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When should you pump and dump while breastfeeding?

Understanding “Pump and Dump” While Breastfeeding
The term “pump and dump” refers to a practice some breastfeeding mothers adopt when they feel the need to discard their breast milk after consuming substances like alcohol or certain medications. This method is often surrounded by myths and misconceptions, leading many to question its necessity and safety.
When Is Pump and Dump Recommended?
1. Alcohol Consumption: One of the most common reasons mothers consider pumping and dumping is after drinking alcohol. However, research indicates that it may not be necessary. The general consensus among experts is that moderate alcohol consumption does not require mothers to pump and dump. Instead, they can time their drinking to allow for the alcohol to metabolize before breastfeeding again. Typically, alcohol levels in breast milk mirror those in the bloodstream, peaking about 30 to 60 minutes after consumption. Therefore, if a mother waits a couple of hours after drinking, she can often resume breastfeeding without concern.
2. Medication Use: Another scenario where pumping and dumping might be advised is after taking certain medications that could be harmful to a breastfeeding infant. In these cases, healthcare providers may recommend pumping and discarding milk for a specified period until the medication is cleared from the mother’s system. It’s crucial for mothers to consult with their healthcare provider regarding the safety of any medication they are prescribed while breastfeeding.
3. Anesthesia and Medical Procedures: After undergoing anesthesia or certain medical procedures, mothers may also be advised to pump and dump. The duration for which they should refrain from breastfeeding can vary based on the type of anesthesia used, so again, consulting a healthcare professional is essential.
Debunking Myths
Despite the common belief that pumping and dumping is a necessary practice, many experts argue against it. Studies suggest that the “pump and dump” method is often based on outdated information and fear rather than scientific evidence. For instance, excessive alcohol consumption can indeed affect milk production, but moderate drinking does not pose a significant risk to breastfeeding.
Moreover, the idea of discarding precious breast milk can be disheartening for mothers who work hard to produce it. Many lactation consultants advocate for “pumping and saving” instead, emphasizing that mothers should not waste their milk unless absolutely necessary.
Conclusion
In summary, while there are specific situations where pumping and dumping may be warranted—such as after consuming certain medications or undergoing medical procedures—many mothers can safely continue breastfeeding after moderate alcohol consumption without the need to discard their milk. It’s always best for mothers to seek personalized advice from healthcare professionals to navigate their unique circumstances effectively. Understanding the facts can empower breastfeeding mothers to make informed decisions that benefit both them and their babies.

How many times a day should I be pumping if I’m breastfeeding?

If you’re exclusively pumping or trying to establish a supply to match that of a newborn’s feeding schedule, aim to pump every 2-3 hours, or about 8-12 times in 24 hours. Newborns typically eat frequently, and matching their feeding rhythm can help stimulate your milk production effectively.

How long do you have to pump and dump after drinking while breastfeeding?

A mother may express or pump milk after consuming alcohol to ease her physical discomfort or adhere to her milk expression schedule. If a mother decides to express or pump milk within two hours (per drink) of consuming alcohol, the mother can discard the expressed milk. This is known as pumping and dumping.

How to build breast milk stash while nursing?

Stick to a schedule

  1. Exclusively pumping. Pump for 10-15 minutes at 2-3 hour intervals.
  2. Pumping for work/nursing at home. Pump three times daily AFTER you’ve nursed your baby. Once back at work, pumping at 2-3 hour intervals. Nurse on demand at home.
  3. Increasing your supply. Pump once a day AFTER you’ve nursed your baby.

How do I know if my baby is affected by alcohol in breastmilk?

If your baby consumes breast milk with alcohol in it, it may have negative effects on your baby, including:

  • Increased crying.
  • Increased arousal.
  • Decreased milk intake.
  • Decreased weight gain.
  • Increased REM sleep (rapid eye movement sleep when their brain is more active)

Does pumping every 2 hours increase milk supply?

Pump more often, from both breasts
Many women wonder how often they should pump. A general guideline is to pump every three hours. But if you’re trying to produce more breast milk, you can: Try pumping both breasts for 15 minutes every two hours for 48-72 hours.

Do I need to pump and dump or just wait?

There is a good time to pump and dump: when your breasts are too engorged and they are becoming painful. If your baby isn’t hungry and you don’t have a place to store your extra milk for later, there’s no reason to be uncomfortable. Pump until you feel comfortable again, then dispose of the extra milk.

Does breastmilk lose nutrients when pumped?

According to the CDC (Centers for Disease Control and Prevention), freshly expressed breast milk can be safely kept at room temperature (77°F or colder) for up to 4 hours. Generally, when freshly pumped, breast milk is at its peak regarding nutrients.

What is the best schedule for pumping and breastfeeding?

If your baby nurses every 3 hours, that’s perfect. It gives you enough time for a pumping session in between, without affecting the amount of milk your baby gets. I’d pump in the morning, because production is higher in the morning than later in the day. Pump for 15-20 minutes, starting around an hour after you nurse.

What is the 5 5 5 rule for breast milk?

Something I recommend to moms is the 5-5-5 rule. Try and use milk within five hours at room temperature, five days in the fridge, and by five months in the freezer.

When should you not breastfeed when drinking?

Avoid breastfeeding during and for 2 – 3 hours after drinking alcohol. Heavy drinkers should wait longer.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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