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Contents
What Does It Mean to Wean from the Pump? ....................................................................... 5
When to Start the Weaning Process ..................................................................................... 7
How Long Will Weaning Take? ............................................................................................. 9
Different Methods of Weaning ............................................................................................ 12
Ways to Drop a Pumping Session ...................................................................................... 17
How to Choose a Method for Dropping a Pumping Session ............................................... 21
From 3 to 2: Dropping to Two Pumping Sessions ............................................................... 22
From 2 to 1: Dropping to One Pumping Session ................................................................. 24
How to Drop the Last Pumping Session ............................................................................. 25
What to Do if You’re Prone to Clogged Ducts ..................................................................... 29
Emotions and Weaning from the Pump .............................................................................. 33
Other Concerns About Weaning ......................................................................................... 35
How to Create a Weaning Plan Using Excel ....................................................................... 39
Citations.............................................................................................................................. 42
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Disclaimer
I am not a doctor, and this book is not intended to be a substitute for professional medical
advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified
health provider with any questions you may have regarding your health or your baby’s
health.
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What Does It Mean to Wean from the Pump?
You are probably at least a little familiar with weaning, or you wouldn't have purchased this
book. Still, I want to go through what weaning from breastfeeding is, how that translates to
weaning from the pump, and why you should wean instead of stopping pumping cold turkey.
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One thing about weaning from the pump that is much easier than weaning your child off of
your breast is that you don't have to consider whether or not your baby is ready to wean
(other than his or her willingness to take a different form of milk, which we’ll talk about next).
After all, it is unlikely that your breast pump is as attached to the breastfeeding relationship
as many babies are. This means that you are in complete control of the weaning process,
from when you decide to start, to how long it takes, to when you are done.
However, weaning from the pump is also less natural, and requires more planning.
Women who are weaning from nursing can wing it a bit more - for example, you could stop
offering to nurse, but also not refuse if your child wants to. When you're pumping, you have
to have a game plan so that you can make progress in weaning yourself from the pump
without going too fast or too slow.
And that's what this book will give you!
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When to Start the Weaning Process
So when should you start weaning from the pump? Here are a few things to consider.
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How Long Will Weaning Take?
The two things to consider are the number of pumping sessions you currently have and how
long it will take you to drop each of them.
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Coming Up with an Estimate
Then, once you have the two numbers you can do some simple math:
Current Number of Pumping Sessions * Estimate for Dropping Each Session = Total Time
to Wean.
Here’s an example of how you would calculate how long it would take to wean on the fast
track.
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Here’s another example, using the slow track:
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Different Methods of Weaning
Okay, so you're ready to wean, now how do you go about it, exactly?
There are three different ways that you can gradually wean from the pump – drop one
session at a time, reduce all sessions at the same time, or space them further and further
apart.
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Method Two: Reducing the Length of All Sessions At Once
Here, you slowly wean off of all your sessions at the same time (rather than one at a time),
by making them all shorter.
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The Weaning Method I Don't Recommend
I do not recommend Method Two, the "drop all pumping sessions at the same time"
method.
Here's why - with this method, from the time you start weaning, you are leaving milk in your
breasts at every pumping session.
This makes it more likely that you'll end up with a clogged duct or even mastitis, which you
do not want while you're weaning (or, frankly, ever). If this happens, then you have to stop
the process to pump around the clock to clear the blocked duct and resolve mastitis, and
then start all over again.
With the first method, you continue to empty at all sessions except the one you're dropping.
With the third method, you continue to empty at every session, they're just further apart.
Therefore, I would suggest choosing Methods One or Three to wean from the pump.
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You can watch a supplemental video about the different ways of weaning from the pump at
the link below:
https://vimeo.com/288364600
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Prerequisites to Starting to Wean
We talked earlier about what to do before you start, but let's make 100% sure that you're
ready to go:
• Milk Transition – You’re confident that your baby will take the milk (formula/frozen
breast milk/cow's milk/alternative milk) you’re transitioning him or her to without any
issues.
• You're Sure - You have thought about this and are ready to wean, and understand
that should you change your mind, regaining milk supply may be difficult.
Next, you need to decide how you want to go about dropping your pumping sessions.
1. Cold Turkey
You can drop a session cold turkey. This means one day, you just stop pumping at the
scheduled time, and you switch to your new schedule.
(Again, in most cases, you’ll move your remaining sessions a bit so they are more evenly
spaced.)
2. You can gradually bring pumping sessions closer together, and then drop one.
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This timing (dropping the pumping session over four days) is just an example; you can do it
faster or more slowly if you’d like. The goal is just to bring the sessions closer together until
you’re comfortable dropping one.
3. You gradually reduce the time of a pumping session until you feel comfortable
dropping it altogether.
Again, you can go as fast or as slow with this as you want! It's all about your comfort level. If
you want to reduce a 20 minute pumping session by 10 minutes per day and be done in two
days, that's fine. If you want to do it by one minute a day and be done in 20 days, that's fine
too.
4. You gradually reduce the volume of a pumping session until you feel comfortable
dropping it altogether.
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As with the time reduction method, how much volume you drop and how quickly is set
based on your comfort level.
5. You space all of your sessions further apart.
Some exclusive pumpers don't have a set schedule and pump every 3 hours or every 4
hours, often coinciding with when their baby eats (either before or after).
If you currently don't have a schedule and are pumping about every X number of hours, you
have two options.
First, you can translate that to a schedule (every 3 hours might become 12am, 3am, 6am,
9am, 12pm, 3pm, 6pm, and 9pm) and use one of the methods we’ve already discussed –
drop sessions cold turkey, decrease length, etc.
The other option is to keep making X a bigger number and stretching your sessions further
and further apart, so that every 3 hours stretches to every 4 hours, and so on.
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You can watch a supplemental video about the different ways of dropping a pumping
session at the link below:
https://vimeo.com/288367726
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How to Choose a Method for Dropping a
Pumping Session
So how should you go about dropping a pumping session, given all of these choices?
If you’re on the normal or slow track, you should not choose option #1, where you’d be
dropping sessions cold turkey. You should use a more gradual approach.
Other than that, it really doesn't matter. You can choose whichever method makes the most
sense to you and fits with everything else you have going on in your life.
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From 3 to 2: Dropping to Two Pumping
Sessions
Okay, so you've been dropping pumping sessions and you're down to three sessions
remaining. There are a few extra things to think about when you drop each of the remaining
pumping sessions.
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8 hours at 6AM, 2PM, 10PM; the next day you'd be at every 9 hours at 6AM, 3PM, 11PM;
then every 10 the following day would be 9AM, 7PM, and 5AM - you get the picture.
As a result, I would recommend either slowly reducing the time or volume, or bringing the
two pumping sessions closer together.
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From 2 to 1: Dropping to One Pumping Session
Dropping down to one pumping session can feel really weird. I chose to drop my morning
pumping session first while keeping the evening one, and the first day I didn't pump in the
morning just did not feel right.
After all, I had been pumping first thing in the morning, every morning, for over a year! I felt
guilty about sleeping in.
I got over this pretty quickly – the extra sleep helped – but it’s something to be prepared for.
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How to Drop the Last Pumping Session
So you're down to one pumping session per day. How should you go about dropping it?
The two options are decreasing time or decreasing volume. Either will work; but generally I
prefer decreasing volume for this last one, even if you haven't used this method before.
The reason for this is that for the first time, you're not going to be pumping until you’re
empty at any of your pumping sessions. This way, you’re carefully controlling the amount of
milk that you’re leaving in your breasts each day.
(Remember: When dropping all of the other pumping sessions, you had at least one session
– whatever session(s) you weren’t dropping - where you pumped for the full amount of time.
When you’re dropping the last session, you won't have that.)
So what you want to do is gradually stop pumping once you've pumped a certain number of
ounces/milliliters from both breasts combined. It doesn’t matter how long this takes (whether
it’s 5 minutes or 25 minutes).
Again, you can do this as fast or as slow as you'd like - you can do 1 oz at a time or 4 oz at
a time. You can drop the volume every day or every week. You set the pace that you're
comfortable with.
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The Final Pumping Session
When you've gotten to the point where you're ready to stop pumping, you'll do one final
session about 36-48 hours later.
And then you’re done!
How long should this final session be? It is completely up to you. You can pump until you
feel empty (after 36-48 hours of not pumping, your milk production won't ramp up again) or
you can pump for just a few minutes.
Then, you're done! It's time to celebrate.
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Whether you decide to pump again or not, using cabbage leaves might help with the feeling
of fullness. (More on how to do this in the next section.)
The only time I think you should definitely pump again after weaning is if you get a clogged
duct. This is unlikely, but possible.1
You don't want that a clogged duct to turn into mastitis, so I would recommend pumping
only the affected side until you can get it cleared, waiting a few days, and then start
gradually weaning again.
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What to Do if You’re Prone to Clogged Ducts
The number one thing that you want to avoid during the weaning process is a clogged milk
duct or mastitis, not only because those things are a literal pain in the boob, but because
they will set you back in the weaning process. In most cases, you’ll have to ramp up
pumping again to clear the clog and/or resolve the mastitis.
Here's what to do before you start weaning and while you're weaning to minimize your
chances of getting either a clogged milk duct or mastitis.
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Pseudoephedrine is the active ingredient in Sudafed and other allergy medications, and in
many women, it decreases breast milk supply. In a study, the average daily milk production
volume of women taking 60mg of pseudoephedrine four times a day decreased 24%. 4
If you want to give yourself a head start in weaning, take Sudafed once you're ready to start
weaning, and hopefully that will help decrease your milk supply before you start.
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Even if you haven't gotten a clogged duct, if you're feeling really engorged or "hard spots"
(like you might have felt earlier on, when your baby was a newborn), it might not be a bad
idea to slow down even more.
You know your body and whether or not something feels right. It's important to continue
making progress and moving forward, but it's also okay for that to be slow.
On other hand, if weaning seems to be going really well and you're not feeling any adverse
affects, you can try speeding things up a bit, too!
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https://vimeo.com/288389019
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Emotions and Weaning from the Pump
It's really common to go through a big mix of emotions when you're weaning. Maybe you're
weaning earlier than you would have liked due to recurrent mastitis or the need to take a
medication that isn't compatible with breastfeeding. Maybe you feel elated at all the time
you're going to get back. Or maybe it's a mix of both!
Whatever you're feeling, it's totally normal! And remember that your hormones may fluctuate
during the weaning process, which can affect your emotions as well.
Here is some of what I felt when I was weaning from the pump.
Sadness/Loss
When I weaned my oldest, it made me a little sad to think that this was the end of the
connection between our two bodies between pregnancy and breastfeeding. (Even though
we weren't nursing, my body was still sustaining him through breast milk.)
Despite knowing this was inevitable and was going to happen sometime – I obviously wasn't
going to be sending him breast milk in college – it still made me a little sad.
Guilt
I might be weird, but I had such a hard time dropping pumping sessions because I felt guilty.
Over the year that I’d exclusively pumping, I’d been really protective of my supply, and not
skipping pumping sessions had become really ingrained in me. Not pumping – and watching
the number of ounces I was pumping drop – just felt wrong.
This makes no logical sense. I was weaning. I WANTED my supply to go down. However, I
had more than a year's worth of mental conditioning pushing me to not miss pumping
sessions and I always felt a twinge of guilt when dropping one, as absurd as that was.
Relief
Luckily, the thing that eventually outweighed these feelings of loss and guilt were the sweet
relief of being able to sleep in for an extra 30 minutes every day, no more washing pump
parts, and no more being tied to my breast pump like a ball and chain.
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You’ll be there soon, too!
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Other Concerns About Weaning
What physical changes can you expect when you wean?
When you're weaning, some of physical changes you may see are:
• Your breasts may change in size, possibly going back to what they were before you
got pregnant. Your nipples should go back to how they were before – goodbye
purple nipples and dried milk!
• Your libido may change, increasing in most cases.
• If you haven't already gotten your period back, that may happen in the month or two
after you wean.
• You may experience acne, which is really unfair.
Everyone is different, so there are no guarantees as to what will happen with your body;
these are just some things to expect and be prepared for.
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How to Create a Weaning Plan Using Excel
One thing that you can do to get a handle on how long it will take you to wean, what order
you’ll be dropping sessions in, etc., is to plan everything out using Excel. (I’ve provided a
template called Weaning_Log.xlsx along with this book for you to use.)
If you don't want to do this, you don't need to! But if you're a type-A planner like me, you
might find it helpful.
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You can watch a supplemental video about creating a weaning plan at the link below:
https://vimeo.com/289477159
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Citations
1. Naik, Arpana, MD. “Ask the Expert: Clogged Milk Duct.” Healthy Women
https://www.healthywomen.org/content/ask-expert/1286/clogged-milk-duct
2. Newman, Jack, MD. “Blocked Ducts and Mastitis.” Breastfeeding, Inc
https://www.breastfeedinginc.ca/informations/blocked-ducts-mastitis/
3. Ibid
4. Aljazaf, Khalidah, et al. “Pseudoephedrine: effects on milk production in women and
estimation of infant exposure via breastmilk.” British Journal of Clinical
Pharmacology https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884328/
5. Bonyata, Kelly, IBCLC. “Engorgement.” Kellymom
https://kellymom.com/bf/concerns/mother/engorgement/ - cabbage
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