From Hose to Bottles: Tips-n-Tricks for Pumping on Shift

By Melissa Lawlor CNM, FNP-C, Breastfeeding Medicine Expert 

Pumping breast milk while on shift as a first responder can be challenging, given staffing, shift schedules, station dynamics, our unpredictable call volume, types of emergencies, EMS transport times, and … well, you know the routine. 

But just like we face any call with determination and skill, we can also master the art of pumping while on duty. Here are some creative and practical tips to help you navigate this unique challenge with ease and confidence. 

Alarm Bells and Pumping Schedules

You respond swiftly to an alarm. Treat your pumping schedule with the same urgency. Nurse your baby before leaving for work. If you have a long commute, pump in the car. Don’t wait to pump! 

Pump early and often during your shift, aiming for every two to four hours. This will maintain your milk supply, and decrease the risk of developing mastitis and/or clogged milk ducts. 

The Right Pump for the Job

There are a plethora of breast pumps to choose from. Find the one that works best for you. Invest in a high-quality motor, strong suction, efficient milk emptying, multi-cycle breast pump.

Look for features like a long-life battery, a quiet motor and a hands-free setup. Have the flanges that are the right size for you! Keep in mind you may need flanges of different sizes for each breast, and adjust flange sizes as needed.

Some women use a combination of wearable pumps, plug-in units, portable pumps, manual pumps and/or wearable milk collectors. This provides options for pumping at different locations or on the go.

The wearable milk collectors are quick to throw on if you need to end a pumping session early. Just as you wouldn’t go into a fire or EMS call without the right gear, don’t start your shift without a reliable pump. Having the right equipment can make all the difference in efficiency and comfort. Tip: check with your insurance plan or use a Health Savings Account (HSA) to purchase a pump, accessories and replacement parts.

Gear Up

Another tip is to pack your pump bag with all your essentials the night before your shift:

• Wet/dry bag
• Grab-n-go bag
• Snacks and water
• Pump(s) and wearable milk collectors 
• Pump cleaning kit and wipes 
• Microwave sterilizer bag option

Make sure you have extra tubing, accessories, charging cords and pump parts (just in case), as well as breast milk storage containers, chillers, coolers, ice packs, bottles and baggies. 

A nursing tank top under your uniform top offers ease of access for pumping. For wearable pumps, find a supportive nursing bra to hold the cups in place securely. Consider a larger uniform top or T-shirt to accommodate increased breast size and wearables. Lastly, pack an extra change of clothes and nursing bra for yourself. 

Command Center: Creating Your Pumping Space

Under the U.S. Federal PUMP Act 2022, first responders have the right to reasonable break time and a private, non-bathroom space to pump for up to one year after childbirth. 

Be creative in finding your space: use the hospital lactation rooms after EMS transports, station bunk rooms, private offices or dedicated lactation spaces.

Check local laws for additional requirements like a chair, work surface, clean water and electrical outlets. Also, consider privacy: Does the door lock? If not, is there a door stop you can use? Is there a sign to display that the room is in use? If there are windows, are there coverings? 

Go one step further and provide or request a small fridge to store pumped milk. A drying rack to dry pump parts would be thoughtful. This kind of support helps mothers continue to breastfeed, and signals they are valued and respected, which boosts job satisfaction, reduces stress, and improves employee retention. 

Pre-Plan Like a Pro

Plan for your pumping routine the same way you would pre-plan for an emergency. Engage your chief, union, leadership and human resources early, ideally during your pregnancy, to foster open dialogue about your legal rights for pumping at work.  

A lactation space can be identified and prepared. Pumping schedule discussed. Supportive workplace lactation education offered to station crews. By inviting these open conversations, we can shift the narrative, creating supportive environments for all first responder parents. 

Hydrate and Refuel

Staying hydrated and well-nourished is one key component to maintaining your milk supply. Keep a water bottle and healthy snacks within reach at all times.

Foods rich in protein and healthy fats, like yogurt, smoothies, protein bars, trail mix, and hard-boiled eggs, along with fruit and veggies, can keep your energy up during demanding shifts. Think of nutritious, easy-to-eat, grab-and-go snacks on the run. Remember, you can’t pour from an empty cup – or pump from a dehydrated body!  

Stress Management: Let it Flow!

First responder work is stressful and can affect milk production. Incorporate quick stress-relief techniques like deep breathing, visualization or calming music during pump breaks.

Look at pictures and videos of your baby, smell their blanket, or apply warmth and massage to your breasts to aid let-down. Know your pump cycle and try to mimic your baby’s suck cycle as closely as possible. This will induce faster let-down and empty the breast fully. Managing stress benefits both your milk supply and overall well-being. 

Support Squad

You rely on your crew in emergencies, so lean on them for support with your pumping needs, too. Whether you’re working the engine or ambulance, communicate with your supervisors and colleagues about your pumping schedule. 

First responder units may be on “call delay,” “out of service temporarily” or on “work-arounds” while pumping. Nothing says “support squad” louder than offering your pumping co-worker food and drink. Be open to the baby coming in for a station lactation visit and a milk collection pick-up. 

Stay Flexible and Adaptable

The unpredictability of your first responder job means you may need to adapt on the fly. There will be days when your schedule gets thrown off by an extended on-scene time or transport, structure fire or an emergency call. Make sure your pump bag and cooler accompany you on calls, in case you get rerouted or extended. 

A grab-n-go bag with a manual pump and extra bottles is another option. Or you can hand express if needed. Don’t get discouraged. Stay flexible and adjust your pumping schedule as needed, even pumping on the go! Remember, every drop of milk you pump is a victory. 

Celebrate Your Successes

Finally, take a moment to celebrate your successes, no matter how small. Balancing the demands of a first responder role with breastfeeding is no easy feat. Each successful pumping session is a testament to your strength and dedication. You are providing the best for your baby while serving your community – that’s something to be incredibly proud of. 

Pumping breast milk while on shift as a first responder may be challenging, but with the right strategies and support, it is entirely achievable. By treating your pumping routine with the same seriousness and planning as your job, you can ensure that both your baby and your community receive the best care possible.