{"id":23304,"date":"2020-05-17T15:10:54","date_gmt":"2020-05-17T20:10:54","guid":{"rendered":"https:\/\/feminem.org\/?p=23304"},"modified":"2020-05-17T15:10:57","modified_gmt":"2020-05-17T20:10:57","slug":"pumping-in-the-time-of-covid","status":"publish","type":"post","link":"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/","title":{"rendered":"Pumping in the Time of COVID"},"content":{"rendered":"\n<p>I am an ER doctor in NYC that has chosen to keep pumping through COVID. I will preface this&nbsp;by saying breastfeeding\/pumping is such a personal choice, this is what I have decided to do and hope it can be helpful to others.&nbsp;<\/p>\n\n\n\n<p>A few weeks ago, when we all began to feel the sense of impending doom with COVID I heavily debated sending my 7-month-old son and husband away. However, after spending a few days agonizing over every bit of minimal research there is available, I realized this crisis was going to be indefinite, so we made the decision to stay together.&nbsp; I then decided that I wanted to continue nursing and pumping with the idea that I could transfer antibodies to my son if at some point I get COVID. With that, my cleaning\/pumping regimen was taken to a whole new level of obsessive. These are the steps I have taken to make me feel comfortable pumping at work.&nbsp;<\/p>\n\n\n\n<ul><li>My supply, of course, tanked at the beginning of this so I went from my Willow back to my Spectra which still gets me the best milk supply. However, I love that the Willow is a closed system that pumps directly into bags and I still use that intermittently.&nbsp;<\/li><li>I take two pump breaks in a 10-hour shift. These are my \u201ctake off my PPE\/don\u2019t think about COVID at all\u201d breaks. I drink a TON of water and bring high carb snacks. I used to study during pumping session (I am a resident), but I now watch <em>The Office<\/em> and take a total mental break. I then use the bathroom prior to getting back into PPE.&nbsp;<\/li><li>I switched to driving (I know this is not possible for some people) and now leave a bag with my Spectra inside of it in the car. This is <strong><u>exclusively my work pump and work bag.<\/u> <\/strong>I don\u2019t bring that bag inside the house.<\/li><li>I learned through this experience that through my insurance covers two pumps, so I was able to get a backup Spectra. Now I have one for home and one for work. This is definitely something worth looking into!<\/li><li>In my pump bag I have the following:&nbsp;<ul><li>Spectra&nbsp;<\/li><li>Lansinoh bags&nbsp;<\/li><li>Bleach wipes&nbsp;<\/li><li>Hand sanitizer&nbsp;<\/li><li>A wet dry bag (I ordered a bunch of cheaper ones online)&nbsp;<\/li><li>Gloves&nbsp;<\/li><li>Extra scrub tops&nbsp;<\/li><\/ul><\/li><li>I take off my PPE prior to entering room.&nbsp;<\/li><li>I bring a bunch of hydrogen peroxide wipes with me for backup.<\/li><li>I wash my hands prior to entering, use gloves to open the door, take off my shirt to avoid any kind of shedding from my clothes onto the table, I wipe the table down with a hydrogen peroxide\/bleach wipe.&nbsp;<\/li><li>I take off dirty gloves, hand sanitize, put on new gloves. Then I set up a staging mat on the clean surface. I also wipe down this staging mat.<\/li><li>I take off dirty gloves, hand and arm sanitize, (there\u2019s no sink in space I use) get out my pumps (pre-assembled) and put pumps on.<\/li><li>While pumping I have a snack and use my phone. I then consider my hands dirty.<\/li><li>When I\u2019m finished pumping, I use hand sanitizer, put on new clean gloves.<\/li><li>I take off the pumps.&nbsp;<\/li><li>I take off dirty gloves, hand sanitize, and apply new gloves for milk transfer.&nbsp;<\/li><li>To avoid having to transfer milk, you can use Maymom adapters to pump directly into the bag. However, at the time of writing this I have not received mine yet so I can\u2019t truly comment on it! If you are still transferring, I think this is the most critical step where I try to ensure I have the milk bag opened with one clean gloved hand and use the other hand on outside of pump bottles to empty the milk into bag.&nbsp;<\/li><li>I wipe down outside of bottles and exposed portions of flanges with a hydrogen peroxide\/bleach wipe.&nbsp;<\/li><li>I put on a new scrub top.&nbsp;<\/li><li>After my last pump, I wipe down Spectra cording and plug with hydrogen peroxide\/bleach.<\/li><li>I pump twice at work, so I have been putting my parts in the fridge in between uses but have also considered just bringing two sets of parts.&nbsp;<\/li><li>I have returned to sterilizing all my parts daily (had previously stopped when my baby was about 3 months).<\/li><li>I wash the wet dry bag daily in the laundry&nbsp;<\/li><\/ul>\n\n\n\n<p>Inevitably, I touch something when I think I\u2019m clean and agonize over it, or I look back and wonder if I sanitized enough, but overall I try to be gentle on myself, keep as clean as possible, obsess over hand hygiene and focus on the antibodies I\u2019m hopefully providing my baby.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am an ER doctor in NYC that has chosen to keep pumping through COVID. I will preface this&nbsp;by saying breastfeeding\/pumping is such a personal choice, this is what I have decided to do and hope it can be helpful&#8230;<\/p>\n","protected":false},"author":855,"featured_media":23306,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_jetpack_memberships_contains_paid_content":false,"jetpack_publicize_message":"Trying to figure out the ins and outs of pumping in the time of COVID? @sarahios will help you figure it out. @SLREM #COVID19","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[1,4],"tags":[1044,1047],"coauthors":[1050],"jetpack_publicize_connections":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pumping in the Time of COVID - FemInEM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pumping in the Time of COVID - FemInEM\" \/>\n<meta property=\"og:description\" content=\"I am an ER doctor in NYC that has chosen to keep pumping through COVID. I will preface this&nbsp;by saying breastfeeding\/pumping is such a personal choice, this is what I have decided to do and hope it can be helpful...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/\" \/>\n<meta property=\"og:site_name\" content=\"FemInEM\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/groups\/1383586405303463\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-05-17T20:10:54+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-05-17T20:10:57+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/feminem.org\/wp-content\/uploads\/2020\/05\/shutterstock_148571708-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1801\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Sarah Iosifescu, MD\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@feminemtweets\" \/>\n<meta name=\"twitter:site\" content=\"@feminemtweets\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sarah Iosifescu, MD\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/\",\"url\":\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/\",\"name\":\"Pumping in the Time of COVID - FemInEM\",\"isPartOf\":{\"@id\":\"https:\/\/feminem.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/feminem.org\/wp-content\/uploads\/2020\/05\/shutterstock_148571708-scaled.jpg\",\"datePublished\":\"2020-05-17T20:10:54+00:00\",\"dateModified\":\"2020-05-17T20:10:57+00:00\",\"author\":{\"@id\":\"https:\/\/feminem.org\/#\/schema\/person\/c651fd2d9b85d7e1b39104e34633f763\"},\"breadcrumb\":{\"@id\":\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/#primaryimage\",\"url\":\"https:\/\/feminem.org\/wp-content\/uploads\/2020\/05\/shutterstock_148571708-scaled.jpg\",\"contentUrl\":\"https:\/\/feminem.org\/wp-content\/uploads\/2020\/05\/shutterstock_148571708-scaled.jpg\",\"width\":2560,\"height\":1801},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/feminem.org\/2020\/05\/17\/pumping-in-the-time-of-covid\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/feminem.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pumping in the Time of COVID\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/feminem.org\/#website\",\"url\":\"https:\/\/feminem.org\/\",\"name\":\"FemInEM\",\"description\":\"Females Working in Emergency Medicine\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/feminem.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/feminem.org\/#\/schema\/person\/c651fd2d9b85d7e1b39104e34633f763\",\"name\":\"Sarah Iosifescu, MD\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/feminem.org\/#\/schema\/person\/image\/32b1ad3d045dc8284724776a1463b351\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/1e67c3ca517cb07f6951d5624becdcc7?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/1e67c3ca517cb07f6951d5624becdcc7?s=96&d=mm&r=g\",\"caption\":\"Sarah Iosifescu, MD\"},\"description\":\"Sarah Iosifescu is a senior Emergency Medicine Resident at Mt Sinai Morningside-West in New York City. 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