Here’s my story of why and how I ended up exclusively pumping for my first child.
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In the hospital
Right after my son was born, my labor and delivery nurse put my baby on my chest. She showed me how to hold him and how to position him so that he could latch on. From that first “nursing” session, my baby showed very little interest in the breast.
(I put nursing in quotes because not much of that actually happened. It was more like 40 minutes of struggle between my breast and my baby’s face.)
Given that this was my first child and I’d never really seen others breastfeeding before, I had no idea what I was doing. In the days that followed in the hospital, I tried to nurse him but was never really successful.
I tried to wake him up to eat every 2-3 hours like they told me to, but he just wanted to sleep and had no interest in eating. I tried pumping between “nursing” sessions, but I just got a few drops of colostrum one time.
(A pediatrician saw what I’d pumped and said “That is a very small amount of have pumped.” Copious amounts of tears ensued.)
The other times that I pumped in the hospital I got absolutely nothing.
There was no lactation consultant in the hospital, and the recovery nurses would all show me a different way and then disappear for the rest of my stay.
I was urged constantly to supplement by the nurses. I had read before giving birth that the nurses would try to pressure me into formula feeding, so I alternated between wanting to say “They told me on the internet you’d say that!” and wondering if I really did need to give him some formula.
When it was time for us to be discharged 48 hours after my son’s birth, he had lost 8% of his birth weight, and since it could be another 3 days before my milk came in, the pediatricians told us we needed to supplement after leaving the hospital.
So, feedings became the following process: put the baby to the breast for 10 minutes on each side, then give him as much formula as he wanted via syringe, then pump for 15 minutes, every two hours.
The early days at home
I did this, and my milk came in the morning after we left the hospital (day 3).
Feedings were so frustrating, though, between difficulty latching and difficulty feeding via syringe (he wanted to suck, and more often than not would dribble the formula out).
And then – assuming I got him to eat and he would go to sleep – I had to pump.
Given that I was doing this, more or less on my own, every two hours, I felt like a giant failure and was pretty much losing my mind.
I was so unsure and so tired and so just ready to give a bottle and give up. I did give him formula, but I still wanted to make breastfeeding work.
Not enough weight gain
When my little one was 3 weeks old, I took him for another weigh-in. He was still not up to his birth weight.
So after talking to the pediatrician, I started doing the following at every feeding (this is called triple feeding):
- Nursing on each side until he dropped off/was done
- Supplementing with pumped breast milk (at this point I was pumping enough to feed him)
- Pumping
What happened when I implemented this plan was that my son would nurse for around an hour, total, with me waiting for him to drop off the breast on each side. Then I would offer him a bottle, and he would furiously suck down 2.5-3 oz, a full feeding (or more) for his weight at the time in about 2 minutes. Then I would pump 2.5-3 oz.
With the nursing, bottle feeding, and pumping, the whole process took at least an hour and a half, to be repeated every three hours from the start of the feeding.
The good news was that he was gaining weight this way, sleeping well, and thriving. The bad news was that I was losing my freaking mind.
Exclusive pumping it is
Eventually I just dropped the first step, the hour spent nursing.
He clearly was getting very little, so I assumed it must be the latch – but I had two lactation consultants check and they said it was great. They blamed supply problems – but then why could I pump plenty of milk? There was no satisfactory answer for this.
When I quit nursing, it was so freeing. All of a sudden I had tons (relatively speaking) of time! I knew he was eating enough, and he gained a ton of weight.
I exclusively pumped until my baby was 14 months old
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I pumped whenever my baby ate when I was on maternity leave, and then got on a five pumps per day schedule when I went back to work at three months.
Around six months I dropped to four pumping sessions. When he turned a year old, I gradually dropped the two pumps during the day, keeping only the morning and evening. Then I dropped the morning pumping session.
I was going to keep the evening pump going indefinitely, but then I got pregnant with my daughter and my supply crashed. That was the end of my pumping days (for nine months, anyway)!
After I weaned, I made it my mission to become an exclusive pumping expert and started this website. Later, I became a Certified Lactation Counselor.
I hope reading this exclusive pumping story was helpful! Let me know in the comments if you can relate!
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Comments & Chitchat
Desiree Robinson says
Thank you so much for your website and resources! Thanks to you I am on my exclusive pumping journey knowing my son is getting what he needs from me through a bottle.
I have a question. I know you say to keep pumping at least 120 minutes a day. Does that mean I have to pump 60 minutes when I drop to 2 sessions??
Amanda Glenn, CLC says
Hi Desiree! Congrats on making exclusive pumping work!! Yes – that’s right; if that would be too long for you to pump I would wait to drop to 2 sessions until you’re ready to wean or at least okay with your supply going down significantly. (It might not happen but there is the risk.) I hope that helps – good luck!
MsMango says
Thank you so much for your website. I have a very similar experience as you did with breastfeeding my newborn, and your website has helped me become an exclusive pumper and helped my child gain a lot of weight. I couldn’t find details around pumping schedules etc anywhere else, and doctors and lactation consultants still don’t really talk about exclusive pumping as an option. Thank you so so much!
Amanda Glenn, CLC says
Thank you!
Rahat. says
Hi amanda, exactly same story as yours, switched to EP AT 7WKS. Bt my dr. Keeps saying that my milk supply will run down, in a month n i will b dry by 3rd or 4th mnth, coz my breasts are not receiving the stimulation by babys suckling. Since u have completed the journey pls lemme knw ddoes the milk supply reduces? I m pumping every 3hrs n getting 3.5oz frm both breasts. Nw my baby is 9wks old. He jus won’t take the breast.
Amanda Glenn says
As long as your pump regularly, like you are, you should be fine. Most doctors aren’t familiar with exclusive pumping.
Preethi says
Hi amanda! My baby is 4 weeks old. I had a csection, pediatrician suggested to give formula on the 4th day. My milk came in 5th day morning. But then he was expecting the same flow from my breast like bottle. He dint latch properly, doctor suggested for tonguetie evaluation. Clipped tongue tie last week then met lactation consultat. Till now i am
trying to breastfeed him and he is not having from me. He falls asleep and i am really stressed and about to give up. I dint pump regularly till this week. I was not aware that pumping will help. Does the exclusive pumping from this week will increase my supply without nursing?
Amanda Glenn says
Hi! congrats on your brand new baby! Yes, pumping will help your supply – pumping tells your body that your baby wants more milk so it makes more. I hope that pumping helps!
Bocamom says
Thank you so much for sharing. I am now 7 weeks into my 12 week maternity leave and realized I am not enjoying my time with my son because of the anxiety I feel while breastfeeding. He drinks from the breast for a relative short time, then I bottle feed and then try to pump. It feels endless! It is wonderful to read that others have felt the same way. Mommy guilt is pretty horrible. Can I ask you, which pump did you use?
Amanda Glenn says
Hi there! I used a Medela Freestyle. 🙂
MrsResReg says
I just wanted to say thank you so much for your story and your website! It has helped me soooo much during my EP journey. My story is extremely similar to yours! I started EP when my son was 7 weeks old. He had no latch issues and I had plenty of milk, but for whatever reason he wasn’t getting enough during feedings. I was devastated when we found out he had lost weight. I also did the whole breastfeed/bottle supplement/pump craziness and almost lost my mind. Eventually I had to accept that breastfeeding wasn’t going to be best for my baby or my sanity. I had never previously considered EP but it was definitely one of the best decisions I could have made. Thanks again for your encouragement and support!
Amanda Glenn says
Thank you! And best of luck to you. 🙂
Lynn Lee says
Dear Amanda,
Thank you for your story and your FB group. The group has given me a lot of support.
I was wondering did you ever try breastfeeding your son again? My daughter is very similar to yours and I have resorted to EP. She is now 8 weeks old.
Thanks.
Amanda Glenn says
Hi Lynn! I was not able to ever breastfeed my son, but I know a lot of women have had success getting nursing going again. I was able to nurse my other two kids, so even if it doesn’t work out with your daughter it might for future children. Good luck!!!