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Breast Pump Decision Tree How to Choose the Right Type of Breast Pump Breastfeeding Complications Is Mother returning to No Family wants to feed baby Refer to IBCLC or Lactation Expert as needed work or school? Occasional short-term separation Yes Flat or Normal Early Sore Nipples Hospitalization of mother Does Mother have inverted Postpartum or baby, premature infant, No a well-established nipples Engorgement insufficient milk supply, milk supply? Teach hand expression or poor weight gain, infant provide manual pump. has inadequate suck Yes Warm/moist packs, Assess correct Hand Expression, positioning & increase frequency latch Will mother be Issue a manual of nursing separated from No breast pump Assess for possible causes her baby more and/or teach hand of low milk supply. than 4 hours? expression. If needed Encourage frequent feeds manual breast or milk expressions and Yes pump complete emptying of the breast. Manual breast pump Is Mother may be sufficient or exclusively No issue a hospital grade breastfeeding? electric breast pump, if If inadequate available. latch/ nursing or Issue hospital-grade electric problem not breast pump Yes resolved Is mother 4 weeks post Provide a single-user partum, separated from her Yes electric breast pump (if No infant 32 hours per week and available), otherwise issue a committed to long-term hospital grade electric exclusive breastfeeding? breast pump.
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