Mothers use a breast pump to supplement their baby's nursing for many different reasons.
In the clinical context, pumps are used to express breast milk for a premature or sick baby while the baby is unable to nurse at the breast.1 In these cases, the mother expresses regularly, starting as soon as possible after the birth, in order to build up her milk production.2 Professional electric breast pumps are generally provided for this purpose.
However, breast pumps are also used in a normal domestic setting with a healthy breastfed baby.1,3
In actual fact, a lot of women are unable to empty their breast fully or satisfactorily simply by using a breast pump. You can tell when a breast is fully empty because, after pumping, only a few drops can still be expressed. It is clear when a breast is fully empty because none of the milk glands feel full. (A few drops can also be expressed if the pump is not working correctly.)
To make pumping more successful, there is a helpful method known as hands-on pumping by those who promote breastfeeding.4 The method is used when the milk does not flow while pumping, even though it can be felt in the milk glands. By using hands-on pumping much more milk can be obtained since the aim is to almost fully empty the breast.5 This method is also useful for building up a stock of milk; it can equally be applied after nursing successfully.
Once the milk stops flowing, start using your hands:
1Lawrence, R. A. (2016): Breastfeeding. A Guide for the Medical Profession. 8th edition. Maryland Heights, Missouri: Elsevier Mosby Inc.
2Hill, P. D.; Aldag, J. C.; Chatterton, R. T. (2001): Initiation and frequency of pumping and milk production in mothers of non-nursing preterm infants. In: Journal of human lactation: official journal of the International Lactation Consultant Association 17 (1), p. 9–13. DOI: 10.1177/089033440101700103.
3Kämmerer, B.; Nindl, G.; Bier, A. (2018): Gewinnen von Muttermilch per Hand und Milchpumpe. Script 4-005. Prod. by the Europäisches Institut für Stillen und Laktation. Available online at www.stillen-institut.com/media/05-MM-Gewinnung-20180926.pdf, last checked on 01/03/2020.
4Morton, J (2017): How to use your hands when you pump. Maximizing milk production. Available online at med.stanford.edu/newborns/professional-education/breastfeeding/maximizing-milk-production.html, last checked on 01/03/2020.
5Morton, J.; Hall, J.Y.; Wong, R.J.; Thairu, L.; Benitz, W.E.; Rhine, W.D. (2009): Combining hand techniques with electric pumping increases milk production in mothers of preterm infants. In: J Perinatol. 29 (14), p. 757–764. DOI: 10.1038/jp.2009.87.
6Global Health Media (prod.): How to express breast milk. Global Health Media Project (Breastfeeding Series). Available online at globalhealthmedia.org/portfolio-items/how-to-express-breastmilk/, last checked on 01/03/2020.
7Hill, P. D.; Aldag, J. C.; Chatterton, R. T. (2001): Initiation and frequency of pumping and milk production in mothers of non-nursing preterm infants. In: Journal of human lactation: official journal of the International Lactation Consultant Association 17 (1), p. 9–13. DOI: 10.1177/089033440101700103.
8Maximizing Milk Production | Newborn Nursery | Stanford Medicine (2020). Available online at med.stanford.edu/newborns/professional-education/breastfeeding/maximizing-milk-production.html, last updated on 18/01/2020, last checked on 01/03/2020.
9Morton, J.; Wong, R. J.; Hall, J. Y.; Pang, W. W.; Lai, C. T.; Lui, J. et al. (2012): Combining hand techniques with electric pumping increases the caloric content of milk in mothers of preterm infants. In: Journal of perinatology: official journal of the California Perinatal Association 32 (10), p. 791–796. DOI: 10.1038/jp.2011.195. (8).