Worrying about the amount of breast milk that you pump can be really stressful. If you’re not pumping as much as you’d like, here are a few tricks that I’ve used to maximize pumping output and get the most milk possible out of a pumping session.
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7 Ways to Pump More Effectively and Maximize Your Output
If you’re already spending time pumping, you want to be able to get as much milk as you possibly can while you’re there!
Here are a few strategies you can try to pump more breast milk in the same amount of pumping time.
1. Do breast compressions (also called hands-on pumping)
With breast compressions, the goal is to push milk out of your milk ducts and empty as efficiently as possible.
Essentially, this just means massaging your breasts while you pump.
To do this, I used a hands-free pumping bra to hold the pump parts and squeezed my breasts with both hands. I moved my hands around to get to different parts of the breast.
One thing to watch out for is favoring one side when doing breast compressions. Consistently doing more breast compressions on one side will mean that side gradually produces more and more milk, which can contribute to unevenness.
More on breast compressions here.
2. Try to get a second (or third) letdown
Once the milk stops flowing, it’s tempting to stop pumping. After all, what’s the point of pumping an empty breast?
However, if you keep pumping, you may be able to get another small letdown of milk (maybe about 1/4-1/2 of what was expressed in the previous letdown).
Some people have the best luck with putting their pump back into letdown mode after the milk stops flowing, while others stop the pump and take a short break before starting again. Others just keep pumping straight through in expression mode. You may need to experiment to see what works best for you.
3. Try warmth
Warmth seems to help keep breast milk flowing, so a warm compresses before pumping may help.
A warm washcloth will do the trick, or if you’re at work, microwaving Booby Tubes is a good option.
Another option that some people find really helpful is LaVie’s warming massager, which uses both heat and vibration.
(*Note: LaVie makes two lactation massagers – a smaller one with just vibration and a warming massager that has heat AND vibration. They are both super helpful – use the code EPUMP on their website for 10% off!)
4. Try to relax and don’t look at the bottles
Checking how much milk was in the bottles always made me anxious, and stress is not good for milk supply.
I started putting a blanket or nursing cover on even when I was alone so that I couldn’t look at them until I was done pumping. Some people also cover the bottles with baby socks.
If you can do something you enjoy – like watching a show, reading, or playing a game – while you pump, that might help you relax, too.
5. Make sure your breast shields fit
Breast shields come in many different sizes, and using the wrong size can cause lessened output because the milk ducts aren’t being compressed in the right way. Using the wrong size can also be quite painful.
Here’s how you might know that you’re not using the correct size for you:
- You’re experiencing pain when pumping.
- Your nipple can’t move freely in the flange tunnel.
- Your nipples stretch almost to the end of the connector.
More on breast shield sizing here.
6. Replace your pump parts
Pump parts just stop working well over time – they can stretch, they get microscopic tears, and residue can build up.
If you notice that you’re starting to get less from the pump, try using a brand new set of pump parts. You may also want to proactively replace your pump parts.
In the US, some insurance companies cover replacement parts.
More on replacing your breast pump parts here.
7. Make sure that your pump is set to the right vacuum strength
When I started pumping for the first time, I wasn’t sure what vacuum speed I should set the pump to. I figured higher = better = more milk. Let’s just say that putting that thing on the highest setting from the start was a bad idea.
Fortunately, I saw a lactation consultant when my son was a week old, and she told me to put the pump on the highest setting that was comfortable. This worked well for me, and it is what I would recommend doing.
Just turn the suction up high enough that you start to feel a little discomfort, and then bring it down a notch so that you’re comfortable.
Hopefully this will help you get the most milk possible from the pump!
Stressed about establishing or increasing your milk supply while exclusively pumping? Always worried there is something else you should be trying? Check out my milk supply guide here (use code SUPPLY for 10% off)!
References- O’Brien, Rachel, IBCLC. “Stress and Breastfeeding: How to Protect Your Milk Supply.” https://www.rachelobrienibclc.com/blog/stress-and-breastfeeding-protect-milk-supply/
- Medela. “Breast Pumping Instructions.” https://www.medela.ca/breastfeeding/advice/pumping/useful-tips
Comments & Chitchat
Elizabeth says
I’m about 3.5 weeks postpartum, and am mostly pumping and supplementing with formula—my daughter was a preemie, so latching and breastfeeding is a challenge. My supply isn’t great (getting about 7 ounces a day, which is an improvement from where I was, but a slow one), and I’ve only noticed my milk spraying 3-4 times. Normally, it just sort of dribbles out during pumping sessions. I’m pumping 8 times a day (sometimes 9), for 15-20 minutes at a time, with a rented hospital pump. I’m trying to massage before and during pumping, and have just started taking moringa. Do you have any additional tips on getting better letdowns?
Amanda Glenn, CLC says
Hi Elizabeth! Congrats on your sweet preemie! I’ll link to some ideas that might help. It sounds like you are doing all of the right things! You could maybe try heat and vibration (I talk more about these here):
https://exclusivepumping.com/how-to-boost-milk-supply-letdowns/
Good luck! You’re doing a great job!
cherie says
I have an 11 week old baby and cannot seem to pump more than 3 or 4 oz tops From both breast and that’s only sometimes and I don’t know what I’m doing wrong my breast hurts so bad it feels like they’re burning I really don’t know what to do I want to breastfeed my son but I had to supplement him with formula as well I am at a loss and I am very discouraged please help anyone
Amanda Glenn, CLC says
Hi Cherie – I’m so sorry to hear that! With the mention of the pain – I’m wondering if maybe your breast shields are not the correct size? That can affect output and be painful. You could look into a virtual sizing appointment?
Rachel says
Hi I was looking at the pump schedule and guidelines says to drop pumps while keeping the same total time. So if I am pumping 7 times per day 210 minutes per day total that means I pump 70 minutes per session at 3ppd? That seems like overkill? Please help me understand 🙂
Amanda Glenn, CLC says
Hi Rachel! That’s with the intention of you pumping for 120 minutes a day, so you’re doing more than that. Let me link some info on that and what to do if you’re pumping over that amount. Hope this helps!
https://exclusivepumping.com/120-minute-rule/
Khadijah says
A lot of moms like the Haakaa, but personally I am looking into the new Elvie Curve! It’s the same idea as the Haakaa, except it goes in your shirt (i.e. baby can’t kick it off while nursing!), and it gives you a little more control of the suction too. They just released it, here’s a link if you’re interested: http://www.elvie.com/en-us/shop/elvie-curve
Gloria says
With my first child, I only tried pumping once. She was born relatively small even though she was 5 days overdue (only 6lb). I was exclusively breastfeeding her for the first 3 months. She ate constantly: she would eat for an hour at each breast, take a break for 20 minutes, then eat again like she was starving- day and night. I hardly slept at all. My nipples were always so sore even though I was using lanolin because they never got a break. I cried with every feeding and the pain only ever got worse. Towards the end, I tried to pump so I could learn how before I returned to work. After pumping for a full hour (30 minutes on each breast), I only ended up with half an ounce of thin, watery breast milk that was tinged slightly pink. Worse, my breasts were engorged and would not release any more milk even though I had let down during the pumping and was massaging them as well. I decided never to pump again. At each checkup, the baby was losing weight even though she was always eating. Then during one midnight feeding, my husband went out and got formula, took her from me and gave it to her. She refused to breastfeed ever again after that. She started gaining weight and my breasts were able to heal once my milk supply ran out. (That was a painful process since I had such a large supply, letting down every 20 minutes in a day). She is 2yo now and still far below the 2nd percentile, though healthier than she ever was before. I know this is a long post, but the point is that sometimes it’s just the milk itself and there is nothing you can do.
With my second child, I am breastfeeding and supplementing from the beginning, and he is a chubby little one in the 50th percentile. He is one month old and weighs 11lb! I was reading this post because I wanted to try pumping again. It’s more encouraging this time- I can get 3oz combined after 30 minutes of healthy white milk, but I was trying to find tips to do better. I will try changing the flange size.
Thanks for taking the time to read this, just wanted to share. You all are doing a great job, mommas!
Wendy says
Hi, I’m 7 weeks postpartum. Have been pumping from the start as my daughter kicks up a fuss any time I try to get her to nurse and it culminates in tears for us both. I have had to supplement some, and I’m doing my best to limit that, but she’s a growing girl! The issue is, I’ve only ever pumped 7 oz once, and most of the time, I’m only getting between 1-2oz combined. I’m pumping 7-9 times per day, did a week of power pumping 2-4 times per day, I’m taking fenugreek, I’m on domperidone, started eating steel cut oats daily, replaced the valves on the hospital pump I’m renting, as I’d hoped it was the pump I’d bought that was causing the decrease in supply. I get up usually 2-3 times per night to pump, but when you pump for 35 minutes and get 7 mls from one side, and 20 mls from the other, it’s quite discouraging. I have been putting damp heat to them prior to pumping, and have been squeezing the heck out of them while I pump. I am at a loss for what else I can do.
I’ve never felt a let down, never had the milk just run into the bottles, it’s only ever just dripped, agonizingly slowly. When I leak, it’s a couple drops, then when I hook up to pump right away, it can take me up to 20 minutes to see a drop in the bottle. Can’t say I blame the little one for not wanting to nurse, she’d be old and gray! Anyone have any advice?
Thanks for your time,
Wendy
Amanda Glenn says
Hi Wendy! You are definitely doing all of the right things. I think you are doing an amazing job.
The letdown thing has me wondering. I wonder if vibration might help with that at all? You could also maybe try lecithin? Neither of these are particularly good suggestion, but it’s all I have – you are already doing most of the stuff I would suggest. Maybe watch hand expression videos on youtube and see if that works for you? Or try a manual pump? No magic bullets, just a few more things you can try. If you can figure out the letdown thing I feel like that would really help.
Good luck!!! 🙂
Lexi says
Have a lactation consultant or a speech pathologist look at her mouth. Check for tongue tie!!!! You are describing exactly what my infant is going through we went to a speech pathologist and she found tongue tie and labial tie in 15 seconds.
Nibedita Deb says
I have the same problem- its so hard to stay positive with the disappointment.
Can see that the post was posted in 2019, so the reply is definitely late – but wanted to share my experience so far- because reading these posts helped me realise that i am not struggling along- and incase my journey of trial and error of so far helps somebody out there.
We were blessed with a baby 20 days back 🙂 and since then- I have been trying so many things to get the milk out -nursing (latching is an issue) / pumping (with massage + heat compresses) and milk was barely coming out but my breasts were leaking and painful. My nipples are sore- then i began trying out different flange sizes versus the standard(didnt know that there are different flange sizes out there – lactation consultant mentioned) anyways that didnt work out too. But still at it trying out another flange size now- waiting for the delivery.
I also noticed that it takes different amount of time for each boob to respond to the pump(-don’t know if thats a thing)
Anyways – I am trying out the haakaa, and thats atleast helping me to get the leaking milk from getting wasted like before along with hand expression- that is definitely helping me to atleast relief the pain from having a full breast – and clogs -however, it doesn’t seem like a very sustainable solution, considering the amount of time it takes to hand express the milk out – but the volume of milk pumped out is so much better than the electric pump. Also, hoping that this will help relieve my extremely sore nipples – so that I can try out the new flange size once they arrive.
Initially, I had planned on feeding breastmilk for an year – but now I am not sure how long I will be able to continue with the pain-unless I find a sustainable solution 🙁
Maria says
Hello ladies!
I’ve been EPing since baby was born, it’ll be 4 month next week. My supply has gone down because I’m not consistent I sometimes pump every 3-4 hours but I’ve gone 5-6 hours without pumping which I think has affected my supply but thankfully I’ve been able to pump enough for each feeding. However I used to get up to 10 oz when I went past 5 hours. Not anymore.
So since I started pumping, my left breast is the one that’s usually more full but sometimes I feel it doesn’t empty when I pump. I pump between 15-20 minutes each session but lately I’ve been pumping for 10 minutes because after I get 2-3 oz within 8 minutes nothing comes out anymore and when keep pumping for the 15 minutes my left breast would hurt a lot. I massage both breast the whole time I’m pumping. I feel the “pulling” but no milk comes out then it would hurt really bad. Even though milk doesn’t come out from both breast only the left one would hurt. Sometimes if I try to hand-express I would get some milk to come out. I’m not engorged, breast feels soft but heavy. Any ideas why this could be happening? Why my pump is not emptying my breast? I recently changed parts. And why my breast hurts after?
And for those struggling with supply, my family has had me on “hot cereals” I’m from Guatemala and we have something call “13 Cereales” and “Incaparina” I’m not sure where to get them in the US so I’m not sure if I’m being helpful here but also hot chocolate and soups have help when I see a decrease in my supply.
For those drinking mothers tea and don’t see an increase in supply you might need to rethink drinking it because it might cause the opposite, like in my case I drank it for a couple of days and my milk when down for like 2-3 oz per session.
So sorry for the long message!
Ramya says
Hello moms, I have an issue not sure if anyone out there has faced it. I’m eping right now because my LO stopped breastfeeding after I went back to work and I was offering him mostly botttles of pumped milk. Usually I would pump for 25 mins and will get a good supply. One night about a week ago he slept thru the night and I woke up engorged. I pumped for a while but later that day was in pain. I applied heat and pumped every 3 hours. The unusual thing that’s happening now is no matter how long I pump my left breast doesn’t feel empty. Also the milk that comes out is mostly thin watery and not white. I sat there pumping for 45 mins and got like 1 ounce of thin milk that’s it. I stopped as my nipples started hurting. It’s been a couple of days now still have the same issue and no amount of frequent pumping or warm water press is helping. 🙁
Any ideas what could be going on?
Amanda Glenn says
Maybe try massaging the affected area? Or running a comb over it? I would keep pumping that side as much as you can (the other can take a break)!
Nicole says
I stopped pumping for a couple weeks due to lack of time. (I started babysitting for my sister she didn’t want me pumping around her two boys and let me tell you they are wild) I previously pumped about 6 ounces per breast but not I’m lucky if I get 3 ounces per breast is there a way that I can get it back to where it was? I’ve increased my fluids that brought it up half an ounce. I’m just nervous for when I go back to work I don’t want to have to supplement.
Amanda Glenn says
Hi Nicole! Can you give me an idea of what your schedule was like before and what it’s like now? Can you add more sessions to compensate for not pumping while you babysit?
Claudia says
I’m 7 weeks postpartum I would have overflows and be able to pump 6 ounces on each breast in less then 10 minutes for couple days now it has taken more time to even pump 4 ounces. Is this NORMAL? even when my baby will nurse within 4 minutes she was done eating now she is latched on for longer minutes. does this mean my milk is decreasing?
Amanda Glenn says
Hi Claudia – I think your milk supply might have regulated. This is pretty normal. Unless you’ve been decreasing the amount you pump or are getting your period back, I would expect the changes to level out.
Kara says
I’m currently about 6 weeks postpartum pumping breastmilk for my preemie who was born at 26 weeks. My understanding is that when your baby is born early, your body automatically puts more fat into your milk. Additionally, the lactation consultants at the hospital told me to eat a fairly high fat diet to make my milk richer for my baby. My milk always seemed really thick and globs of fat would separate at the top in the fridge. Anyway, I ended up with clogged ducts and mastitis last week, probably from exhaustion and the high fat content of my milk. The lactation consultant recommended that I start taking 3-5 1200 mg capsules of lecithin per day to help emulsify the fat in the milk. Since I started taking the capsules, I have noticed that my per pump outputs have increased, and my breasts feel much emptier at the end of a session than they ever did before. The milk itself seems thinner and the fat doesn’t stick to the bottles as much. I’m not sure if the increases in pumping output will hold over the long term, but for now I’m just grateful that I’m able to get my breasts emptier and hopefully avoid more clogs and mastitis.
I have to say that I have major respect for anyone who is able to exclusively pump for any amount of time. My baby will be able to try to nurse in about two weeks, and if she can’t or won’t nurse within a few weeks of coming home, I’m probably going to wean myself off the pump and switch to formula after we finish the milk I’ve been able to store in my freezer during her NICU stay. (I’m currently pumping about 33 oz. per day and she consumes about 7 oz. per day, so I’ve got some surplus for now.)
Mandy says
You mentioned pumping and getting 2 or 3 letdowns. I’m finding that I get a letdown about an hour after I pump, another one 45 mins later and I pump every 3 hours. Should I be pumping during letdown and not waiting the 3 hours? Not sure how to time pumping and letdowns.
Also I leak a ton every time I letdown. I have the reusable pads and I’m flying threw them. I feel like they are always wet and hurt my nipples, so they are constantly in the wash. Any ideas?
Amanda Glenn says
How old is your baby? If younger than 2-3 months, I think this is pretty normal. You know what you could try is Milkies – they will save the milk for you when you have a letdown. I don’t think you have to pump, but it would let you save the milk that leaks out when this happens.
Melissa Hogle says
I used to be able to completely drain my milk, and now, when I pump even for a half an hour, I am lucky if I get enough milk for a whole bottle. I don’t get completely drained out anymore. I have replaced my membranes, maybe I need a different shield size? I am so engorged now a days. Just not sure what I am doing wrong. Any suggestions would be great! I used to sometimes be able to pump 20 ounces a day sometimes, but not anymore. I just pumped for almost an hour, and I got only 4 ounces out of my left, and only 2 ounces out of my right. I should have easily gotten two full size bottles each holding 5 oubnces. I am thinking hard about going in to see a consultant and see why I can’t get much more milk out then that. Any advice would be greatly appreciated!! How do I know if I have the right shield size, when I pump?
Amanda Glenn says
Hi Melissa! Have you tried Pumpin’ Pals? I would get some (they send you three sizes at once) and then see if any one of those sizes works for you.
Abby says
Hi,
I have a 10 week old baby and have been pumping to increase my milk supply. I was advised to double pump every 2 to 3 hours.
Sadly I only pump 2 oz in 20min.. every 2 to 3 hours apps.
I am upset and want to know how long it will take for my milk supply to Increase a day how long I have to continue pump in this way.
A few weeks ago I was producing 3 to 4 oz in 20 to 30min and I was breastfeeding too.
Now I am exclusively pumping and only producing 2 oz in total in 20min.
Hope to hear from you soon
Linda says
I am also exclusively pumping and only prosuce 2-3 oz every 2-3 hours. After 15 min or so, i get no more milk. Have lactation cookies and mothers milk tea. Am at a loss. So, no help from me, but in the same boat.
Annie says
Hi! I was wondering when do you know to replace pump parts (i.e., the yellow membranes). I have inspected mine and the white membrane still seems to fall nicely against the yellow adaptor. Is there something that I should specitically look for?
Also, when do you know when your breasts have drained completely? I usually pump for about 30-40 min and sometimes stop, when the flow is very slow (i.e., a drop every minute or so).
Thanks!
Amanda Glenn says
Hi Annie! I have never been able to tell by looking at them. I usually replace about every two months or when I notice the suction going down.
I’ve heard that you can never *completely* drain your breasts, so I think once you’ve gotten two letdowns (or three, if you’re pumping fewer than 3 or 4 times a day), that’s great.
Clare F says
Hi, I’m two weeks postpartum with a premie that came at 26 weeks. I’ve been pumping since day one and am only getting 15-30ml combined at each session. My right breast is the one producing the majority. When I pump, my left nipple is always tender (both on the same setting and the right one is fine), has a tiny bump on it and never produces as much as the right breast. Help!
Amanda Glenn says
Hi Clare! Congrats on your baby! It’s totally normal for the amounts produced to vary quite a bit. As far as the tenderness goes – you might need a different size flange on that side. If you can swing it I would see if you can see the LC at your baby’s hospital and ask her to watch you pump to see if that is the problem. She might also be able to tell what the bump is. Good luck!
Flor says
Hi so my daughter stopped breastfeeding completely after they relaesed her tongue & I’ve been exclusivley pumping & trying to increase my supply I’ve tried EVERYTHING! But one thing i changed was that i now only pump about 10-15 on a dbl pump because my lactation consulatant told me that pumping 30min was too long??? Should i go bk to pumping 30 min to possibly increase supply help!!!
Jena says
I usually have to pump for a minimum of 45 minutes up to an hour and 15 minutes to drain my breast… I usually end up getting anywhere from 8 to 11oz each time but it seems crazy to me to be on this machine this long!! Anyone else have this issue or had this issue and found somethings that helped decrease the time?
Gail says
I had the same issue and was getting so frustrated! I found that if i slowly turned up the speed after I got going, I could finish much faster (and without the shock of turning it up so high from the beginning). This got me down from 45-60 minutes to more like 30-35 minutes. Someone also suggested I replace the membranes more frequently but I have not tested that yet.
Samantha says
I tried to pump for 20 minutes but my breasts never empty that quickly so I continue to pump. How long should I keep going then? Sometimes if takes almost an hour.
Crystal says
How do I figure out what size shield I need? I’m really struggling with my supply. I’m having to supplement and my son spits up formula…never breast milk. I got fenugreek today to try. Figure I should see if my shields are wrong. Thanks
Amanda Glenn says
Hi Crystal – there are some diagrams here that might help! Otherwise, trial and error (as annoying as that is) is your best bet.
Amalya love says
Fenugreek and milk thistle is working for me take it in tea so it runs into your milk supply faster
Stephanie B says
What pump parts do you generally recommend replacing? Just the little yellow valves and membranes? Or also the connectors and flanges? Also, I was wondering recently if I should proactively replace the tubing? Or is that usually long lasting? Sometimes I worry that the moisture in the tubing could cause bacteria growth over time…even though I let the pump run after I am done pumping to try to remove the moisture.
The Extreme Pumper says
Hi Stephanie! You have a hospital grade pump, right? I think those pump parts are the same as the Pump in Style. On that pump, I haven’t had a problem with the flanges or tubing, just the connectors, yellow valves, and membranes. I actually just replaced them for my work pump and was like why did I not do this three months ago?!? 🙂
I also have a Freestyle and on that one, I have had to replace all of the parts but the flanges. (The tubing is permanent and can’t be replaced.)
That’s a good question about tubing and bacteria. Have you tried putting the tubing in one of those microwave steam cleaning bags Medela sells? That might do the trick if you haven’t.
Stephanie B says
Thanks! You know, I did clean the tubing on my other pump because I actually spilled milk on it once (used the Medela steam bags). So I should maybe do the same with the tubing on my hospital grade pump.
Funny non-related comment. So this morning, I was looking EVERYWHERE for my hands-free pumping bra. I had used it in the middle of the night. I thought, did my dog take it and hide it somewhere? (She has an obsession with doing that with socks and underwear in the hamper). Anyways, I gave up, because I really NEEDED to pump. I used my back-up. As I was getting hooked up…there was my other bra! Still partially wrapped around ME in between my nursing cami and lightweight robe. I had apparently slept the rest of the night with it! 🙂
The Extreme Pumper says
That is too funny! 🙂 Glad you found it, hahaha!