From the American Academy of Pediatrics:
“Breastfeeding protects against a variety of diseases and conditions in the infant such as:
There are also maternal health benefits to breastfeeding such as:
Breastfeeding is also a great benefit to the environment and society. Breastfeeding families are sick less often and the parents miss less work. It does not require the use of energy for manufacturing or create waste or air pollution. There is no risk of contamination and breastmilk is always at the right temperature and ready to feed.
You can also refer to this Mayo Clinic article and Kelly Mom resource for more details on the benefits of breastfeeding.
[excerpt from La Leche League International]
Leaving your baby to return to work is hard, regardless of the feeding method chosen. It can be overwhelming for a new mom to begin work. It is normal to feel tired at first. Review these tips for making the adjustment easier.
Certain, although not many, medications may require you to discard breast milk that may not be safe for baby to drink. Whether you will need to “pump and dump” milk will depend on the medication, dose and how long it will be until you would typically breastfeed from the time the medication was taken. If you are unsure if a medication is safe for breastfeeding contact an IBCLC or the Infant Risk Center 1 (806) 352-2519.
For other reasons to pump and dump, refer to the resource Kelly Mom as well as The Journal of the American Academy of Pediatrics.
Certain, although not many, medications may require you to discard breast milk that may not be safe for baby to drink. Whether you will need to “pump and dump” milk will depend on the medication, dose and how long it will be until you would typically breastfeed for the time the medication was taken.
There is no one golden answer for this as this is a personal decision and depends on many factors, such as how well breastfeeding is going for you and your little one. Refer to this Mayo Clinic resource on how and when to wean your child from breastfeeding.
Refer to these Mayo Clinic Breast Milk Storage Dos and Don’ts.
Before giving birth, attend a breast feeding class. You may also request a prenatal lactation consult if you have specific questions or concerns that you would like addressed before you deliver.
In the hospital, take advantage of your resources. Lactation staff, nurses and physicians are there to answer your questions, help with latching baby to the breast, or pumping.
On your maternity leave, enjoy your baby and get breastfeeding well established. Once you are in a comfortable routine you will likely want to start saving breastmilk for when you return to work.
Consider scheduling an antenatal lactation consult if you fall into the below criteria:
The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for approximately 6 months after birth. Furthermore, the AAP supports continued breastfeeding, along with appropriate complementary foods introduced at about 6 months, as long as mutually desired by mother and child for 2 years or beyond. These recommendations are consistent with those of the World Health Organization (WHO). https://publications.aap.org/pediatrics/article/150/1/e2022057988/188347/Policy-Statement-Breastfeeding-and-the-Use-of?_ga=2.46647780.2141574878.1660231889-53607167.1658236695
Mayo Clinic supports breastfeeding on the Mayo campus. Employee lactation rooms are reserved for those who are expressing milk for their babies.
Further, the rights of a breastfeeding individual are protected in Minnesota: (https://www.revisor.mn.gov/laws/1998/0/369/)
Breastfeeding women around the world consume a wide variety of diets. Refer to this Mayo Clinic resource.
Birth control: Many forms of birth control are compatible with breastfeeding. Consult with your health care provider about what works best for your lifestyle and desired child spacing.
Breastfeeding and pregnancy:
It is generally considered safe to breastfeed while pregnant. Talk to your health care provider about any specific concerns.
Tandem feeding:
Many families opt to tandem feed their nursing toddler and a new baby. Monitoring to make sure that the new baby is getting enough is the same as if the baby is the only one breastfeeding.
From La leche: “Trans men, trans women, and non-binary individuals may choose to breastfeed or chest feed their babies. You do not need to have given birth to breastfeed or chest feed, as we can also see in the experiences of those nursing adopted babies.”
Call your OB or primary care provider to be evaluated for mastitis, especially if breast pain is accompanied by flu like symptoms. You may also wish to see or speak with a lactation consultant if you have pain associated with latch or difficulty emptying the breast.
Seek lactation help if you have concerns about latch, breast or nipple pain, baby’s weight gain, milk supply, pumping difficulty or nursing strikes. Primary care is a good resource; a referral to a lactation consult is usually advisable for complicated or ongoing issues.
Refer to this Breast-Pump-Insurance FAQ
Refer to the Medela website for the most up-to-date information and instructions.
There are two cycles, the stimulation phase and the expression phase. The stimulation phase begins when you start the pump and has shorter, faster pulls. This phase is meant to stimulate a letdown. After two minutes the pump will switch to expression phase where the pulls are longer and stronger. This phase is meant to express milk after you hit a letdown.
Refer to the Medela website for the most up-to-date information and instructions.
[From Medela] The button all the way to the left is the on/off button. The knob in the center of the unit controls the suction and speed. The button all the way to the right is the "let down" button. This button interrupts the first phase (stimulation phase) so you can go right to the expression phase without waiting for the two minute stimulation phase to end.
[From Medela] Use the individual setting and press the "let-down" button to directly use the expression mode.
Refer to the Medela website for the most up-to-date information and instructions.
[From Medela] To single pump with the Symphony breastpump, just remove the second collection kit from the side you don't want to use. Each membrane unit works independently.
Refer to the Medela website for the most up-to-date information and instructions.
[From Medela] If the Symphony cover pops up while you are pumping, it may be due to an obstruction in the tubing. Try blowing into the tubing and make sure that there are no kinks in the tubing either.
Prior to and after expressing (pumping) or handling breast milk:
By following safe preparation and hygiene, nursing mothers can maintain the high quality of expressed breast milk and the health of the baby.
With each use: Disassemble and wash all parts that come in contact with the breast and milk in warm soapy water. Rinse in clear water. Air-dry on a clean towel and cover parts when not in use. All parts may also be washed in the top rack of dishwasher. For a healthy baby; If you are unable to properly wash your supplies, you can rise and refrigerate them and thoroughly wash them as soon as possible.
Refer to the Medela website for the most up-to-date information and instructions.
[From Medela] The residue is water deposits left on the plastic of your kit. It will not harm the baby or your milk nor will it affect the function of the kit or pump. Adding vinegar to the water while boiling the parts will control the residue from building up and help clear up the plastic. Be mindful that sometimes there is a mildew starting to grow if you notice dark spots within the tubes. If this occurs, replace the tubing.
Refer to the Medela website for the most up-to-date information and instructions.
[From Medela] The tubing will turn cloudy when boiled. The minerals in water can have an effect on the appearance of the tubing, also. This does not affect the tubing; the product will function properly.
Refer to the Medela website for the most up-to-date information and instructions.
[From Medela] The water that forms in the tubing is condensation that occurs when the cold air in the tubing meets with the warm air rising off the milk. Water should be drained from tubing between uses. This can be done by keeping the tubing attached to the pump for a few minutes after pumping to drive the water toward one end. Then the tubing can be shaken or hung over a rod to remove the water.
Expressed breast milk may be stored:
- At room temperature for less than 4 hours
- In a refrigerator for less than 4 days
- In a freezer for up to 3 to 6 months
- In a deep freezer for 6 to 12 months
*Some resources have somewhat different recommendations. If in doubt, refer to a lactation consultant or other Mayo resource.
Refrigerated or frozen milk may be stored in:
- hard-sided plastic or glass containers with well-fitting tops
- freezer milk bags that are designed for storing human milk
[excerpt from La Leche League International]
This is a common breastfeeding question. When mothers observe certain normal changes and behaviors, they may assume their milk supply has decreased. This is often a "false alarm." Other times, a mother's milk supply may truly need to be increased. Fortunately, there are many ways to increase your milk supply.
Below are some tips to help increase production but working with a lactation consultant is always best when you have concerns about your supply. See what local breastfeeding resources are available for individual recommendations.
Make sure you are getting good nutrition, adequate fluid, and lots of rest. This is a challenging time, and it is important to take care of you. Allow others to help you with your responsibilities while you focus on your baby.
The Mayo Medical Plan includes coverage for a double-electric, person use pump from an in-network durable medical equipment provider (cannot be purchased through stores, like Walmart or Target). Prescriptions for breast pumps are written after delivery. Prescriptions for personal-use pump can be filled at the Mayo Clinic Store or at an outside medical supply vendor. The Mayo Store currently carries Medela and Spectra brand breast pumps and supplies. A rented hospital-grade breast pump is generally recommended to establish and maintain a milk supply. So if baby is not able to latch consistently, a breast pump can be rented at the Mayo Store and returned in exchange for a personal use pump later. Mayo insurance does not pay for breast milk storage supplies and spare pumping equipment, but you may be able to use your flex spending account.
For more information, refer to the Breast Pump Insurance FAQs document.
There are a variety of breast pump brands such as Medela, Spectra, Willow, Elvie, etc. Many brands make more than one model of breast pump. If you wish to fill your prescription at the Mayo Clinic Store, review the features of the Medela Pump In Style and Spectra S1. Features you may wish to consider are portability, noise level, ease of use, and the availability and price of supplies. Be aware that if you choose a breast pump that is not carried at the Mayo Store you will have to purchase it through a medical supply vendor. If you choose a breast pump above the standard price-point, insurance will cover part (but not all) of the purchase price.
Interested in more newsfeed posts like this? Go to the Employee/Learner Lactation page.