Pumping Protocols for Low Milk Supply

(FLOW Trial)

Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: University of Rochester

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines how various breast pumping routines might boost milk production for individuals with low milk supply. It compares a lower frequency of pumping, a higher frequency known as the triple-feeding protocol, and a group without a specific pumping routine. The study also investigates how different bodily processes affect milk production. Ideal participants are breastfeeding a single, full-term baby under three months old and nursing at least three times a day. As an unphased trial, this study provides a unique opportunity to enhance understanding and improve breastfeeding practices.

What prior data suggests that these pumping protocols are safe for lactating individuals?

Research has shown that various breast pumping routines are generally safe and well-tolerated by breastfeeding individuals. For instance, the triple feeding method involves pumping 6-8 times a day to boost milk supply. While many find it helpful, some mothers report that frequent pumping can lead to breast inflammation, known as mastitis, due to over-pumping. This risk is something to be aware of, but it appears manageable.

Conversely, pumping less often, such as 3-4 times a day, is also common and typically doesn't cause major issues. These routines aim to increase milk production without causing harm. Participants should pay attention to their bodies and consult healthcare providers if they have any concerns.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores how different pumping frequencies can impact milk supply for breastfeeding mothers, a problem often addressed with lactation consulting and supplements. While traditional advice might suggest frequent pumping, this trial compares three approaches: pumping 3-4 times a day, 6-8 times a day following a triple-feeding protocol, and allowing mothers to pump as they wish. By examining these different protocols, the trial aims to provide clearer guidance on optimal pumping practices, potentially simplifying routines and improving milk production for new moms.

What evidence suggests that these pumping protocols are effective for increasing milk supply?

Research has shown that more frequent breast milk pumping can increase milk supply for those with low production. In this trial, one group of participants will follow a protocol of pumping 6-8 times a day, known as the triple-feeding protocol, which studies have shown effectively boosts milk output. Pumping after breastfeeding signals the body to produce more milk, mimicking the natural demand from a baby. Another group will pump 3-4 times a day, while a third group will not receive specific pumping recommendations and can choose to pump as they desire. Increasing the frequency of pumping may help improve milk supply.16789

Are You a Good Fit for This Trial?

Inclusion Criteria

I speak English.
I am breastfeeding a single baby under 3 months old.
I am breastfeeding my child at least 3 times a day.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants follow one of two breast pumping protocols to increase milk production

6 months

Follow-up

Participants are monitored for milk production and associated mechanisms after treatment

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Pumping frequency intervention

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Placebo Group

Group I: Pumping 6-8 times a day (also known as triple-feeding protocol)Experimental Treatment1 Intervention
Group II: Pumping 3-4 times a day (lower frequency of pumping)Experimental Treatment1 Intervention
Group III: No additional pumping will be recommended (mothers can choose to pump as they desire)Placebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Rochester

Lead Sponsor

Trials
883
Recruited
555,000+

Cornell University

Collaborator

Trials
179
Recruited
14,090,000+

Citations

Facilitating Lactation Through Optimized Workflows

Failure to submit primary and secondary outcomes. Correction: Shown when the ... triple-feeding protocol), Intervention/Treatment, Other : Pumping frequency ...

Characteristics and experiences of lactating women with ...

Feelings of guilt, inadequacy, or failure are common when breastfeeding goals are unmet, especially in environments where breastfeeding is seen ...

Maternal and Infant Characteristics and Pumping Profiles ...

... milk metabolites and the search for biomarkers that are indicative of breast dysfunction. ... pumping mothers with normal milk supply; LMS, low milk supply ...

ABM Clinical Protocol #3: Supplementary Feedings in the ...

Primary glandular insufficiency (less than 5% of women—primary lactation failure), as evidenced by abnormal breast shape, poor breast growth during ...

Triple Feeding: Methods & Alternatives

Pumping after feeds helps stimulate supply, especially in the early weeks when milk production is highly influenced by hormones. To maximize ...

Relaxation Therapy and Human Milk Feeding Outcomes - PMC

This systematic review and meta-analysis investigates the association between provision of a relaxation intervention and lactation outcomes.

Defining Low Milk Supply: A Data-Driven Diagnostic ...

This study aimed to re-evaluate the definition of LMS using data-driven approaches and investigate associated maternal risk factors. Methods: Lactating mothers ...

Your Breastfeeding Journey: Triple Feeding

Double pump for 15-20 minutes. Double pumping is when you use a breast pump that allows you to express milk from both breasts at the same time ...

What Is Triple Feeding? Benefits, Downsides, Tips

Triple feeding is a three-step protocol designed to support baby's weight gain while also increasing Mom's milk supply. “Step one is to initiate ...