Name of the Procedure:

Breast Pump, Electric (ac and/or dc), Any Type
Common Name: Electric Breast Pump
Medical Term: Electric Breast Pump (HCPCS Code E0603)

Summary

An electric breast pump is a device used to help lactating mothers extract milk from their breasts. This device can operate using alternating current (AC) from a wall outlet or direct current (DC) from batteries, allowing for versatile usage options.

Purpose

The primary purpose of an electric breast pump is to assist mothers in expressing breast milk, especially those who may have difficulty breastfeeding directly or need to store milk for later use. The goal is to ensure that the baby gets adequate nutrition when direct breastfeeding is not possible.

Indications

• Inadequate milk production or difficulty in latching
• Premature or ill infants who cannot breastfeed directly
• Returning to work or need to separate from the baby for extended periods
• Painful nursing due to sore or cracked nipples
• Engorgement relief

Preparation

• Ensure the pump is clean and sterilized.
• Read the user manual to understand its operation.
• Discuss with a lactation consultant for optimal usage techniques.
• No specific fasting or medication adjustments are required.

Procedure Description

1. Setup: Assemble the pump according to the manufacturer’s instructions.
2. Sterilization: Ensure all parts that come in contact with the milk are sterilized.
3. Position: Make yourself comfortable and position the breast shield over the nipple.
4. Switch On: Begin with a low suction setting, gradually increasing as needed.
5. Express Milk: Allow the pump to rhythmically suction milk into the attached container.
6. Completion: Turn off the pump once the desired amount of milk is expressed.
7. Storage: Store the extracted milk safely in sterile containers for later use.

Duration

Each pumping session typically takes around 15-30 minutes, depending on the individual’s milk flow and personal comfort.

Setting

An electric breast pump can be used in various settings such as home, office, or any private area with access to AC or DC power.

Personnel

• Lactation consultants for initial instruction
• No direct involvement of medical personnel during regular use, unless issues arise.

Risks and Complications

• Soreness or nipple pain
• Improper fit leading to reduced milk extraction or discomfort
• Risk of infection if the pump is not properly sanitized
• Very rare: milk ducts blockage or mastitis

Benefits

• Enables flexible feeding schedules
• Helps maintain or increase milk supply
• Relief from engorged breasts
• Allows others to feed the expressed milk to the baby

Recovery

• Minimal recovery needed as it is a non-invasive procedure.
• Ensure ample hydration and rest.
• Follow regular pump maintenance and hygiene practices.
• Periodic follow-up with a lactation consultant if issues persist.

Alternatives

• Manual breast pump: Low-cost but more labor-intensive.
• Direct breastfeeding: The most natural method but may not be feasible for all situations.
• Supplemental nursing systems: Allows nourishment while baby is latching.
• Formula feeding: Alternative nutrition but lacks some benefits of breast milk.

Patient Experience

• Initial discomfort may be experienced during the first few uses.
• Patients typically feel a gentle pull and release sensation during pumping.
• Proper positioning and pump settings can enhance comfort.
• Pain management is generally not necessary, but ensuring a good fit and proper use can minimize any discomfort.