In theory, the design prevents bacteria from building up in the pump system, though Spectra does still consider the S1 and S2 to be single-user items and doesnt condone sharing or reselling its pumps. At the beginning, you may want to start with a manual pump, which can be useful in the early postpartum period, when many people experience engorgement. And with larger components, its a little easier to disassemble and wash than the Harmony. One expert we spoke with, Felina Rakowski-Gallagherfounder of the Manhattan breastfeeding-resource center the Upper Breast Sidesays of the electric pumps covered in our guide: These are for people whose babies are feeding well, and whose milk supplies are well established.. Naya started taking orders for its Essential Breast Pump, a less expensive, stripped-down version of its Smart Breast Pump that doesnt have a rechargeable battery or Bluetooth connectivity, just as we were finishing this guide. Both the Willow and Freemie are about twice as expensive as the pumps we recommend in this guide, and neither are widely covered by insurance (some plans may offer reimbursement), but you can purchase them using HSA/FSA funds. The Medela Pump in Style Advanced is louder and bulkier than our pick (its attached to an included bag) and wasnt as well-liked by testers. Horman emphasized that a manual pump should be easy to squeeze just halfway, to keep the suction comfortable (and as a corollary, effective). Not everyone needs a breast pump to successfully breastfeed a baby. Their suction is created by squeezing the handle, so they dont need a pump mechanism as described above; your fist is the pump. This helps working mothers ensure that their babies are well-fed despite the distance. Though the pump is relatively easy to take apart and clean, one tester found the membrane assembly, which separates the breast shield from the pump mechanism, infuriatingly fussy. The term hospital-grade is typically reserved for very high-quality, multiuser pumps that are more often rented than bought (theres no official definition of what constitutes a hospital-grade pump). Compared with electrics, manual pumps are also quieter, easier to control, and can be more efficient if needed for short sessions (such as on a very short work break) because they require less setup and cleanup. 2022 Wirecutter, Inc., A New York Times Company, Simple Wishes Signature Hands Free Pumping Bra, Runner-up: Philips Avent Comfort Manual Breast Pump. (Again, not many electric pumps do.) Instead, it slows slightly in suck frequency when its pulling harder at the nipple. It can also save milk from leaking into clothing (or onto tissues or pads)making for less waste and less mess. If plugging in is no problem, you could save money and weight with the Spectra S2, which is the same pump but without a rechargeable battery. This simple, sock-shaped collection vessel works by suction. Manual pumps are small, handheld affairs that extract milk from one breast at a time. TheLansinoh Signature Pro Double Electric is a popular double electric pump that we researched but decided not to test. A few brick-and-mortar stores carry them, but in general, its not possible to walk into the nearest Babies R Us or Target and replace Spectra parts. But lactation consultants we spoke with reported their clients havent had success with it over the long term (one of our testers, who has used it outside the scope of testing for this guide, agreed), and at $340, it was too pricey to consider given its reported performance. Suction pumps consist of three main parts. The Simple Wishes Signature Hands Free Pumping Bra is the best pumping bra we found after testing nine models and pumping a collective 350 ounces of breast milk. In fact, if you already have a pump and a pumping routine that works for you, we think its unlikely that itll be worth the time, effort, and spilled milk often required to figure out how to get these to work as well as our picks. Two lactation experts said they were not as well-built for long-term use as our picks. Pumping is especially useful for moms who are working or running errands and cant be around their babies. The popular Medela Pump in Style Advanced is louder than our pick and lacks separate controls for suction strength and speed, but its easier to find this popular pumps parts and accessories. It feels more like youre nursing a baby versus nursing a machine, company co-founder Janica Alvarez told The New York Times (parent company of Wirecutter) in 2016. Its the only manual pump we tested that has a handle that swivels. This is the gear weve found helps us maintain our productivityand sanitywhen juggling work and family. Through carefully scouring online forums and product reviews, we concluded that many people who have used multiple, similar double electric pumps also prefer the Spectra. A well-fed baby is a happy baby and a happy baby makes a happy mom. But Its Costly. They are also useful for moms who deliver early, have twins, have a lot or very little milk supply. After interviewing experts, including four lactation consultants, consulting forums for breastfeeding and pumping parents, and considering the features and reviews of 42 different breast pumps, we determined any good breast pump should have: Our research told us there are a couple of additional qualities that are specific to electric pumps. The Spectra is also highly customizable. The Affordable Care Act mandated that insurance companies cover pumps. They can also help address supply problems and nursing issues, as can local support groups organized by La Leche League leaders and others. For manuals, that meant holding the pump against one breast at a time, and squeezing (the pump, not the breast). A breast pump helps nursing moms to pump and store their breast milk. (There are also pumps that compress the breast to push milk out rather than using a vacuum; because they are not yet widely available, no compression pumps are included in this guide.). At its lowest suction, we measured the Medela at 66 cycles per minute, a rate that dropped to 52 cycles per minute at the highest suctionnearly constant, but not quite. The Harmony was her pick in that regard. Because the silicone squeeze pump attaches while nursing, it can be a low-hassle way for someone who is primarily breastfeeding to build up a modest supply of extra milk. Medela also makes cleaning wipes that work well on pump parts and bottles (and just about any other plastic surface you encounter, baby-related or no)very useful if youre pumping without access to a sink. I pumped during a work phone call and next to my sleeping baby, which I would never do with the Medela, one tester said. And Rakowski-Gallagher at the Upper Breast Side doubted this pump's ability to maintain milk supply in the long run. It keeps new moms worry-free and makes feeding newborns easy for other caretakers besides the mother. Several times I had to go searching for it because it fell off in transit from upstairs to downstairs.. Breast pumps are often useful tools, though, as they can extract milk to be fed by bottle, relieve and soften engorged breasts, and help prepare a food supply if the lactating parent will be unable to feed the baby directly for any length of time. Unlike the other electric pumps covered in this guide, the quiet, battery-powered, tube-free Willow pump consists of two cups that sit directly in your bra, collecting the milk into integrated cups (in either single-use plastic bags, or reusable containers). We also considered single electric pumps, which are typically less expensive than double electrics but empty only one breast at a time. Though at least one early reviewer found the water-suction method far more comfortable, and Rakowski-Gallagher at the Upper Breast Side told us she thinks the pump could be a game-changer, we reviewed all the comments about the Naya on the Exclusively Pumping Mamas and Working Pumping Moms Facebook groups and found they were overwhelmingly negative, and included reports that the pump is not particularly quiet, has an annoyingly bright charging light, and has components that can leak. The Medela is also easier than the Spectra pump to customize. The Harmony pump comes with the standard 24 mm breast shield, as well as a single collection bottle. Since then, its gained devotees quickly: Several parents we spoke with wished it had been available when they were breastfeeding, and two of the lactation experts we consulted went out of their way to mention it. Once finished, I disassembled the parts, noting if it was easy to spill milk in the process. Other reviewers note the slightly squeaky noise of this mode, which is louder than the Harmony (though both are far quieter than electric pumps, which some of the same reviewers say are less efficient for them than this manual). Its also relatively easy to assemble. When suction on one breastfrom a nursing baby or a pumptriggers a letdown in the other breast, the Haakaa Silicone Breast Pump collects it well. All three of our lactating testers clearly preferred the Spectra to the much more common Medela Pump in Style Advanced (our runner-up). Breastfeeding is essential for passing on crucial nutrients for a babys growth & well-being from mother to child. Depending on where, why, how, and how often youre pumping, you may want both a manual and an electric pump, or may need only one or the other. Its also reasonably priced and widely available, with easy-to-find replacement parts and accessories. Medela also offers a slightly broader array of breast shield sizes and more customization opportunities using products from outside companies. I am loving the Spectra S1. But without other sizes of plastic shield available, the Philips Avent wont work for people whose breasts require especially small or large shieldswhich depends on a mix of nipple size and elasticity; a lactation consultant can help if the out-of-the-box setup isnt working. Horman said she advises her clients to change often between stimulation and expression to empty the breast more quickly, and she likes the Pump in Style Advanced for its easy toggle. The Spectra pumps also have a single button to switch between the two. The Medela Harmony, which uses the same parts as our runner-up double electric pick, is as effective or more at extracting milk as any other manual pump we tried. But as a very expensive hospital-grade pump typically available as a rental, it fell outside the scope of this guide. Electric pumps (or double electrics for those used to pump both breasts at once) are generally more efficient than manual pumps and make it easier to do something else while youre pumping, especially if you pair your pump with a dedicated pumping bra. If you opt to buy the pump directly from the companys site, you can choose from 20 mm or 32 mm breast shields instead. A breast pump is a must-have in every new moms arsenal. You can buy the pump with one of three different cases: the tote, a backpack version, or what Medela calls the metro bag, which is the only one from which the pump can be easily removed. We found the Philips Avent Comfort Manual Breast Pump is just as effective at extracting milk as our manual pump pick, and at a similar price. Depending on the amount of milk to be collected and stored, pick from a single electric breast pump or a double electric breast pump. The Haakaa is easy to clean with a bottle brush, or even in the dishwasher. Most pumps work by creating a vacuum around the nipple that sucks milk out of the breast. Depending on your provider, you may need to request the pump through the insurance company or directly from the manufacturer. It's moderately priced, but the Spectra and Medela models we recommend were consistently better reviewed. These models should have: We found there are also a couple of qualities unique to manuals. When I was finished with my own assessment I sent my two finalists in the double electric category to two lactating Wirecutter staff members to test head-to-head. The Pump in Style Advanced does include both stimulation and letdown modesas all the models we considered doand a single button switches between them. There will often be limits on what choices are covered with, for example, an insurance plan offering a choice of just a couple of double electric options or offering to pay for a stripped-down model, or a discount on a more expensive model equivalent to the cost of the cheaper pump. Pumping helps mom keep their baby fed and saves time. The Things That Make Feeding Your Infant Easier. When you buy through our links, we may earn a commission. For one, suction strength is controlled by a small analog dial on the side, rather than by a button with a digital readout, like whats found on the Spectra. For each session, I noted how long it took the pump to trigger a letdown (when milk is stimulated from the breast and flows quickly), how long it took the pump to empty the breast, how the pump feltbasically, if the sense of suction inside the breast felt like a nursing babyand how much milk the pump extracted. You can swap in other breast shield sizes, ranging from 21 mm to 36 mm. Its silicone membraneswhich account for six of those piecescleverly separate the breast shields from the pump itself. The levels were tolerable, but someone who needs to be discreet or pump near a sleeping baby would likely prefer the Spectra. But its not as comfortable to squeeze for longer pumping sessions because the handle doesnt pivot like the Harmonys does, and the neck of the bottlewhich you brace your hand againstis wider on the Philips Avent than on the Medela, making for a slightly less comfortable grip. Spectra also sells silicone liners that fit inside the hard plastic shields. If the baby cant latch wellbecause of, for example, a tongue tieor if milk supply has been difficult to establish, you may be a candidate to rent a hospital-grade or multiuser pump (such as the Medela Symphony or Ameda Platinum). Later, even if a double-electric pump enters the picture, a manual is often still useful tossed in a suitcase as a just in case travel companionperhaps youre traveling with the baby in tow; you can leave the bigger electric pump at home, then use the manual if youre briefly apart from the little one. *At the time of publishing, the price was $30. Breast pumps use suction, on the nipple area of the breast to extract milk. I tried assembling each pump incorrectly, testing whether I could hook tubes to the wrong places or insert valves backward. These pumps have suction finely enough tuned that, for many people, they can establish and maintain a milk supply even if a baby never nurses directly. When the body first begins making milk, it often overshoots its target a littlemaking breasts large, sore, and hard. If possible, check with your insurance company before the baby arrives to find out what they pay for and when. Having both available to purchaseas both the Spectra and our runner-up dois key. We independently review everything we recommend. They should be able to: After researching 40 double electric and manual breast pump models online, we narrowed our testing list to eight pumps that seemed to best meet our criteria. With narrower-neck bottles and smaller membranes, the Medela Pump in Style Advanced is a little harder to wash than the Spectra S1 and S2. Lansinoh redesigned this pump a few years ago, and many online reviewers (and one of our testers) who had used both preferred the old model. The Medelas price is usually around $200. Professional lactation consultants can provide detailed guidance, tailored to your particular body and history. Its smaller than the Medela Pump in Style Advanced, has a built-in rechargeable battery, and a membrane separates the pump mechanism from the milk collection, creating a closed system. Several other features endeared the Spectra to testers: The plastic is smooth, the design is round and friendly, and the carrying handle is comfortable and feels secure to use. Of the electric pumps we tested, the Spectra was the quietest: 28 decibels from 3 feet away, and its sound was a not-unpleasant whirring (a ch-ch-ch-chick). But frequent washing, combined with occasional sanitizing in a microwave steam bag or a pot of boiling water, is probably sufficient. When youre nursing (or pumping) on one breast, the silicone Haakaa vessel catches letdown from the opposite breast, saving milk that would otherwise go to waste. For information on safe handling of breast milk itself, see these guidelines from the Centers for Disease Control and Prevention (CDC). Its like, the perfect lazy pump, she writes. For electric pumps, I also used the NIOSH decibel meter app (recommended by the Centers for Disease Control and Prevention), placed three feet away, to measure how loud the motor was. The bottle (or bag) collects milk and is separated from the breast shield by a valve that closes when the pump is sucking, then opens to allow milk through. The innovative but expensive Naya Smart Breast Pump uses water, rather than air, to create its vacuum; the breast shields massage the breast with water (sealed in a separate chamber from the milk) and the pump can be controlled via an app using Bluetooth. Similar in price and performance to our pick, this manual pump lacks a swiveling handle, which makes it harder to grip and squeeze. Small yellow bumpers keep the handle from clacking annoyingly against the bottle. Spectra has a car adapter for both the S1 and S2 models. There, pumping with the smaller side of the handle, it's easier to create the quicker, shallower strokes that trigger a milk letdown. al., A Feminist HCI Approach to Designing Postpartum Technologies: "When I first saw a breast pump I was wondering if it was a joke," (PDF), MIT Media Lab, Nancy C. Lee, MD, Breast Pumps and Insurance Coverage: What You Need To Know, WomensHealth.gov, September 30, 2014, New Benefits for Breastfeeding Moms: Facts and Tools to Understand Your Coverage under the Health Care Law, National Womens Law Center, May 8, 2014. Some version of the Pump in Style Advanced is covered by many insurance plans. The pump mechanism generates the suction in the first place. We liked that the Spectra remembers settings between sessions (as the Medela Sonata also does, but the Medela Pump in Style Advanced does not) and also appreciated the built-in stopwatch that tracks session time. Each momone pumping for her first baby, who was about eight months old at the time and the other for her third child, who was then about five months oldcompared the two pumps over several weeks of testing (both women were breastfeeding directly as well as pumping regularly at the time). Then I stored the milk and cleaned the pump parts, noting the ease of cleaning. But its not as customizable, and without a swiveling handle, its not quite as comfortable to use. Before the start of each pumping session, I would predict how much milk I expected to extract from each breast, based on its size. The Medela manual pump is also generally more reasonably priced and widely available than similar models, with an ability to use the same commonly found parts as our runner-up double electric pick. If youre away from the nursing baby and lose a pump membrane, that can be a very big deal. If you can, hold off on buying an electric pump until after your milk supply is well established. Every tester noticed how much louder this pump was than the Spectra: It averaged 35 decibels from 3 feet away, compared with the Spectras 28 decibels. Their suction is created with an electric motor that generates the vacuum. We hope to compare that pump with our current favorite double electrics in the future. One of them was always popping off and coming loose while pumping, she said. Though the pump comes with two 24 mm and two 28 mm breast shields, there are a total of four sizes available; the others are 20 mm and 32 mm. (The Medela Pump in Style Advanced lives in an included tote bag, so its also easy to transport, though bulkier.)
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