how to combine breastfeeding and pumping

How to Combine Breastfeeding and Pumping: Essential Tips for Success in 2024

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Combining breastfeeding and pumping can be challenging, especially when trying to maintain a consistent milk supply and ensuring your baby gets the necessary nutrients. However, don’t worry—you can successfully juggle both with proper planning and the right technique.

In this article, we’ll explore the nuances of managing breastfeeding and breast pumping together, from understanding your milk supply to tips on using breast pumps and accessories.

You’ll learn how to create an effective schedule that works for both you and your baby, as well as techniques to help establish a comfortable routine. Additionally, we’ll address potential concerns like nipple confusion, proper milk storage, and when to seek professional help—all to help you achieve a fulfilling breastfeeding and pumping journey.

Key takeaways

  • Learn how to effectively combine breastfeeding and pumping for your baby’s optimal nutrition.

  • Establish a practical schedule and master techniques to aid in a smooth breastfeeding and pumping routine.

  • Understand potential challenges, from nipple confusion to milk storage, and knowing when to seek help from professionals.

How to combine breastfeeding and pumping (in a nutshell)

To combine breastfeeding and pumping, you can pump after nursing sessions, or establish a more personalized schedule according to your needs. Remember, pumping after breastfeeding helps increase your body’s milk production and supply while also providing a stash of breast milk for later use. If your breastfed baby has difficulty with sleep or fussiness, you might want to explore using the best pacifiers for breastfed babies to provide comfort without interfering with breastfeeding.

Understanding milk supply

As a breastfeeding mother, it’s normal to worry about your milk supply and whether your baby is getting enough breast milk. Recognizing the signs of a well-fed baby can give you peace of mind. Adequate milk supply is essential for your baby’s growth, and understanding how your breast milk supply works will empower you to ensure your baby’s needs are met.

During the first month of breastfeeding, your body gets used to your baby’s breast milk needs. Two significant hormones involved in breast milk production are prolactin and oxytocin. Prolactin regulates your milk supply, whereas oxytocin aids in milk let-down, allowing your baby to easily access the breast milk. Establishing a strong breastfeeding schedule will facilitate the production of these hormones.

Frequent nursing sessions play a crucial role in maintaining a steady milk supply. Aim to nurse your baby at least 8-12 times a day, especially during the first few weeks.

If you’re planning on combining breastfeeding and pumping, it’s important to consider how the two routines might affect your overall milk supply. Pumping between nursing sessions can help build up a reserve of expressed milk, but ensure that you are frequently and effectively nursing your baby as well.

If you’re concerned about low milk supply, there are several strategies to stimulate milk supply increases. Some of these strategies include power pumping, improving your baby’s latch, stress reduction, and exploring galactagogues – natural substances said to increase milk production. Keep in mind that every mother’s journey with breastfeeding is unique, and what works for one person may not necessarily work for others.

Breastfeeding and pumping basics

Breastfeeding sessions

Breastfeeding is a natural way to nourish your baby, by providing breast milk with essential nutrients and fostering a strong bond between mother and child. To ensure your baby gets enough milk during breastfeeding sessions, try to focus on feeding cues and have a comfortable position for both you and your baby. You might also consider nursing while baby-wearing, which can benefit both you and your baby. Learn more about how to breastfeed while baby-wearing for a more flexible and convenient feeding experience!

Pumping sessions

Pumping breast milk is a great way to establish and maintain a strong milk supply. By having a pumping schedule, you can ensure that you’re keeping your milk production up while giving your baby a consistent supply of expressed milk. Key factors to consider when determining how often to pump breast milk include your baby’s age, your work schedule, and any time-sensitive needs. For example, if you need a break from breastfeeding due to sore nipples, using the best nipple cream for breastfeeding can help soothe and protect your skin while pumping.

Remember, combining breastfeeding and pumping can be a successful approach to balancing your baby’s nutritional needs with your own personal preferences and lifestyle. By focusing on a flexible nursing and pumping schedule, you can continue providing your baby with the best nourishment possible while enjoying the rewarding experience of nurturing your child.

Breast pumps and accessories

Choosing the right breast pump

Finding the right breast pump is crucial to successfully combining breastfeeding and pumping. There are various types of breast pumps available, including electric breast pumps and manual pumps.

  • Electric pumps are more efficient and usually allow you to express milk from both breasts simultaneously.

  • Manual pumps are more affordable and lightweight, making them a good option for occasional use or traveling.

When selecting a breast pump, consider factors such as your lifestyle, budget, and personal preferences. For busy moms, a wearable electric breast pump might be the most convenient option as it allows for hands-free pumping during daily activities.

Milk storage bags and bottles

Proper storage of expressed milk is essential for maintaining its quality and ensuring the baby’s safety. Milk storage bags and bottles offer different advantages that cater to individual needs.

Milk storage bags are pre-sterilized, disposable, and designed for single-use, making them a convenient choice for busy moms. Moreover, they are space-saving, allowing you to store larger quantities of milk in the freezer. On the other hand, bottles are reusable and sturdier. They are suitable for moms who prefer to minimize waste and want a long-lasting storage solution.

Regardless of your choice, make sure the storage containers are made from BPA-free materials, are easy to label with dates and quantities, and can be securely sealed to preserve milk’s freshness.

Lastly, don’t forget to create a comfortable setup for your pumping sessions. Consider investing in a cozy chair like one from this list of top 5 breastfeeding chairs to make pumping a more enjoyable experience.

Planning a schedule

When it comes to combining breastfeeding and pumping, creating a schedule that works for you and your baby is essential. In this section, we will provide you with a sample breastfeeding and pumping schedule and tips on adjusting it according to your needs.

Sample breastfeeding and pumping schedule

Here’s an example of a breastfeeding and pumping schedule that can help you maintain a balance between breastfeeding and work:

Time of DayActivity
MorningStart with a breastfeeding session after your baby wakes up, followed by a 10-15 minute pumping session to maintain milk supply.
Mid-MorningDepending on your baby’s age, have another breastfeeding session followed by a short pumping session.
LunchtimeIf at work, use your lunch break to pump milk to maintain your supply and have it ready for the next feeding.
AfternoonBreastfeed your baby once more and follow with another pumping session.
EveningAfter returning from work, have a relaxing breastfeeding session with your baby to reconnect. After that, pump once more to store any extra milk.
NightDepending on your baby’s sleeping patterns, breastfeed as needed during the night.
An example of a breastfeeding and pumping schedule

Remember, this is just a sample schedule. Feel free to adjust it according to your lifestyle, work commitments, and your baby’s feeding patterns.

Adjusting the schedule as needed

As your baby grows and develops, their feeding habits will change. Be open to adjusting your breastfeeding and pumping schedule as needed to accommodate these changes. For example, if your baby starts sleeping through the night, you can transition from pumping to breastfeeding exclusively during nighttime feedings.

When life becomes busier, and you need to breastfeed while working, remember to be flexible with your schedule and ensure you’re still providing your baby with the nourishment they need.

Also, keep in mind that there is no one-size-fits-all approach to combining breastfeeding and pumping. You know your baby and your body best, so trust your instincts and don’t be afraid to make adjustments to find the perfect balance for you and your baby.

Ultimately, creating a breastfeeding and pumping schedule may take some trial and error, but with time and patience, you’ll find a routine that works best for both of you.

Techniques and tips

Power pumping and cluster feeding

Power pumping is a technique used to increase milk supply by mimicking cluster feeding. During a power pumping session, you pump for short, frequent intervals, typically for about an hour. You’ll want to pump every 20 minutes, followed by a few minutes of rest. This helps signal your body to produce more milk since it mimics your baby’s natural feeding pattern during a growth spurt.

Cluster feeding is when your baby wants to nurse more frequently, often during a specific time of day. To match this rhythm, you may need to adjust your pumping sessions around these times. For example, if your baby cluster feeds in the evening, try scheduling your pumping sessions around that same timeframe. This way, you are promoting the optimal milk supply for both of you.

Hands-on pumping and massage

Hands-on pumping is a technique that involves using hand compressions and massage to increase milk output while pumping. By applying gentle pressure and massage to breast tissue and your breasts while you pump, you can help stimulate additional letdowns and more effectively remove milk from your breasts. This can lead to an increase in milk production.

To perform a gentle breast massage, during pumping, use your hands to gently knead and stroke your breasts, working from the chest wall toward the nipple. You’ll want to be gentle but firm, focusing on any areas that feel tender or hard. Massaging breast lumps can help improve milk flow and overall breast health. Be sure to maintain a comfortable rhythm, and stop if any massage techniques cause discomfort or pain.

By incorporating these techniques and tips into your breastfeeding and pumping routine, you can better manage milk supply and ensure a comfortable and efficient experience for both you and your baby. And remember, it’s essential to be informed about cluster feeding and its role in your baby’s growth and development, so you know what to expect and how to adapt accordingly.

Bottle feeding and nipple confusion

Bottle feeding techniques

When combining breastfeeding and bottle feeding, it’s essential to choose the right bottle and technique for a smooth transition. Look for a bottle with a slow-flow nipple that mimics the natural flow of breast milk, helping your baby maintain proper feeding patterns and not become impatient when switching back to breastfeeding.

When introducing bottle feeding, hold your baby in an upright position and gently tilt the bottle to allow the milk to reach the nipple. This position helps control the flow of the milk and prevents your baby from gulping air. Make sure the entire nipple is filled with milk to avoid air bubbles, and offer frequent breaks to allow your baby to digest the milk comfortably.

Preventing nipple confusion

Nipple confusion might arise when a baby is switching between the breast and a bottle nipple. However, there are ways to prevent nipple confusion while combining breastfeeding and pumping.

  • One effective method is to wait until your baby has established a good latch and a consistent breastfeeding routine — usually around 3-4 weeks — before introducing the bottle.

  • Consider using a slow-flow baby bottle nipple that allows your baby to control the milk flow, closely mimicking breastmilk flow. This can make it easier for them to switch between breast and bottle feeding without confusion.

  • Another tip to prevent nipple confusion is to practice paced bottle feeding. This technique involves mimicking breastfeeding patterns by allowing your baby to control the pace and flow of the milk from the bottle. Offer the bottle nipple to your baby gently, then wait for them to open their mouth and guide it in themselves. Allowing your baby to pause and breathe as needed, just like during breastfeeding, will help create a seamless transition.

Remember to be patient and open to adjustments during this process.

Milk storage and handling

Proper storage guidelines

To store your precious breast milk safely, it’s essential to follow proper storage guidelines. Firstly, always use clean milk storage bags or containers specifically designed for storing pumped breast milk in. Keep freshly expressed milk separate from other contents in the refrigerator or freezer.

Here are some guidelines for storing expressed breast milk:

  • Freshly expressed milk can be stored at room temperature (up to 77°F/25°C) for up to 4 hours.

  • In a refrigerator (39°F/4°C), store the milk towards the back, away from the door, and use it within 4 days.

  • In a freezer (0°F/-18°C), breast milk can be safely stored for up to 6 months. For better organization, check out these tips.

Always label the storage bags with the date so that you can easily track the freshness.

Warming milk and introducing it to your baby

To warm frozen or refrigerated breast milk, follow these steps:

  1. Thaw the milk by placing it in the refrigerator overnight or putting the storage bag in a bowl of warm water.

  2. Once the milk is thawed, swirl it gently to evenly mix the fat, which may have separated.

  3. Test the temperature on your wrist to ensure that it’s not too hot for your baby.

Remember, it’s crucial not to use a microwave to warm up the milk, as it may create hot spots that can burn your baby’s mouth. And never shake the milk!

Now that you know how to handle expressed breast milk safely, you can begin combining breastfeeding and pumping, ensuring your baby gets the nutrients they need while giving you the flexibility you want.

Seeking professional help

Consulting a lactation consultant

If you’re experiencing difficulties with combining breastfeeding and pumping, a lactation consultant might be just what you need. These professionals are well-versed in breastfeeding techniques, milk production, and proper pump use. They can assess your situation, provide personalized advice, and help you come up with a plan to successfully balance both activities. Moreover, they can offer support and reassurance throughout your breastfeeding journey, ensuring you feel confident and informed.

When to seek medical help

Although breastfeeding and pumping are natural processes, sometimes complications can arise that require medical intervention. For instance, severe breast engorgement could make it difficult or painful for your baby to latch on. If this happens, it’s important to seek medical help as soon as possible to prevent further complications.

In addition, if you’re feeling depressed about going back to work after maternity leave, it might help to talk to a healthcare professional. They can provide you with coping strategies and support during this challenging transition period.

Remember, don’t hesitate to reach out for professional help when needed, and always prioritize your own wellbeing to ensure a positive breastfeeding experience.


Combining breastfeeding and pumping is a journey that requires patience, practice, and a bit of strategy. It’s all about finding the right balance to ensure your baby gets enough milk and your breast milk supply stays robust. Start pumping early, but not too soon, and remember to pump frequently to stimulate more milk production.

Using an electric breast pump can be a game-changer, especially when you’re a veteran milk maker. Double pumping can save time and boost your milk flow, but remember to use your breast pump wisely to avoid discomfort. Don’t hesitate to experiment with different pumping practices and find your favorite breastfeeding locations where you feel most relaxed.

Combination feeding, that is, combined breastfeeding and pumping, allows flexibility and ensures your baby gets all the benefits of your breast milk even when you’re not around. It’s also a great way to involve other family members in feeding and bonding with the baby.

Remember, a lactation consultant can be a great resource if you face any challenges along the way. And don’t forget the nipple cream and burp clothes – they can be lifesavers in this beautiful journey of nourishing your baby. Happy breastfeeding and pumping!

Further reading: When Can I Breastfeed After Drinking Calculator


Questions? I Have Answers.

To maintain a good breast milk supply, pump frequently, ideally 4-6 times a day while breastfeeding.

Yes, combining breastfeeding and pumped milk is possible and known as combination feeding, consult a lactation consultant for guidance.

Breasts produce more milk constantly; it takes about 1-2 hours to refill after pumping breast milk, but varies among mothers.

Double pumping both breasts after nursing can stimulate more breast milk production, ensuring enough milk for your baby.

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