*This post contains affiliate links that I have personally used and have found essential for pumping at work as a nurse working 12-hour shifts at the hospital. You can find my disclosure policy here.
Having a new baby is both incredible and overwhelming. Breastfeeding can be hard for new moms (it certainly was for me!). Once I finally got the hang of it, my maternity leave was almost over and I had another problem to figure out: how was I going to continue breastfeeding while working as a nurse?
Nurses who breastfeed may face challenges as they return to work.
There is good news for nurses who want to continue breastfeeding their babies for up to a year or longer as working moms and nurses. It is possible! But you need to plan in advance and communicate with your workplace about your intention to pump at work. And you need to have the right pumping supplies to make it possible.
If you don’t plan ahead, pumping at work can be extremely difficult. But with the right pumping tools and a lot of determination, you will find that you can make pumping fit right into your busy nursing schedule!
Even I can’t believe how long I have been able to pump while working as a nurse.
I am happy to share that I have been successfully pumping as an ER nurse in a very busy level 1 trauma center for the last 13 months. And I still can’t believe how well it is going! Sure, there have been a few minor hiccups along the way (like forgetting my breast pump at home, whoops!). But overall, the experience has been way better than I would have thought.
I now know that I will be able to continue pumping breast milk for my baby for as long as I desire. I want other working moms to know that they can do this too. (Read more about what I have learned about pumping at work as a nurse).
This pumping essential is the highest on the must-have items for obvious reasons. Without it, you have no way to access your milk! I am using the Medela portable pump because it is the one that my insurance covers, and it works great. You want to make sure that you have a double pump so you can pump both breasts at once to save time. You can also use this bag to store your breast milk while you are away at work as long as you keep it in a refrigerator.
Check with your insurance to see if they cover a portable breast pump before you buy one. I live in California and my insurance gave me a breast pump free of charge!
(Just a note, the different brands do not work interchangeably with each other. So you want to make sure you find one brand you like and stick with it! Otherwise, you will end up with a bunch of parts that don’t work with one another. You don’t need your back-to-work pumping supply list to be any longer than it already is!)
You will need breast milk collection storage bottles to store your milk until you get home from work. I use the Medela bottles because I already use the Medela pump but there are several other brands you can use as well. Just make sure the ones you are using are made without BPA (it’s a safer plastic that helps retain breast milk’s beneficial properties).
I also like the Medela screw-on lids better than some other brands because they are leakproof. (I tried a different brand and had an issue with leakage all over my packed lunch!). You can wash them in the sink and they are also dishwasher safe.
For the sake of time and efficiency, it is very important that you double-pump at work. I really like this double-pumping bra because it makes it possible to double-pump without having to hold the pumps with both hands. Once you start pumping, you will find that having to hold the pumps in place is really annoying and makes it difficult to do anything else. It also helps prevent spilling accidents since you can remove and clean one side at a time.
Engorgement is no joke. There have been a few times at work when I wasn’t able to pump on schedule and I ended up leaking through my scrubs (you could barely see it, but still!). As a result of that embarrassing experience, I started wearing nursing pads when I was at work. I already wore them at home from the time my son was about one week old.
I use reusable nursing pads made of bamboo because I have read that many disposable pads contain absorbent chemicals which come in direct contact with your skin. They also run the risk of trapping moisture, especially if you are leaking. This can increase the risk of mastitis, a very painful bacterial infection that will make you sick and can be dangerous if untreated. Disposable pads can also be expensive over time if you are frequently using them. I have 12 reusable nursing pads and I run them through the washer and dryer with all my other clothes.
The beautiful thing about pumping is that you can store your breast milk in the freezer! So even if you have a surplus of milk, you can put it away for later use. These little breast milk storage baggies are great because you can write the date on the top section so you know how long they have been in the freezer.
Place them in the refrigerator for 12 hours before you need them to thaw them out. Or place them in a bowl of hot water for quicker use. These are a necessity for working moms who pump – I have used over 200 of them already!
My freezer got a little overloaded with breast milk within the first few months that I was back at work and this milk storage organizer helped me to keep things more organized. It also helped me keep the milk organized by date so I make sure to use the oldest milk first.
Pumping At Work: Cleaning Parts And Sanitation
One of the biggest concerns of many nurse moms who are pumping at work is cleanliness. After all, a hospital is a place where sick people go and it is more full of germs than pretty much anywhere. The last thing a new mom wants to do is accidentally bring home unwanted bugs to their new baby! Thus, it is so important to try and keep your breast pump parts as clean as possible while you are pumping during 12-hour shifts.
First, it is very important to try to pump in an area of the hospital that is as clean as possible. Many hospitals have a lactation room set aside for employees of the hospital. Talk to your administration about places where you can safely pump that are as germ-free as possible. Bathroom stalls are not a place for a new mom to pump! You have the right to pump at work as a nurse in a sanitary place!
Medela quick clean breast pump & accessory wipes are perfect for nurses at work with no access to soap or water for cleaning breast pumps and accessories. Unfortunately, many nurses have no choice but to pump in empty hospital rooms with no running water and therefore have a difficult time cleaning pump parts. These are still so helpful for me as a nurse who pumps at work. One wipe cleans both breast shields, valves, and membranes.
I also use these for cleaning changing tables, high chairs, cribs and countertops, and toys, as well as other hard surfaces when I am at home. And the Medela quick clean wipes are unscented, alcohol and bleach-free as well.
Pumping At Work As A Nurse Frequently Asked Questions
How often should you pump at work during a 12-hour shift?
For a 12-hour shift, it is generally recommended to pump every 3-4 hours, or at least 2-3 times during that time period. This frequency helps maintain milk supply and prevent engorgement or discomfort.
How much time should I be allowed to pump at work?
The amount of time allowed to pump at work may vary depending on your location and workplace policies. However, many countries have laws or regulations in place to protect the rights of breastfeeding mothers. In the United States, for example, employers are required to provide “reasonable break time” and a private space (other than a bathroom) for nursing mothers to express milk for up to one year after the birth of their child. The specific duration of each pumping session may vary, but it is generally recommended to allocate 15-30 minutes for each session.
Can I pump while at work?
Yes, you can pump while at work, and it is an important way to maintain your milk supply and provide breast milk for your baby. It’s advisable to communicate with your employer or human resources department in advance to make arrangements for a private and comfortable space where you can pump. Many workplaces provide designated lactation rooms or areas for this purpose.
How often should I pump at work during a 10-hour shift?
During a 10-hour shift, it is recommended to pump at least 2-3 times. Similar to a 12-hour shift, aim for pumping sessions every 3-4 hours to maintain milk supply and prevent discomfort.
Is it OK to pump every 4 hours at work?
While pumping every 4 hours at work can be acceptable for some individuals, it’s generally recommended to pump more frequently, preferably every 3 hours or so. Pumping every 4 hours may work for some mothers, but it can potentially lead to a decrease in milk supply or increased discomfort due to engorgement. Adjusting the pumping frequency based on your individual needs and milk supply is important.
Do you have to clock out to breast pump at work?
The regulations regarding clocking out to breast pump at work can vary depending on your location and workplace policies. In many countries, such as the United States, employers are required to provide reasonable break time for nursing mothers to express milk, and this time should not be deducted from regular working hours. However, it’s essential to familiarize yourself with your specific country’s laws or regulations and consult with your employer to understand their policies regarding pumping breaks.
How do you survive a 12-hour nursing shift? To survive a 12-hour nursing shift, consider the following tips:
Stay well-rested before your shift and practice good sleep hygiene.
Stay hydrated and eat nutritious meals and snacks throughout the day.
Take short breaks when possible to rest, stretch, and refuel.
Use supportive shoes and comfortable attire to reduce physical strain.
Prioritize self-care and stress management techniques during your off-duty hours
Will my body get used to 12-hour shifts? With time, many individuals can adapt to working 12-hour shifts. It may take a few weeks or even months for your body to adjust fully, but establishing a consistent sleep schedule, maintaining a healthy lifestyle, and taking care of your physical and mental well-being can help with the adaptation process. It’s important to listen to your body, get enough rest, and seek support when needed.
Take it one day at a time, Mama.
Breastfeeding while working as a nurse can be overwhelming, but you can do this! I hope this list of pumping essentials helps you too!
There are a lot of products on the market and it can be overwhelming for a mom who is preparing to go back to work from maternity leave. So, make it easier on yourself and have a plan in place before you go back to work (read more about how I pump at work as a registered nurse who works 12-hour shifts).
After successfully pumping at work with two babies, I have whittled down my list to include the things that have helped me the most. I hope this helps to guide you in the right direction to find what works for you too!
It is your legal right to continue to provide breast milk for your children and pump while you are at work. Do not let anyone tell you differently or make you feel guilty about it. Only you know what is right for you and your baby.
Let me know how it goes as a pumping mom in the workplace and please reach out to me if you have any questions. Breastfeeding while working as a nurse is possible! Good luck, Mama!
*Updated on 4/9/20 to include pregnant nurse precautions for COVID-19. *Affiliate links.
As an ER nurse who delivered my second baby in early 2018, I have done a lot of research about pregnant nurse precautions to be aware of when you work in a hospital. My goal was to make sure that it was safe for me to continue working in such a physically demanding environment with so many potential occupational hazards.
Fortunately, I was able to work safely right up until a few weeks before giving birth. As a per diem nurse, I did not have any maternity or disability benefits, so I wanted to save up as much money as possible before I went out on leave. Thankfully, I was able to do just that. But safety was still my number one concern. I hope this information can help other nurses stay safe during their pregnancies as well.
Talk to your OBGYN
First off, you must talk to your doctor to discuss any occupational concerns you have during your pregnancy. Continue the dialog at your prenatal appointments as you move along your pregnancy. If you have questions in between your appointments, then contact your doctor.
My goal in writing this is not to make pregnant nurses afraid to work in the hospital. I am so glad that I was able to safely work as a pregnant nurse for as long as I did. Still, there is no shortage of occupational hazards for the pregnant nurse within the hospital setting. Working safely is the number one goal.
You must communicate with management and your charge nurse about your pregnancy. They cannot help you avoid potential pregnancy hazards if they don’t know that you are expecting.
Pregnant nurse precautions and hazards to consider:
COVID-19
The novel coronavirus (COVID-19) has many pregnant healthcare providers, especially frontline nurses, uniquely concerned. Because COVID-19 is so new, there hasn’t been enough time to study its effects on breastfeeding or pregnant women. Also, many nurses who are working directly with COVID-19 patients say they don’t have enough personal protective equipment (PPE) to protect them from the virus safely. That maybe even more problematic for pregnant nurses who directly care for COVID-19 patients.
“We do not have information from published scientific reports about susceptibility of pregnant women to COVID-19. Pregnant women experience immunologic and physiologic changes which might make them more susceptible to viral respiratory infections, including COVID-19. Pregnant women also might be at risk for severe illness, morbidity, or mortality compared to the general population as observed in cases of other related coronavirus infections [including severe acute respiratory syndrome coronavirus (SARS-CoV)* and Middle East respiratory syndrome coronavirus (MERS-CoV)] and other viral respiratory infections, such as influenza, during pregnancy.”
On pregnant healthcare personal and COVID-19, the CDC stated:
“Pregnant healthcare personnel (HCP) should follow risk assessment and infection control guidelines for HCP exposed to patients with suspected or confirmed COVID-19. Adherence to recommended infection prevention and control practices is an important part of protecting all HCP in healthcare settings. Information on COVID-19 in pregnancy is very limited; facilities may want to consider limiting exposure of pregnant HCP to patients with confirmed or suspected COVID-19, especially during higher risk procedures (e.g., aerosol-generating procedures) if feasible based on staffing availability.”
Essentially, the CDC does not know at this time if pregnant women are at a higher risk when working with COVID-19 patients because the evidence is limited. As a precaution, pregnant women may want to consider working in lower-risk areas where they have less exposure to COVID-19 patients.
The most important take away is to always take care of yourself first. You can’t care for your family and your patients if you become sick.
Radiation from diagnostic imaging
In the ER and on most floor units within the hospital, patients often receive portable X-rays at the bedside. So naturally, I was concerned about radiation exposure and how it could impact the health of my unborn child. I felt it was wise to air on the side of safety by not exposing myself to unnecessary radiation during pregnancy.
If you are in an area where x-rays are being taken, you must wear a lead radiation apron to protect yourself, especially if you are within six feet of the machine. If possible, it is also a good idea to step outside the room while the image is taken.
In my nursing experience, x-ray technicians usually notify anyone within the vicinity of where imaging is being taken. I was able to leave the area for a few minutes, whether I was wearing a lead apron or not.
Key takeaways:
Notify management of pregnancy
Wear lead radiation apron
Step outside of the room when portable x-rays are taking place
Dangers from working with chemo or other teratogenic medications
There is evidence that handling some medications, such as chemotherapy drugs, can cause adverse reproductive outcomes, including fetal loss, miscarriage, infertility, and preterm births. In addition, it may cause learning disabilities in babies exposed to some drugs if nurses are exposed during pregnancy.
Wearing protective equipment, such as gowns, masks, and gloves, can minimize occupational risk to a pregnant nurse. However, it does not completely eradicate it.
Nurses working in oncology or other areas where antineoplastics are prescribed may want to speak with management about the safest way to continue working. In addition, you can insist on getting help from co-workers or management to give teratogenic medications to patients. Moving to another work area may be a consideration if safety for the fetus is still a concern.
Key takeaways:
Wear protective equipment when giving medications
Ask for help from co-workers when working with teratogenic medications
Consider temporarily working in another area of the hospital during pregnancy as your management allows
As a pregnant ER nurse, I was very concerned with the risk of infection from patients such as c-diff, tuberculosis, cytomegalovirus, and influenza during my pregnancy. Since the ER is often the first stop in the hospital for sick patients, I often didn’t know that a patient had a contagious infection until after they had been admitted. By then it was too late to protect myself if I hadn’t already.
Pregnant women need to be especially proactive with protective equipment and hand hygiene. It is ideal for all hospital employees to have their measles, mumps, and varicella-zoster vaccinations before pregnancy (most facilities require these vaccinations to work anyway). Hep B and influenza vaccination can also safely be administered during pregnancy.
As an added precaution, I made sure to change my clothes and shoes before leaving the hospital to minimize the risk of work-to-home contamination. The first thing I did upon getting home was take a shower to rid myself of any other possible bugs I could have inadvertently carried home with me.
Key takeaways:
Stay up to date in all vaccines including the yearly flu vaccine
Adhere to strict universal precautions and hand hygiene
Request job modification to minimize exposure to specific patient populations
Minimize work-to-home contamination by changing work clothes and shoes before going home
Shower as soon as you get home from work
The physicality of nursing while pregnant
Being a nurse while pregnant is exceptionally hard work. Not only are we on our feet for up to 12 hours a day, but pregnant nurses are also carrying an extra 25-plus pounds towards the latter part of pregnancy. Additionally, the extra girth makes it significantly more challenging to fit into tight spaces.
Movement becomes even more awkward for pregnant nurses due to having an altered center of gravity. Also, high serum levels of progesterone and relaxin loosen muscles, ligaments, and connective tissues. For nurses who do a lot of heavy, repetitive work requiring lifting, pulling, or pushing their risk of musculoskeletal injury is increased.
It is wise for pregnant nurses to use patient transfer equipment and to ask co-workers for help with moving patients. However, if your work situation is still too physical for you to manage safely during pregnancy, you may want to consider a modified duty in a lower risk setting with a less physical patient load.
On another note, pregnant nurses also have a higher risk of developing varicose veins due to an increase in total blood volume caused by pregnancy. The added blood volume, combined with being on one’s feet all day, leads to poor circulation, puffy legs, and swollen ankles. Compression socks or stockings can help reduce the risk of blood clots and varicose veins as well as prevent swelling.
Key takeaways:
Pregnant nurses may want to inquire about modified duty
Understand how the altered center of gravity and hormonal changes in pregnancy predispose a nurse to injury (despite using best lifting practices)
I worked in our ER psychiatric hold area several times throughout my pregnancy. There were a few incidences where I had patients verbally threaten me or begin to escalate towards violence. I always had a security guard with me, and I stayed a reasonable distance away from patients when I felt that my safety could be at risk. I was likely overly cautious at times, but it is better to be safe than sorry.
Violence against nurses is not uncommon, especially in the ER setting. Stay vigilant and keep away from any potentially threatening situations. If a patient is escalating towards violence, then leave and call for help immediately.
Working during flu season
The CDC recommends that pregnant women get a flu shot. Not only do hormone changes during pregnancy often make pregnant women more susceptible to getting the flu, but a common flu symptom is a fever, which may be associated with neural tube defects and other adverse outcomes for a developing baby. Getting vaccinated can also help protect a baby after birth from flu through passive immunity.
My experience: The flu season in December 2017 was unusually bad. Many patients came to our ER for flu symptoms. Unfortunately, almost every nurse was infected with the flu or a cold at least once during the season. Myself, included.
At the time, I was over eight months pregnant, and I was struggling with how horrible I felt. I always get a flu shot to reduce my chances of getting sick during flu season. However, if I ever got pregnant again, I might consider starting my maternity leave towards the beginning of the flu season – especially, if I was that close to my due date.
An unexpected benefit of working as a nurse during pregnancy
One of the best gifts that pregnancy gave me was that it forced me to not be sedentary on days that I felt fatigued. (Although while you are carrying an extra 25-35 pounds of extra weight, you may not consider it a benefit).
Many studies show that not moving enough during pregnancy is bad for both mom and baby. If fact, exercise during pregnancy can boost your baby’s brain development and make them smarter. Who knew that working a 12-hour shift might promote health for both you and your unborn baby?
Good luck to you during your pregnancy and take care of yourself!
I experienced a silent placental abruption when I was 33 weeks pregnant with my daughter.
In case you are wondering what that is, I’ll explain: a placental abruption occurs when the placenta (the lifeline delivering blood, oxygen and nutrients to our baby) peels away from the uterus. It deprives the fetus of oxygen and causes the mother to hemorrhage internally.
One week before I had our daughter via emergency c-section at 33 weeks.
The most common symptoms of placental abruption are bleeding and abdominal pain. Because I had neither symptom it was considered a silent placental abruption. It was especially unusual in my situation because I had no risk factors.
I got the flu about 5 days before my silent placental abruption was discovered.
As a nurse I knew that just having a cold or flu generally doesn’t hurt an unborn baby and may even give her a few extra antibodies. I decided the best thing to do was rest and drink lots of fluids.
But to my surprise, two days later I wasn’t feeling better and had worsening fatigue, dizziness, a horrible sore throat, and a headache.
I called the OB floor at our hospital and was directed to an advice nurse.
After a 30 minute phone interview and a detailed discussion about my symptoms I was instructed to stay home. I just had the flu, she said. I should rest and drink lots of fluids. So I took the advice and tried to rest as much as I could.
Fast forward two more days and my dizziness and symptoms were only getting worse. I was even having difficulty walking from one side of the house to the other. So again, I called the OB unit at my hospital because I thought for sure they would want me to come in.
I spoke with both the on-call OBGYN on the unit and another advice nurse. After another detailed discussion about my symptoms I was again instructed to stay home. “Please do not come to the hospital,” the doctor stated clearly. “There is nothing we can do for you.”
I tried to explain the best I could that I was extremely weak and short of breath when walking more then 20 feet. I didn’t have a fever, but I had never felt more sick in my life. They told me I just had the flu and needed to “ride it out.”
So I laid in my bed and cried for 30 minutes because every inch of my body was hurting so much that I could barely stand it anymore. I had a hard time catching my breath.
(Later we found out that the reason I felt so horrible was that my hemoglobin was extraordinarily low due to the silent placental abruption already having started. My hemoglobin (the oxygen carrying component of a blood cell) at that time was 6 grams per deciliter. The normal level is 12.0 to 15.5 grams.)
I laid down for an hour and started doing “kick counts.”
The American Congress of Obstetricians and Gynecologists (ACOG) recommends that you time how long it takes you to feel 10 kicks, flutters, swishes, or rolls. Ideally, you want to feel at least 10 movements within 2 hours. Usually a mom can feel 10 movements in less time than that.
But I only felt 4 or 5 movements in that hour period. But my body was so sick and achy that I wasn’t sure exactly what I was feeling, so I drank two large glasses of orange juice and ate a small bag of gummy Lifesavers. I was determined to sugar-shock my baby into giving me more fetal movements.
I began counting kicks for a second hour. But after about 40 minutes I still only counted about 3-4 pretty weak kicks. At that point I decided I wanted to see a doctor, even if they thought I was overreacting.
I called my husband and asked him to come home and drive me to the hospital.
When we arrived at the labor and delivery unit I was immediately given a mask and asked why I came to the hospital after I was specifically told not to. I was once again reminded that I was bringing my flu into the hospital and putting patients at risk for infection. They were clearly frustrated with me by the tone of their voices. I kept thinking “am I not a patient too?”
I explained my symptoms once again and told them that I thought the baby should be kicking more. They put me in a room and we waited for the on-call OBGYN.
When she arrived she did an ultrasound. I could tell by the look on her face that something was very wrong. She stated very clearly that she was extremely concerned about our baby’s safety. This is what she told us:
I had almost no amniotic fluid.
The little amount of amniotic fluid that was there was the wrong color and she couldn’t explain why.
Our baby’s fetal heart rate was “not reassuring” which is another way of saying that our baby was alive but in distress.
It was likely I would have an emergency C-section imminently.
She didn’t know at that time I was actually having a silent placental abruption. Apparently it is very hard to diagnose on ultrasound.
(We later found out that the amniotic fluid was showing as the wrong color because it was actually blood, not amniotic fluid. I had already been bleeding into my uterus and our daughter had been swallowing blood. After the C-section they pumped 15 cc’s of blood out of our daughter’s stomach and she pooped blood for the next few days.)
A team of preemie doctors came in to prepare us.
The preemie doctors explained in detail what would most likely happen to our daughter since she was coming out 7 weeks early. They said it was likely that our daughter would not be able to breathe on her own and that she would need to be intubated (using a machine that breathes for her). In the case that I didn’t hear her cry after delivery, they wanted to make sure I was prepared for that possibility.
We were also told to prepare for 30 days in the NICU, which was the average length of stay for a “33 weeker.” They initially wanted to try delaying a c-section for 48 hours so they could give me steroids to help develop our baby’s lungs develop faster. But we weren’t able to wait that long.
Within a few hours things got much worse.
Soon, I started hemorrhaging and was having what felt like one long contraction that wouldn’t stop.
Our OB determined that I was not actually in labor as my cervix was completely closed. She thought it was best to take the baby out right then because something was very wrong, but she didn’t know exactly what yet. I was wheeled across the hall for the emergency C-section.
Our daughter, Zoe Grace, was born.
Zoe came out at 4 pounds, 3 ounces. After being suctioned, she let out a tiny little cry that I will never forget. It was the best and most beautiful sound I had ever heard in my life.
The doctor was able to confirm during the c-section that I had a placental abruption. My placenta was 30% detached from my uterus.
The next day our neonatologist told us that Zoe had no signs of brain damage and we had a “very healthy baby considering the circumstances.” He then let me know bluntly, and in no censored way that “babies born under my circumstances usually don’t survive and the mothers often don’t do that well either.” He basically told me he couldn’t believe that she had no brain damage.
We were so grateful for the excellent care she received in the NICU.
We were so grateful for the excellent care Zoe got in the NICU.
Admittedly, I was shocked when I saw her for the first time. She was in an incubator hooked up to so many IV’s and tubes. And she was so very tiny.
For the first 48 hours I was not allowed to hold her. That was so hard for me! But, I could put my hands in the incubator and place one hand on the top of her head and one on her feet. I remember telling her how proud we were of her. She was a tough little gal right from the start. “Tiny but mighty” was what the doctor said. What a wonderful feeling it was to finally be able to finally hold her on her third day of life.
Zoe had an oral-gastric feeding tube for nutrition since she was unable to eat for the first 7 days on her own. I would pump breast milk and give it to the nurses so they could feed her through her OG tube.
She was also receiving TPN (IV nutrition) and lipids (fats) through 2 IV lines. That was probably the most difficult part to watch. Preemie veins are so tiny that it would often take an hour of poking to get the IV in. And they didn’t last very long so she was constantly being stuck with needles.
She was on oxygen and a cpap machine for the first week to help her continue breathing on her own. She was also kept under a bilirubin light for 5 days to treat her jaundice.
2nd week in the NICU. Zoe earned the nickname “tiny but mighty.”
Zoe got a little stronger every day.
Our “tiny but mighty” preemie started doing more on her own, like eating through a preemie nipple and no longer needing the IV nutrition.
We were shocked on our 9th day in the NICU when we were informed that Zoe would be discharged the next day. I knew she was doing well, but we were told that due to her stage of prematurity that she would stay for at least a month. She was so tiny I couldn’t believe they were letting us take her home.
My experience taught me a few things…
Mothers need to trust their instincts. We know much more then we give ourselves credit for.
Kick counts are very important after 28 weeks gestation. If you feel less than the normal amount of kicks then you should see your OBGYN immediately.
Having a healthy baby is a gift. Not everyone gets to have that.
I can’t imagine what my life would be like now if I hadn’t gone into the hospital that evening, especially after being told not to by the staff. My life would have been turned up-side-down. I am so glad that I trusted my instincts that night!
I am so blessed that I get to be a mom.
Not everyone gets to have healthy baby, or a baby at all for that matter. Whenever I find myself getting frustrated with the difficulties that come with parenthood, I think about how close we were to not getting to have Zoe at all. That puts it all into perspective for me.
Our baby Zoe is turned 3 years old on Halloween. She loves Elmo so she decided to choose Elmo as her Halloween costume. In honor of her birthday our family dressed up as the whole Sesame Street gang. My husband was Cookie Monster, I was Big Bird, and our 9-month-old son, Oliver, was Ernie. It was a wonderful celebration that I especially treasured because I know just how lucky I am to have two “tiny but mighty” kiddos.
( *Post updated 3/9/2020. There are affiliate links in this post. You can see my disclosure page here.)
Who knew that a crib tent would give our family the gift of sleep (and sanity)? I purchased our crib tent 16 months ago, and it has since become my #1 most important toddler purchase, ever.
Just to give a little background: our daughter was never a good sleeper (sweet as pie, but hated going to sleep). As a result, delirium due to a lack of sleep became a “normal” part of our family’s daily routine.
So, when our daughter was ten months old, I hired a sleep trainer. Her methods were a success, and we all finally started sleeping again!
But then, after nearly six consecutive months of almost uninterrupted slumber, the unimaginable happened. Our toddler, Zoe, learned how to climb out of her crib!
Our toddler’s “crib jumping” was a problem.
Once again, we were all losing sleep. My toddlers daredevil escapes seriously concerned me because:
It was unsafe. Our tiny toddler could seriously injure herself by falling several feet or getting stuck between the slats.
I did not want her wandering alone through the house at night. Again, a significant safety issue.
My husband and I were not going to get a good night’s sleep until we found a solution we were comfortable with. We were all sleep-deprived but also experiencing daily stress from this new problem.
Sleep is important.
Sleep is so crucial for both physical and mental health.
According to The National Sleep Foundation, lack of sleep is linked to hypertension, heart disease, depression, diabetes, and several other chronic diseases.
The National Sleep Foundation also states that sleep is especially crucial for children because it is when blood supply to the muscles is increased, energy is restored, tissue growth and repair occur, and important hormones are released for growth and development.
We looked at several alternatives.
After getting over the shock of my daughter’s uncanny ability to scale the crib, we tried several things to deter her.
We took out the bottom of the crib, so the mattress was on the floor to make her escape more difficult. That stopped her from climbing out for exactly one night, and then she was back at it again.
We took everything out of her crib so she couldn’t use it as a prop to climb out. This method didn’t stop her either.
We watched our toddler climb out of her crib on a monitor so we could see exactly how she was doing it. She made it look so easy! She held on to the top bar and put her feet in between the crib slates, hoisting herself to the top, then she teetered on the top bar and balanced until she could get both feet over the sides and jump to the floor. Usually, with a big SPLAT.
A toddler bed was not yet an option.
I scored the internet for more suggestions and solutions. A toddler bed was out of the question because our toddler would not stay in her bed (or room for that matter) for more than 1 minute.
Inevitably, we would end up having a little visitor in bed with us every night for the foreseeable future (or worse, roaming the house!).
My priority for our daughter was safety. I didn’t want her to get hurt while climbing out of her crib, but I also didn’t want her wandering around the house in the middle of the night either. And frankly, we ALL needed to get some sleep!
I read a ton of reviews on this crib tent, and it sounded like people were having a lot of success without having any safety issues. From my personal experience, these are the reasons this crib tent has been a gift from the sleep Gods.
Our toddler could no longer get stuck between the rails (which previously happened several times!).
Our toddler was unable to grip the sides of the railing, which prevented her from scaling the crib walls.
The material is made from BPA-free mesh netting and is hypoallergenic.
The crib tent fits snugly over the crib, and our toddler couldn’t get stuck in the crib netting. The bottom of the crib tent sits under the mattress.
It was super easy and fast to set up. No extra tools were required.
We ALL finally got the sleep we needed and finally felt refreshed again during the day.
I think it makes her feel safer. We have a bedtime routine, and our toddler won’t even let us leave her room without zipping up her crib tent canopy.
It has been one year since we started using the crib tent, and it still works like a charm. Soon we will be transitioning our daughter to a toddler bed, but until then, we are leaving it up.
(This post about pumping essentials contains affiliate links. You can find my disclosure policy here.)
So you have made it through the first few months of breastfeeding a newborn. Congratulations! You are doing a great job, MamaMama!
But now a new change is looming on the horizon: your maternity leave is slowly creeping to an end. And you are wondering how you are going to continue providing your dear baby with their primary source of nutrition, breast milk.
And, like me, there is probably a big question going through your head right about now:
What pumping essentials do I nee when I go back to work?
I had so many concerns about being a “pumping mom,” and I couldn’t for the life of me figure out how I was going to make it happen without a ton of stress. But I knew I needed to be prepared. I am a registered nurse, and I work hectic twelve-hour shifts. Like most pumping moms who work, I don’t have time not to be prepared.
I am happy to share that I have been successfully pumping as an ER nurse in a very busy level 1 trauma center for the last four months. And I still can’t believe how well it is going! Sure, there have been a few minor hiccups along the way (like forgetting my breast pump at home, whoops!). But overall, the experience has been way better then I would have thought.
I now know that I will be able to continue pumping breast milk for my baby for as long as I desire. I want other working moms to know that they can do this too. (Read more about what I have learned about pumping at work as a nurse).
Pumping essentials for pumping at work
Top 9 pumping essentials you need when you go back to work:
This pumping essential is the highest on the list, for obvious reasons. Without it, you have no way to access your milk! I am using the Medela Freestyle portable pump because it is the one that my insurance covered, and it works great. You want to make sure that you have a double pump so you can pump both breasts at once to save time.
Check with your insurance to see if they cover a portable breast pump before you buy one. I live in California, and my insurance gave me a breast pump free of charge!
(Just a note, the different brands do not work interchangeably with each other. So you want to make sure you find one brand you like and stick with it! Otherwise, you will end up with a bunch of parts that don’t work with one another. You don’t need your back to work pumping supply list to be any longer then it already is!)
You will need breast milk collection storage bottles to store your milk until you get home from work. I use the Medela bottles because I already use the Medela pump, but there are several other brands you can use as well. Just make sure the ones you are using are made without BPA (it’s a safer plastic that helps retain breast milk’s beneficial properties).
I also like the Medela screw-on lids better than some other brands because they are leakproof. (I tried a different brand and had an issue with leakage all over my packed lunch!). You can wash them in the sink, and they are also dishwasher safe.
I like this nursing bra accessory because it makes it possible to double pump without having to hold the pumps with both hands. Once you start pumping, you will find that having to keep the pumps in place is annoying and makes it difficult to do anything else. This pumping essential will just make your life easier!
This ingenious contraption can hook on to almost any nursing bra and make it a hands-free pumping bra as well! That way, you can still do other things like check email or scroll through your phone. Because let’s be honest, pumping can be pretty dull after a while!
After you pump, you need to make sure you have a place to store your breast milk until you get home. I always pack a lunch for work, so I just use my insulated lunch bag to store my milk. You can use any insulated storage bag.
Engorgement is no joke. There have been a few times at work when I wasn’t able to pump on schedule, and I ended up leaking through my scrubs (you could barely see it but still!). As a result of that embarrassing experience, I started wearing nursing pads when I was at work.
I use reusable nursing pads made of bamboo because I have read that many disposable pads contain absorbent chemicals that come in direct contact with your skin. They also run the risk of trapping moisture, especially if you are leaking. This can increase the risk of mastitis, a very painful bacterial infection that will make you sick and can be dangerous if untreated. Disposable pads can also be expensive over time if you are frequently using them. I have 12 reusable nursing pads, and I run them through the washer and dryer with all my other clothes.
The beautiful thing about pumping is that you can store your breast milk in the freezer! So even if you have a surplus of milk, you can put it away for later use. These little breast milk storage baggies are great because you can write the date on the top section, so you know how long they have been in the freezer.
Place them in the refrigerator for 12 hours before you need them to thaw them out. Or place them in a bowl of hot water for quicker use. These are on the high list of absolute must-have items to pump at work that you will need: I have used over 200 of them already!
My freezer got a little overloaded with breast milk within the first few months that I was back at work, and this milk storage organizer helped me to keep things more organized. It also helped me keep the milk organized by date, so I make sure to use the oldest milk first.
Your baby is going to need a way to drink your breast milk when you are not there, right? I tried so many different brands of bottles for our baby (there are so many!), but I finally settled on Dr. Brown’s newborn bottle feeding set. Different brands are NOT able to be used interchangeably with one another, so its a good idea to find a brand you like and stick with it. Otherwise, you end up spending a bunch of money on bottles and parts you don’t even need.
In the beginning, your baby will only need the 4-ounce bottles because they won’t be drinking as much milk. But as they grow, you need to switch to the 8 oz size. My son is six months and can take an entire 8 oz bottle in one feeding very easily.
The Dr. Brown’s bottles have a blue vent system that is supposed to remove excess air bubbles from the milk. This supposedly helps reduce feeding problems like colic, spit-up, burping, and gas. Our daughter struggled with pretty severe colic and constant spit-up and switching to Dr. Brown’s bottles helped the situation tremendously. She still had some issues, but they were noticeably much better!
Take it one day at a time, Mama.
You may get overwhelmed, but you too can do this!
I hope these pumping essentials help to make your return to work much easier on you. There are a lot of products on the market, and it can be overwhelming for a mom who is preparing to go back to work from maternity leave. So, make it easier on yourself and have a plan in place before you go back to work (read more about how I pump at work as a registered nurse who works 12-hour shifts).
After successfully pumping at work with two babies, I have whittled down my list to include the things that have helped me the most. I hope this helps to guide you in the right direction to find what works for you too!
It is your legal right to continue to provide breast milk for your children and pump while you are at work. Do not let anyone tell you differently or make you feel guilty about it. Only you know what is right for you and your babies.
Good luck, Mama! Let me know how it goes as a pumping mom in the workplace, and please reach out to me if you have any questions. I would be happy to help you!
This post may contain affiliate links. You can read my disclosure page here.
Are you wondering how to pump at work as a nurse who works long 12-hour shifts?
When I went back to work after my son was born, I was so nervous about when, where, and how to pump at work as a nurse who works long 12-hour shifts. I just couldn’t figure out how I was going to successfully make it happen when our RN workloads are already so intensive!
But, I am happy to report that I have been successfully pumping as an ER nurse in a hectic level 1 trauma center for the last two months. And to my surprise, it’s working! And I now know that I will be able to keep breastfeeding and pumping for my child for as long as I desire.
I am so relieved that I am still able to breastfeed and pump for my son as a busy nurse who works long 12-hour shifts. I want other nurses to know that they, too, can do this! That is why I am so excited to share what I have learned during my pumping journey at my hospital.
Nurse Moms, you can do this. Please read on to learn about how to pump at work as a nurse. If I can do it with my circumstances, you can too.
How To Pump At Work As A Nurse When You Work 12 Hour Shifts
How To Pump At Work As A Nurse Who Works 12 Hour Shifts:
#1. Communicate with your charge nurse/administration that you will be pumping while at work.
Hospital administrators are not psychic and have no idea what your pumping needs are if you do not tell them about it. They may have no children or have ever breastfed, so this may be new for them. Discuss the frequency that you will need to pump and discuss a location that works for you. Ideally, it should be somewhere private on the unit like an unused office or empty patient room.
#2. Talk to the charge nurses before each shift, so they know in advance.
Figuring out how to pump at work as a nurse takes some pre-planning on your part. It is not a good idea to wait until things get busy to ask for a place to pump. Charge nurses have a lot to balance, too, so work with them and come up with a plan before all hell breaks loose on the unit!
#3. Have a pumping schedule in mind.
In a perfect world, pumping every three hours would be ideal. But that may not be possible for a busy hospital nurse with a crazy workload. Figure out a flexible “working” plan such as:
6:45 (before shift starts)
10 am
1 pm, or 2 pm (lunch break)
4 pm
7:30 pm (after shift ends)
It is almost impossible to follow any schedule exactly, but planning at least gives you a guideline.
#4. If you can afford it (and your workplace allows), try starting with two 12 hour shifts a week instead of 3.
I was nervous about being able to pump for three shifts a week successfully, so I decided to start with two. I am so glad I did. It has made pumping at work seem less stressful and more attainable. As a bonus, I get to spend a little extra time with my son as well. Once my son starts eating more solid food and is breastfeeding less, I will go back to working three.
#5. Work every other day.
Continually pumping away from your baby day after day might affect your breast milk supply. Talk to your administration about working every other day so you can breastfeed at home on the days in-between.
#6. Find out if your hospital has a designated pumping station.
At my workplace, and we have a pumping room for breastfeeding nurses that is located on the 5th floor. It is not ideal for me to go there during my shift because I work in the ER on the first floor, but sometimes I can make it there during my lunch break or before/after a shift. They have comfortable chairs with curtains so I can pump comfortably with privacy. They also have Medula breast pumps available for use.
#7. Find co-workers who you know will cover your patients for you when you need to pump.
One of the many reasons nurses don’t pump during their shifts is that they are concerned about their patient’s safety while they are gone. Hopefully, you have a trusted charge nurse or another co-worker you know can keep an eye on your patients so you can pump. Remember, it is your legal right to pump while at work, so no matter what your workplace needs to find someone to cover you. So far, I have been fortunate to have many other nurses that I trust to cover for me when I ask them.
This option isn’t for everyone, but it works for me! I can have complete control of my schedule, so I don’t end up working back-to-back shifts or night shifts while I am breastfeeding. It has also offered me a better work-life balance as a working mom.
#9. Be flexible, but stand up for your right to pump!
Due to the unpredictability of being a busy RN, you will need to be somewhat flexible when it comes to pumping during a 12-hour shift. But if you are not reasonably accommodated, you need to say so. It is your legal right to pump at work. Ultimately, you are the person responsible for making sure that your pumping needs are met while you are at work.
This device is the highest on the must-have items to pump at work list, for obvious reasons. Without it, you have no way to access your milk! You want to make sure that you have a double pump so you can pump both breasts at once to save time.
I like this nursing bra accessory because it makes it possible to double pump without having to hold the pumps with both hands. Once you start pumping, you will find that having to keep the pumps in place is annoying and makes it difficult to do anything else.
After you pump, you need to make sure you have a place to store your breast milk until you get home. I always pack a lunch for work, so I just use my insulated lunch bag to store my milk. You can use any insulated storage bag.
Engorgement is no joke. There have been a few times at work when I wasn’t able to pump on schedule, and I ended up leaking through my scrubs (you could barely see it but still!). As a result of that embarrassing experience, I started wearing nursing pads when I was at work.
