If your baby has only fed from one breast and you are comfortable at the end of a feeding, you don't need to pump. But if either breast is still full and uncomfortable, pump or hand express to comfort.
If your baby is having a hard time latching on, let out (express) a small amount of milk with your hands or a pump. This will help soften your nipple and make it easier for your baby to latch on. If your breasts are uncomfortably full, pump or express breast milk by hand just until they are comfortable.
If you use a breast pump when you are engorged, pump for short periods of time, 5 to 10 minutes at a time. If you pump for too long, you may make the engorgement worse or last longer than usual.
Once your mature milk has come in, be sure to pump for at least 20 – 30 minutes per session (or until you no longer see milk expressing from your breasts). It's typically easier to tell when you're done with a nursing session – after all, your little one simply detaches and stops eating!
Using your fingertips, apply gentle firm pressure to your areola for 30 seconds. This will move some of the fluid back into your breast. If your baby cannot successfully latch and breastfeed, you can relieve breast engorgement by manually expressing milk or pumping, and then trying breastfeeding again.
Massage Your Breast Area & Try to Hand Express Your Milk
A quick breast massage can help open your milk ducts and release oxytocin for letdown. Then, try hand expressing your breast milk. Hand expression can often lead to more milk yield than pumping alone.
You're not getting let down. If your breasts feel like they're full but you're not able to get the milk flowing out when you pump, it could be that you're not achieving let down. The let down reflex releases your milk from the milk ducts. This only occurs when you're either breastfeeding or pumping.
Massage your breasts before you pump.
This causes a faster let-down and milk with more fat. Massaging your breasts near the end of the pumping session will ensure that you fully drain your breast of milk. It may also help you to make more milk, if you need to.
Ultimately, if your baby has reached its birth weight and you're pumping enough milk during the day, it's okay to sleep eight hours without pumping at night. Keep in mind there is an adjustment period for your body as it begins to acclimate to the decrease in overnight milk removal.
To optimize milk production, breasts should be nursed well or pumped to empty about 8 times per day (every 3 hours or so). BEFORE MILK COMES IN AND AS IT'S COMING IN, PUMP 10-15 MINUTES if baby doesn't latch/suckle well, to stimulate milk production hormones.
The 120 minute rule is that, generally speaking, when you are exclusively pumping, you want to spend at least 120 minutes (2 hours) per day pumping. How many sessions you would spread that 120 minutes across depends on how old your baby is. With a newborn baby, you might want to do eight 15 minute sessions.
Relief for Engorgement
For most moms, engorgement usually goes away in a few days with these tips: Breastfeed first from the engorged breast. Before feedings, encourage your milk flow. Put a warm, moist washcloth on your breasts or take a warm shower for 10-20 minutes.
It is normal for your breasts to feel swollen, heavy, and tender when your milk comes in. This is called breast fullness. When your breast starts to feel painful and hard, the fullness has developed into engorgement. Breast engorgement usually happens 3 to 5 days after you give birth.
Emotional stress, fatigue, anxiety, smoking, pain, or being cold are common causes of poor let-down. With poor let-down, you may not experience the tingling and leaking of milk that usually occurs when your milk begins to flow.
Sore and heavy breasts have a variety of possible causes. Hormones, pregnancy, and breastfeeding can all cause a person's breasts to feel heavy and sore. In many cases, lifestyle changes can ease breast pain. If the pain returns or causes anxiety, a person should see a doctor.
In most cases, a drop in supply between four and 12 weeks is totally normal. 3 Most of us make more milk than our babies need at first, and then things even out, and we make the amount that our babies demand.
Some moms notice the morning milk has more volume and lower fat content, while the evening milk may have more fat but be lower in volume. By pooling your breast milk, you ensure baby receives nourishment that is more uniform and consistent.
Can pumping decrease milk supply? Pumping itself does not decrease your breast milk supply. In fact, it can help boost it. But if you are having trouble with low milk supply, the first step is to check that you are using the right breast pump.
Many moms assume that having a pump with a higher suction strength will automatically mean that they will be able to pump more milk, but in fact, pumping at too high of a setting can actually inhibit your milk production.
How do I know whether my breasts are empty? There's no test or way to know for sure. In general, though, if you gently shake your breasts and they feel mostly soft and you don't feel the heaviness of milk sitting in them, you're probably fine.
Some mothers feel a tingling or pins and needles sensation in the breast. Sometimes there is a sudden feeling of fullness in the breast. While feeding on one side your other breast may start to leak milk. You may become thirsty.
If there is a continual delay in letdown from the breast it can lead to reduced milk supply. Babies are also really in tune with how their mother's are feeling. Your baby can totally sense when you are sad, stressed, or anxious.
Some might feed every 90 minutes, whereas others might go 2–3 hours between feedings. Newborns should not go more than about 4 hours without feeding, even overnight.