A Guide to Exclusive Pumping

Answers to the Common Questions

Breast pump and bottles with a baby in the background
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If you believe that breast milk is the best food choice for your child, but you are not able to, or you do not want to breastfeed, what can you do? That's where exclusive pumping comes in. Exclusive pumping is a way to give your breast milk to your child without putting the baby to the breast.

Exclusive pumping, also called EPing and breast milk feeding is when you remove the breast milk from your breasts at regular times throughout the day.

Then, you give that milk to your baby either by bottle, tube feeding, or through another alternative feeding method.

Reasons for Exclusive Pumping

You may decide that you'll exclusively pump before you have your child, or you may breastfeed for a while then move on to exclusive pumping as your child grows. There are many reasons women choose to pump exclusively for their child. Here are a few of those reasons:

How Many Times a Day to Pump

The number of times a day that you'll pump will depend on your child's age.

A newborn will take a bottle of breast milk approximately every 2 to 3 hours around the clock. So, during the first few weeks, you should try your best to pump at least every 2 to 3 hours - about 8 to 12 times each day - to stimulate your body to produce a healthy milk supply.

As your baby gets older, he or she will take more at each feeding, but go longer between feedings.

As long as your milk supply is plentiful, you may be able to go longer between pumping sessions, as well.

How Long to Pump at Each Session

At each session, you should pump for at least 15 minutes on each side. It can take a few minutes for your milk to begin to let-down, so give yourself enough time. You also want to try to fully empty your breasts since this is an important part of stimulating the production of more breast milk.

After you drain your breasts, and no more milk is flowing out into the collection container, continue to pump for one to five minutes longer. Since breast milk is made based on supply and demand, the extra stimulation will tell your body to make more breast milk.

You don't have to go longer than 20 minutes, though. Pumping for 15 to 20 minutes more frequently throughout the day will generally produce more breast milk than pumping less often for more extended periods of time. 

How Much Breast Milk to Pump for Your Baby

You should pump as much as you can at each pumping session. Then, put the breast milk into bottles or storage containers in the amount that your child will take at each feeding. When your child is a newborn, he will drink less breast milk than an older child at each feeding, but he'll eat more often than an older child will.

Here are some guidelines for how much breast milk to pump and put in the bottle for your child.

  • During the first few days after the birth of your baby, you will only be able to pump and collect a small amount of colostrum. Colostrum is the first breast milk. It is concentrated and very nutritious, so a small amount is all your baby needs.
  • After the first week, you should be able to pump two to three ounces every two to three hours, or about an ounce an hour or 24 ounces in a 24 hour period. You would need double this amount if you have twins, triple it for triplets, etc.
  • After about one month, you will need approximately three to four ounces every three to four hours, or about 24 to 32 ounces a day.
  • By the time your baby is six months old, he or she will need about six to eight ounces every four to six hours, so approximately 36 to 48 ounces a day.

It's easier to overfeed your baby when you're bottle feeding in place of breastfeeding. So, to be sure you're giving your child what he needs every day and in each bottle, you can use an easy 3-step calculation.

How to Maintain and Increase Your Milk Supply

It can be tough to maintain a healthy milk supply when you're exclusively pumping. It requires a good deal of dedication because you have to pump regularly and, if possible, during the night. Here are some tips for maintaining and increasing your supply.

Invest in your breast pump. You will be spending a lot of time attached to your pump so a high quality, double-pump will serve you best. You also want to be sure that the pump shields fit you well. If you maximize your time and comfort, you're more likely to pump regularly to build your supply.  

Pump frequently. Frequent pumping stimulates milk production. If your child is a newborn, try to pump every two to three hours. If your child is older, you can pump less often. But, if you're struggling with a low milk supply, you can add more pumping sessions each day can increase your supply.

Try some galactagogues: A galactagogue is something that helps a breastfeeding mother make more breast milk. There are plenty of breastfeeding superfoods, herbs, and teas that you can add to your daily diet to support and promote lactation. 

Taking Care Of Yourself

Exclusive pumping can be time-consuming and demanding. Fatigue and stress can make you rethink your decision to pump, and they are known to decrease breast milk. So, try to eat well, drink plenty of fluids, get rest when you can, and relax with your feet up while you're pumping. Also, don't be afraid to ask for help from your partner, family, and friends. A little help and support can make all the difference when it comes to how long you continue to pump exclusively.

Sources:

Eidelman, A. I., Schanler, R. J., Johnston, M., Landers, S., Noble, L., Szucs, K., & Viehmann, L. Policy Statement. Breastfeeding and the Use of Human Milk. Section on Breastfeeding. 2012. Pediatrics, 129(3), e827-e841.

Forinash AB, Yancey AM, Barnes KN, Myles TD. The use of galactogogues in the breastfeeding mother. Annals of Pharmacotherapy. 2012 Oct;46(10):1392-404.

Lawrence, Ruth A., MD, Lawrence, Robert M., MD.  Breastfeeding A Guide For The Medical Profession Eighth Edition. Elsevier Health Sciences. 2015.

Riordan, J., and Wambach, K. Breastfeeding and Human Lactation Fourth Edition. Jones and Bartlett Learning. 2014.

Shealy KR, Scanlon KS, Labiner-Wolfe J, Fein SB, Grummer-Strawn LM. Characteristics of breastfeeding practices among US mothers. Pediatrics. 2008 Oct 1;122(Supplement 2): S50-5.

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