Breast Pump Decision Tree Template
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1Breast Pump Decision Tree
How to Choose the Right Type of Breast Pump
Breastfeeding Complications
Is Mother returning to
No
Family wants to feed baby
work or school?
Occasional short-term
Refer to IBCLC or Lactation Expert as needed
separation
Yes
Flat or
Normal Early
Hospitalization of mother
Does Mother have
Sore Nipples
No
Postpartum
inverted
or baby, premature infant,
a well-established
Engorgement
nipples
insufficient milk supply,
milk supply?
Teach hand expression or
poor weight gain, infant
provide manual pump.
has inadequate suck
Yes
Warm/moist packs,
Assess correct
Hand Expression,
positioning &
increase frequency
latch
Will mother be
Issue a manual
of nursing
No
separated from
breast pump
her baby more
and/or teach hand
Assess for possible causes
than 4 hours?
expression.
of low milk supply.
Encourage frequent feeds
If needed
or milk expressions and
Yes
manual breast
complete emptying of the
pump
breast.
Manual breast pump
Is Mother
may be sufficient or
No
exclusively
issue a hospital grade
breastfeeding?
electric breast pump, if
If inadequate
available.
Issue hospital-grade electric
latch/ nursing or
Yes
breast pump
problem not
resolved
Is mother 4 weeks post
Provide a single-user
partum, separated from her
Yes
electric breast pump (if
No
infant 32 hours per week and
available), otherwise issue a
committed to long-term
hospital grade electric
exclusive breastfeeding?
breast pump.
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