Are You Knowledgeable About Breast Pump Safety and Assessment? Knowledge and Skills for Clinical Practice

Abstract

Objective:There is a lack of evidence or practice guidelines surrounding safe and effective breast pump use. Many lactation personnel feel ill-prepared when troubleshooting pumps. There is an emerging need for skills and understanding on breast pumps and their association with lactation problems.Methods:A review of literature, current professional practice, and clinical experience was used to gain perspective on the current state of breast pump safety and use.Results:More mothers are using breast pumps to initiate, stimulate, or maintain their milk supply. Gaps were identified surrounding breast pump safety and effectiveness. The breast pump market is lucrative and is being flooded with new and “better” pumps at a rapid rate. Pump testing for safety and effectiveness is suboptimal. An increase in breast injuries, illness, and milk supply issues is emerging in clinical practice. There are currently no consistent standards for optimal pressures, cycling, or flange fit.Conclusions:Pumps are a viable option for mothers and can play a role in lactation continuation. Lactation personnel must have competent knowledge and skills to help mothers use pumps safely and effectively.