Acelleron Medical Products

Category: Postpartum

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:
- Educators & Counselors
  Educating: Proactive teaching about lactation and feeding with little to no training on complexities or “out of norm” care. They typically complete a course on teaching basic lactation.
  Counseling: Education and support for common lactation challenges that are not urgent or of immediate threat to the health and safety of the feeding parent or baby(ies). Typically, providers complete ~40-60 hours of lactation education, pass an exam, and may take additional trainings.
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:
  - IBCLC – International Board Certified Lactation Consultant
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
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.
December 31, 2025
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.
December 19, 2025
Top 10 Must-Have Baby Products for First-Time Moms
Becoming a mom is one of life’s most exciting (and sometimes overwhelming) experiences, especially when it comes to figuring out what you actually need. Between baby showers, registry lists, and holiday wish lists, it can be hard to tell which products are truly worth the hype.

Whether you’re expecting your first baby or shopping for someone who is, we’ve rounded up the top 10 must-have products for first-time moms – essentials that simplify daily routines, bring comfort, and help you feel prepared for every moment ahead.
1. Breast Pump Through Insurance
A high-quality breast pump is a must for every new mom, and the best part is, you may be eligible for one through insurance at no cost.

Acelleron offers top brands like Spectra, Medela, Elvie, Willow, and Cimilre, shipped right to your door. We recommend choosing a primary pump as your main model for daily use, and if you’d like added convenience, you can always explore wearable options as a secondary pump for on-the-go support. Check your coverage today at acelleron.com/order.
1. Hatch Baby
Sleep can feel like a dream in those early days, and this smart, soothing device helps make it more attainable.

The new Hatch Baby combines calming sounds, gentle lights, and expert guidance to help little ones (and parents) build healthy sleep routines from the start. With features like predictive sleep schedules, time-for-bed and time-to-rise cues, and access to Certified Sleep Consultants, it’s more than just a sound machine, it’s an entire sleep system in one compact design.

Control it through the app, customize lights and sounds, and relax knowing Hatch Baby grows with your child through every milestone.
1. Baby Brezza Bottle Sterilizer and Dryer Advanced
If there’s one product that saves time and sanity for new parents, it’s this one. The Baby Brezza Sterilizer and Dryer Advanced automatically sterilizes and dries bottles, pump parts, pacifiers, and more – all in one easy step.

Using natural steam, it eliminates 99.9% of germs, bacteria, and yeast in just ten minutes, then finishes with HEPA-filtered hot air to dry and ensure everything stays clean and ready to use. Its large capacity means you can fit up to eight bottles or two full sets of pump parts from any brand, making it perfect for busy households.

With customizable settings, a digital countdown timer, and the ability to keep items sterile for up to 48 hours, this all-in-one station makes bottle prep and cleanup effortless, giving you more time to focus on what matters most.
1. BabyBjörn Bouncer Bliss
This lightweight, ergonomic seat gives babies a cozy place to rest, play, and move naturally with no batteries or plugs needed. The BabyBjörn Bouncer Bliss rocks gently with your baby’s own movements, helping them feel comforted while supporting healthy balance and motor skill development.

Designed for use from newborn to toddler (8–29 lbs), it transitions from a soothing bouncer to a comfortable chair as your baby grows. The soft, quilted fabric offers gentle support for your little one’s back, neck, and head, and the International Hip Dysplasia Institute recognizes it as a hip-healthy product.

Easy to carry from room to room, it’s a simple, beautiful way to keep your baby close while your hands are free.
1. Frida Baby 3-in-1 Humidifier, Diffuser & Nightlight
This sleek little multitasker helps create a calm, comfortable space for your baby to breathe, rest, and recharge. The Frida Baby 3-in-1 Humidifier delivers a gentle, cool mist that can run for up to 60 hours, keeping the nursery air perfectly balanced through dry nights and changing seasons.

It doubles as a nightlight and diffuser, so you can add a soft glow for bedtime routines or use your favorite essential oils for a soothing scent. Note: Always check that any essentials oils you use are safe for infants and consult with your pediatrician if you have questions about diffusing around your baby. The top-fill design makes refills quick and spill-free, while the 360° mist spout, auto shut-off, and whisper-quiet function make it as practical as it is peaceful.

It’s a simple way to add comfort and serenity to your baby’s room and yours.
1. Ergobaby Omni Breeze Baby Carrier
Designed for comfort, connection, and breathability, the Ergobaby Omni Breeze makes it easier to keep your baby close through every stage. The lightweight, SoftFlex™ mesh allows air to flow freely, keeping both you and your baby cool whether you’re at home or on the go.

With all carry positions available – front inward, front outward, hip, and back – it provides ergonomic support for babies from 7 to 45 lbs and adjusts easily for growing little ones. Padded shoulder straps and a supportive waistband help distribute weight evenly, giving you lasting comfort through longer walks or hands-free moments around the house.

It’s an all-in-one carrier built to grow with your baby, durable, comfortable, and thoughtfully designed for real life.
1. My Brest Friend Nursing Pillow
Support and comfort make all the difference during feeding time, and the My Brest Friend Nursing Pillow was designed with both in mind. Its wrap-around, ergonomic shape keeps your baby securely positioned, promoting a better latch and more relaxed posture for you.

Unlike traditional crescent-shaped pillows, its firm, flat surface eliminates gaps and helps maintain consistent support through each feeding. The plush slipcover adds softness and includes a handy side pocket to keep small essentials within reach, from burp cloths to water bottles.

Trusted by lactation consultants and hospitals worldwide, this pillow is a true favorite among moms for creating a stable, comfortable, and stress-free feeding experience.
1. Simplehuman Diaper Pail
A diaper pail might not be the most glamorous item on your list, but this one truly earns its place. The Simplehuman Diaper Pail keeps odors under control with its Odorsorb system, combining all-natural odor pods and liners that neutralize smells instead of masking them.

Its slow-close lid seals quietly to lock odors in, while the sturdy steel pedal is built to last for years, even through thousands of diaper changes. Inside, earth-friendly recycled plastic buckets and custom-fit liners make cleanup simple and mess-free, without bag bunching or slipping.

Practical, durable, and designed to look right at home in any nursery, this diaper pail makes everyday cleanups a little easier (and fresher).
1. Breast Milk Storage Bags
Keeping your milk safe and organized matters and milk storage bags make it easy. These durable, pre-sealed bags are built for convenience.

Brands like Cimilre and Lansinoh offer strong, leak-proof options with double zipper seals, presterilized interiors, and large write-on label areas for tracking the date and volumes. Cimilre bags feature an easy-tear top and self-standing design for quick transfers, while Lansinoh bags are reinforced for freezing and even allow pumping directly into the bag with compatible pump adapters. Once you’re postpartum, you may also be able to get additional depending on your plan.
1. Lovevery Play Gym
Playtime is where learning begins, and the Lovevery Play Gym turns every moment into a developmental experience. Designed to grow with your baby from newborn through toddlerhood, this award-winning mat features five developmental zones that encourage sensory exploration, focus, and motor skill growth.

It includes detachable toys, high-contrast cards, and a double-sided play space cover that transforms into a cozy fort for toddlers, keeping the play experience fresh and engaging. The included Play Guide offers stage-based activity ideas and tips for parents, helping you make the most of each phase of your baby’s development.

It’s more than a play mat, it’s a space for connection, discovery, and joyful milestones all year long.

Whether you’re creating your baby registry or looking for thoughtful gifts this holiday season, these top 10 essentials bring together comfort, convenience, and care for both mom and baby.

Start with your then add the rest of these tried-and-true favorites to make the early days of motherhood a little smoother and a lot more joyful.

*This post contains affiliate links, which means Acelleron may receive a commission if you make a purchase using these links.
November 25, 2025
Nourishing Your Body with Nutrition from Pregnancy to Postpartum and Beyond
Growing, birthing, and feeding a baby is nothing short of incredible, and your body works hard and grows stronger through every stage. It makes sense that nutrition plays such a key role, not just during pregnancy but in the months (or years) that follow. From building your baby’s brain to fueling your own energy, mood, and recovery, getting enough nutrients and having a healthy relationship with food is one of the most powerful ways to care for both of you.

The Prenatal Foundation

Whether you’re preparing for birth or navigating the early days of breastfeeding, your nutritional needs shift throughout this journey. A well-balanced diet during pregnancy and postpartum supports not only your baby’s development but your own strength, recovery, and long-term health.

As your body changes, so do your nutritional needs. Blood volume increases, your baby’s brain and organs are developing, and your body is working overtime to grow the placenta and support new life. Your prenatal vitamins, which include nutrients like folate, iron, calcium, and DHA, become especially important during this time. You can also get many of these from foods like leafy greens, citrus fruits, beans, eggs, fish, meat, and nuts, to help fill in any gaps.

Of course, eating well during pregnancy isn’t always easy. Morning sickness, nausea, and food aversions can make balanced meals feel out of reach, especially in the first trimester. Small, frequent meals and simple snacks (like crackers, bananas, or smoothies) can be easier to tolerate and still provide energy and nutrients. And as pregnancy progresses, constipation often shows up, which is something many moms experience in the second or third trimester. A variety of fruits, vegetables, whole grains, legumes, and nuts provide excellent sources of fiber. Think apples, broccoli, sweet potatoes, oats, and lentils – all great options to help keep things moving. Since fiber absorbs water, staying hydrated is also important when increasing fiber intake. Drinking water throughout the day or adding natural juices like prune or pear can gently support digestion and help ease discomfort.

Having enough nutrients to support a growing baby while meeting the demands of your own body is essential for energy, healing, and milk production. It’s not just about food, it’s about feeling your best, staying strong, and laying the foundation for both you and your baby to thrive.

Postpartum Nutrition & Breastfeeding

Pregnancy and breastfeeding are incredibly demanding stages. And yet, moms are often bombarded with pressure to bounce back, lose weight, or follow advice that may not always align with what their bodies actually need. The truth is, nourishing yourself during this time isn’t about perfection. It’s about fueling your body with what it needs for healing and recovery and having the support in place to help make that happen.

According to the CDC, breastfeeding moms generally need about 340 to 400 extra calories a day to meet their body’s needs while making milk. That number can vary based on activity level, weight, and frequency of breastfeeding, but the takeaway is simple: your body needs more fuel, and that’s okay.

This doesn’t mean eating anything and everything, it means focusing on nutrient-dense foods that support both you and your baby. Think fruits and vegetables, whole grains, lean proteins, healthy fats, and foods rich in iron, calcium, and B vitamins. And when full meals feel hard to get in, snacks can go a long way. Some easy options include:
- Apples and peanut butter
- Greek yogurt with berries
- Nuts or trail mix
- Whole grain crackers with cheese
- Hard-boiled eggs
- Cottage cheese and fruit
- Hummus with pita bread or peppers
- Slice of avocado toast
Whether you prep these ahead of time, keep a few things in the fridge, or stash a couple options in your bag, having something simple and nourishing ready, if and when you can, can really help.

Hydration is just as important. “Something as simple as setting a reminder or sipping water every time you nurse can make a big difference,” shared Shari, a Nutritionist and Certified Lactation Counselor with a background in WIC nutrition, here at Acelleron. It’s an easy habit that can help you stay on track without overthinking it, especially during those busy newborn days. Just be sure to drink when you’re thirsty, there’s no need to overdo it. Too much water can sometimes interfere with electrolyte balance, so listen to your body and aim for consistent, moderate intake throughout the day.

Culture, Myths & Our Relationship with Food

Nutrition isn’t just about what we eat – it’s shaped by how we grew up, the cultures we come from, and how we relate to food on a daily basis. It’s also one of the most common areas where well-meaning advice and cultural myths show up.

Just because your abuelita (grandmother) or tía (auntie) says it with love doesn’t always mean it’s true. As Elizabeth, one of our Registered Dietitian Nutritionist and a proud Latina from Colombia, shared, “In some cultures, people are told not to eat garlic while breastfeeding, but there’s no proof that this harms your baby.” In fact, garlic has well-known health benefits, including supporting the immune system, reducing inflammation, and improving heart health. And that’s just one example. Across cultures, there are all kinds of beliefs about which foods should be avoided or prioritized during pregnancy, postpartum, and breastfeeding. While some are based on tradition or personal experience, not all are backed by science. That’s why it’s so important to have access to accurate information and support when navigating your own journey during this time. Elizabeth also emphasized that understanding the benefits of food and developing a healthy relationship with it is essential, not just for physical health, but for mental and emotional well-being, too. It’s about knowing what works for your body, feeling good about the choices you make, and having trusted information to guide you along the way.

Creating Space for Support

We know how overwhelming this season can be, and sometimes the simplest things, like a reminder to eat, drink water, or ask for help, can go a long way.

Whether it’s leaning on WIC, checking in with a dietitian (if you’re covered), or just talking things through with someone you trust, support makes a difference. And if you’re looking for extra guidance along the way, you can connect with one of our Certified Lactation Counselors for a virtual consultation through our Education & Support Programs.

Because taking care of your little one really starts with taking care of you.
June 24, 2025
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:
- 2-phase mode – Zomee Z2 & Zomee Fit
- Smart Rhythms – Elvie Pump
- Dual motor technology – Cimilre S7 and Spectra SG Portable
- 3 pumping styles in Expression mode – Lansinoh SmartPump 3.0 and Lansinoh Signature Pro
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.
May 15, 2025
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).
April 29, 2025
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/)

October 3, 2024
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) 4^th 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.
September 4, 2024