Elastic nipples are a condition that many breastfeeding and pumping mothers experience, though it’s often not widely discussed. For moms with elastic nipples, pumping can be a bit challenging, but understanding what elastic nipples are and how to adapt your pumping routine can make the process more comfortable and effective.

Elastic nipples occur when a mother’s nipple tissue is more flexible or stretchy than usual. When using a breast pump, the nipple is drawn further into the flange or tunnel of the pump compared to more rigid nipples. In some cases, elastic nipples can be pulled too far into the flange, causing discomfort and leading to inefficient milk expression. This may also result in soreness or even blocked milk ducts if the issue isn’t addressed.

It’s important to note that having elastic nipples is not a problem with breastfeeding itself, but it may require some adjustments to your pumping routine to avoid discomfort and ensure you’re able to express milk effectively.

Signs of Elastic Nipples

Some key signs that you may have elastic nipples include:

  • Your nipple stretches deeply into the flange when you pump, sometimes reaching or hitting the back of the flange tunnel.
  • You experience discomfort or pain while pumping, even at lower suction levels.
  • Pumping doesn’t seem to effectively empty your breasts, leaving you feeling full even after a pumping session.

If these signs sound familiar, adjusting your pumping technique and equipment can help make pumping more comfortable and effective.

Tips for Pumping with Elastic Nipples

If you have elastic nipples, finding the right flange size and adjusting your pump settings are key to ensuring a successful pumping experience. Here are some tips to help you pump more effectively:

1. Find the Right Flange Size

Flange size is one of the most important factors for comfortable and efficient pumping. Mothers with elastic nipples often need a better flange size than the standard size that comes with most pumps. Using a correct flange can help prevent the nipple from being pulled too far into the tunnel, reducing discomfort and ensuring better milk expression.

Here’s how to find the right flange size:

  • Measure Your Nipple: To find the appropriate flange size, measure the diameter of your nipple (not the areola) when it’s not being stretched or pulled. The exact diameter of your nipple base is now your flange size!

2. Adjust Pump Suction Settings

Elastic nipples are more prone to discomfort with high suction settings. If your nipples are being pulled too far into the flange, try lowering the suction strength on your pump. Start at a lower suction level and gradually increase it until you find a comfortable setting that still allows you to express milk efficiently.

3. Consider Using Silicone Inserts or Cushions

Many pump brands offer silicone inserts or cushions that can be placed inside the flange to provide a more comfortable pumping experience. These inserts can create a softer surface for the nipple and help prevent it from being pulled too far into the tunnel. Inserts can also provide a more custom fit, which can be helpful for mothers with elastic nipples.

4. Lubricate the Flange

Applying a small amount of breast milk or lanolin/nipple balm to the inside of the flange can reduce friction and make pumping more comfortable for mothers with elastic nipples. This can prevent the nipple from sticking to the sides of the flange and being stretched more than necessary.

When to Reach Out for Help

If you’re finding it difficult to pump comfortably with elastic nipples, or if you’re concerned that your milk supply is being affected, consider reaching out to a lactation consultant. An International Board Certified Lactation Consultant (IBCLC) can assess your pumping technique, help you find the right flange size, and offer additional strategies to make pumping more comfortable and effective.

Pumping with elastic nipples can be a challenge, but with the right tools and techniques, it’s possible to make the process more comfortable and effective. Finding the right flange size, adjusting your suction settings, and incorporating silicone inserts or lubrication can all make a big difference. Remember, every mother’s body is different, and finding what works best for you may take a bit of trial and error.


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