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and/or congenital reasons (for example, a cleft lip). Also, storage guidelines might differ for preterm, sick or hospitalized infants. ", Copyright 2010-2021, Breastfeeding USA, All Rights Reserved | Privacy Policy. Medicaid managed care administered by Amerigroup Partnership Plan, LLC, an independent company. 10 facts on breastfeeding. First know it takes time and practice to train your body to respond to your pump like it does to your baby. For many mothers, pumping is a key aspect of meeting their breastfeeding goals. When services may be Medically Necessary when criteria are met: Breast pump, electric (AC and/or DC), any type, Breast pump, hospital grade, electric (AC and/or DC), any type, Durable medical equipment, miscellaneous [when specified as a wireless or wearable breast pump]. [citation needed], Multiple sizes of flanges ranging from 13mm to 36mm are available to purchase from various manufacturers. Nutrient Adequacy of Exclusive Breastfeeding for the Term Infant During the First Six Months of Life. A misconception is that the breast pump suctions milk out of the breast. Do you compare it with the volume of milk your friend or neighbor pumps? If youre giving formula and your baby is between one and six months old, you can calculate how much milk you should expect to pump at a session by determining what percentage of your babys total daily intake is at the breast. The magic number and long-term milk production. << /BitsPerComponent 8 /ColorSpace /DeviceRGB /Filter /FlateDecode /Height 198 /SMask 24 0 R /Subtype /Image /Type /XObject /Width 874 /Length 20258 >> "The water content of breastmilk consumed by an exclusively breastfed baby meets the water requirements for infants and provides a considerable margin of safety. MPTAC review. Clinical Lactation, 2(1), 15-18. If you find that you are not able to pump as much milk as your baby wants to eat while you are away, you may want to consider adding another pumping session to increase your milk supply. Hands-on Pumping February 20, 2015. Bacteria and viral filters may be present to prevent contamination or overflow into pump motor. While it takes practice, skill, and coordination, it gets easier over time. For information on how to keep your pump parts clean before and after use, visit How to Keep Your Breast Pump Kit Clean: The Essentials. J Midwifery Womens Health, 52(6), 564-570. (2006). 2Heinig, M.J. et al. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. The Breastfeeding-Friendly Pediatric Office Practice. Pumping as often as your baby normally drinks breast milk should help your body make about the amount of milk your baby needs. Do you ever second-guess your milk supply after pumping? This suction-release cycle can also be accomplished with hand pumps, which the nursing parent operates by compressing a handle. It may also not be able to compensate for larger shield sizes. 11,135 to O.H. During these situations, the mother needs to extract breast milk in order to provide nutrients necessary for healthy growth and development. The portions of the pump that come into direct contact with the expressed milk must be sterilized to prevent contamination. Worries are a normal part of new motherhood, but you can make milk expression a much more pleasant experience by learning what to expect. All parts of Spectra S1 breast pump that come into contact with breast milk can be sterilized via microwave, electric steam sterilizer or cold water sterilization methods. Healthy Blue is the tradename for BlueChoice HealthPlan,an independent licensee of the Blue Cross and Blue Shield Association. decision for breast pumps..?I have high intentions of breast feeding, what is a good automatic breast pump that won't give out that easily? 19 0 obj Some mothers actually pump the most milk near the minimum setting. While the benefits of breastfeeding are well documented and the majority of women in the United States initiate breastfeeding, the incidence of continued breastfeeding drops sharply by 3 months. [19][20][21], Foot-powered breast pumps use the same collection tubing and breast horns as electric breast pumps, but are powered by a foot pedal. Op{%%=w_H'A:Q ncK>RbJQds? Although a baby gets bigger and heavier between one and six months of age, her rate of growth slows down during that time, so the amount of milk she needs stays about the same.1 (This is not true for formula-fed babies, who consume much more as they grow2 and are also at greater risk for obesity.3) When your baby starts eating solid foods, her need for milk will gradually decrease as solids take your milks place in her diet.3. Obstet Gynecol. Content provided through our blog is for educational purposes only and is not intended as a substitute for the advice of your healthcare provider. There are many reasons you might want to pump, hand express breast milk, or feed your baby pumped breast milk. Available at: Limmerick PJs Serenity. Helping Hands Lactation provides in-home professional breastfeeding support for the Greater Baltimore and Annapolis Area. According to a 2016 survey, 81.1% of women initiate breastfeeding following birth. stream Last updated March 14, 2019. Pediatrics. A closed collection system has a barrier or diaphragm that separates the pump tubing from the horn. Breast milk should never be microwaved as this can produce dangerous hot areas and may also destroy the milk's antibodies. [25] However, it is important to clean the diaphragm as condensation or milk reaching this part can cause bacterial contamination. Mothers often assume that stronger pump suction yields more milk, but this is not true. If milk leaks into the pump's tubing, the tubes should be washed, sterilized and air-dried prior to using the pump again. Rockville, MD: FDA. When services are Not Medically Necessary:For the procedure codes listed above when criteria are not met or for situations designated in the Clinical Indications section as not medically necessary. ", "Prevalence and outcomes of breast milk expressing in women with healthy term infants: a systematic review", "The Quiet Revolution: Breastfeeding Transformed With the Use of Breast Pumps", "Breastfeeding and the Use of Human Milk", Storing Breast Milk/Thawing Frozen Breast Milk, https://en.wikipedia.org/w/index.php?title=Breast_pump&oldid=1094963503, Short description is different from Wikidata, Articles with unsourced statements from August 2021, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 25 June 2022, at 16:12. Milk with higher water content usually comes in by the third or fourth day." The pumps tend to be larger and heavier, and therefore, not as portable as the typical electric personal breast pump. Electric breast pump: A powered breast pump, electrically powered suction device used to express milk from the breast. James DC, Lessen R; American Dietetic Association. American College of Obstetricians and Gynecologists (ACOG). Breastfeeding. MPTAC review. They tend to be noisy. Available at: World Health Organization. Federal and State law, as well as contract language including definitions and specific coverage provisions/exclusions, and Medical Policy take precedence over Clinical UM Guidelines and must be considered first in determining eligibility for coverage. Available at: U.S. Department of Health and Human Services Offices on Womens Health. Clinical Preventive Services for Women: Closing the Gaps. What should you expect when you begin pumping? Empowering you with mother-to-mother support. Updated Discussion/General Information, References and Websites sections. Position of the American Dietetic Association: promoting and supporting breastfeeding. This may be done because the mother produces too much milk, or because the mother will be away from the baby too long without a way to store the milk, or because of concern over alcohol or some other sustance that the baby should not have. 5Kent, J. C. (2007).How breastfeeding works. Some models include battery packs or built-in batteries to enable portable operation of the pump. Time elapsed since your last milk removal. 18 0 obj K173699. stream An electric, heavy-duty, hospital-grade breast pump is recommended for mothers who are dependent on the expression of pumped breast milk (initiation or continuation of milk production) due to circumstances that do not allow for breastfeeding. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. << /Contents 25 0 R /MediaBox [ 0 0 612 792 ] /Parent 43 0 R /Resources << /ExtGState << /G3 34 0 R /G5 36 0 R >> /Font << /F4 35 0 R /F6 37 0 R /F7 38 0 R >> /ProcSet [ /PDF /Text /ImageB /ImageC /ImageI ] /XObject << /X8 23 0 R >> >> /StructParents 0 /Type /Page >> It is not intended to be a recommendation of one product over another, and is not intended to represent a complete listing of all products available. By following safe preparation and storage techniques, you can maintain the high quality of expressed breast milk and the health of your baby. Examining the use and outcomes of a new hospital-grade breast pump in exclusively pumping NICU mothers. If you are planning to return to work or school or will be away from your baby for other reasons, you may want to start pumping a few weeks beforehand. (2009). [17], A second article on the same study found that the combination of HOP techniques increased the fat content of the milk expressed. Most women pump more milk in the morning than later in the day. endobj The FDA (2018) states on their website Please note that the term hospital-grade pump is not recognized by the FDA and there is no consistent definition for this term, so individual companies could mean different things when they label their breast pumps as hospital-grade.. Adv Neonatal Care. Energy and protein intakes of breast-fed and formula-fed infants during the first year of life and their association with growth velocity: the DARLING study. March 26, 2018. The pump motor's suction is directly passed to the breast versus indirectly as with closed-diaphragm systems. Artifact of the month August 2013", "Baby Food: If breast is best, why are women bottling their milk? << /Filter /FlateDecode /S 84 /Length 118 >> Breastfeeding promotion for infants in neonatal units: a systematic review and economic analysis. Electric breast pumps are powered by a motor which supplies suction through plastic tubing to a horn that fits over the nipple. 4Islam, M.M, Peerson, J.M., Ahmed, T., Dewey, K.G., & Brown, K.H. NANN states it is critical to monitor early and frequent breast milk supply from pumping during the first 2 weeks to ensure that the mother will have an adequate supply at the time of the infants discharge. Updated Discussion/General Information, References and Websites sections. Even with good milk production and a good-quality pump, some mothers find pumping tricky at first. Devices are available which are worn inside the bra which allow a woman to perform activities of daily living while pumping. Reformatted Coding section. When a breastfeeding infant is confined to the hospital; When a breastfeeding infant has a medical (for example, respiratory, cardiac or genetic condition) or congenital condition (for example, cleft palate) that interferes with breastfeeding; When the mother has been unsuccessful expressing sufficient breast milk after a trial using a manual, battery powered or standard electric pump. Breastfeeding and human milk provide natural, normal nutrition for all infants. Also, either a too-large or too-small nipple tunnel can cause discomfort during pumping. Practice Makes Perfect To get the milk they need, many babies respond to this by simply breastfeeding more often when milk production is slower, usually in the afternoon and evening. Available at: The Pump by Babyation. Removed ICD-9 codes from Coding section. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, or otherwise, without permission from the health plan. 0s'Z ]$U.%$LMnWd OVy;(_[R L+K?&oTWe^E>JQKn6QMl Committee Opinion No. in a backpack or shoulder bag). [4] The U.S. Patent Office issued U.S. Patent 1,644,257 for Lasker's breast pump. 1,644,257 issued by U.S. Patent Office, "Symbols of motherhood: breast pipe and nursing bottle. "Combining hand techniques with electric pumping increases milk production in mothers of preterm infants" J Perinatology (2009) 29 757-764, J Morton et al. These pumps are more durable and powerful to support more frequent pumping of breast milk. Geneva, Switzerland, World Health Organization. Also, because few women are completely symmetrical, you may need one size nipple tunnel for one breast and another size for the other. Breastmilk provides all the water your baby needs, even in hot and dry climates. Article originally appeared on the website Breastfeeding Reporter (www.nancymohrbacher.com), where you can find complete article licensing information. Pediatrics. What leads to unawareness in pumping women and Lactation consultants about the need to be fit with the right size flange for efficient emptying during pumping. 2012; (15):CD003517. 2008; 149(8):565-582. Ideally, you want no more than about a quarter inch (6 mm) of the dark circle around your nipple (areola) pulled into the tunnel during pumping. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Exclusively breastfeeding? These pumps are considered "hospital grade" and virtually eliminate the chance of cross-contamination of the pump from user to user. There are three main types of breast pumps: manual, battery-powered and electric pumps. J Am Diet Assoc. Available at: U.S. Food & Drug Administration. Most information in marketing materials by breast-pump manufacturers is offered without studies to back them up. No. MPTAC review. Small-breasted women can have large nipples and large-breasted women can have small nipples. To hand express, you use your hand to massage and compress your breast to remove milk. [18], Mechanically, a breast pump triggers the milk ejection response or "letdown". Lactation consultants, specialty medical supply stores, and durable medical equipment (DME) supply sources may rent or sell hospital-grade breast pumps. endstream << /Pages 43 0 R /Type /Catalog >> If too much is pulled in, this can cause rubbing and soreness. The water content of breastmilk consumed by an exclusively breastfed baby meets the water requirements for infants and provides a considerable margin of safety. Centers for Disease Control and Prevention. endobj xc```b``a`a`f`0$26`+V{-}Uz': YH;c!b~ fi1vjW#EuD The use of specific product names is illustrative only. "Breastmilk is 88 percent water. To determine if review is required for this Clinical UM Guideline, please contact the customer service number on the back of the member's card. Various groups continue to support promotion of breastfeeding interventions to improve the rate of breastfeeding in the United States. [Article in Swedish] EGNELL E. J. Morton et al. Martino K, Wagner M, Froh EB, et al. Updated Description/Scope, References and Websites sections. A good time to pump milk to store is usually thirty to sixty minutes after the first morning nursing. The document header wording updated from Current Effective Date to Publish Date.. [26] Breast milk changes to meet a baby's needs so that breast milk expressed when a baby is a newborn won't as completely meet the same baby's needs when he or she is a few months older. It can also be too large. Electric breast pumps are larger than manual ones, but portable models are available (e.g. If the first month of exclusive breastfeeding is going well, your milk production dramatically increases from about one ounce (30 mL) on Day 1 to a peak of about 30 ounces (900 mL) per baby around Day 40.1 Draining your breasts well and often naturally boosts your milk during They express their milk at work, which is later bottle-fed to their child by a caregiver. [citation needed] Many parents use them to continue breastfeeding after they return to work. Expressed milk may be donated to milk banks, which provide human breast milk to premature infants and other children whose mothers cannot provide for them. There are no studies comparing the open- versus closed-system design. What matters to your baby is not how much she gets at each feeding, but how much milk she receives over a 24-hour day. Most breast pumps direct the pumped milk into a container that can be used for storage and feeding. Breast pumps may be used to increase or maintain a womans milk supply, relieve engorged breasts and plugged milk ducts, or pull out flat or inverted nipples so a nursing baby can latch-on to its mothers breast more easily (FDA, 2018). At 6 months of age only 22.3% of infants have been fed breastmilk exclusively (Meeks, 2017). Additional short- and long-term effects of breastfeeding include additional health benefits. To receive email updates about this topic, enter your email address. Medical technology is constantly evolving, and we reserve the right to review and update Clinical UM Guidelines periodically. MPTAC review. Hands-on pumping is one evidence-based strategy to increase milk yield while pumping. A disadvantage of the diaphragm is that it may limit the amount of air/suction available to extract milk from the breast. This document addresses the use of standard electric breast pumps (non-hospital grade) or heavy-duty, hospital-grade breast pumps for initiating and maintaining expression of human breast milk in specified situations. Other devices support wireless connectivity and allow for tracking of pumping and infant activities. Revised title from Breastfeeding Pumps to Electric Breast Pumps. Volume and frequency of breastfeedings and fat content of breast milk throughout the day. While women initially report intention to breastfeed exclusively for at least 3 months, only 32.4% of the women report achieving this goal (Meeks, 2017). The authors concluded the time of birth, and the purpose for expression of breast milk influence the most suitable method for expressing milk. [13], "Pump and dump" refers to the practice of disposing of breast milk rather than pumping it to be used. When away from your baby or if you exclusively pump your milk, try to pump as often as your baby is drinking breast milk. Standard manual and electric breast pumps are intended for single person use and are typically sold as a medical device. Hospital-grade breast pump: Non-standard, electric, heavy-duty breast pump, that is FDA approved for reuse by multiple lactating women (not for single person/personal use). CPT Only American Medical Association. (NT$1"&b_|R+BzT7QRs 2009; 109(11):1926-1942. Pump designs are referred to as either open or closed based on whether there is a barrier between where the tubing connects to the pump and where milk flows into the pump. Click here for the Breastfeeding USA website article describing this effective technique. Available at: U.S. National Library of Medicine. https://cdn.cnsnews.com/documents/INSTITUTE%20OF%20MEDICINE-PREVENTIVE%20SERVICES%20REPORT.pdf, http://www.accessdata.fda.gov/cdrh_docs/pdf10/K100435.pdf, http://www.accessdata.fda.gov/cdrh_docs/pdf15/K150721.pdf, https://www.accessdata.fda.gov/cdrh_docs/pdf18/K181863.pdf, http://www.accessdata.fda.gov/cdrh_docs/pdf13/K132220.pdf, http://www.accessdata.fda.gov/cdrh_docs/pdf11/K112856.pdf, http://www.accessdata.fda.gov/cdrh_docs/pdf15/K151632.pdf, http://www.accessdata.fda.gov/cdrh_docs/pdf2/K020375.pdf, https://www.accessdata.fda.gov/cdrh_docs/pdf17/K173699.pdf, https://apps.who.int/iris/bitstream/handle/10665/79198/9789241505307_eng.pdf?sequence=1, http://www.cdc.gov/breastfeeding/pdf/BF-Guide-508.PDF, https://www.womenshealth.gov/Breastfeeding, http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/HomeHealthandConsumer/ConsumerProducts/, https://www.nlm.nih.gov/medlineplus/breastfeeding.html, http://www.who.int/features/factfiles/breastfeeding/en/index.html. % [citation needed], Manual breast pumps are operated by squeezing or pulling a handle in a repetitive fashion, allowing the user to directly control the pressure and frequency of milk expression. The Use of Human Milk and Breastfeeding in the Neonatal Intensive Care Unit: Position Statement 3065. Health Technol Assess. Breastfeeding. The best suction setting is the highest thats truly comfortable and no higher. In this design, the suction of the pump motor lifts the diaphragm to create a vacuum within the collection system to extract milk. Talk with a lactation consultant for tips on how to help make pumping work for you. 2015; 44(3):450-457. There are many short- and long-term benefits of breastfeeding for both infant and mother. The AAP recommends breast feeding continue through the infants first year of life or longer. MPTAC review. American Journal of Clinical Nutrition, 58, 152-61. This amount may differ from baby to baby and can change as babies grow. Clinical UM guidelines are used when the plan performs utilization review for the subject. Slow-diaphragm pumps use a larger diaphragm operated by a cam or lever to generate suction with each stroke. Even though a newborn gets little water in the thick yellowish first milk (colostrum), no additional water is necessary because a baby is born with extra water. 1Butte, N.F., Lopez-Alarcon, & Garza, C. (2002). Available at: US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, ET AL. If you have Medicaid they pay for pumps too, you just have to ask how the insurance pays for them and what you need to do to get one. Standard non-hospital grade breast pumps can include these features and can be considered appropriate as a means of promoting infant health. Expressed milk may be kept at room temperature for up to six hours (at 66-72 degrees Fahrenheit, around 20 degrees Celsius), in an insulated cooler with ice packs for up to one day, refrigerated at the back of the refrigerator for up to 5 days (optimal: use or freeze the milk within 3 days), or frozen for 12 months in a deep freeze separate from a refrigerator maintained at a temperature of 0 degrees Fahrenheit or 18 degrees Celsius (optimal: use this milk within 6 months). If you feel upset, stressed, or angry when you sit down to pump, this releases adrenaline into your bloodstream, which inhibits your milk flow. [15], Research done at Stanford University in 2009 showed the correlation of various factors with the volume of milk production in mothers of preterm babies (born before the 31st week of gestation). The guidelines recommend coverage of costs for renting breast feeding equipment for each birth. Strategies to prevent obesity and other chronic diseases: the CDC guide to strategies to support breastfeeding mothers and babies. Hartman et al., in a 2008 study,[24] showed that the maximum comfortable vacuum enhances milk flow and milk yield. A comparison of the efficiency, efficacy, comfort, and convenience of two hospital-grade electric breast pumps for mothers of very low birthweight infants. Rollins NC, Bhandari N, Hajeebhoy N, et al; Lancet Breastfeeding Series Group. Pumps achieve letdown by using suction to pull the nipple into the tunnel of the breast shield or flange, then release, which counts as one cycle. Under provisions of the Patient Protection and Affordable Care Act, the U.S. Department of Health and Human Services (DHHS) released health plan coverage guidelines, which included recommendations from the IOM, that require health insurance plans cover breast pumps and certain other women's preventive services. The study found that mothers who used massage techniques and hand expression more than 5 times a day in the first 3 days after birth increased their milk production 8 weeks later, milk production increased 48%. June 19, 2015. JAMA. IH?32Z;R+o(7,7)h3`DsWI)TRO5J~"Tj >5\V RO XO But at first, while your milk production is ramping up, expect to pump less milk than you will later. They may be manual devices powered by hand or foot movements or automatic devices powered by electricity. Evid Rep Technol Assess (Full Rep). An electric, heavy-duty, hospital-grade breast pump is considered medically necessary for any of the following indications: An electric breast pump (standard non-hospital grade or heavy-duty hospital grade) is considered not medically necessary in the absence of ongoing breastfeeding. 1956 Oct 5;53(40):2553-64.Links [Viewpoints on what happens mechanically in the female breast during various methods of milk collection.] 1: Sven Lakartidn. [6] This article provided insight into the technical aspects of milk extraction from the breast. Breast Pump, Patent No. A type of pump which is approved by the FDA for safe use by multiple users, where each individual utilizes their own collection kit (typically includes breast shields and tubing), is the electric, heavy-duty breast pump. Did you have pre-eclampsia, requiring magnesium sulfate or Procardia? Before you start to worry, you first need to know how much pumped milk is average. Many mothers discoverto their surprisethat when they compare their own pumping experience with the norm, theyre doing just fine. There are many different types of breast pumps on the market and factors to consider when choosing the best pump for your situation. May 10, 2012. The FDA regulates breast pumps as medical devices that extract or express breast milk. Thawing can be done by placing the frozen milk in the refrigerator the night before intended use, or by placing the milk in a bowl of warm water. [3] In 192123, engineer and chess master Edward Lasker produced a mechanical breast pump that imitated an infant's sucking action and was regarded by physicians as a marked improvement on existing hand-operated breast pumps, which failed to remove all the milk from the breast. Do you compare it with the milk you pumped for a previous baby? Archaeologists working at a glass factory site in Philadelphia, Pennsylvania, excavated a 19th-century breast pipe that matches breast pumping instruments in period advertisements. Available at: Ip S, Chung M, Raman G, et al. At first you will probably be able to pump small amounts, and this will gradually increase as times goes on. American historian Jill Lepore argues that the need for so-called "lactation rooms" and breast pumps is driven by the corporate desire for parents to return to work immediately rather than mothers' wishes or babies' needs. Breast Pumps. 2013; 13(1):75-82. Infant feeding and growth. Donor milk may be available from milk banks for babies who are not able to receive their mothers' milk. [14], The breast pump is not as efficient at removing milk from the breast as most nursing babies or hand expression. [25], Open-collection systems can cause milk to overflow into the collection system tubing, and milk particles being drawn into the pump motor. Advances in Experimental Medicine and Biology, 639, 57-66. This will give you the chance to practice pumping and will give your baby time to get used to feeding from a bottle. If your nipple rubs along the tunnels sides, it is too small. [1][2] Scientific American (1863) credits L.O. Dont assume (as many do) that what you pump is a gauge of your milk production. This use of breast milk is widespread in the United States, where paid family leave is one of the shortest in the developed world. The National Association of Neonatal Nurses (NANN, 2016) issued a position statement on the use of human milk and breastfeeding in the neonatal intensive care unit (NICU). How much milk a baby consumes per feeding varies by age anduntil one month or soby weight. << /Linearized 1 /L 98409 /H [ 852 197 ] /O 22 /E 60170 /N 6 /T 98032 >> Breastfeeding and maternal and infant health outcomes in developed countries. Keeping the parts of your pump clean is very important. A standard, non-hospital grade, electric breast pump is considered medically necessary when there is documentation of ongoing breastfeeding. H`tyGNZ7@t(Zy?\P9B'/AkoPM1GM#A VJp@xbX=fvZb^UI)6O-)3~N0`>V/-7RuN US4_{)O`3c$:} `vCf#-29sfulF1/\&)t=P1$) MX9/ Effects of varied energy density of complementary goods on breast-milk intakes and total energy consumption by healthy, breastfed Bangladeshi children. Beginning on or after August 1, 2012, new health plans and non-grandfathered plans are required to provide coverage consistent with these guidelines in the first plan year (in the individual market, policy year), when delivered by a network provider. Pump fit is not about breast size; its about nipple size. Take a deep breath and read on. References July 19, 2011. It can either be frozen directly in the bottle, or stored in disposable breast milk bags which are more compact when frozen, thus saving space in a freezer. Updated Discussion and References sections. In recent years there have been several advances in breastfeeding equipment which could encourage breastfeeding and continue for a longer period of time. Getting a good pump fit is important, because your fit affects your comfort and milk flow. A breast pump is a mechanical device that lactating women use to extract milk from their breasts. endstream Helping Hands Lactation, Pasadena, MD 21122 (410) 701-0289. 21 0 obj [12], Expressing milk for donation is another use for breast pumps.