Breastpump Rentals

Symphony® Breastpump ($75 per month)
Model: 0240108

Features and Benefits

• 2-Phase Expression Pumping
• Long Term Daily Use
• Electric or Battery
• Double or Single Pump
• Multi-User, with personal double pumping system #67099 or #67116
• Chosen for you and your baby - All parts that come into contact with breastmilk are BPA/DEHP Free.

ELITE ELECTRIC BREAST PUMP  (30$ per month)

This durable hospital-grade breast pump lets mothers adjust suction strength and cycle speed independently for a comfortable and productive pumping experience.

• Piston-driven – for effective pumping
• Compact and lightweight – weighs only 6 pounds
• Convenient to carry and easy to clean and operate
• Compatible with any Ameda HygieniKit Milk Collection System

Please make an appointment so we can guarantee to be available to help you.

It is the renter’s responsibility to return the pump on or before the renewal date.  Email reminders will be sent as a courtesy.  Please contact the Nursing Nook if you plan on returning the pump or you will be billed for the next month.  

The pump is rented monthly.  The first month will not be pro-rated, the following months can be prorated at 1.50 per day for Lactina, 2.00 per day for Elite, and 2.50 per day for Symphony.  Be aware that the per-day rate will be more than the flat monthly rate.  It may be more cost efficient for you to rent the entire month.

If you return the pump after the billing has been processed you will be charged a $15.00 service charge. This charge is in addition to the prorated fee.

Please clean the pump before you return it:  Use a wipe or cleaning cloth to clean the pump.  Lift the piston on the elite pump and clean under it.  Keep all pieces of the kit belonging to you.  There is a strictly enforced $15.00 cleaning fee for any pump not returned thoroughly clean.

Please make sure the credit card number you have on file is up to date.  If you receive a new card it is your responsibility to relay this information to Nursing Nook.  If you have a remaining balance when the pump is returned, please make sure the credit card on file is accurate or arrangements for other payment has been made. 

The pump can be returned to 2 locations.  You must arrange for a drop off to get specific instructions on where to put the pump or when to meet. 

If breastfeeding is going well in the hospital

If your baby has been feeding well in the hospital, you may want to consider having a breast pump on hand for those “just in case” occasions.  For example:  when your more mature milk “comes in” the breasts can sometimes become very rounded and full.  The nipple sometimes flattens due to the added volume and stretching out of the breast to accommodate the added milk volume.  If the nipple becomes flat, the baby may have difficulty latching onto the breast correctly.  A breast pump is very valuable during this time to get some of the milk out to “soften” the breasts so the baby can latch correctly – and not on just the nipple -  pumping in this scenario will prevent nipple soreness and breast engorgement.

Pumps to choose for going home from the hospital:

   Rental Hospital grade pumps –   

Medela Symphony Pump $ 75/month plus tubing (kit purchase,one time charge $50)

Ameda Elite $40.00/month ask hospital staff for pumping kit/tubing

Manual Pump – Ameda manual pump – ask hospital staff for pumping kit/tubing

If you are having breastfeeding problems

If you are experiencing breastfeeding problems (baby not latching, nipple soreness, prematurity, excessive newborn weight loss).  We highly recommend using a hospital grade pump that is designed to get the mature milk to “come in” and “stay in” (if used correctly – pumping every 3 hours for 15 minutes- or sooner if the breasts become overly “full”)

           Pumps to choose if your are breastfeeding and pumping

Rental Hospital grade pumps –

Medela Symphony Pump $ 75/month plus tubing (kit purchase, one time charge $50)

Ameda Elite $40.00/month ask hospital staff for pumping kit/tubing

Manual Pump – Ameda manual pump – ask hospital staff for pumping kit/tubing

A.   Direct breastfeeding:  How you position yourself and baby before you start the latch is of highest importance.  To see a video of “Magic Latch”, go to breastfeeding help videos.  

Start each feeding on the less painful side first due to newborn's more aggressive suck to obtain initial let-down of milk.  Make yourself comfortable first and bring the baby to you, rather than taking your baby to the breast.  Remember to “think drink” when bringing baby to breast – how would your body be positioned if you were the one drinking?  Hold your baby across your body with one arm supporting the baby and the other arm supporting your breast.  Each of the baby's hands should be around the breast (like holding a drink) and nipple should be lined up with nose instead of the mouth with his head free to rock back (like during drinking).  With your wrist pressing gently into baby's shoulder blades, close the space between your bodies and let his chin touch the breast so he can orient himself to where he is supposed to “drink”.  

B.  Use a nipple shield:  If the “Magic Latch” position adjustment does not relieve your pain, nursing with a Medela brand nipple shield over your nipple may help.  Work with your IBCLC.  You may have to experiment with which size shield works best and you must pump after nursing with a shield to make sure breasts are drained.  Drained breasts tell the body to keep making milk and this also helps prevent infection.  

C.  Pumping milk from your breasts:  If nursing is too painful, breast drainage with a hospital grade rental breast pump (HGP) is the best choice for effective and comfortable milk removal.

Draining your breasts 8-12 times every 24 hours in the first 2 weeks is essential for establishment and maintenance of milk supply as well as to reduce risk of severe breast engorgement and/or mastitis.  Manual expression of milk or expression with a small motor pump (i.e. Medela Pump in Style provided by insurance) may be utilized for a short time in the event of inability to obtain a HGP, but you will need frequent follow up with your IBCLC.  Transition back to breast ASAP.  If pumping is uncomfortable, check for proper breast shield fit.  

D.  Daily washing of nipples will help limit bacteria on skin and prevent infection.  Gently wash nipples with soap and water once daily in the shower.

E.  Pain relieving medicine as prescribed by your OB.  The anti-inflammatory pain relieving medicine, Ibuprofen (brand names Motrin, Advil), is preferred during breastfeeding (reference ABM protocol #15) due to it's safety rating (very little if any crosses into breast milk) and it's ability to reduce inflammation and relieve pain.

F.  Application of expressed breast milk, which has anti-microbial properties is helpful.  Other topical agents applied either prior to pumping and/or following nursing can also promote wound healing.  Check with your health care provider as needed and check your personal allergies before using.

• Coconut oil or Olive oil (light tasting - regular food grade)
• Motherlove brand nipple ointment (“Diaper Balm” type)
• Polysporin antibacterial ointment OTC (apply after nursing or pumping 3 times daily x 3 days only)

Probiotic capsules to help prevent nipple and breast yeast infection, particularly if you were exposed to IV antibiotics during labor or following your C-section.  Culturelle brand capsules are the most widely recommended probiotic and can be found without a prescription at any pharmacy and most grocery stores. Mom takes 1 capsule twice daily x 2 weeks minimum.  Baby takes one “finger roll” daily x 1 week.  For baby's “finger roll”, you open one of the capsules, wet your finger and roll your finger in the powder.  Allow baby to suck the powder off your finger.  You don't have to give the whole capsule, just a heavy finger roll.

Call your OB with any symptoms of infection or persistent pain.  Also contact your IBCLC.

Copyright © 2017 Gloria Dudney, RN, IBCLC, RLC

Contact your lactation consultant and obstetrician if

you are experiencing breast pain and any of the following are present:

you are less than 2 weeks postpartum, nipple trauma is present, you see blood or pus in milk, one or both breasts 

has a reddened area, your temperature increases suddenly, or you feel like you're coming down with the flu.

1. Bedrest is key for prevention and treatment of plugs and mastitis.  If you are resting in bed, the swelling in your body resolves more quickly and your body's energy can be utilized for fighting infection and healing.  Ask for and accept help at home for a few days.
2. Reduce swelling around the affected area with bed rest and anti-inflammatory medications. Ibuprofen is preferred while breastfeeding – ask your OB about dosage and use.  Cold compresses are also key to reducing swelling.  Green cabbage leaves, if you are not allergic to cabbage, can be placed on top of the affected area of the breast inside your bra.  Replace the leaves when they wilt and apply the leaves continuously until the breasts are comfortable.  Cabbage does not reduce milk supply.  Leaving milk in the breasts reduces milk supply.
3. Moist heat and gentle massage before nursing or pumping.  A diaper filled with hot water is a quick easy way to apply moist heat.  Hold the diaper around the affected breast for several minutes before you nurse or pump.  Gently massage breast from the base of the breast toward the nipple, paying special attention to the affected area.  Massage before and during nursing and pumping.  Some mothers have found it helpful to gently comb the affected area with a wide tooth comb or a vibrating toothbrush to help “break up” the plug, aiding release of the milk.
4. Aggressive milk removal until symptoms are relieved.  This means frequent nursing or pumping - every 1-2 hours day and night until feeling better.  If nursing, start on the affected breast.  Pumping after nursing to aid breast drainage is also helpful. 

If it hurts to pump or if milk is not releasing well, check to see if your breast shield (flange) is fitted properly.  If it is too small or too large, the milk may not release well.  The size that is right for you may change over time.  For help finding your best fit, go to www.medelabreastfeedingus.com.

If pumping only, pump one side at a time, gently massaging from the affected area toward the nipple with your free hand.  Coconut or olive oil can be used on the breast to aid massage as well as the nipple to aid pumping comfort.  You can lean forward while nursing or pumping, using gravity to help move the plug.  If you see something that looks like a “milk blister” on the tip of your nipple, contact your lactation consult or obstetrician for further instructions.  It is common to see thick or stringy milk when a plug is being expressed from the breast.  It is ok to continue nursing your baby.

1. Probiotics can help your immune system fight infection.  Culturelle brand probiotic capsules contains Lactobacillus GG.  This type of good bacteria has been well studied and widely recommended by healthcare providers.  You can take 1 capsule twice daily for about 2 weeks, or longer if desired.
2. Lecithin capsules can help milk release better.  Lecithin is not a medicine, it is a nutritional supplement.  Recommended dosage is one 1200 mg capsule 3 times daily until resolved, then twice daily for a week or so, then once daily.  If you produce a large volume of milk, you may want to continue once daily to help prevent recurrence of symptoms.  Your IBCLC can provide more information if needed.
3. Anticipate a minor and brief reduction in milk volume until your symptoms are resolved. Your baby may need to nurse a little more often during this time.  Contact your lactation consultant and physician if a decreased supply persists more than a week.
4. Continue to protect your rest after symptoms resolve to avoid recurrence.  If your symptoms do recur, consult your lactation consultant to review possible causes.

References:

1. Academy of Breastfeeding Medicine Clinical Protocol #4:  Mastitis, Revised March 2014.
2. Mohrbacher, N (2010).  Breastfeeding Answers Made Simple, 659, 682-686.

Copyright © 2017 Gloria Dudney, RN, BSN, IBCLC, RLC