as your primary insurance.
    2. Pick your pump: Use our brand and feature filters to find the best pump for you and your baby. You can also add free breast milk storage bags to your order. Then, simply fill in the rest of the form to submit your order!
    3. Free shipping to your door: Once your insurance has been verified and the order is finalized, we can ship your pump and supplies at any time during your pregnancy.

    Cigna’s Healthy Pregnancies, Healthy Babies Program

    Navigating pregnancy and motherhood can be both exciting and challenging. Be sure to check if your employer offers Cigna’s Healthy Pregnancies, Healthy Babies® program. After you enroll in this program, you will have access to a maternity specialist who can support you during your whole pregnancy. You can also get live 24-hour support, get help with everything from how to handle discomfort during pregnancy to birthing classes, and other maternity benefits. And, for more insights, download the Cigna Healthy Pregnancy app for more valuable information and tools to guide you every step of the way.

    Breast Pump Replacement Parts for Cigna Members

    Over time, pumping may no longer be effective due to pump parts being damaged, missing, or general wear and tear. With Cigna, you can get replacement parts, including tubing, flanges, and milk collection bottles, at no cost to you. Simply visit Acelleron’s Insurance Covered Breast Pump Replacement Parts page to submit your order request.

    The Acelleron Difference

    Acelleron is committed to making Cigna members’ breastfeeding journey easier. With Cigna’s coverage, obtaining a free breast pump, milk storage bags, and replacement parts has never been more accessible. Order today and let us take care of the rest.

    After you get your pump, we are still here to support you! Learn the ins and outs of your pump with a FREE Unbox Your Pump virtual consult and start your breastfeeding journey off on the right foot with our FREE online Breastfeeding Education Classes. Plus, have access to our Knowledge Center, Baby, Breast, and Beyond blog, and become part of our online community for support, inspiration, and exclusive access to special deals and discounts.

  • Unlocking the Benefits: How to Get Breast Milk Storage Bags Through Insurance

    Unlocking the Benefits: How to Get Breast Milk Storage Bags Through Insurance

    Breastfeeding and everything it involves can feel like you’ve hopped on a rollercoaster with endless loops and twists. Today, we’re tackling one of those twisty topics that often slips under the radar – breast milk storage bags! If you’ve ever grimaced at the price of these little essentials, here’s a little secret: your insurance may now cover breast milk storage bags due to the Affordable Care Act expanding prevention coverage for women’s health. Let’s unravel this together.

    Why Are Breast Milk Storage Bags a Must-have?

    Before we talk about insurance, let’s discuss why you might want to use breast milk storage bags. They are convenient, hygienic, and designed specifically to store and protect your milk, keeping it safe for your baby.

    Breast milk storage bags are pre-sterilized and designed for one-time use, which reduces the risk of contamination. They’re also durable, leak-proof, and built to protect the nutritional content of breast milk during storage. Plus, they’re space savers, laying flat in your freezer or fridge.

    Breaking Down Insurance Coverage

    So, you may have heard that the Affordable Care Act expanded prevention coverage for  Women’s Health and Well-Being beginning with plan years starting in 2023, and you’re wondering, “What does this mean for me?” Let’s break it down together.

    These updated recommendations were created by the Women’s Preventive Services Initiative (WPSI) and supported by the United States Health Resources & Services Administration (HRSA). These guidelines help make prevention services affordable and accessible by requiring non-grandfathered commercial insurance plans to provide coverage without a copayment, coinsurance, deductible, or other cost-sharing. They were designed to make sure women get the help and supplies they need at no extra cost, especially during important times like pregnancy, childbirth, and post-baby recovery.

    One of the best parts? These new guidelines specifically mention that breast milk storage supplies should be covered. This means there’s a good chance your insurance will pay for your breast milk storage bags!

    Ordering Breast Milk Storage Bags

    Here’s some good news – If Acelleron is in network with your insurance or Medicaid plan, you can simply add on breast milk storage bags while you are ordering your insurance-covered breast pump. If you already received your pump, you can order breast milk storage bags directly through Acelleron’s Breastmilk Storage Bag Resupply Program. We’re committed to making this process as smooth as possible for you.

    To order, you’ll need a prescription from your healthcare provider. If you don’t have one already, don’t worry – our team will reach out to your provider to get one on your behalf. We’ll also verify your insurance benefits to determine coverage for the program.

    Insurance Plan Not Listed?

    If your insurance plan is not listed on our Breastmilk Storage Bag Resupply Program form, don’t get too discouraged – there are steps you can take to encourage your insurance provider to cover these for you and future parents. For example, contact your insurance provider directly and let them know they should cover a monthly supply of breast milk storage bags under code A4287 as these supplies are critical to your pumping experience. Let them know they can better support their members and increase breastfeeding duration rates by covering breast milk storage bags.

    In Conclusion

    Navigating the ins and outs of breastfeeding and insurance can feel like a challenge. But with the right information, you can find ways to make the journey smoother. Remember, your healthcare provider and insurance company are there to support you, and so are we at Acelleron. You’ve got this!

     

    Disclaimer: This blog is for educational purposes only. It may not reflect the most current legal developments, verdicts, or settlements. It should not be taken as legal or medical advice and is not a substitute for consultation with professional advisors.

  • Giving Back to Move Forward – Our Milk Donation Journey

    Giving Back to Move Forward – Our Milk Donation Journey

    In 2021, I learned I was pregnant with identical twins. Cue me driving around with my jaw dropped for about two weeks! Once my husband and I finally picked ourselves up from the shock, we started getting really excited and began preparing to bring home two babies.

    Our birth was intense, to say the least. Even though I am big on preparation and questions, there is only so much you can “plan” for with a twin birth. I was amazing (definitely patting myself on the back still), my husband was incredibly supportive, and our medical and support team carried us through what ended up being both a vaginal birth for Twin A and a crash cesarean for Twin B. Our babies spent time in the Newborn Care Center, but eventually were back in our arms.

    While in the hospital, we required the use of bridge donor milk for our early term babies. Bridge donor milk is milk from a milk bank, in this case Mothers’ Milk Bank Northeast, provided in tiny bottles. This helped with my transition into feeding my babies all on my own. There are so many different reasons a baby may need donor milk. I am just completely blessed that my hospital had a program and a freezer filled with safe pasteurized donor milk from the milk bank and could support us! We were even given donor milk to bring home for both babies.

    Once home, I was working hard at triple feeding and eventually used up our donor milk, then moved on to supplementing with my own pumped milk. Eventually, we were only using bottles every now and then, which felt incredible! Yet, I still did not feel complete. While I had helped others donate milk and had received donated milk for my babies, something was missing. That’s when I knew I wanted to donate milk back to Mothers’ Milk Bank Northeast for future babies in need. For me, it was a required step in both healing from my birth and in empowering myself as a breastfeeding parent making it through feeding difficulties.

    Milk donation is something I am especially familiar with. I have worked in an office for years that houses and runs a donor milk bank depot for Mothers’ Milk Bank Northeast, a location where local moms who have already been through the screening process can drop off their milk donations. It has been so special to get to know many breast milk donors through my work running Acelleron’s milk depot. I have loved meeting and working with the amazing staff at Mothers’ Milk Bank Northeast. They are all incredible and so dedicated to what they do for families and fragile babies.

    The screening process is so easy!

    • Complete a 15-minute phone screening with an intake coordinator – mine was the incredible Melisa
    • Fill out forms on their website
    • A blood test (that the milk bank pays for)
    • Make arrangements for delivery of breastmilk (milk bank pays for shipping), or you can drop off at one of their milk bank depots

    One part of the donation process that is not required, but I loved, was decorating the breast milk storage bags. It was so fun and motivating! It made pumping a bit more exciting and something to look forward to.

    My first donation was made on October 12th. It was amazing to finally come full circle and become a milk donor myself.

    Milk donation journey collage

    Have questions about becoming a donor or receiving milk? Reach out to Mothers’ Milk Bank Northeast any time to get the process started.

     

    Written by Brittany Regan Fisher, mama of 5, breastmilk donor, CLC, breastfeeding advocate

  • Creating a Lactation-Friendly Work Culture

    Creating a Lactation-Friendly Work Culture

    Whether you are an employer looking to boost work culture, or a lactating parent hoping for more employer support, this is your go-to resource for ways to encourage and implement a lactation-friendly work environment.

    The Numbers

    Breastfeeding has lifelong benefits for mom and baby. It also has tremendous benefits for employers and the economy. Here are a few numbers that help put this into perspective.

    • 94.2% employee retention rate for employers with lactation support programs (compared to the national average of 59%)1
    • 77% reduction in workplace absenteeism when lactation support programs are in place2
    • $13 billion annual savings for the healthcare system and taxpayers when 90% of families exclusively breastfeed for six months3

    Despite these numbers:

    • 66% lactating parents have experienced issues while pumping at work4
    • 53% have had hours or workload reduced without being asked4
    • 43% of women leave the workforce within three months of childbirth4

    All is not hopeless. More employers are looking for ways to support breastfeeding and pumping employees. More parents are asking for the right to feed their babies. More organizations are advocating for work cultures that support lactating employees, parents, and babies.

    For Employers

    Acelleron's lactation room
    Acelleron’s employee lactation room

     

    If you are an employer looking to create a lactation-friendly workplace, here are some steps you can take.

    • Set up a lactation room. The “Break Time for Nursing Mothers” law requires employers covered by the Fair Labor Standards Act (FLSA) to provide a private space other than a bathroom to pump in. Go one step further and make this space comfortable with access to supplies needed to pump safely and efficiently such as a sink, refrigerator, and comfortable place to sit.
    • Implement a lactation support program. This could be done a few ways. Multi-user breast pumps can be provided in lactation rooms to minimize supplies pumping parents need to bring. Essential breastfeeding supplies such as breastmilk storage bags, micro steam bags, cleaning wipes, and nursing pads can be kept on hand for employees. Keep a steady supply of snacks (lactation boosting and healthy options) available for pumping parents. Acelleron’s Pump@Work program has a variety of ways to help you support lactating parents.
    • Make breastfeeding more accessible with policies. By offering paid maternity leave and having flexible work schedules or work-from-home policies, pumping can be more attainable, and parents can reach and exceed their breastfeeding goals.
    • Get everyone on board. Creating a culture means getting everyone in the same mindset. Have new parent support groups, offer a return-to-work check in system to prepare parents and managers before leave and upon returning, and ensure that all employees are supporting parents as they return to work.

    For Employees

    Women talking in an office

    A little preparation before going on maternity leave and some resource sharing can help pave the way for a successful return to work and pumping journey.

    • Prepare before you go on leave. Talk to your boss or HR department about your plans to pump at work. Get an idea of what a pumping schedule might look like, what type of flexibility or workplace policies are available to support you, and where you will be pumping at work.
    • Provide resources. Many employers want to support lactating employees but don’t know where to start. Share this resource page from the CDC and the Office on Women’s Health with your employer to help them understand how they can implement meaningful changes.
    • Refer them to a lactation support program. Make it easy for your employer to support you by referring them to a program like Pump@Work so they can help provide the essential pumping supplies you’ll need throughout your journey.

    Collectively, employers and employees can develop a plan that will prove beneficial to everyone: baby, parents, families, and employers.

    For a little more help, check out these Top Tips for Pumping at Work that can make your pumping experience as smooth as possible.

    1. United States Breastfeeding Committee Workplace Accommodations to Support and Protect Breastfeeding, Washington, DC (2010).
    2. Bartick M, Reinhold A. The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics. 2010; 125(5):e1048-e2015.
    3. Ortiz, J, McGilligan K. & Kelly P. (2004).
    4. Carter, Christine Michel. Breastfeeding At Work Benefits Mom, Baby And The Employer. Forbes. (2019)
  • What is Triple Feeding?

    What is Triple Feeding?

    Feeding a baby, especially a newborn, is a journey. While it is a beautiful bonding experience, it can also be incredibly demanding and stressful. Some families who intend to breastfeed may encounter unexpected situations that lead to detours along the way. Triple feeding may be part of the plan to help reach breastfeeding/chestfeeding goals.

    What is Triple Feeding?

    Triple feeding is when there are three defined aspects of each individual feeding session for a baby:

    1. Direct nursing
    2. Supplementing
    3. Pumping

    There are many reasons why triple feeding may be needed, such as:

    • Refusal of the breast/chest
    • Baby weight loss
    • Painful latch
    • Low milk supply

    The child’s pediatrician and an IBCLC (International Board-Certified Lactation Consultant) should be consulted to determine if triple feeding is necessary.

    Mom nursing newborn baby

    Direct Nursing

    Frequent and regular attempts at nursing can be considered the most important part of triple feeding. Triple feeding is not a long-term solution to feeding difficulties. It is a way to move beyond difficulties with the goal of getting to, or back to, exclusive nursing. Direct nursing is the first part of each feeding session. It may require aids such as SNS (supplemental nursing system). Direct nursing is incredibly important because it is where parent and baby learn about their latch and direct feeding. It also sends signal to the body that breastmilk is needed, therefore stimulating supply for the feeding parent.

    How long to direct nurse or attempt to latch during each feeding session is different for each parent/child. Working with an IBCLC is incredibly helpful throughout this process to determine what is right for specific situations.

    Supplementing

    After an attempt at direct nursing, supplementation can be done with pumped breastmilk or formula. The wind down of supplementation should move from formula (if using), to pumped milk, to no longer needing to supplement at all. This can be done at the breast/chest directly with pumped milk during direct nursing, with a bottle, or through finger or cup feeding.

    Mom pumping on couch with Cimilre S5+ breast pump

    Pumping

    How often to pump in a day, for how many minutes, and at what settings is defined by each individual’s situation. The best way to determine these factors is by connecting with an IBCLC. It may be most beneficial to pump with a double electric breast pump. This can save time and help stimulate more milk compared to single pumping or using a manual pump. Thankfully, many double electric breast pumps are covered by insurance. In addition to double pumping, breast massage or hands-on pumping can also be helpful for stimulation.

    It is important to follow appropriate milk storage guidelines when pumping and feeding breastmilk to babies.

    When To Stop Triple Feeding

    There are several factors to consider before triple feeding ends. If baby improves at emptying the breast, milk supply is sufficient, and appropriate weight gain is continuous, then supplementation and pumping can slowly be reduced. All these factors can be confirmed by the pediatrician and IBCLC overseeing care.

    Support Matters!

    Before, during, and after everything stated above, anyone that will be triple feeding needs to ensure they have a support system in place. Having the right support system will help reduce stress. Less stress equals more chances for your body to produce oxytocin, one of the hormones responsible for milk production.

    Examples of support that may be beneficial include prepared snacks, washing pump parts and bottles, changing diapers, and general home care. Triple feeding takes time and energy! Any support can make a tremendous impact.

    For more information on how to support a lactating individual, read this article from the Le Leche League.

  • The Formula Crisis, Breastfeeding, and Pumping Supplies

    The Formula Crisis, Breastfeeding, and Pumping Supplies

    Families shouldn’t have to worry about how they feed their babies. Sadly, with this unprecedented formula crisis, parents are forced to make tough decisions with little support. The fact of the matter is that employers, insurance companies, and lawmakers need to increase access to breastfeeding supplies and lactation consultants for their breastfeeding and pumping parents. Here is how you can help make that happen.

    Get Insurance Support

    There are certain insurance plans that cover pumping supplies such as breastmilk storage bags and breast pump replacement parts. It is our belief, especially with the challenges finding formula for babies, that breast pumping supplies should be fully covered by all insurance plans. In fact, the AAHomecare Breastfeeding Coalition is calling for just that in a recent press release.

    Breastmilk Storage Bags

    If Acelleron is in network with your insurance or Medicaid plan, it is super easy to get breastmilk storage bags. Simply fill out this Breastmilk Storage Bag Resupply Program form to get started. If you don’t have a prescription, we’ll reach out to your provider to get one for you. After that, we’ll send you breastmilk storage bags based your insurance coverage. It’s that easy!

    Breast Pump Replacement Parts

    Just as with breastmilk storage bags, some insurance and Medicaid plans also cover breast pump replacement parts. Visit our Insurance Covered Breast Pump Accessories page to find out if your insurance or Medicaid plan has coverage for breast pump replacement parts.

    Insurance plan not listed?

    Don’t get too discouraged if you do not see your insurance plan listed. There are steps you can take to encourage your insurance provider to cover these for you and future parents.

    Contact your insurance provider directly and let them know they should cover a monthly supply of breastmilk storage bags under code K1005 and breast pump replacement parts under codes A4281 – A4286 as these supplies are critical to your pumping experience. Similar to breast pumps, breast pump supplies should be covered and not subject to a deductible or co-insurance to comply with the Affordable Care Act. Let them know they can better support their members and increase breastfeeding duration rates by covering breastmilk storage bags and breast pump replacement parts.

    • Call the Member Services phone number found on your card
    • Message Member Services either with the email address found on their contact page or through your member portal
    • Visit their Facebook page or Tweet @ them and urge them to act
    • Ask your friends, family, and coworkers to reach out too!

    Get Employer Support

    If your employer is not lactation-friendly, you are not alone. Often, employers want to support their employees but don’t know where to start. We can provide resources for your employer to help them better support you and all of their lactating employees.

    Get Lawmaker Support

    It takes everyone getting on board for there to be adequate support for breastfeeding and pumping parents, including lawmakers. Be vocal with your state senators and representative in congress. Ask your state U.S. senators to support the PUMP Act, which would legally require even more employers to support parents and give protections for pumping at work.

    We Are in This Together

    We are seeing more insurance plans, employers, and states take action to support breastfeeding and pumping families. At Acelleron, we are already asking for these changes on your behalf. When we combine forces as parents, wellness advocates, and policy makers, we will be able to see these meaningful changes sooner and on a wider scale. Together, we can make an impact for your family now and for those in the future.

  • Breastmilk Storage Basics

    Breastmilk Storage Basics

    Whether you are heading back to work, school, running errands, or just want a little bit of a break, there may be times you will be away from baby. Following proper breastmilk storage guidelines is essential to maximize nutritional composition and maintain safety of breastmilk. If you are feeding your baby freshly expressed milk, thawing frozen milk, or a combination of the two, following these steps will enable your  baby to receive the benefits of human milk.

    Safe Handling

    • Before expressing milk, wash hands thoroughly.
    • Read pump manufacturer manual to learn how to properly wash the different parts and bottles. It is typically recommended to wash using hot, soapy water and air dry.
    • If using a multi-user pump in a hospital setting or lactation room provided by your employer, clean pump dials, power switch, countertop, and any area needed with a disinfectant wipe.

    Storing and Freezing Breastmilk

    • Use breastmilk storage bags or clean, food-grade, BPA-free storage containers, such as glass, silicone, or plastic, that seal or have tight fitting lids.
    • Clearly label milk with the date before storing. Rotate milk based on date expressed and stored, using the “first in, first out” rule.
    • Do not store milk in the door of the refrigerator or freezer, to protect milk from temperature fluctuations.
    • If you do not think you will use the milk within 4 days, freeze right away to help protect the nutritional quality of the milk.
    • When freezing:
      • Leave about one inch of space in the breastmilk storage bag to allow for expansion.
      • Follow manufacturer guidelines for how to position storage bags (lay flat, stand upright, etc.) to avoid potential leaks.
      • Store milk in 2 to 4-ounce portions to help reduce waste.
    • Freshly expressed milk can be stored:
      • At room temperature (77◦F or colder) for up to 4 hours.
      • In the refrigerator for up to 4 days.
      • In the freezer for about 6 months is best; up to 12 months is acceptable.

    CDC Human Milk Storage Guidelines

     

     

     

     

     

     

     

     

     

     

    Thawing and Warming Breastmilk

    • Run breastmilk storage bag under lukewarm water, place in a bowl of lukewarm water, or leave in refrigerator overnight to thaw.
    • Do not microwave breastmilk, as this breaks down nutrients and creates hot spots, which can burn baby’s mouth.
    • Swirl gently to mix.
    • Milk can also be fed to baby directly from the refrigerator without being warmed.
    • Leftover milk from a feeding should be used within 2 hours.

    For more information, review the CDC’s guidelines for proper storage and preparation of breastmilk.

  • Top Tips for Pumping at Work

    Top Tips for Pumping at Work

    Heading back to work after baby brings a whole new set of emotions, challenges, and milestones. Knowing what to expect can give you peace of mind and set you (and your baby!) up for success during this transition. Follow these helpful tips to make pumping at work as stress-free as possible.

    Know your rights

    As a breastfeeding and pumping employee, you are given certain legal rights. The “Break Time for Nursing Mothers” law requires employers subject to the Fair Labor Standards Act (FLSA) to provide a space other than a bathroom, that is “shielded from view and free from intrusion from co-workers and the public” to pump in. While the law does require employers to provide the time and space to pump, it does not require them to pay for pump breaks. To see what this will look like for you and your employer, it’s important to talk to them before baby arrives.

    Prepare your boss

    It’s best to start having the conversation with your boss or HR department about pumping at work before you return to work. Let them know that you plan to breastfeed and will be pumping at work. This gives you a chance to discover where you will be pumping and what kind of accommodations you may need to make the space suitable. It also gives you a chance to determine what a pump schedule may look like, how breaks will be handled, and if you will be getting paid for pump breaks. The Office on Women’s Health has resources to share with your employer to help make this conversation a little easier.

    Tips to Pump at Work Like a Boss

    Woman using Cimilre breast pump while working

    Get a breast pump

    It’s important to have a high-quality breast pump if you will be relying on it to feed your little one. The Affordable Care Act requires most insurance plans to provide a breast pump at no cost to you or at a discounted rate. There are many options when it comes to breast pumps. If you are not sure which breast pump to get, register for our free On-demand Pump Exploration Webinar, or read these quick articles to learn about the different types of breast pumps as well as the best wearable and rechargeable breast pumps.

    Practice before going to work

    Get used to your pump before going back to work. Sterilize all the pump parts and practice getting everything put together. Not sure what all the parts and pieces are? Sign up for an Unbox Your Pump virtual consult to learn what everything is, how to put it together, as well as pumping tips and tricks. Play around with the settings to get a feel for what is most comfortable and what stimulates the best milk flow. Having these pump sessions before going back to work will also help you to build up a freezer stash.

    Build a freezer stash

    If you will rely on childcare for your baby when you are at work, it’s a good idea to have a bit of a milk stash built up. This gives you milk to send with your child and allows for a little wiggle room during those first days and weeks of pumping. There doesn’t have to be a freezer full before returning to work. In most cases, it is okay to start pumping 4-6 weeks after baby is born, as long as breastfeeding is well established.

    Prepare your childcare provider, your baby, and you

    Before leaving your baby with a childcare provider, consider a gradual approach. Perhaps you can drop your baby off for partial days or two full days instead of full-time the first week. If you work close enough, visit on your lunch break and nurse your baby in place of pumping. Even just a quick visit to the place your baby will be staying before the full-time schedule kicks in, can give you peace of mind and introduce your baby to the environment they will be staying in. This can help make the transition easier for you, your baby, and your childcare provider.

    Make a pump schedule

    If you are fortunate enough to have an employer that offers a lactation room, find out what the schedule looks like and how you can fit your pump sessions in. If not, you are not alone. If your employer does not offer a lactation room, you can make an anonymous request to your HR department for a more lactation-friendly work environment. Whether there is a designated lactation room, or a special accommodation made for you while you pump, coming up with a schedule will help both you and your employer know what to expect.

    Prep pump parts the night before

    Putting your pump parts together the night before can give you back some precious time during the day. It also helps you get organized and make sure you have everything needed for your sessions. Getting a pump bag like these Sarah Wells breast pump bags gives you enough room to carry all your assembled pump parts, spare pump parts, some snacks, and your water, all while having a little style.

    Have extra pump parts

    Avoid the stress of failing pump parts by always having extra spare parts and collection kits with you. Follow manufacturer guidelines for replacing pump parts to maintain optimum functionality. If you will be assembling your pump parts the night before, having enough sets to get you through the day will make the setup that much easier.

    Bring water and snacks

    Proper hydration and nutrition are essential to not only your health and wellbeing but maintaining a healthy milk supply too. Have a large, reusable water bottle with you to stay hydrated. Keep snacks in your pump bag or keep some stashed at work. Having the right fuel for the day will help power you through your pump sessions.

    Pump hands-free

    While you really should refrain from working while pumping if possible, it is still extremely helpful to have a hands-free pumping bra. This gives you the flexibility to use your hands while pumping. If you have a rechargeable breast pump, it also gives you more mobility to multi-task.

    Set up a lactation station

    Pumping in a comfortable “lactation station” will help get the milk flowing, create a better overall experience, and help you achieve your breastfeeding and pumping goals. Have pictures or videos of your baby to help encourage a letdown. Listen to music, read a book, play a game, or watch a show to help you remain calm during pump sessions. Know where you will store your milk after pumping, whether it’s a shared refrigerator, a refrigerator just for lactating employees, or an insulated cooler bag.

    Speed up the cleaning process

    Being able to quickly clean your pump parts can shave precious minutes off your sessions. Consider getting Medela cleaning wipes or micro-steam bags to make cleaning pump parts at work easier. Or you can opt to bring as many collection kits as are needed for each session throughout the day, then bring all the dirty parts home and wash them later that day or night.

    How often to pump

    Figuring out the right pumping schedule may take some trial and error. However, there are some general thoughts to keep in mind.

    • Pump at least as often as your baby eats
    • Pump every 2 – 3 hours
    • If your work schedule is erratic, plan to pump when there is a 10 to 15-minute window, even if you just pumped an hour ago
    • Milk supply may determine the frequency of pumping
    • Keep communication open with your boss, especially in the early days back as you and your body adjust