to pump breast milk and feed the baby by bottle can sometimes be very helpful. But how to do it? Which pump is suitable for nursing mothers, and how should I store the milk then?

Breast pumps provide breastfeeding independence

Newborn with Bottle

They have about the same charisma as flesh-colored corsetry or orthotics in the medical supply store. Their appearance is rather unimpressive - and yet they exude an aura of freedom and self-determination, as they share in the professional and personal emancipation of mothers and may therefore regarded as one of the more significant technological inventions: the electric or hand-operated breast pumps with which nursing women can create a little independence from the pM and the home. But the relationship between women and breast pump is ambivalent: Do not ever want to Psyche, biorhythms and dead technology connect to a harmony. And more freedom for the mother always means a restriction for the baby who has to get by in this time without her. Urbia gives tips for overcoming initial difficulties, the choice and cost of suitable pump, for optimum How and when the pumping, to store the recovered "white gold" and how do you design the "foreign feeding" for the baby as little as possible stressful. Last but not least, tell mothers of positive and less beautiful experiences and emotions in dealing with the pump.

Breastfeeding women are often early on before the question of whether they should use a breast pump. Some are already making shortly after delivery in the clinic and involuntarily thus acquaintance, if e.g. the child is a premature and may be too immature to strong suction, so it must be fed by tube. Or if there is some time in another hospital on the Perinatalstation. Then the mother can pump milk so that her baby does not have to give up the precious breast milk and the milk flow does not return to her own. The most common reason for the decision to breast pump is that a woman wants to leave the feeding and other caregivers to go away, or hanging may be employed after maternity leave again without her baby is dependent on industrial baby food.

As breastfeeding - pumping requires patience

Thus pumping works well and the milk flows abundantly, it is important to understand his body and its modes of reaction. Eva Trübel, lactation consultant of La Leche League Germany e.V. (LLL), said: "That milk sometimes not initially flows freely when pumping is not unusual. Because the breast pump does not exercise on the brain of the mother the same stimulus like the sucking baby, his movements and noises." it is important when pumping to give yourself time to relax, maybe to listen to his favorite music. "When the milk supply is low initially, you should nothing to enforce try", The lactation consultant. "to remain calm, the collector simply cover once again and half an hour later to try again is best." Her tip: "If it jolts, it often helps if you breast feeding the baby on one side, and pumps out on the other side." Some women have had good experiences with it to heat the breast before pumping (Kirschkernkissen) or to massage circular. In order to stimulate the flow of milk, one can also in between often switch sides: For example, you can pump ten minutes on the right side, then ten minutes left. Afterwards again five minutes on the right and another five minutes on the left side. What individual path also finds a woman breastfeeding counselor is encouraging: "Most women get used soon to the pump so that the milk flows well."

Best time: between meals

Once the pumping works well, but it is the most optimal time to pump between meals: "So some milk is already present again, and yet the child is not 'taken' at the next meal"So Trübel. Again, you can, however, stay flexible, the overly strict eye on the clock inhibits more. This experience also made Sonja Lutzke (39) (2 and 4 years) has breastfed eight months her two children: "When our older daughter Lisa, I even initially towels provided me at night the alarm clock to exactly so to catch the middle between two nursing breaks", she tells. "Today, looking back, I think it's more funny than useful, especially since I was tired all the time." So because you often get only experience and practice in dealing with technology, advises Eva Trübel: "One should early to get used to the pump and not just when to be resumed in a few days as the job."

A little bit of freedom, but also separation from the baby

But really breaks now with the successful pumps for nursing women "great freedom" at? Here are the experiences vary widely: "I thought that was pumping very practical"Anja H. sums (36) satisfied. The mother of a son (6) and a daughter (9) gladly took advantage of the newfound independence while breastfeeding: "My conscience was at rest, I could go away, so to speak, as long as the supply lasted." But sometimes, although the milk supply is there, but everyday life stifles the enterprising spirit in other ways. "At first I thought I should go out in the evening and often times, and therefore pumped from hardworking"Says Sonja Lutzke. "Today I would put it differently: I thought it necessary to go out times to get clearance from the kids and do something for myself. Actually, I was much too tired"She admits. "It took a while before I really realized my needs: Been When our children in infancy, I wanted to evening prefer an early night to recover." Despite many advantages, most women see the pump rather sober and very often ambiguous. "My experience with the breast pump: I found practically, strange and freedom-bestowing - all at the same time"Recalls Anja H. and explains: "Practical, because I had to touch no powder, still had milk in the bottle and even did not burst because the milk might have jammed. Strange, because I somehow witnessed my transformation into a dairy cow '. Freedom bestowing because the product then lay in handy bottle for each of my baby utilities' home palpable in the freezer."

Also another down side is the temporary dissolution of traditional intimate and almost symbiotic breastfeeding relationship between mother and baby: You always means a Separation of the main caregiver for the young infant. "In the first year of life babies are particularly vulnerable to separation experiences"Cordelia Koppitz points out that at the La Leche League, among others operates in the field of public relations. Shorter separations for a few hours were in the process naturally less harmful than regular or prolonged separation experiences. Of course, it was unavoidable that sometimes mothers have to work again in their profession for example. "We always emphasize here that any separation should be handled very sensitively." Especially on long or regular separations from the mother choosing the caregiver is particularly important: "Carers should be related to the baby behind all the basic views of the parents and, moreover also possible similar to this behavior"Explains Koppitz.

Which pump is best?

but which pump is best suited? This depends on the one hand, how much money you want to invest. On the other, of why you want to pump out or needs and to what extent. Tends the nursing mothers to breast engorgement or inflammation, the gynecologist sometimes prescribes electric breast pump. "Even with milk jam but that the baby drinking remains the main means of getting rid of hardening"Says Eva Trübel. Also in premature infants it is prescribed and here is probably the most important: "For the mother of a preemie breast produced specifically tailored to the needs of the premature infant milk"Explains Koppitz. And here the pump also help those babies that are perhaps too immature to drink, anyway to get to this optimally adapted breast milk - which is an important start. The prescription from the doctor, you can redeem at pharmacies and medical supply stores that give electric breast pumps. Sometimes additionally green light by their health insurance, the woman must obtain depending on the insurance before. then you get the pump for a limited period (one or more months) and additionally receives a kit with hose attachment and compartment that you may keep. Also, if you be back working and wishes to express milk for a long time on a regular basis large quantities of milk, an electric breast pump is comfortable. If there is no medical indication, you have to borrow the milk pump financially self-carry (see cost information at the bottom).

Who wants to take a little more trouble to or only temporarily, pump and freeze a small supply breast milk with a Hand Breast Pump (E.g. Avent) well served. Here you can determine nursing rhythm and intensity manually. but are strongly discouraged from the cheap and grueling for breast Balloon hand pumps in which you press a red rubber ball, to which a small glass jar with breast funnel is connected. Here the vacuum is unfortunately only very roughly adjustable. to invest a little more money, so worth it. Which pump is also selected, "is important that the breast cup (the so-called. breastshield) matches the nipples size and comprises the areola as large as possible quickly and completely"Says Eva Trübel. To clean the pump rinsing all parts that come into contact with breast milk first briefly off cold, cleans it and then rinse with a thin brush and detergent warm and cook them then or are they in the Vapeur (steam sterilizer). In addition, there are of the pump manufacturers matching bottles, nipples and pacifiers that have a nipple-like shape and is therefore particularly suitable for breastfeeding children.

Durability of breast milk: refrigerate or freeze?

The milk production will now fold some practice with the pump already well - but what to do with the precious elixir of life? Haste is not contrary to expectations need, because for some time we know that breast milk anti-infective components contains. "This means that it is unexpectedly long shelf life even at room temperature"Explains lactation consultant Eva Trübel. "The mature milk may (covered) are kept at a temperature of 22 degrees six to eight hours unrefrigerated." (Overview of durability see information at the end of the text). The milk must be fed immediately and must not be kept longer, not even cooled. Best tolerate the baby's expressed milk when they body temperature (Ie about 37 ° C).

Most women want to freeze the expressed milk or refrigerate. For this purpose are best pre-sterilized baby bottles made of glass, but plastic bottles are used. There are also special (and unfortunately most expensive) freezer bags for breast milk. Also suitable are much cheaper disposable ice cube bags (for example, Toppits) that allow a good dose, without the entire frozen milk must be thawed. You can just press out the required number of balls and closes the bag again. Frozen milk is thawed best in the refrigerator, which takes about 24 hours. "Please milk Never in the microwave thawing"Warns Eva Trübel, "for there it is heated too uneven and at certain points, which destroys their valuable components." Those in a hurry, rather selects the water: It may not be warmer than 55 degrees be to ensure that no milk ingredients are destroyed. One must hinzugießen also expressed milk to already frozen milk. "However, the new milk should be pre-cooled already in the refrigerator. The amount of the new milk may not exceed that of the frozen, otherwise it thaws too much of"Warns Trübel. Frozen breast milk is up to six months shelf life depending on the type of freezer compartment. (Overview see service section of the last page).

And if the baby does not want the expressed milk?

Now, happy woman stocked their freezer or refrigerator with portioned milk and wishes to feed her baby by another caregiver. Now it happens sometimes that the brustgewöhnte baby initially refused the bottle outraged that threatens to make all efforts to naught. "In my experience, refuse babies the milk but almost never completely", The lactation consultant of La Leche League e.V. often a sucker, which is particularly similar to the shape of the nipple help. Sometimes feeding but only works if the Mother out of sight is. This experience also made Sonja Lutzke: "Our daughter Lisa refused the bottle, even though they had taken some time ago already repeatedly. But since too much time had probably passed. Even my husband Jochen they would not take the bottle first. but I had several days on a training course, for which I had signed up, so we were under a lot of pressure to succeed"She recalls. And then came but a small breakthrough: "Jochen did not give up and invented a special hand posture while feeding with the bottle. Strangely, it worked from then on, Lisa accepted the bottle." "If all else fails, one can infuse the milk the baby with a small plastic spoon"Said Eva Trübels recommendation for similar cases.

Many women fear the famous "nipple confusion"So suction problems in which a baby not yet accepted sucker chest because it is confused by alternating administration of both drinking shapes. To avoid this, we recommend the La Leche League e.V., the infant in the first four weeks of life to give neither bottle nor pacifier. To feed expressed milk without suction to newborns, some women use next to the spoon mug, Medikamentenschiffchen or the so-called finger-feeder. The clean finger to suck plus a disposable syringe with which to flow the milk along the finger in the baby's mouth can be. If a newborn needs to be fed exclusively with expressed milk, at least six to eight feedings - even at night - necessary.

The last word will always have the baby: If it's on the thawed and heated milk is not hungry currently after all this labor of love, the milk must not be further held, but must be discarded. The milk must therefore not warmed up twice, or be warmed up afterwards refrozen once or deposited in the refrigerator. Thawed milk that has not been heated is allowed a maximum of 12 (open) and 24 hours (unopened) are stored in the refrigerator.

Important information at a glance

Recommendations of the La Leche League for durability of pumped milk

  • Shelf:
    at most 15 degrees: 24 hours
    at 19 to 22 degrees: six to eight hours
  • In the refrigerator:
    at 0 to 4 degrees: max. eight days in the coolest part of the refrigerator
  • Refrigerated:
    Small freezer door without inh. the refrigerator: one to two weeks
    Small compartment with door inh. the refrigerator: three to four weeks
    Separate freezer compartment with -19 degrees: six months

Costs around the breast pump

  • Borrowing in pharmacy or medical supply store:
    Lending for electric breast pump costs without a prescription from 1.00 to 2.50 EUR per day. The purchase price for the slip-set you have to pay extra even (about 15.50 to 18 EUR). Electric interval breast pumps determine the nursing rhythm automatically, the intensity of suction is continuously adjustable. In other models, the woman is determined by closing a small hole with a finger, the frequency of intake, again, the intensity of the vacuum is also adjustable.
  • Purchase:
    When buying prices for electric breast pumps start at about 40 EUR to 70 EUR for small models, and go up to several hundred EUR in more complex devices. Hand pumps cost from 30 to 40 EUR upwards.
  • Breast pumps for sale are available in some pharmacies, medical supply stores, drug stores, some large department stores and by mail order for baby needs.

For future reference or order

Phone numbers of volunteer breastfeeding counselors of La Leche League Germany (LLL can be found at:.. Www.lalecheliga.de Here there is also the possibility of ordering of leaflets, books on various breastfeeding issues and Accessories The La Leche League eV Germany is part of a global organization (La Leche League), which operates in 78 countries around the world now for over 45 years and offers free advice on breast feeding mothers. She advises, among others, the wHO (world Health organization) and UNICEF in all aspects of breastfeeding.

Recommendations and information about breastfeeding (for example, breastfeeding and employment) to order or download, there is also the National Breastfeeding Committee Berlin at the Federal Institute for Consumer Health Protection and Veterinary Medicine: http://www.bfr.bund.de/cd/2404