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
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
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
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
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.