How soon can i pump after birth

Expressing means removing milk from your breast so you can store it and feed it to your baby later.

You can express by hand or by pump. If you need to express milk during your first few days breastfeeding, it is best to express by hand.

Learn to express your breast milk

Expressing milk for your newborn

In the early days of your baby's life, you may want to express milk if:

  • you are separated from your baby
  • your baby needs to be cared for in a paediatric (children's) hospital or special care baby unit
  • you or your baby are too ill to breastfeed after birth
  • your breasts feel very full (engorged)
  • your baby is having difficulty attaching to the breast
  • you or your partner are a member of the Travelling community and are waiting to receive your baby's Beutler test result

Expressing later on

Later on in your baby's life, you may also want to express your milk if:

  • you want to give your milk to your baby’s carer
  • you’re going back to work and will continue breastfeeding
  • you’ve introduced other foods to your baby’s diet but will continue to give them breast milk - breast milk is an important part of your baby’s diet even if they have started to eat other foods

Lots of new parents wonder when they should start pumping breast milk. Can you start pumping too early? A lot depends on your individual circumstances, so here’s what to consider.

How soon can i pump after birth

When is it too early to pump breast milk?

You might have heard that you shouldn’t start pumping before 2 (or 3, or 4) weeks after your baby is born. But is this always true?

No. It depends on your situation.

For example, if your baby is in the NICU and can’t nurse, you need to start pumping soon after birth.

If you decide to exclusively pump from birth, you’d also need to start right away.

If you need to be separated from your baby during a feeding (due to an emergency, or if you have to work, etc.) in the first few weeks, you’d need to pump.

But if you are nursing your baby, and things are going well and you’re able to stay together for all feedings, it may make sense to wait for a few weeks.

Why you might not want to start pumping too early

You always hear about people wanting to produce more milk, but there can be too much of a good thing.

Oversupply occurs when your milk supply is much larger than what the baby actually takes. This can cause forceful letdown when baby is nursing (basically, the milk comes rushing out like water from a fire hose and baby can’t handle it), and/or foremilk/hindmilk imbalance.

Therefore, while your supply is still being established, you want to balance pumping when it’s necessary with avoiding pumping when it’s not, and ending up with an oversupply. However, there is no time that is absolutely too early to pump breast milk.

When to start pumping depends on why you’re pumping

When you should start pumping depends on why you want or need to pump. Here is what to consider in each of the following scenarios.

If you’re exclusively pumping

Anyone who is exclusively pumping from birth (whether that’s due to medical issues like baby being in the NICU, or having made the choice to) should start pumping within a few hours, if possible, after birth.

If there are medical complications on your end, that might mean you have to wait for a bit until you get the all clear from your provider.

Otherwise, I would start pumping as soon as it’s feasible for you to do so after meeting your baby, having some skin-to-skin snuggles, etc.

More on exclusively pumping from birth here.

If you’re separated from your baby (due to work or other circumstances)

If you need to be away from your baby for a feeding, you’ll want to pump in order to maintain your milk supply.

Milk supply is based on demand, so in order to maintain it, you still need to remove milk from your breasts via a pump if your baby isn’t able to nurse.

When separated from your baby during a feeding – when baby will be taking breast milk or formula in a bottle – you should go ahead and pump, regardless of how old your baby is.

(Obviously, it’s ideal if you and baby are able to stay together through the first few weeks, but that’s not always possible.)

If you’re nursing (to build a freezer stash)

If you’re planning to be separated from your baby in the future – to go back to work, or for a date night – you may want to pump after you nurse in order to store a little extra milk.

Depending on how much milk you need to store, I would recommend starting to pump between one to three weeks before the separation.

If you’re pumping for one feeding, start to pump a week beforehand should be more than enough time to get the hang of pumping and collect enough milk. However, if you’re pumping for a full day of work, you might want to have a little more lead time.

More on pumping for a freezer stash here.

If you’re nursing (to increase supply)

If you’re struggling with your baby gaining weight at the breast and think that you might have an issue with milk supply, I would highly recommend working with a lactation consultant.

Often, the issue is with the latch, and a good lactation consultant can help you adjust it. (Here’s more info on finding a lactation consultant.) While you work on the latch, you may want to try triple feeding to make sure you’re removing enough milk to establish supply.

Triple feeding means nursing, then bottle feeding baby (either pumped breast milk or formula), and then pumping. More on triple feeding here.

Hopefully that answers any questions you have about when to start pumping! Let us know in the comments if you have any questions.

References

  1. Bonyata, Kelly, IBCLC. “Forceful Let-down (Milk Ejection Reflex) & Oversupply” https://kellymom.com/bf/got-milk/supply-worries/fast-letdown/

How soon should you pump after giving birth?

If you have a full-term, healthy, breastfeeding baby, you can wait a few weeks to start pumping and storing breast milk. If your baby is preterm or ill and cannot breastfeed yet, or if you have chosen to exclusively pump, pump as soon as you can after birth, preferably within one to six hours of delivery.

Can I start pumping 5 days after birth?

After giving birth, your body is ready to produce milk when your breasts are stimulated. If your baby is unable to breastfeed, we will help you develop and maintain a good supply of breast milk. Start pumping as soon as possible after your baby's birth. If you wait, it may be harder to develop your supply.