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Only 5 weeks left, help me get this figured out!

post #1 of 16
Thread Starter 
1.) I have to return to work part-time (Mon-Wed-Fri) in 5 weeks, working from 8-5 on those days and with only one pump break (my lunch break). Just started pumping four days ago, once a day, averaging 8.6 ounces a day. I am double pumping with a Medela Lactina and storing in Lansinoh bags with approx. 3 oz. per bag.

Q: Do I need to pump more often to store up more or is once daily at 8.6 ounces/day okay? I don't really want to bring back a ton more milk than he really needs right now because we JUST got back to yellow poo after weeks of a foremilk/hindmilk imbalance, green poo, gassy nightmare, but I want to be sure I have a sufficient stash going in.

2. Often I am the only nurse to one or two Dr.s (in small specialty clinics), in the larger clinics it is usually 2 nurses/Dr. with one rooming and one on the phone/computer - both busy constantly, so trying to break away for pump breaks is impossible (the only break clinic nurses get around here is lunch and even that can be tricky at times). So realistically, my lunch break will be my only opportunity to pump.

Q: Is pumping only on my lunch break those 3 days/week going to do dreadful things to my supply? Will I need to pump more often on the in-between days while I am home with DS in order to have enough for him at daycare?

3.) As a float nurse for a clinic system I work in a different clinic every day. None of the sites I float to have anything close to a dedicated pumping room, which means I will be pumping in bathrooms, spare exam rooms, and if I'm lucky, a spare office here and there.

Q: How do you clean all your pump parts, bottles, etc. while you're at work? True bathrooms have sinks, as do exam rooms (most), but if I'm pumping in someone's office...do I really have to haul all my stuff to the break room to wash it? And do you bring along dish soap and a bottle brush? I don't really want to set anything on the counter in an exam room or bathroom, but I don't have enough hands to hold on to all the various pieces at once. Hygienically, is it safe to just rinse (if near a sink) and/or throw it all in a bag to wash once I get home?

I mean really, in practice, how does this all work?? I'm sorry if I'm missing something obvious, but I've never had to rely on pumped milk before. All prior babies have been fed straight from the tap, lol. Please help me get this figured out!
post #2 of 16
I can only answer your last question - you can just leave everything until you get home to clean it, you can rinse with water and then wash at home later or you can buy wipes to clean everything with at the site.
http://www.medelabreastfeedingus.com...wipes-24-count
post #3 of 16
You can use this to estimate the baby's needs. I encouraged both of my boys to reverse cycle (eat mostly at night) to minimize how much expressed milk they required.

I think your supply will be okay (I didn't see how old babe is) pumping just once in 8 hours. I find that it works really well to pump on one side and feed on the other for the 1st feeding of each day. That gives me 7-10 feedings on top of what I pump while away. With both my boys I have tried to pump for each time they eat. Because DS1 ate more often when I was away I also pumped on my commute (using a hands free bustier).

I usually just rinse my stuff out with hot water and then wash it well when I get home. If I don't have access to a sink I stash the parts in the fridge in a lunch bag.

Some women can multitask while pumping (my OB always would pump and chart at the same time) but I find I have to distract myself. I usually read a book to help my body quickly relax while I pump.

Good Luck!
post #4 of 16
Sounds like you have an oversupply so I suspect you'll be fine. However, I think the general recommendation is to pump at least once for every 4 h you are away from baby.

Do you drive to work, and if so would it be possible to pump in the car? I have found commute pumping to be a lifesaver. It really reduces the amount of time that pumping takes out of my life. Car charger for my Ameda PY was so, so worth it.

I never use soap while away - just rinse with hot water and wash everything once a day at home. I use paper towels to cover any surface I needed to set my pump parts down on.
post #5 of 16
Quote:
Originally Posted by snoopy5386 View Post
I can only answer your last question - you can just leave everything until you get home to clean it.


Remember that in a cooler bag your milk is good for over 8 hours, so leaving the pump is fine (you can even use it twice or more in that time - shouldn't hurt the milk.)

I hope you can find places to pump and I would hope that your colleagues and employers, being in the health care profession, would understand the need for you to pump and encourage you!
post #6 of 16
If you haven't bought a pump yet, the medela freestyle is a really nice portable one. To speed up pumping time, preassemble the bottles and flanges before work. When it's time to pump, just put it on.

Your supply should be good even with the 1 pumping a day at work. For me, it wouldn't work because I have low supply. I'd nurse and pump fully before leaving for work, then pump at lunch, then either get home and nurse asap or pump again.

With your location constantly changing, it might be difficult to relax enough to let down. Try to build something into your routine now that helps you relax into pumping. Reading, tea, music....something that will be a cue to your body once you are at work.
post #7 of 16
Since your routine and setting will be so erratic, it's good you're getting comfortable with the pump ahead of time. I'd almost think about getting used to listening to an ipod or something, and maybe even get accustomed to pumping with a sleeping mask on or something, so your surroundings don't have a chance to interfere with your pumping ability.

It does sound like you may have an oversupply issue, so your supply may be fine. I could never get away with pumping only once in 8 hours, except when DD1 was close to two and not nursing much at home either. DD2 is a year old and I still pump 3 times a shift. Course, I get an average of 4 ounces when pumping, not 8+!

Isn't it illegal to not get a break more often?
post #8 of 16
Thread Starter 
Thanks for all the replies mamas! I am relieved to know that I can wait to wash the pump parts once I get back home, and even more relieved to think that maybe I can get by with the noon pumping without doing seriously detrimental things to my supply. I do have low supply days so I'm a little nervous about being able to pump enough on those days, but already my little guy seems to be a reverse cycler, so perhaps it won't be an issue anyway.

PatioGardener: I would hope that your colleagues and employers, being in the health care profession, would understand the need for you to pump and encourage you!

--It's a different world for hospital nurses vs. clinic nurses. From what I understand, hospital nurses have an easier time getting pump breaks/amenities. Clinic nurses, from conversations I've had with fellow nurses, seem to give up on pumping and nursing altogether for lack of time/space/encouragement. It seems to be thought of as a luxury that our profession just doesn't lend itself to. There really is no support for a pumping mama. I even called HR before I delivered to find out if there was any sort of protocol for pumping on the job, there isn't. No protection, no support. The ideology is along the lines of 'You can pump if you can get a break but no one is going to just give you a break'. It surprised and disturbed me. And I work for the biggest health system in my state.

chi_mama: I usually read a book to help my body quickly relax while I pump.

bender: Try to build something into your routine now that helps you relax into pumping. Reading, tea, music....something that will be a cue to your body once you are at work.


I love those ideas, unfortunately all my relaxation strategies have to be hands-free because my pumping cannot, lol. I have tried to turn the pages of a book with one hand while holding my flanges in place with the other arm, and I am just not that coordinated apparently, one flange slips out of place and throws off the suction and milk drips all over, lol, it's just a mess.

_betsy_: Isn't it illegal to not get a break more often?

That is the million dollar question, isn't it? I have asked this so many times and nurses and supervisors get real uncomfortable answering. Technically, yes, we should get two 15 min. breaks/day + a 30 min. lunch, and of course no one implicitly states you cannot take those 15 min. breaks, but it's sort of understood that you won't because there is too much work to be done. So I could push for those pump breaks, but at the risk of alienating myself from the other nurses who would feel 'put out' covering for me. Not to mention I would have to fight for these breaks day after day at every site I float to and that exhausts me just thinking about it. Good grief - if all nurses would ban together and say "Hey we are entitled to these breaks, we are going to take them" we could have our flippin' breaks - but no one wants to rock the boat with this corporation and especially in this economy. Our state is a hire/fire state and you can be terminated at any time for really any reason and this particular health system takes full advantage of that, unfortunately.
post #9 of 16
Holy cow, you are pumping a lot already!!! I'm envious of your building stash! I would suggest pumping for every feeding your LO has when you are apart. The general rule of thumb is one ounce for every hour you are apart (3 ounces is a good bottle size). You don't need to clean your pump parts at work. I just put mine in a little cooler. Some people just put theirs in a ziplock bag for the next use and wash at home. Since BM is good at room temp for 8 hours, this is okay to do. I'm sorry you are having issues finding a place to pump. If you drive, you can always pump in your car. I have done that from time to time and know many moms do it on a regular basis. Visit Kellymom.com for some good pumping info. They also have a forum for pumping moms that has some great information for questions/issues that come up.
post #10 of 16
I bring all of my pumping parts in a zipploc bag and put it all the the fridge at work between pumpings and bring it home to wash each night. Also, don't bother with an expensive nursing bra...I use an old sports bra with slips for the nipples = hands free pumping!! I pumping twice (every 3-4 hours) when I am at work and I have had more than enough milk for my DD. I think you should be fine with once a day!
post #11 of 16
Quote:
Originally Posted by Ava's Mama View Post
I bring all of my pumping parts in a zipploc bag and put it all the the fridge at work between pumpings and bring it home to wash each night. Also, don't bother with an expensive nursing bra...I use an old sports bra with slips for the nipples = hands free pumping!! I pumping twice (every 3-4 hours) when I am at work and I have had more than enough milk for my DD. I think you should be fine with once a day!
I used an old bikini top. I'm reminded of the beach every time I pump. I swear it helps me relax
post #12 of 16
Thread Starter 
@ sunshynbaby and Ava's Mama: OMGoodness that is BRILLIANT! I just so happen to own a sports bra that I really wouldn't mind cutting slits into for the purpose! Do you recommend cutting the little slits vertically or horizontally? I am seriously really excited about this - you guys are some clever mamas!
post #13 of 16
I have been pumping at work for nearly 3 years (dd is 3 and DS is 10 months) Truly, I was not able to go down to one pumping a day till well after 6 months with each kid. My body would not allow it. I was leaking all over the few times I tried it. If i went longer than 3.5 hrs I had a plugged duct that turned into mats a few times. So NOT fun.

For your health and clothing, you need to pump more than once. If that means in the car on the way to work, do that. If it means on the way home, do it. All I know is that for a typical day, say working 8-4:30, I would have had to feed baby at 6 am, pump at 9-10 am, pump again at 1-2 pm, then pop baby on the boob ASAP when I get home at 5:30 just so I don't end up a soggy mess. And that goes double for you since this is part time for you. You need your body to remember that the other 4 days a week, a baby neds to eat very often.

Brainstorming here: Maybe you could forfit your lunch break at the typical noon time in place of a 10 am break and a 2 pm break. Cover the offices while everyone else is at lunch. Worst case, call and book a false appt for certian time blocks, maybe a "new patient" so it gives you a full hour free. J/K, sort of. Eventually someone would catch on, huh? If you really ony are able to pump 1 time a day, invest in good breast pads and motrin, you will need them both.
post #14 of 16
Quote:
Originally Posted by Sleepyheaded_Mama View Post
@ sunshynbaby and Ava's Mama: OMGoodness that is BRILLIANT! I just so happen to own a sports bra that I really wouldn't mind cutting slits into for the purpose! Do you recommend cutting the little slits vertically or horizontally? I am seriously really excited about this - you guys are some clever mamas!
I cut the slits horizontally and it has worked well for me so far
post #15 of 16
there's this hands-free option also
post #16 of 16
My first thought about pumping only once in 8hr is OUCH!!! I would really suggest breaking your lunch break up into at least two different sessions. Not only will you risk getting clogged ducks/mastitis, leakage may also become a problem. Bribe your co-workers with chocolate

Get familiar with the employment laws and the laws regarding breastfeeding mothers. Discuss your needs with your boss ahead of time and ask him/her for help to come to a workable solution.

Cleaning pump parts: I usually just rinsed with hot water, placed them into a ziplock and put them in the cooler with the milk or the fridge. Getting a second set is also helpful, especially when you run out of energy to wash them as soon as you get home.
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Mothering › Forums › Breastfeeding › Only 5 weeks left, help me get this figured out!