Wondering which pump is right for you? Read on to learn more!

The double electric pump

This style of pump is a tried and true classic that can be plug-in or portable. It uses a durable motor (typically one, but sometimes two) to pump both breasts at the same time. An electric pump uses traditional flanges – the funnel-shaped part of the pump that touches your breast – to form a vacuum seal around your nipple and areola. Features vary widely, but you’ll typically want one with controls to set suction, cycle speed, and toggle between different modes. Many also prefer one with a built-in light, timer, vibration, or set programs.

Examples that have many of these features:

• Spectra S1/S2
• Baby Buddha V2
• Unimom Opera
• Pumpables Genie Advanced

Ovia Tip! A comfortable pumping bra will allow you to be hands-free while using an electric breast pump.

Wearable Pumps

Newest to the scene, wearable pumps are one-piece units where the motor, flanges and tubing are all in one compact package. If you want the benefits of double pumping, you’ll need one pump for each breast. Luckily, most companies sell these as a set of two. Each pump fits against your breast and directly into your bra. You may not need a specialized bra to use your wearable pump, but a bra with easily adjustable straps is always helpful.

Some of the bonuses of a wearable are flexibility in movement, discretion, and useful tech. However, it’s important to be aware of the downsides, too. Wearable motors aren’t designed for durability, and this type of pump doesn’t use traditional flanges, which can make them tricky to fit for some folks. Combined, these two factors can negatively impact milk removal, so a wearable may not promote a healthy milk supply when used regularly. While many wearables have fewer parts to clean, that’s not always the case.

Examples that offer important features at a reasonable price point, include:

• MomCozy Air 1, M5, and S12 pro
• Eufy E10 or S1
• Willow Go

Ovia Tip! Stay in charge — if you forget to charge them, most wearables won’t let you turn them on and use them, even if you’re willing to plug in while using it. 

Manual Pumps

Manuals are the original pump! Whether powered by a simple hand crank or silicone suction, these are an essential backup for almost everyone who breastfeeds. In a pinch, these very low-cost pumps can save your comfort and milk because they offer quick and effective milk removal. Note that these pumps allow you can change the flange size to get the most comfortable and effective fit.

Here are some hand-powered pumps to try:

• Medela Harmony
• Lansinoh Manual Breast Pump

Some manual pumps use suction only (no hand crank). Silicone breast pumps suction onto the breast and create tension to help you express milk. Newer brands come in different sizes for more comfort. Check out these different styles below:

• Haakkaa Generation 2 Silicone Breast Pump
• Pump Pod by Save the Milk

Ovia Tip! Silicone breast pumps are often marketed as passive milk collectors (a type of breast pad alternative that collects leakage and letdown when you are not latched on), but they are definitely pumps.

Now what?

Now that you know more than the basics, how do you decide which pump is right for you?

See what’s covered!

Many people start by checking with their insurance to see which brands and styles of pumps are covered. Check online for the different medical devices companies offer. Some insurance companies may give you a flat amount you can spend on any pump. We suggest using your insurance benefit for an electric pump. Although we think everyone should have a manual option at home, the cost of a manual pump is low. It’s also great to add to your baby gift wish list! 

How often you pump is a big factor

If you plan to pump regularly, you should seriously consider a double electric pump. You can always purchase a second pump down the road if you pump often and want to have flexibility. Many portable double electric pumps can be used with cups instead of flanges to give you something close to a wearable experience. 

If you plan on pumping occasionally, you have the freedom to start with the features you like. Many women will begin with a manual and take time to figure out what will be best. Remember, you can typically use your insurance benefits for a breast pump for a period of time after giving birth. 

Do a little homework

Lastly, beware of marketing terms like “hospital grade,” “powerful suction,” or “just like baby.” These don’t mean it’s a great pump, but they are very appealing! Concentrate on specific features and quality manufacturers. But note that even reviews are tricky because they are often paid for, and every person’s pumping needs are different. 

Take the first step

Learning about pumping and what works for your body takes time. It’s important to remember that pumps are not one-size-fits-all. If you invest in a pump that isn’t the best match, use what you learn to weed out what you don’t want and need and hopefully find the best option for you.

Ovia Tip! Finding your best flange size, on your own or with the help of an expert, can go a long way toward making your pumping journey successful. 

*Ovia does not endorse any specific brand or type of pump. Medical device selection is personal, and there is no guarantee that a specific pump will work for every body.

Reviewed by the Ovia Health Clinical Team

Nipples

In general, the starting point for bottles is actually the nipple shape. Most experts agree that sticking with a long, skinny nipple (with no bulb at the tip) and a gradual slope to the base is the best place to start. This shape mimics what happens to a breast inside the mouth and maximizes oral motor function. A bottle nipple that looks a lot like your breast actually isn’t an ideal shape because of how much human nipples change in a baby’s mouth during feeds. Will this be true for every baby? No, but it does narrow down the first ones you’ll try. If you want examples of what this looks like, take a peek at Dr. Brown’s, Lansinoh and Pigeon brands. No specific brand is “best,” but this will give you an idea of what to look for in any brand of bottle and nipple.

Most nipples are made of silicone, but latex is also available. Latex and repeated exposure to it can make a latex allergy more likely, so silicone is generally the go-to for nipple material. 

Latch

For your baby to safely and effectively remove milk, they need to be able to latch on to the nipple you’ve chosen. If you notice their jaw chomping up and down, their cheeks sucked in, or lots of milk leaking from the corners of their mouth – something is up! A poor latch can mean your baby will tire out before taking the milk they need. This may make the baby feel upset during feedings. 

Some nipple shapes may make it difficult for the baby to latch properly, and could even alter the latch on the breast when switching between breast and bottle feeding.

Bottles

At first, your baby’s feedings will be really small! Using a 4, 6 or 8-ounce baby bottle for 1-2 ounces of milk or formula may feel strange. Over time, breastfed babies may never need more than a 4-ounce bottle size. Formula feeding needs will definitely creep up towards 8 ounces. It helps to get a variety of baby bottle sizes to start.

The biggest question for most people is the bottle’s material, whether glass or plastic. Here are some pros and cons to consider:

• Glass bottles are heavier for you and baby to hold 
• Glass can be more expensive
• Paint on the outside of glass bottles must be lead-free
• Fewer companies make glass bottles, so there are fewer options to choose from
• Plastic may release microplastics, even when BPA-free
• Plastic will wear out faster compared to glass bottles 

If you’re going with glass, you can get creative! Some companies make nipples for mason jars. There are lots of silicone sleeve options available to make the bottle safer from throwing, breaking, and warm temperatures.

Happy and Fed

At the end of the day, there is no perfect bottle for every baby, and no need to fix what isn’t broken. That’s why you’ll see so many bottles and nipple shapes out there! It’s okay to need some trial and error to find “the one,” but hopefully, you’ll hit a home run with your very first choice. 

Reviewed by the Ovia Health Clinical Team

Read more

• Switching from breastfeeding to formula feeding and vice-versa 
• Pumping is Breastfeeding

InHerSight is a platform that uses data to help women find and improve companies where they can achieve their goals.

I have three children. They’ve brought me immeasurable joy and happiness and I can’t imagine my life without them. But that doesn’t mean I haven’t at least wondered what my life would be like if I hadn’t started a family.

How much does it cost to have a baby? And I’m not just talking about the hospital bill. What does a bundle of joy do to your career, social life, and your physical and mental health?

Whether you’re wondering if your costs fall in line with national averages or you’re trying to prepare before your delivery date, here’s some data and advice to keep in mind.

How much does it cost to have a baby?

There are several variables that come into play when determining how much it will cost to give birth. The state you live in, whether you have a healthcare plan, if you run into complications during delivery, and how you give birth (vaginally or through a c-section, in a hospital or at home) all play a role in your final bill.

In 2020, the average cost of a complication-free vaginal delivery in the United States was $10,808. When you factor in before and after prenatal care, the costs soar to an average of nearly $30,000.

(To get a better idea of what it costs to have a baby in your state, both with and without insurance, check out this detailed list from Business Insider.)

There are also the costs of raising a child. Education, extra curriculars, clothes, and all the small purchases in between certainly add up. According to a 2017 report from the U.S. Department of Agriculture, the average cost of raising a child from birth through age 17 is $233,610. Once you factor in inflation, the cost tops $284,000.

That’s a tough pill to swallow for some soon-to-be parents. But there are steps you can take before and after birth to lessen the financial strain kids inevitably bring.

Think of school registration years before you think you need to

Are you a homeowner or looking to buy? Do you know if you plan on taking the public school route or is homeschooling something you’ll consider? If so, you have more freedom in choosing a home in a location with lower taxes that may help you save thousands over the years.

Practice your cooking skills

Feeding additional mouths can add up quickly. The average American household spends more than $7,700 on groceries and dining every year. A $20 pizza and a few extra snacks in the cart might not seem like much in the moment, but the costs certainly add up over time. Learning how to make homemade versions of your favorites can save money and improve everyone’s health.

Be thrifty: for as long as they’ll let you, embrace hand-me-down clothing and toys

Opt for a day at the park instead of the zoo and take advantage of free family-friendly activities. Take advantage of coupons and Groupon deals for special occasions. Buy in bulk when it makes sense to. Saving just $10 a week adds up to over $9,000 from birth to graduation.

Will a baby affect my career?

Seven out of every ten moms with kids ages 17 and under are in the labor force. In fact, mothers are the primary breadwinners in 40 percent of U.S. families. Working moms are no longer taboo.

There will be additional challenges to consider as a working mom, though. How much will daycare cost? What if you work less conventional hours or holidays when daycare isn’t always an option? Will you still feel as committed to your job? Will your job still feel as committed to you? How will you balance work, child-rearing, and everything else on your plate?

Luckily, you have more control than ever before as a working parent today. Here are a few tips to keep in mind.

Get help before your baby is born

Think about daycare and caregivers while you’re still pregnant so you’re not scrambling at the end. Make arrangements with family members who can help. If you have a partner, talk to them about how responsibilities will be split. Once you’ve secured care, consider having at least one backup in your pocket. If family is an option, you’ll save money for sure. Just make sure they respect your rules.

Work flexibility

If you’re hoping to avoid daycare, speak to your boss about adding flexibility to your schedule or work from home options, even if it’s just temporary.

Consider a career change. How happy were you with your career before having your baby or becoming pregnant?

If your career didn’t fulfill you before, you may come to hate it as time goes on. Even if you feel stuck, you may be able to explore options. 

Will I ever sleep again?

Parenting. Is. Exhausting. It will test your sanity in ways you didn’t think possible. In short, yes, you will sleep again. But probably not tonight.

If you sleep an average of seven hours a night now, that’s 2,555 hours you’re spending one-on-one with your pillow per year. Ask any new parent how much they slept the first year and you’ll get a variety of answers. But most newborns don’t sleep more than two to four hours at a time for the first few months.

Sleep deprivation can cause moodiness, irritability, depressed mood, forgetfulness, and difficulty learning new concepts. The true cost of sleep deprivation can creep into all aspects of your life.

Luckily, sleep isn’t the only way to recharge at the end of the day. If you can’t squeeze in a nap, try one of the following.

Share responsibility

Women still do the majority of unpaid work in the United States. If you have a partner, share your unpaid responsibilities.

Take care of yourself

You’ll have a lot less free time as a parent. But by making time to take care of yourself (exercise, drink enough water, eat meals that nourish you), you’ll be able to take better care of everyone else. This is a lesson most moms learn the hard way. Make yourself a priority before your health suffers.

Cut back

You don’t have to volunteer for the PTO or help organize the neighborhood holiday party. If you’re unable to keep up with your basic needs, like sleep, take all the unnecessary activities off your plate until you’re up for the task.

Is it all worth it?

So, how much does it cost to have a baby? When we factor in all the sacrifices, probably more than we can ever monetarily or momentarily add up.

But if you ask this momma (who’s currently pregnant with her fourth baby), every type of currency I’ve paid has been more than worth it. Sure, I look forward to the day that I have a little more money and time to spend on me. But I’ll also miss my children being so dependent on me.

If your resources (and patience) are drying up, you’re not alone. Don’t be afraid to ask for help. Lean on your family and fellow moms. It really does take a village and you’ve totally got this!

Read more

• Baby care in the first week: the (not so) basics
• Welcoming a new baby, and the emotions that come with it

Whether you’re planning to give birth at a hospital, birth center, or right at home, gathering the essentials ahead of time is a good idea.

Besides any necessary paperwork, a photo ID, and your insurance card, consider packing the following items. Keep in mind while packing that anything that accompanies you to childbirth has the potential to get stained or messy! Leave behind any treasured or unwashable items.

Comfy clothes: If you’re giving birth at a hospital, they can supply you with a nightgown and a robe, but you might want the option of wearing your own clothes. We recommend packing comfy pajamas or loungewear that button or snap down the front, a robe, and something stretchy to go home in. When you leave, you’ll still have a pregnant-appearing belly, so Maternity clothes are perfect!

Undergarments: Again, hospitals supply maternity underwear. But if you’re giving birth somewhere else or prefer a specific type, we recommend packing a few pairs. If you plan to breastfeed, packing a nursing bra is a must.

Cozy footwear: We recommend having a couple of pairs of cozy socks at the ready and a some comfy slippers. Some people also like to have shower slides if they are sharing a bathroom. As you’re probably well aware, slip-on styles tend to be the most convenient for pregnant and postpartum folks. You may be surprised by the new swelling you see in your feet after giving birth.

Toiletries: Labor can be quick, or it can last several days. Either way, you’ll want to have all your basic toiletries on hand. Anything you’d need for a night away and a luxurious shower should come with you. Don’t forget some lotion, lip balm, a brush or comb, and hair ties! That said if you’ll want any other products, go ahead and pack them. And if you wear glasses or contact lenses, bring those too.

Entertainment: As we mentioned, labor can last for days. You’ll be preoccupied a lot of the time, but you could also have plenty of downtime. Just in case, gather a book, magazines, a tablet, portable games, knitting supplies, or anything that entertains you and your partner.

Snacks: You might want to come prepared with some of your go-to snacks and maybe your favorite water bottle. You may not have access to a fridge, so things like peanut butter crackers, nut mixes and protein bars can all provide much-needed energy. Some people are restricted to clear liquids like juice, broth or Jell-O, especially after a cesarean birth. Bring your favorites, just in case! And if you’re giving birth at a hospital, bring cash for the vending machines.

A pillow and blanket: If you’re particular about your pillow, you can bring one from home. Packing a soft blanket isn’t a bad idea, either.

Electronics: You’ll want to have a charger with a long cord for your cell phone and tablet if you’re bringing one.

Baby items: Hospitals and birthing centers typically provide diapers, wipes, and baby blankets, but it’s okay to bring your own. You’ll definitely need something for your baby to wear on the ride home — as well as an outfit for any cute pictures you have in mind. We also recommend a baby blanket and hat if you live somewhere cold and your due date falls in the winter. You might also want to toss in baby nail clippers or a nail file since newborns often come out of the womb with long, jagged nails. And don’t forget the car seat if it’s not already installed.

Remembering to pack all the right things can seem overwhelming, but if you plan ahead, it might give you some peace of mind heading into labor. You may not end up using all these items, but if you do, you’ll be glad you packed them.

Read more

• Big decisions to make before giving birth
• Building a birth plan

Sources

• Institute for Quality and Efficiency in Health Care. Pregnancy and birth: When your baby’s due date has passed. 2018. Web. https://www.ncbi.nlm.nih.gov/books/NBK279571/

A registry checklist like this should be used as a starting place since what works best for your family will depend on several considerations, such as:

• What space Baby will be sleeping in the early days
• If you’re looking to buy just the necessities early on and more items items over time as they grows
• If you’ll be borrowing any baby gear
• If you want items that are versatile and can grow with your baby
• If you want to splurge on a few items, if you want to stick to a strict budget or any number of other factors.

Think of this as a list of suggestions, not a be-all, end-all list of absolutely everything you need. When picking out all of this baby gear, there’s no right or wrong, only what works best for your family. And when you do get this gear, make sure you read the product instructions to learn how to register and use the products safely.

Remember that baby products should only be used in the manner intended and recommended.

Sleep

• Bassinet, bedside sleeper, or crib and mattress
• Sheets and waterproof mattress pad (at least two sets of each in case of accidents)
• Baby monitor
• Swaddling blankets

Soothing

• Rocking chair or glider
• White noise machine
• Humidifier, fan, or air purifier
• Nursery light
• Pacifiers
• Swinging, rocking, bouncing, or vibrating baby seat 

Travel

• Infant car seat (including a car seat base if you get a car seat model that needs one, plus an extra car seat base if you have more than one car)
• Stroller (an alternative is a car seat/stroller combo like the Doona)
• Diaper bag and travel changing pad
• Wet/dry bag to store dirty clothes or diapers
• Baby carrier, sling, or wrap

Diaper duty

• Changing table
• Changing pad and changing pad covers (at least two can be helpful in case of accidents)
• Diapers, wipes, and diaper balm
• Diaper pail and trash bags or pail liners

Clothes and linens

• Dresser or other space to store clothes (often changing tables include plenty of drawers for clothes storage)
• Hamper
• Gentle laundry detergent (dye and fragrance-free)
• Clothes (starting with Newborn or 0-3 months sizes)
  • Onesies – short and long sleeved
  • Soft pants with covered feet
  • One piece outfits that zip, button, snap or magnet together
  • Pajamas or sleep gowns
  • Seasonal garments like sunhats, swimsuits, rompers OR cardigans, soft hats, stroller bunting or a snowsuit
  • Wearable blankets for cool overnights
  • Booties or socks made for newborns
  • Keep in mind that this is one area where you’ll likely receive TONS of unrequested generosity. You’ll easily be able to buy what you need or want as time goes on and baby grows, as long as you have the basics to start.

Feeding time

• Nursing pillow and nursing pillow covers (at least two can be helpful in case of accidents – like leaking milk, spit up, or other messes)
• Breast pump and accessories (if breastfeeding)
• Formula (if formula feeding)
• Bottles, nipples, and bottle accessories (such as bottle sterilizer, bottle warmer, dishwasher bottle basket, bottle drying rack, and milk storage bags)
• Burp cloths
• Bibs
• Nipple cream
• Nursing pads and nursing bras

Baby body care

• Bathtub
• Baby body care products (such as gentle scent-free shampoo, body wash, and lotion)
• Baby grooming products (such as comb, soft brush, toothbrush, nail file, nail clippers)
• Baby first aid items, such as thermometer (a rectal thermometer and another if you like, such as an ear or temporal thermometer), nasal bulb, saline nasal spray, and even infant acetaminophen (but you’ll always want to check with your pediatrician before giving your little one any medicine)
• Washcloths
• Hooded baby towels

Fun and play

• Playpen, play yard, or portable crib
• Play mat or activity gym (ideal for when Baby still does a lot of laying on their back or for getting in some important tummy time)
• Baby seat or lounger
• Teethers, rattles, and other baby-safe toys
• Books

Safety

• Carbon monoxide and smoke detector

As Baby grows

• Another car seat intended for a bigger baby (keep an eye on the height and weight restrictions for your infant seat, they vary from brand to brand. As soon as they outgrow any specification – it’s time for a new seat!)
• High chair
• Bowls, plates, baby utensils, and cups
• Baby proofing products
• More clothes, toys, and books (for your little one as they grow to be not-so-little anymore!)

Reviewed by the Ovia Health Clinical Team

Read more

• Unexpected costs of having a baby
• Baby shower planning

• Something to soothe or entertain Baby: This might mean a white noise machine, a machine that projects “starlight” onto the ceiling, or a mobile.
• Humidifier for cold months or when Baby has a cold: When you need a little extra moisture to be circulating where they sleep – whether it’s during the cold winter months when your home heating system might cause the air in your home to dry out, or when Baby has a cold and needs a little extra help breathing clearly – a humidifier is great.
• A fan and/or air conditioner: Depending on what your home heating and cooling system is like, in warmer months you might want one or both of these to help keep Baby from getting too warm. Even in cooler months, you might just want a fan on to help circulate air and add a little bit of soothing white noise to Baby’s sleep space.
• Air purifier: An air purifier – specifically a HEPA (High Efficiency Particulate Arrestance) one – can help to remove tiny, icky particles from the air. Air purifiers can be used to keep the air where Baby sleeps free of smoke, dust mites, and animal dander particles, as well as other not-so-friendly particles created by household appliances and products. Many purifiers also make a soft whirring sound, which can add more of that white noise magic that can help your little one sleep easy.
• A soft rug or play mat: In a pinch you can always place a clean blanket on the floor for some tummy time or play, especially early on when your little one is so, well, little, and won’t be traveling far. But if you have the space, you may want a soft rug for this purpose too. Soon Baby will be on the move and doing a lot of play on the floor, and it doesn’t hurt for them to have a comfortable space set aside to do so.
• Books: Certainly, you can keep these somewhere separate from you baby’s sleeping area if you’re short on space, but it can helpful to have at least a few nearby for bedtime reading with Baby. You might even want a bookcase, a few small shelves, or storage cubes to hold them.
• A surface for extras: Not a necessity, but you might find it convenient to have a small surface or table nearby on which you can place or store items, like a glass of water for you to drink as you feed Baby or a nail file so you can trim their tiny claws while they snooze.
• Stuffed animals or toys: These are also not a bedroom necessity while Baby is a newborn. Remember that you don’t want to put anything soft in their bassinet or crib because of risk of suffocation. But you may want to have some of these items nearby for them to play with when they awake. If you don’t get these right away, there’s plenty of time for toys once Baby is a bit bigger and more able to have fun with them.
• Decorations, pictures, and the like: Even if baby isn’t in a dedicated nursery space, you can always hang a small picture or some festive bunting near Baby’s bassinet or sleep space in your room. And if Baby is in a nursery, even just a few small items on the walls – meaningful pictures, their name, or a cheerful banner – can make a big difference in creating a personalized space.

Remember, whether you just get the basics or go ahead and get some extra baby room gear too, as long as you prioritize what’s best for you and your family, you really can’t go wrong.

Reviewed by the Ovia Health Clinical Team

Read more: 

• Outfitting baby’s room: Everything you need – Part one: The basics
• Outfitting baby’s room: Everything you need – Part three: Where to get the goods

Benefits of the breast pump

Juggling work and new parent status aren’t the only reasons to consider investing in a breast pump. It can also help to maintain your milk supply, relieve discomfort when the baby isn’t eating, and help them out if they can’t quite latch on yet. Using a breast pump on the opposite breast while feeding (parallel pumping) can also help collect milk for storage and promote an increase in supply.

Types of breast pumps

Even with these benefits, choosing a breast pump can be overwhelming because there are so many available options. When picking a breast pump, first decide what your main use for the pump will be.  

1. Double automatic breast pump

This is a good choice if you’re going back to work and you want to continue to breastfeed. or need to do all or most feedings with pumped milk. Typically covered by insurance, these are the backbone of many pumping routines, as they are often the most durable and efficient choice. Look for one with customizable settings and the ability to move around by using a battery pack. Some also have the capability to be even more discrete and flexible, with smaller motor housing and less visible flanges.

2. Manual pump

If you only plan to pump occasionally, a manual pump might best suit your needs. They are inexpensive (around $20 to $40) and can work just as well as an electric one. Manual pumps require require a bit more energy to pump what you need, but often have fewer parts to clean. Everyone who is pumping a significant amount should have a manual pump as back-up during times like electrical outages or forgetting parts at work.

3. Wearable pumps

New breast pump technology has allowed several companies to offer pumps that sit in your bra with no wires or tubing. They offer another level of convenience for many people and often have very few parts to wash. They do limit the possibilities for breast massage while pumping, may have a less powerful motor, and are more expensive ($200 to $500).

4. Multi-user or “Hospital Grade” pumps

Multi-user pumps are pumps that can safely be used by different people because the suction system and tubing are a closed circuit. These are commonly seen in hospitals, and thus have acquired the nickname “Hospital Grade.” They tend to be very large and expensive. Some have motors that may feel like they offer more powerful (or painful) suction. 

Every feeding journey is different, and choosing a pump depends on your goals and needs. Remember that you can always work with a professional if you’re worried your pump isn’t sized or working properly. 

Pumping accessories 

Pumps will include basic parts with purchase, but there are quite a few accessories to go along with pumping! If you’re pumping at work, a spare manual pump is a great idea in case you have an electrical malfunction. A hands-free pumping bra is also essential to maximize your time and milk output by using breast massage. 

Many people find they are more comfortable while using pumping cream or spray in their flanges before each session. Does your pump come with an optional battery pack for mobility? Milk storage bags, a permanent marker, and a reminder of when to replace certain parts (some as frequently as every month for everyday pumpers) are all essential in any pumping bag. 

How to get a breast pump

It varies depending on your insurance coverage, but in general, you can follow these steps to get your pump.

1. Find out the details

Call your insurance company to learn more about your breast pump benefits. Find out if you’re covered to rent or purchase a pump, if you need to provide a prescription or pre-authorization for the pump, and when you can get the pump (before or after giving birth).

2. Start looking for a pump

Once you have the info, you’re ready to start looking for a pump that works for you. Many breast pump manufacturers have a website where you can check to see if your insurance covers their pump. Your insurance might also direct you to a website where you can browse pumps that are covered under your plan, or your lactation or pumping professional might be able to help you find one.

3. Order your pump

When you find one that your insurance covers has features that work for you, you can take the (well-informed) leap and order a pump by phone or online from a durable medical equipment provider.

The bottom line

If you’re experiencing trouble pumping, here’s where to start:

• Be sure the flanges are the right size. 
• Make sure your parts (like duckbills) have been replaced on schedule, and that the battery is still working (it tends to wear out after a year). 
• Use your hands while pumping! Your body may just need some human touch. 

If you’re still having trouble, call a lactation consultant who has expertise in pumping. Pumping is breastfeeding, and they are there to support you!

Reviewed by the Ovia Health Clinical Team

Read more

• Finding a breast pump
• Pumping is Breastfeeding

• Home improvement: Creating a safe and welcoming space for a new baby means changing and reimagining your home. You might need to turn a room, such as a home office, into a nursery or rearrange the space you have to make room for your growing family. Some changes can be simple and easy, like installing basic safety equipment such as outlet covers, cabinet latches, and baby gates. However, other changes may require you to invest some of your budget to ensure your little one has a comfortable, cozy, safe space.
• Medical expenses: Be sure to check with your insurance provider to see what your plan covers for both your birth and your baby’s first year. Although preventative care for babies is usually covered (things like well visits and vaccines), costs for sick visits can really add up, and children usually have their own deductible.
• Unpaid leave: You might transition into a single-income family after delivery, depending on where you live, your company’s policy and your own comfort with taking time off. You may be surprised to find benefits only cover a small percentage of your typical income or that you have more paid options than you expected! Explore all of your choices for medical leave, any state-sponsored benefits, use of vacation time and unpaid options. This allows you to plan ahead and save.
• Feeding expenses: You’d think breastfeeding would be the one free item on Baby’s list of needs, but your time is worth money! And if you’re not around to nurse, you’ll need a breast pump, bottles, milk storage bags, and/or formula.
• Childcare: If you go back to work or just want a one-on-one date night with your partner, you’ll probably need to pay a babysitter or childcare program to watch after your little one. Do you know what the going rate is in your area? Don’t get caught imagining it’s what your neighbor pays her daycare or the same as when you babysat in high school. This will be an ongoing expense that requires some serious budgeting.

Reviewed by the Ovia Health Clinical Team

Read more

• Packing a delivery bag
• Baby care in the first week: the (not so) basics

How can you store your breast milk?

There are a number of storage options — from glass bottles, to BPA-free plastic bottles, to specially designed plastic or silicone milk storage bags. Whichever option you choose, the containers should be clean and properly sealed before they are stored (keep in mind that milk will expand when frozen). 

Ideally, milk is stored in a variety of sizes ranging from 2-5 ounces (the size range of an average breastfeed). A variety of serving sizes can be helpful in case your little one needs a full meal, snack, or even just needs to eat quickly. 

You’ll always want to clearly label the bottles or bags with the date that the milk was expressed and the amount inside. If you’ll be sending the milk off to childcare with Baby, you’ll also want to make sure their name is on the label.

How long does expressed milk stay good for? 

How long milk can be stored depends on just where it gets stored.

• Out at room temperature: If you’ve just pumped and are fairly confident that your baby will drink the fresh milk soon, it can sit out unrefrigerated or unfrozen for six to eight hours (at up to 77°F or 25°C), but using or storing the milk in a colder space within four hours is ideal. The milk should be covered and kept as cool as possible, so if it’s a particularly hot day, you may want to move the milk to a fridge or freezer right away. 
• In a cooler or insulated cold storage bag: If you pump and are then traveling with expressed milk, you may very well decide to store it in a cooler or insulated bag as you travel. It’s best to keep ice packs against the milk containers and to not to open the cooler or bag unless necessary. All recommendations suggest avoiding storing milk like this for longer than 24 hours.
• In a refrigerator: It’s optimal to store milk in the refrigerator for three to five days, although it’s acceptable to store there for up to eight. It’s also recommended that you store the milk in the back of the fridge (as opposed to close to the front or on a door) where it’s a bit chillier. 
• In a standard freezer (meaning a freezer that is part of a refrigerator but has a separate door): Milk can be stored for between three and six months.
• In a deep freezer: Milk can be stored here for up to 12 months (though 6 months is ideal).
• Partially used bottle: A feeding that was not finished can be used again within 2 hours

Milk that gets stored longer than these recommended times in a fridge runs the risk of spoiling. Milk that gets stored longer than these recommended times in a freezer is usually still safe, but some of the fats may break down and some of the nutrients may be lost. 

Thawing frozen milk

You can thaw frozen breast milk by placing it in the fridge several hours before you plan to use it, or thaw it more quickly under warm running water or in a bowl of warm water. Some research shows that milk warmed quickly via a warm water bath retains better fat and nutrient profiles. And some babies might even prefer that refrigerated milk be warmed up (what refined taste!). Heating it on the stove or in the microwave is not recommended, because the milk might heat unevenly or get a bit too toasty for Baby. Once frozen milk has been thawed, if it goes unused, it can be refrigerated for later use for up to 24 hours, but it should not be refrozen. However, if frozen milk has been partially thawed (as sometimes happens in the event of a power outage), as long as it still contains ice crystals, it’s considered safe to refreeze.

As you begin to pump and store your milk, you might notice that it’s a particular color or that the color changes over time or even depending on what time of day you pump. When chilled, you might also notice that it will separate into milk and cream layers. And once thawed, you may notice the milk looks like it’s of a somewhat different consistency or smells slightly different than when it was freshly pumped. As long as the milk has been stored properly, this is normal. But use your judgment; a little sniff should tell you if things have gone bad. (Milk that smells soapy is still safe and nutritious for your baby, it just happens to have excess lipase activity. Lipase is a normal enzyme found in all milk, but your little one might not love the taste. Scalding the milk quickly, for just a few seconds before freezing, can fix this issue. You can read more about milk with excess lipase activity and how to scald it here.) If you ever have questions or are really concerned that the quality of the milk is questionable, it’s better to err on the side of caution and toss it.

When it comes to storing milk for long periods of time, keep in mind that the quality and makeup of your breast milk changes over time as Baby gets older and has different needs. This means if you expressed a lot of milk when Baby was first born, it’s best to use that when they are still fairly young, and not save it until they’re nine months old.

Reviewed by the Ovia Health Clinical Team

Read more

• Breast pump cleaning guidelines
• Continuing to breastfeed when going back to work

Sources

• Mayo Clinic Staff. “Breast milk storage: Do’s and don’ts.” April 7 2015. Retrieved August 11 2017. Mayo Clinic. Mayo Foundation for Medical Education and Research. http://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/breast-milk-storage/art-20046350?pg=1.
• “Proper handling and storage of human milk.” Centers for Disease Control and Prevention. U.S. Department of Health & Human Services, July 24 2017. Retrieved August 11 2017. https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm.
• “Storing breast milk.” Cleveland Clinic. Cleveland Clinic, March 25 2015. Retrieved August 11 2017. https://my.clevelandclinic.org/health/articles/storing-breast-milk.
• “What are the LLLI guidelines for storing my pumped milk?” La Leche League International. La Leche League International, July 8 2014. Retrieved August 11 2017. http://www.lalecheleague.org/faq/milkstorage.html.

If you’ve already read the first and second part of this series – tackled the baby room basics and even considered the extras – you might still find yourself wondering, “Just where do I get all this stuff?” Unless you’ve done a lot of shopping for little ones before having one of your own, chances are that expecting Baby will open up a whole new world of products, brands, stores, and such to familiarize yourself with. (Don’t worry – you’ll know the difference between Boppy and Bjorn in no time!) Here are some options for where you can get all the supplies you need:

• Borrow: You don’t need baby gear, especially newborn items, for a very long time – supplies you buy for the first months will actually will have a pretty short life in your home unless you have more than one baby. The silver lining here is that this often means it’s possible to borrow baby gear – from clothes to bassinets to toys – from friends and family who have had babies not too long ago. However, this option does involve doing a bit of homework on the safety of the baby gear you’ll be using. When it comes to certain gear – especially items like baby cribs – you’ll want to do some internet sleuthing to make sure the models that you’ll be using are still safe, especially if the product is older, and that there are no current safety recalls on the items.
• Buy second hand:  There are a number of places online and in person where you can buy baby gear second hand, like consignment shops – some of which are even dedicated entirely to baby products. Much like above, just be sure to check on the safety of the products, especially since you won’t personally know the people who had the gear prior.
• Buy new: In store or on online, there are plenty of places where you can create a baby registry or just explore what’s available before you buy – big box stores, smaller local shops, and plenty of online vendors too. Even if you eventually decide to buy products online, many parents find it helpful to see, touch, and try out gear in person – especially big ticket items – to better understand what their options are and to even give items like folding strollers or folding playpens a trial run before bringing them home, all in the hopes that you’ll be happy with your choice when actually using it with Baby.

When preparing for your little one’s arrival, it’s certainly easy to get caught up in all of the new baby products available on the market or the pretty images from glossy mags and Pinterest that suggest you need a nursery that’s decorated to the nines. It’s not that you can’t create a space for Baby that looks super sweet (or fun, or hip, or whatever other style you might want to aim for). But as you buy or borrow, do keep in mind that what works best for you and your family is really all that matters.

Reviewed by the Ovia Health Clinical Team

Read more:

• Outfitting baby’s room: Everything you need – Part one: The basics
• Outfitting baby’s room: Everything you need – Part two: The extras