Guidelines of Providing Breast Pumps

The table below provides examples of several companies who manufacture breast pumps. This is not an all-inclusive list. For more information on these companies, their product lines, and retail outlets, call their phone numbers or visit their websites.

Company Hospital Personal Personal Hand Other Grade Electric Battery Accessories Avent America, Inc. Isis Pump 501 Lively Boulevard Elk Grove, IL 60007-2013 (800) 542-8368 www.aventamerica.com

Bailey Medical Engineering Nurture III 2216 Sunset Drive Los Osos, CA 93402 (800) 413-3216 www.folksatbailey.com

Hollister/Ameda/Egnell SMB pump Purely Yours One-Hand Large flanges 2000 Hollister Drive Elite Nurture III pump Libertyville, IL 60048-3781 Lact-E Generic 1-800-323-4060 Lact-E light Cylinder pump www.hollister.com

Medela, Inc. Classic Pump In Style Harmony Large flanges 1101 Corporate Drive Lactina Double Ease Spring Foot-pedal McHenry, IL 60050 Symphony Mini-Electric Express pump 1-800-435-8316 ManualEase www.medela.com Little Hearts WhisperWear Ellen pump Marietta, GA 770-984-0905 www.whisperwearinc.com Pumps Available Through Kentucky WIC Program

Many county WIC Programs, in cooperation with other programs serving pregnant and new mothers, offer breast pumps to their participants. The type of pump offered is ideally matched with the mother’s pumping needs as outlined above. Personal electric and hand pumps are most frequently offered. Large rented pumps paid through the WIC Program are also available to families with a medical need.

Guidelines of Providing Breast Pumps

All WIC agencies distributing breast pumps must have written policies concerning the distribution. Written policies promote consistency in education and documentation and reduce agency liability. The following general policies apply to WIC agencies, but are also applicable to other health care providers offering guidance or assistance with breast pumps:

1. Health Professionals issuing and providing education about the use of breast pumps must have adequate skills and training to provide these services. 2. Policies should identify the health professionals within each agency/site who will: a. Evaluate a woman’s need for a breast pump, and the type of pump needed; b. Authorize the provision of a pump; c. Issue a pump; d. Teach hand massage and expression to use in conjunction with the pump; e. Teach women how to use the pump; f. Provide backup if the designated health professionals is not available; and g. Provide follow-up services. 3. Collection kits or manual breast pumps cannot be reused, sterilized or loaned to more than one person. 4. Breastfeeding women need accurate information about assembling, using and cleaning breast pumps and collection kits. Staff must: a. Provide materials with accurate pictures or drawing of the pump, its use, and cleaning; and b. Demonstrate the assembly, disassembly, and use and care of the pump (in person or using a videotape). 5. Breastfeeding women must receive accurate information about collecting, storing and warming expressed breast milk to maintain the quality and safety of the milk for later feeding. Refer to Guidelines for Storage of Breast milk (found in Appendix). 6. Staff must document the issuance of a breast pump, the counseling received, and any release or Informed Consent forms in the participant’s record. 7. After issuance of the pump, a breastfeeding woman should receive follow-up services. Policies of Renting Electric Breast Pumps For families that are participating in the WIC Program and do not qualify for the Medicaid Program, rental of an electric breast pump can be essential in establishing or maintaining an adequate milk supply when there is maternal/infant illness; during mother/infant separations such as hospitalization; and to breastfeeding women who have temporary breastfeeding problems such as engorgement. If the infant or mother has a medical card, the Medicaid Program must be billed FIRST when baby and mother are separated. Please contact the Medicaid Program for questions or assistance in Medicaid eligible situations.

To authorize rental through the WIC Program, the following criteria must be met:

1. The electric breast pump is needed due to a medical condition. 2. The prescription must be received prior to issuance of any breast pump. The prescription must specify the medical condition, the time period the pump is needed and be signed by a physician, physician assistant, or Advanced Registered Nurse Practitioner (ARNP). 3. The prescription cannot be for a time period of longer than three (3) months. 4. The mother has delivered, been released from the hospital and has to leave the infant in the hospital or the mother has to be readmitted to the hospital for a surgery or procedure.

If a WIC participant has a medical need to rent an electric breast pump, she should be in contact with her local WIC office and her physician (whether for herself or her infant). The local WIC office can provide further guidance on completing the appropriate paperwork and securing a rental electric breast pump.