Electric pumps usually have more than a dozen parts. It’s reassuring to know you can get a new one at just about any pharmacy or baby goods store. Sometimes a little valve breaks when you’re on the road. A great pump should fit nipples and breasts of different elasticities and sizes. Ideally, pumps should have a range of breast shield sizes available if someone wants to change the out-of-the-box setup. The best manual pumps allow the strength and frequency to modulate easily by changing how the handle is squeezed. Some electric pumps have both adjustable strength and adjustable frequency, while others combine the two in a single control. There are two components to breast pump suction: the strength (how much the pump pulls on the nipple) and the frequency (how often it pulls). Our price limit doesn’t include any consideration for insurance, which does make electric pumps cheaper-or free-for many people. We set an upper price limit of $400 for electrics and $40 for manuals. Most people will use a breast pump for a matter of months. We allow for some reasonable there’s-a-machine-attached-to-my-breast discomfort. While the experience may not be pleasant, it shouldn’t be painful. Our top priority is that a pump pulls milk out of the breast effectively. Counterintuitively, some people simply find that they are able to extract more milk with a manual pump than with an electric one. A manual can also coax the last ounces of milk from a breast the baby doesn’t fully empty-making it key for clearing clogged ducts and avoiding mastitis (when a clog in a milk duct becomes infected). Compared with electrics, manual pumps are also quieter, easier to control, and can be more efficient if needed for short sessions (such as on a very short work break) because they require less setup and cleanup. (It is often possible to hand-express that milk, too, but some people find manual pumps collect the milk more efficiently and, with an attached bottle, make it easier to collect for feeding to a baby.) Later, even if a double-electric pump enters the picture, a manual is often still useful tossed in a suitcase as a “just in case” travel companion-perhaps you’re traveling with the baby in tow you can leave the bigger electric pump at home, then use the manual if you’re briefly apart from the little one. A manual pump can relieve pain, soften the breast, and make it a little easier for the baby to latch. Engorgement can be painful, and latching a new baby to an engorged breast can be tricky, too. When the body first begins making milk, it often overshoots its target a little-making breasts large, sore, and hard. At the beginning, you may want to start with a manual pump, which can be useful in the early postpartum period, when many people experience engorgement.
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