Expert Answers to Your Top Questions About Pumping, Storing and Reheating Breast Milk
September 8, 2020
Breastfeeding is a different experience for every mom and baby, but if there’s one universal truth, it’s that nursing is no easy task. What with things like proper positioning, pumping schedules and safe storage practices, there’s a lot to learn, and it can take some time. To help fast-track things a bit, we tapped a few lactation consultants and pediatricians to answer your top questions. Here’s what they said.
Many women feel this engorgement, especially the first week or two after giving birth. The combination of breast milk, increased blood flow and swelling can make your breasts feel extremely heavy and hard. Your new breast milk is a very different consistency and volume than the thick, yellow colostrum your body was producing before, and adjusting takes some time. If you’re feeling engorged, it’s important to feed, pump or hand express your milk to prevent pain and possible mastitis, an inflammation of the breast usually caused by clogged milk ducts. — Katie Lynch, RN, CLC, a certified lactation counselor, certified childbirth educator and registered nurse.
Nipple pain is a common complaint for breastfeeding moms, and a less-than-perfect latch is the most likely culprit. Other things that may contribute to nipple soreness: bras that are too tight and removing baby from your breast without breaking the suction first. If baby is latched on and sucking and you need to end the feeding, the best way to break the suction is either by gently pressing down on your breast near baby’s mouth or inserting a clean finger into the corner of baby’s mouth. Also, soreness can stem from chapped nipples. To avoid chafing, blot your nipples dry after feeding and apply an emollient, like HPA Lanolin, if your doctor okays it. If nipple soreness doesn’t clear up, contact your doctor or a lactation consultant for more help. —Lynch
Many moms breastfeed as well as supplement with either expressed breast milk or formula, especially as baby gets older. Breastfeeding doesn’t have to be an all or nothing decision. Formula can be introduced during the night or even feeds during the day, depending on baby’s needs and your schedule or circumstance. Know that once breastfeeding is established, many moms who want or need to give up a feed or two can continue to produce adequate milk supply for an extended period of time. The key is consistency. Formula is an alternative that provides adequate nutrition for baby’s growth and development, and by continuing breastfeeding, even partially, baby will still get many of the immune and other health benefits transferred through breast milk. — Jen Trachtenberg, MD, a pediatrician, cofounder of The Baby Bundle app and a nationally renowned parenting expert.
First, you want to make sure baby is getting proper nutrition to grow and thrive. Generally, it takes a few days for milk production and the let down reflex to occur, and then it may even take a few weeks for breastfeeding to become well established and for you to feel confident about breastfeeding. For this reason, many pros recommend waiting three to four weeks to introduce a bottle. It’s often comforting to know baby latches on well to the breast and there are no feeding issues before you start introducing the bottle. —Trachtenberg
Unfortunately there is no right answer to this—it really depends on baby, your schedule and your needs. If you’re breastfeeding exclusively, that could mean feedings every two to three hours or more frequently if a growth spurt is coming up—and obviously you’ll want to have enough milk for those feedings before you stock away extra. You can try pumping 30 to 60 minutes or more after breastfeeding, but ultimately you’ll have to experiment to find the pattern that works best for you. —Lynch
It’s always a good idea to offer baby both breasts at each feeding, letting them finish on the first side before offering the second breast. Baby may or may not want to eat on the second side, which is fine either way. If baby decides they aren’t interested in the second side, it’s not necessary to pump the unused side—just make sure to start the next feeding on that side. When you’re pumping throughout the day to store extra milk or to increase your milk supply, you should always allow baby’s hunger cues to determine when to feed baby and not let pumping interfere with or limit baby’s feedings. —Stephanie Nguyen, a women’s health nurse practitioner, international board certified lactation consultant and founder of Modern Milk, a wellness center for moms and babies in Scottsdale, Arizona.
Breast milk can be warmed in a cup of warm water or in a bottle warmer, or in a refrigerator if it was frozen. Never thaw frozen breast milk at room temperature and never microwave breast milk, as it can change the milk’s nutritional and bacterial makeup. Test the milk on your inner wrist before feeding to baby to make sure it’s at room temperature. If you’re out and about with no way to warm the milk, you can try giving baby the cold milk—many babies do just fine when it’s the only option. —Nguyen
Absolutely. Refrigerated breast milk is good for up to one week and can be placed in the freezer at any time before it expires, ideally within the first 72 hours. If you know ahead of time you aren’t going to use the milk within a week, it’s best to place it in the freezer immediately. Always label the storage bag with the date the milk was expressed and the number of ounces prior to freezing. Make sure to store milk in the back of the refrigerator, where it’s coldest, and avoid storing breast milk in the refrigerator door. —Nguyen
It’s perfectly safe to combine milk into one storage bag prior to freezing, but avoid adding warm milk to previously chilled milk, since this can also affect the nutritional makeup. Make sure to cool the new milk before combining. It’s also okay to combine milk from different days and use the date of the first milk expressed when labeling. —Nguyen
For more information, check out our tips for breast milk storage:
About the experts:
Katie Lynch, RN, CLC, CCE, is a certified lactation counselor, a certified childbirth educator and a registered nurse who specializes in labor and delivery and reproductive medicine.
Jen Trachtenberg, MD, is a board-certified pediatrician, cofounder of The Baby Bundle app and a nationally renowned parenting expert and author of two parenting books.
Stephanie Nguyen, RN, IBCLC, is a registered nurse, women’s health nurse practitioner and international board certified lactation consultant. She is also the founder of Modern Milk, a family-focused wellness facility in Scottsdale, Arizona.
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