Exclusive pumping: Pros, cons, and considerations

Time-frame: 60-75 minutes
CERP: yes

Approximately 85% of mothers have expressed milk sometime since their infant was born. About 5.6% of these mothers exclusively pump their milk. There are many reasons for this and a number of unanswered questions regarding the practice–do the same health advantages accrue to the exclusively pumping mother compared with a parent that directly breastfeeds (reduction in reproductive cancers, type II diabetes, myocardial infarction, metabolic syndrome)? Are there different health outcomes for the infant? Is pumped milk equivalent to milk directly fed from the breast? Expressed milk can be exposed to nutrient degradation through handling, storing, and even altered depending on which bottle-feeding system is used. Bacterial richness is lower in pumped milk which can alter the infant gut microbiome. Milk lypolysis can occur during storage causing an off odor and rancid flavor. Breastmilk components communicate the time of day to infants through a process called chrononutrition and may not be circadian matched. Milk pumped during the day is different than milk pumped at night. This presentation will explore the many nuances of expressed breastmilk, breast pumps, pumping more effectively, typical problems and possible interventions. Recommendations will be provided for a healthy, successful experience.



Marsha Walker RN, IBCLC


Country: USA
Phone number: 781-893-3553
Email: Marshalact@gmail.com
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Publications

Breastfeeding Management for the Clinician: Using the Evidence, 5th edition

Breastfeeding Management for the Clinician: Using the Evidence is the perfect tool for busy clinicians who need a quick, accurate, and current reference. It provides the essentials of breastfeeding management to support best outcomes for breastfeeding families. Now in an updated and modernized fifth edition, this unique resource features new information on the political and social landscape of breastfeeding, LGBTQI+ families, milk sharing, exclusive pumping, new breastfeeding products, breastfeeding in emergencies, additional feeding care plans, and access to downloadable Patient Care Plan Handouts to help both patients and clinicians navigate common breastfeeding challenges and questions. Breastfeeding Management for the Clinician: Using the Evidence, Fifth Edition includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge and a problem-solving approach, this reference helps busy clinicians integrate the latest research into their everyday clinical practice.