In Depth Baby Product Reviews Led by a Pediatrician
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Looking for the best breast pump? We've got you covered. We've been testing breast pumps since 2013, and this review compares the ten best pumps on the market today. We've scoured the market and purchased well-loved and promising contenders for extensive hands-on testing. A breast pump is a nursing mom's trusty sidekick during lactation, only outdone by her baby. A well-considered selection is worth its weight in the liquid gold it helps express. However, selecting the right pump is easier said than done; breast pumps are far from one-size-fits-all. We put each product through rigorous testing to see how it performs, and we took into consideration user feedback. We evaluated influencing factors like efficiency, comfort, ease of use, portability, hygiene, and more. Our review can help you find the best pump for your needs and budget.
Babies can have an appetite like an all-you-can-eat buffet, demanding to eat when hunger strikes. Our list of favorite nursing gear covers all the bases, whether you're exclusively breastfeeding or bottle-feeding your baby. If you're on the move with your breast pump, consider a stylish and functional top-ranked breast pump bag.
Editor's Note: We updated this review on September 17, 2024, to provide additional data and results from our hands-on testing.
Plug-in Wall Adapter or External Battery Pack (AA)
Manual
Available Flange Sizes
21mm, 24mm, 28mm
24mm
21mm, 24mm, 27mm, 30mm
21mm, 24mm
30mm
Measured Weight
0.8Ibs
0.3 Ibs
1.4Ibs
1.5 Ibs
0.2 Ibs
Measured Weight of Pump with Two Bottles
1.1 Ibs
0.4 Ibs (one bottle)
1.2 Ibs
1.2 Ibs
0.2 Ibs (one cup)
Open/Closed System
Closed
Open
Closed
Closed
Open
Capability
Double
Single
Double
Double
Single
Manufacturer Claimed Battery Life
Up to 2 hours
n/a
Up to 3 hours
n/a
n/a
App
Yes
No
No
No
No
Night Light Feature
No
No
No
No
No
Included Bottle Holder or Base?
No - n/a
Yes - bottle base
Yes - bottle base
No
No - n/a
What's in the Box
1 Hub
2 Cup Fronts
2 Cup Seals
2 Breast Shields (24mm)
2 Caps
1 Tube Splitter
2 Short Tubes (for the Cups)
1 Long Tube (for the Hub)
1 Clip
1 Cover
2 Valves
2 Diaphragms
1 Charging Cable
Instructions for Use
1 Harmony Breast Pump
1 PersonalFit™ (24 mm) Breast Shield
1 5 oz/150 mL Breast milk bottle with lid and stand
1 Valve
1 Instructions for use and Breastfeeding Information Guide
1 Pump In Style Breast Pump with MaxFlow Technology
4 5 oz/150 mL bottles with lids
2 21 mm PersonalFit Flex™ breast shields
2 24 mm PersonalFit Flex™ breast shields
2 PersonalFit Flex™ Connectors with membranes
1 Complete tubing
1 Cooler
1 Cooling element
1 Microfiber bag
1 Battery pack (8 AAs not included)
1 Power adaptor
Cup
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The Spectra S1 Plus is a popular choice among breastfeeding moms for a good reason. We recommend it to friends and family looking for an easy-to-use, effective, and quality pump. With a rechargeable battery, you can pump wherever and whenever necessary. One of its key features is the strong and adjustable suction power, featuring 12 suction levels and different cycle speeds, catering to a wide range of preferences. Our tests showed a 270 mmHg suction level, expressing more milk in less time than competitors like the Medela Pump in Style with Max Flow, which only measured 150 mmHG in our tests. Our tester remarked, “The efficiency performance was impressive for both rounds.” It pumped 0.55 ounces per minute of milk on average in our tests. The average in our tests was closer to 0.26 ounces. This pump comes fully assembled with an easy-to-understand manual. Its closed system design prevents condensation build-up in tubing and microbial growth in the motor, which means that the inner workings will remain in good shape in the long term, and breastmilk stays pristine. With a relatively quiet operation (44.5 dB reading in our tests), you can pump without disturbing a peacefully sleeping baby or your partner.
This machine is bulkier and heavier than some breast pumps, weighing 2.9 lbs, which may not suit those seeking a compact and lightweight pump. Our tester, Gena, stated, “The S1 is a more substantial option than some competitors.” Some wearables like the Baby Buddha and the Elvie Stride weighed closer to 0.8 lbs in our tests. Also, the Spectra S1 Plus has a built-in rechargeable battery, making it more portable than the Spectra S2 Plus, which requires an external power source. Budget-conscious buyers might also hesitate due to its relatively higher price tag. However, the Spectra S1 Plus offers superb pumping efficiency and handy extras like a built-in nightlight, timer, bottle holder, and memory function that saves the prior setting. We think it's worth the investment.
The Baby Buddha is well-liked for its compact and lightweight design, allowing you to stash it in your purse or diaper bag. This unit weighs just 0.8 lbs, making it one of the lightest in our tests, and its lanyard-style design provides a higher degree of mobility. The Buddha has a strong suction power of 290 mmHg in our tests, and it offers customizable settings with 14 total settings. We think there is flexibility in finding the right comfort level with so many settings. Our lactating tester, Veronica, noted, “I wasn't rushing to pump again from being engorged.” Our tests showed an average expression of 0.45 ounces per minute. Compared to the Elvie Stride, another wearable we tested that only expressed 0.12 ounces per minute, the Buddha is an impressive portable wearable. The rechargeable battery offers one hour of pumping and can be used while charging. The package includes useful accessories, like a lanyard for wearing the pump, a simple carry tote, detachable tubes, a t-connector, collection bottles, and 24mm flanges lined with comfortable silicone. Our tester states, “The Buddha latched on well and has few adjustments to achieve the best performance.” It also has a relatively wallet-friendly price that could be the right fit for some budgets.
Some users find the suction power too strong during the letdown phase, which might be uncomfortable for those with sensitive breasts or nipples. An electric pump like the Spectra S1 Plus offers several adjustable suction levels to cater to different comfort needs and has a respectable but not too strong suction pressure test reading of 270 mmHG. Also, the Baby Buddha is louder than some competing wearable pumps with a decibel reading of 42 dB compared to 40 dB for the Momcozy S9. Our tester noted, “The Buddha is louder than a vibrating phone alert.” It also only measures time in minutes with no seconds. Considering that some competitors don't measure the time at all, this is better than nothing. Overall, the Baby Buddha pump delivers a solid performance at a budget-friendly price if you can find a comfortable suction setting.
The Elvie Stride has gained attention for its standout feature of being a wearable design that fits inside your bra, allowing for hands-free pumping in a lightweight unit that measured 0.8 lbs in our tests. The pump is extremely quiet, with a decibel reading of “LO,” providing a discreet pumping experience whether you're at work or on the go. A similar wearable, the Momcozy S9, had a reading of 40 dB in our tests. Our tester noted, “The Elvie was really quiet and could barely be heard above the ambient office sounds.” It offers 2 modes and 10 suction levels per mode, so you can cater to your comfort needs. It is battery-powered with two hours of pumping on a single charge. It comes with an app that allows you to track your pumping sessions and control the pump remotely.
Some users find the wearable design uncomfortable or unsuitable for their body shape. Our lactating tester reported, “I couldn't get a consistent latch once the canal was wet.” While the app provides useful features, it relies on a device connection, and this may not be ideal for those who prefer a standalone pump without tech dependability. It also wasn't as efficient as other options, with our tests showing an average of 0.12 ounces of milk per minute. In comparison, the Baby Buddha, another wearable, expressed 0.45 ounces of milk per minute on average. Also, it can be pricier compared to some options, which could deter those looking for a budget-friendly option, like the Baby Buddha. However, the Elvie Stride offers convenience and customization, which may be an attractive option for those looking for a hands-free pumping experience.
The Lansinoh Manual Breast Pump is a budget-friendly, straightforward pump that's most suitable for occasional use. It's particularly handy if you don't require an electric pump regularly but need one for situations like dealing with plugged ducts or engorgement. Once your baby transitions to eating more solids and has fewer nursing sessions, this manual pump can relieve and alleviate discomfort during longer breaks between feedings. It has a two-mode operation, offering both letdown and expression modes. The kit includes a 5 oz storage bottle with a stand and two ComfortFit flanges in sizes 25 mm and 30.5 mm. In our tests, we expressed 0.28 ounces of milk per minute on average. This is about the average for the group and better than the Medela Harmony with Flex, which only expressed 0.13 ounces per minute during our testing. It had a pressure reading of 200 mmHG in our tests, while the Medela Harmony (another manual pump) had a reading of 240 mmHG.
Manual pumps require effort, which might be physically demanding for many users, especially if you have any physical limits. Our tester reports, “It only got a small amount of liquid expressed with each pump; it was exhausting.” Also, it only pumps one breast at a time, so it will take longer if you need to express milk from both breasts. An electric pump, like the Spectra S1 Plus, might be better for building milk supply and regular use. It boasts a pressuring reading of 270 mmHG with 0.55 ounces of milk per minute expression in our tests. Despite these considerations, the Lansinoh pump is an excellent choice for those seeking a manual pump and is virtually silent. It can be a helpful tool for busy moms who need a quick solution; as one tester said, “It was nice to get a little relief from engorged breasts without setting up the electric pump.”
The Haakaa Gen 1 is not an award winner, but it is an option we think fills a niche many women might not know about. Since it isn't like a traditional breast pump, it didn't perform well in testing. But it can still be a useful tool in a pumping arsenal. It's an inventive solution for passive breast milk collection. Made from soft silicone, this contender attaches to your breast and works with one single, long suction pull. This option works particularly well for moms with a strong letdown and issues with milk leakage during nursing sessions. In our tests, it expressed 0.19 ounces per minute on average, with a high of 4 ounces over a 20-minute session. Our lactating tester remarked, “It isn't really a pump. It just encourages flow when you're engorged.” It's also a valuable addition for those who can easily hand-express breast milk. It's a breeze to clean with only 1 part, and many moms appreciate using it to collect extra milk instead of wasting it on nursing pads. It is one of the easiest to use away from home with a silent operation, a measured weight of 0.2 lbs in our tests, and no need for electricity.
The suction can come loose if the pump is not attached well or if your baby kicks while nursing, which might lead to a milk spillage situation. But, for most users, the suction usually stays well in place without much trouble. Our testers felt, “The Haaka might not be the best for bigger breasts, as the cup might not be able to latch efficiently.” Also, the Haakaa is not a closed system. Considering that most of the contenders in our lineup have closed systems, such as the Spectra S1 Plus, we suggest looking elsewhere if that's important to you. Some users experience trouble coordinating the Haakaa with a breastfeeding baby on the opposite side. While it might require a touch of trial and error, most users feel that mastering the Haaka is worth the initial learning curve. Overall, we think this affordable solution is great for those with abundant milk production or those interested in collecting milk passively while nursing.
Second Hand Pumps
Although it's not recommended, if you do choose to use a previously owned, single-user closed system pump, it's crucial that you buy brand-new accessories for hygiene and safety reasons. This includes new tubing, breast flanges, bottles, lids, membranes, and valves.
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How We Test Breast Pumps
Since launching BabyGearLab, we've purchased and thoroughly tested over 25 different breast pumps. In this latest update, we've included the best options available today. Over several months, we subjected each pump to rigorous testing, assessing factors such as efficiency, comfort, ease of use, portability, hygiene, and more. To ensure a comprehensive evaluation, we enlisted help from breastfeeding moms who used each pump extensively and provided valuable feedback from their firsthand experiences. We combined our hands-on and lab testing findings to create a complete picture of each breast pump's strengths, weaknesses, and pumping performance.
Our testing of breast pumps is most heavily weighted on Efficiency and Comfort as we believe these factors impact your satisfaction with a breast pump more than the others. Our complete set of 5 test metrics and their weighting include:
Efficiency (35% of overall score weighting)
Comfort (25% weighting)
Ease of Use (15% weighting)
Portability (15% weighting)
Hygiene (10% weighting)
Our exhaustive and detailed testing process provides you with the critical information needed to make a well-informed decision. We meticulously examined various metrics and completed more than 25 individual tests per breast pump. With test results and breastfeeding mom input, we score and rank products to award our top picks.
Why Trust GearLab
Our breast pump review at BabyGearLab is led by Dr. Juliet Spurrier, our founder and mom-in-chief. As a mother of two, Dr. Spurrier combines her personal experiences as a breast pump user with her impressive qualifications as a board-certified pediatrician and a Fellow of the American Academy of Pediatrics (AAP) to shape our review testing standards and product selection. Other contributing team members include Senior Review Editors Wendy Schmitz and Molly Bradac. Wendy is a mother of two, who breastfed her children and used multiple pumps while navigating the challenges of being a working mother and maintaining a milk supply. Spoiler alert… she still struggled (it's normal). Molly holds over 15 years of experience as a professional nanny and newborn care specialist. Her background also includes lactation education and support for breastfeeding moms. Molly leverages her knowledge and expertise to contribute valuable insights to our breast pump review. In addition to our team, we gathered feedback from pumping mothers who generously shared their thoughts and firsthand experiences with each pump. Gena Bradshaw rounds out the team. As a Senior Review Analyst, Gena brings years of testing experience and knowledge to the team, developing our pumping efficiency tests and more.
Analysis and Test Results
To help shape our recommendations for this review, we considered test results, personal experience, and various user feedback. We also included advice from lactating professionals. Our comprehensive assessment of the breast pump competition involves analyzing key factors that we believe make a breast pump great, such as efficiency, comfort, ease of use, portability, and hygiene.
What's the Best Value?
Breast pumps span a wide range of price points, and there's an option to match every budget. However, your choice may ultimately depend on your specific budget and needs. In this review, you will find options ranging from around $30 for a basic handheld pump to over $200 for a top-of-the-line model. If you foresee regular pumping, invest in a quality product that consistently delivers performance and a comfortable experience, like the Spectra S1. It's more of a financial commitment, but it strikes a great balance between efficiency and comfort, offering excellent overall value you might be using for years to come. The Baby Buddha is a wearable, efficient pump for those searching for a more budget-friendly option. Though it might not match the Spectra S1 Plus' performance, its affordability and convenience make it appealing to users who prioritize portability and cost savings. However, if your pumping needs are occasional, there's no need to splurge. The Lansinoh Manual Breast Pump will do the trick. It offers an effective way to express and collect breast milk without the hefty price tag. A manual breast pump is simpler, lighter, and more portable than an electric breast pump.
Efficiency
Efficiency focuses on how many ounces of milk a pump can express. While every mom's milk production varies, some pumps are stronger and more consistent, resulting in more and faster milk expression. To assess efficiency, we conducted tests to evaluate each breast pump's milk expression performance and suction strength.
Efficiency
Product
Bottle
Breast
Pressure
Spectra S1 Plus
9.5
9.0
10.0
Spectra S2 Plus
5.3
9.0
10.0
Baby Buddha
7.9
8.0
8.0
Lansinoh Manual
5.3
5.0
7.0
BellaBaby Double
3.1
7.0
7.0
Momcozy S9
4.2
5.0
7.0
Medela Pump in Style
4.8
7.0
2.0
Medela Harmony Flex
3.1
5.0
5.0
Elvie Stride
3.0
6.0
2.0
Haakaa Gen 1
4.0
3.0
1.0
The Efficiency of a breast pump was tested by assessing its performance on a breast-like bottle, feedback from lactating mothers, and the pressure it exerts in pressure testing.
Bottle Efficiency
To ensure consistent and equitable evaluations, we used the the Emulait bottle with medium flow for all in-use pump tests. Our key objective was to measure how many ounces each pump could express within a 20-minute timeframe, and we conducted these tests multiple times, taking the average of the results.
Finding a pump that can work well and express a significant amount of milk in a short period of time is the name of the game. Whether a lactating mom finds this experience a minor inconvenience of time or a big downer, efficiency is the name of the game when your time is limited caring for an infant. So, the most milk in the shortest time period is key.
The Spectra S1 Plus performed impressively during our testing, producing an average of 0.55 ounces per minute. In just over 10 minutes, it reached the 5.5-ounce mark, which is impressive. The second most efficient is the Baby Buddha with an average of 0.45 ounces per minute in our tests. Alternatively, the worst efficiency in the group for electric pumps was the Elvie Stride with a measured test average of only 0.12 ounces of milk per minute. The Elvie had some latch issues in our bottle and lactating user tests as it isn't ideal for all breast shapes and sizes.
The Lansinoh Manual Breast Pump is the top-performing manual pump with an average of 0.28 ounces per minute, outmaneuvering the lowest electric option. While it lags behind some electric options in terms of speed and efficiency, and you can only pump one side at a time, it's not the lowest-scoring option. In our tests, the Haakaa collected a significant amount of milk with its passive letdown system. While it's not a high-scoring option in this sub-metric, we were satisfied with the result, given the small amount of effort it takes and the fact that it isn't actually a pump.
Lactating Mother Efficency
We also gave lactating mothers all of the pumps in our review to test hands-on and provide efficiency feedback. While all mothers' milk production and pumping are different depending on the time of day, demand, and more, we thought it was important to use the machines in the real world. Because the lactating testers used all of the pumps, it offers a side-by-side comparison that can translate to others' experiences.
Our lactating testers reported that the most efficient pumps were the Spectra S1 Plus and the Spectra S2 Plus, with the Baby Buddha close behind. The least efficient electric pump was the Momcozy S9 with the manual pumps coming in right behind it.
Measured Pressure Guage Testing
In addition to our in-use pump tests, we used a Medela Vacuum Gauge to measure the negative pressure generated by each product. These measurements were taken while running each pump at its highest settings. This test allowed us to objectively compare pumps and evaluate their performance relative to each other and respective manufacturer claims.
The Spectra S1 Plus produced a 270 mmHg reading, which matched the manufacturer's claim. The same is true for the Spectra S2 Plus. The Medela Pump in Style with Max Flow produced 160 mmHg, which is far below the manufacturer's claim of 295 mmHg. Also, the Elvie Stride produced 170 mmHg, which is below the manufacturer's claim of 300 mmHg.
Every mom's anatomy and milk supply will vary, so finding the right suction strength and levels that work best for you is essential. Also, a woman's breast milk output is directly related to the supply and demand cycle. While some moms produce more milk, some less, and everything in between, it's essential not to feel discouraged, regardless of where you fall on this spectrum.
Overall Efficiency
Overall efficiency results combine the test results from our bottle test, lactating tester feedback, and the measured pressure test.
The most efficient pump overall is the Spectra S1 Plus. This unit offers impressive pressure performance in our tests with a reading of 270 mmHG. It expressed up to 5.5 ounces in a 20-minute session and was a favorite amongst testers. The worst performer was the Elvie Stride with a disappointing expression result of 0.12 ounces per minute or a high of 2.6 ounces in 20 minutes, with a pressure gauge test result of 170 mmHG, which was one of the lowest in the group.
Comfort
When evaluating breast pumps, comfort closely follows efficiency as a crucial consideration. Let's be honest. Pumping can be far from a relaxing experience, and it comes with a learning curve (sometimes a steep one).
Comfort
Product
Fit
Suction Adjust
Flange
User Experience
Spectra S1 Plus
8.0
8.0
5.0
9.0
Momcozy S9
6.0
6.0
9.0
9.0
Spectra S2 Plus
8.0
8.0
5.0
9.0
BellaBaby Double
6.0
9.0
7.0
7.0
Baby Buddha
6.0
8.0
7.0
6.0
Medela Pump in Style
5.0
7.0
7.0
8.0
Elvie Stride
5.5
6.0
6.0
8.0
Lansinoh Manual
8.0
4.0
7.0
4.0
Medela Harmony Flex
5.0
4.0
7.0
6.0
Haakaa Gen 1
1.0
1.0
9.0
7.0
Comfort is somewhat more of a challenge as every woman and every breast is different. We've tested features like the overall fit, suction adjustability, flange design, and the experience of lactating mothers.
Several factors contribute to this comfort aspect, including the material of the flange (the cone-shaped part that covers the breast), the availability of multiple flange sizes, and the presence of adjustable suction and pump settings to help mom find a good setting.
Every mom's unique anatomy and sensitivity play a role in the comfort equation. Therefore, our goal with this metric was to identify the key components we believe increase the likelihood of a comfortable experience for a wide range of users.
Fit and Flange
A workhorse pump should be tolerable and relatively comfortable for those pumping regularly to establish a milk supply. It shouldn't cause discomfort or pain, either during or after use.
Flanges are the funnel-shaped parts you position over your breast, centering on the nipple, connected to some kind of collection bottles. The pump then uses suction to draw the nipple into the flange. Since nipples, areolas, and breasts vary in shape and size, having the right fit is crucial. Flanges that don't fit right can lead to discomfort, pain, chafing, bleeding, or even infection. They often come in a variety of sizes and different material types, but most pumps only offer you a few sizes included with your purchase.
Seek Help
If you have questions or concerns about flange fit, seek advice from a professional, like a lactation consultant. Also, if your nipples need extra care, consider using one of our favorite nipple creams to provide relief. While pumping may not be a fun activity, it should not cause long-term discomfort or injury to any part of the breast.
According to our lactating testers, the best-fitting options were the Spectra S1 Plus and Spectra S2 Plus. This is somewhat surprising, given that the flanges are plastic and not softer silicone. However, they offer flanges in the 24mm and 28mm sizes in the box, and you can purchase 20 mm and 32 mm if you need something different. The Lansinoh Manual is the most comfortable fitting non-electric option. It comes in two flange sizes and is what the company calls “ComfortFit,” which is soft plastic with a silicone lining on the rim. The worst-fitting option is the Haakaa Gen 1. This isn't a big surprise as it is a one size fits most, and our testers felt it was more of a one size fits some. The flange is fairly stiff, and it didn't latch on easily, which caused some pinching.
Suction Adjustability
While we tested the maximum pressure of suction for each pump using a gauge in our efficiency tests, having lower levels of suction or various suction patterns can make pumping more comfortable and sometimes more efficient. After all, variety is the spice of life! Those with more possible suction settings earned higher scores for this sub-metric.
The Bellababy Double Electric Breast Pump has 4 different modes and 9 suction levels. While it has a lot of potential, our users found it somewhat frustrating to find the right pairing. Both Spectra pumps and the Baby Buddha comes in second, with 2 modes and 14 settings for the Buddha and 5 speeds at 12 different power levels for the Spectras.
Overall Comfort
A workhorse pump should be tolerable and relatively comfortable for those pumping regularly to establish a milk supply. It shouldn't cause discomfort or pain, either during or after use.
Both the Spectra S1 Plus and Spectra S2 Plus earned top marks as the most comfortable pumps in our evaluations. While the breast flanges are plastic (we prefer silicone for additional comfort), they are equipped with 2 sizes and more available on the manufacturer's website. They also have a wide range of power levels and speed cycles, incorporating modes for massage and expression. This will allow you to adjust and customize your pumping session. Our testers noted that they closely mimic the natural feel of a breastfeeding baby.
The Haakaa Gen 1 ranks low in the comfort metric. While its cushy silicone material might initially give you pause and make you wonder why it didn't score higher, this contender is unlike standard pumps, so it doesn't check all the boxes we seek in the comfort department. Its one-size-fits-all 30mm flange might not work for all breast shapes and sizes, which our users mentioned. Also, as a passive milk collection system, it lacks the versatility to fine-tune suction strength and cycle speed. But if your nipples need a break from the repetitive suction and the grid of regular pumping, this could be just what you need for those moments when you want to collect some breast milk. Consider it a little vacation for your nipples, not your daily grind workhorse.
The Medela Harmony with Flex also falls short in this metric. The pump features a single 24mm flange, and our search for alternative flange sizes on the manufacturer's website proved challenging. Being a manual pump, it requires a fair bit of effort to operate, and the handle design isn't exactly the most hand-friendly, adding a bit of discomfort to the pumping experience. It felt flimsy, and the spinning handle feature didn't seem to help much. On the other hand, the Lansinoh Manual Breast Pump earns a slightly higher score in this metric, thanks to its thoughtful design. It comes in two flange sizes and includes a silicone rim, which further boosts comfort and helps maintain suction even during movement. Still, manual pumps, while they have their place in the pumping world, involve more effort, making the pump session less relaxing compared to electric pump counterparts. Also, they lack the range of suction level and cycle speed options.
Efficiency vs Comfort
While comfort is super important, you don't want to sacrifice efficiency for comfort's sake. Similarly, you don't want to sacrifice comfort for the sake of efficiency.
Efficiency vs Comfort
Product
Efficiency
Comfort
Spectra S1 Plus
9.6
7.8
Baby Buddha
7.9
6.9
Spectra S2 Plus
6.8
7.8
BellaBaby Double
4.5
7.4
Lansinoh Manual
5.7
5.9
Momcozy S9
5.0
6.6
Medela Pump in Style
4.3
6.3
Elvie Stride
3.1
6.0
Medela Harmony Flex
3.8
4.9
Haakaa Gen 1
3.2
2.4
This chart shows the collective overall scoring of comfort and efficiency.
The goal would be to consider both and find the most efficient option that is also comfortable. Pumping is already a chore, as it is one more thing you will need to do alongside caring for your newborn. However, it shouldn't be painful, and it shouldn't take forever. The Spectra S1 Plus is one of the most comfortable and efficient, so theoretically, you should be able to pump more milk in less time as comfortably as possible. Alternatively, the Baby Bella Double Electric might be relatively comfortable, but it doesn't seem to be very efficient in our tests.
Ease of Use
When you're relying on a breast pump, having one that's effortless to use is crucial. For some, a breast pump becomes a regular part of their day, even at night, so ease of use impacts your pumping experience.
Ease of Use
Product
Interface
Features
Baby Buddha
7.0
9.0
Elvie Stride
9.0
7.0
Spectra S1 Plus
8.0
8.0
Spectra S2 Plus
8.0
8.0
Medela Harmony Flex
9.0
6.0
Lansinoh Manual
9.0
5.0
Medela Pump in Style
5.0
9.0
Momcozy S9
7.0
5.0
Haakaa Gen 1
9.0
1.0
BellaBaby Double
4.5
4.0
Our tests for ease of use include assessing the user interface and each pump's features.
In evaluating this metric, we examined the pump's interface and features, running various tests to gauge its user-friendliness. Simple and straightforward use is nice as long as it doesn't come at the expense of usefulness. We preferred those with obvious icons and clear settings that are easy to duplicate time after time when you find the best setting for you. While bells and whistles can be fun, like a nightlight or carry bag, they don't do anything to help you manage pumping without extra effort. The goal would be to find the pump that offers the features you need in a way that is easy to utilize.
Both Spectra pumps come at the top for those metrics with a screen that provides feedback on your setting, time, and more. You also don't need to cycle through the settings if you miss yours, you can go back instead. Plus, they will remember your setting for next time! The Baby Buddha is also a standout in out tests for ease of use. While its interface isn't our favorite, with lots of scrolling, it does have useful features users will enjoy, like a timer, carry bag, and a way to store pumped milk.
Overall Ease of Use
The manual pumps in our review, the Lansinoh Manual Breast Pump and Medela Harmony with Flex, score high in this metric. They don't have complex interfaces or systems to learn, sparing users from the learning curve that comes with feature-packed electric pumps.
For the Lansinoh, the only “interface” is switching the handle between stimulation and expression modes via a stem on the pump's top, which is easily visible and easy to feel, eliminating any confusion about the pump's current mode. The Medela is also straightforward and intuitive to use, although referencing the manual before the first use is recommended to understand which part of the handle controls each mode. Both products have user manuals with clear visuals and helpful instructions, particularly for assembly and cleaning.
The Haakaa Gen 1 doesn't come with instructions, but it's relatively straightforward to figure out. Simply place it with one squeeze and proper placement, and you can relax while passive letdown does the work. This all-in-one design is incredibly simple to use since it has no interface, no parts to assemble, and nothing to plug in. However, it's important to be cautious if you're using it near a wiggly baby, as it might get knocked and affect the suction. Also, when the bottle is nearly full, it can cause the latch to weaken, leading to the bottle falling off and potential spills.
The Elvie Stride is another notable contender in this metric, and we like its features. It has no interface but a few intuitive buttons, which we had no problem operating. The pump's accompanying app is user-friendly, serving as a virtual screen, allowing users to keep track of time, set levels, and monitor pumped volume. The app significantly enhances the overall user experience. However, without the app, there's limited data collection. We appreciate that you can change the power level without cycling through the multiple settings. The user manual includes easy-to-follow instructions and images with details. Despite these positives, avoiding messes with this setup can be tricky, and some parts feel flimsy, lacking a firm connection or a sense of security in their assembly.
Conversely, the BellaBaby Double Electric Breast Pump is the group's most complex and convoluted option. It seems like what could have been a simple, straightforward system got needlessly complicated and complex. The buttons are finicky and lack intuitiveness, making the experience frustrating. The screen's sensitivity can accidentally change, which is annoying, and you must cycle through the power levels (which can be uncomfortable) to return to lower settings. This could be problematic for those who are sensitive. Also, the user manual is highly confusing, lacking explanations for the power levels and offering no guidance or troubleshooting support.
The Medela Pump in Style with Max Flow includes accessories like a purse, mini soft cooler, reusable ice pack, and four bottles. However, the pump itself is minimalistic in design, which some users may find inconvenient. The user manual also leaves something to be desired as it lacks comprehensive information and details. Also, this pump has no screen display, so it doesn't provide information such as time and settings. While it can remember the settings from the previous pumping session when turned on, many users would appreciate a screen display for clarity.
Portability
Portability is an important factor if you're considering using your pump at work or during travel.
We considered the pump's weight, number of accessories, and size to determine how convenient it would be to carry the kit around. We also included information on whether it needs a power source and how loud it is when pumping, as these factors can limit when and where you can pump.
There's a new trend in breast pumps toward mobility with hands-free pumping and rechargeable batteries. The Momcozy S9 Wearable Breast Pump and Elvie Stride fit this trend. These pumps fit inside your bra, allowing you to move around while pumping. These options offer convenience for working moms on the move who can't sit still to pump. The Elvie Stride is remarkably quiet, has tubes, and can be easily clipped to clothing or a fanny pack. On the other hand, the Momcozy is tube-free, and while slightly louder, the noise difference is minimal. Both are easy to transport in a purse or tote. While wearable pumps may not be for every mom, they offer a solution for those who don't want to be tethered to one spot during pumping sessions.
Thanks to its lanyard accessory, the Baby Buddha takes a hands-free approach. However, some users find the overall system slightly bulky, particularly with the dangling bottles and tubes. Although it provides hands-free operation, you might need to pay more attention to avoid tangles when multitasking during your pumping sessions, and you'll need to purchase a pumping bra to help keep it in place. But we think it's a minor trade-off for the added convenience of hands-free pumping with this contender.
The Spectra S2 Plus didn't score well in this metric. Although it shares a similar size and shape with its sibling, the Spectra S2 Plus relies on an outlet for power, while the Spectra S1 Plus comes with a rechargeable battery offering up to three hours of cordless operation. This distinction can be a determining factor for those who require an away-from-home pump where an outlet might not be in the same space where you can pump.
Connecting Baby Bottles to Breast Pumps
Some baby bottles will attach to breast pumps. Given the high amount of bottles and pumps on the market, we are prohibited from checking or covering this. If you decide to store your breast milk in bottles, you need an airtight cap, and a nipple or dust cover is not that. It's not intended for extended milk storage. Every mother is different regarding how much milk they produce, pumping goals, and storage space. You will need to figure out what storage options work best for you, and for your baby's safety, it's important to follow the CDC breastmilk storage guidelines.
Acoustics
During our portability assessment, we specifically evaluated the noise levels at the maximum suction for each pump because loud pumping sounds can hinder the relaxation that's helpful to milk production. We also considered whether there were any unusual or strange noises coming from the pumps. While extra noise at work may deter interruptions during a pumping session, it can be problematic when pumping in bed next to your partner. In general, quieter breast pumps are preferable; we think you'll likely agree.
The Haakaa Gen 1 earns a top spot in this submetric due to its silent operation, primarily attributed to its no-motor design. The Elvie Stride also stands out for its remarkably quiet operation, and it's even quieter than the Spectra breast pumps. During testing, it had a low vibrating sound that resembles a gentle “shhh,” but it's so quiet and unobtrusive that louder background noises can easily mask it. We definitely think it offers a quiet and discreet pumping experience.
The Medela Pump in Style with Max Flow had more noise-related observations during usage. It produced a thumping noise along with a rattle. The noise level of most electric breast pumps can fluctuate depending on the suction intensity and cycle speed, and for the Medela Pump in Style, the pump's highest sound reading was measured at 59 dB. This noise level is equivalent to the sound level of a conversation, moderate rainfall, or a refrigerator's hum. While not obnoxious, it's certainly noticeable and one of the louder options in our review. While the Baby Buddha and BellaBaby Double Electric Breast Pump didn't have any unusual or abnormal noises during operation, both were noticeably louder than the others.
Both of the Spectra contenders are relatively quiet in operation and emit a noise similar to a purring cat, with a noticeable click at the end of the suction motion. It's low-pitched and not disruptive; some may consider it white noise. Our measurements show that the noise level falls within the 44 dB range during testing. Most people should be able to use these pumps without disturbing others, whether watching TV or being near someone napping.
Overall Portability
Keeping it simple makes a pump uber portable, but keep in mind that it can limit how and when you pump, and going non-electric can reduce your milk production due to a lack of demand.
The Haakaa Gen 1 earned the highest score for portability due to its minimal, incredibly light design. It was followed by the manual pump contenders, the Lansinoh Manual Breast Pump, and Medela Harmony with Flex. These options have fewer, easy-to-carry parts and are relatively quiet during operation. The Elvie Stride is a winner for electric pumps, but it could be more of a hassle than you want if you don't need to move around while pumping. If you can sit still and spend 20 minutes pumping in a comfortable space (think nursing or pumping dedicated rooms), then the Baby Buddha would be a go-to as it is battery operated, comes with a carry bag, is fairly quiet and weighs less than a pound (according to our measured weight tests). That said, if you mostly pump at home and only occasionally pump away, the Spectra S1 Plus is super efficient and has a rechargeable battery, so your session could potentially be shorter and not require an outlet.
Hygiene
Maintaining hygiene is essential when using a breast pump, as it directly impacts the cleanliness of the milk you provide for your baby. When we evaluated hygiene, we considered a few things. First, for each pump, we checked how many parts required cleaning. Second, we looked at the accessibility of the parts and whether common tools, like a baby bottle brush, help the process. If parts are dishwasher-safe, we consider that beneficial as it streamlines the cleaning process. We also checked if the pump is an open or closed system. We strongly recommend a closed system because it's designed to prevent contaminants from entering the tubing, which connects to the motor. This can create a risk for germs or bacteria to grow.
In our review, most of the contenders fall within the average range when it comes to hygiene. This is mainly because they have closed systems and share similar cleaning methods. Only a select few slightly outperform the group but for different reasons.
The Haakaa Gen 1 has an open system, and the silicone material can attract hair and lint, but compared to the competition, it's the absolute easiest pump to clean. You won't find a breast pump with fewer parts to manage and clean. Its one-part, all-in-one design is as straightforward as possible and requires nothing more than a standard bottle brush.
The Lansinoh Manual Breast Pump has a closed system, a handful of parts to clean, and it's also dishwasher-safe for added convenience. The pump's components are accessible, especially the wide-mouth bottles, which can be scrubbed using a bottle brush to remove milk residue. In the realm of breast pumps.
The Spectra S1 Plus and Spectra S2 Plus are equipped with more parts, totaling eight each, which is more than most competitors. Cleaning these parts isn't particularly challenging, but the most significant factor to consider is the time-consuming process of reassembling the system. The greater number of parts makes the reassembly more demanding in both time and attention than those with streamlined designs.
The Medela Harmony with Flex also has several pump parts, and this posed a challenge when it came to reassembly. It was somewhat more burdensome for a manual pump, and we consider it to have the same level of effort comparable to that of an electric pump. Also, the small o-rings used in this pump are easy to misplace, and without them, the pump doesn't function properly. We think this reduces the pump's overall user-friendliness in the hygiene department.
What Does the Term “Hospital-Grade” Mean?
Breast pump manufacturers often use the term “hospital-grade” to imply strong suction, but it's important to note that this term isn't recognized or regulated by the FDA, despite the FDA's regulation of breast pumps, which are considered medical devices. Therefore, the definition of “hospital grade” lacks consistency, and its use by manufacturers doesn't guarantee a specific level of quality, safety, or performance. The FDA recommends paying closer attention to the terms “multiple-user” and “single-user” when selecting a breast pump. Understanding the differences between buying a single-user versus renting or investing in a multi-user can impact a mom's decision.
How to Pick the Best Breast Pump
Choosing the right breast pump can be a challenging decision; there are so many brands and styles! Even if your seasoned friends swear by their favorites, it's essential to recognize that your pumping journey may differ from theirs. Finding the one that suits your needs can help in your breastfeeding or breastmilk efforts.
Pick a Type
Breast pumps fall into two main categories: manual and electric. Each type has its own pros, cons, and costs to consider. In the following sections, we will explore both types to help you determine which one best meets your unique requirements. Sometimes, a combination of both might be the most practical approach.
Manual Pumps
Manual breast pumps require the user to do the work and only express one breast at a time. They work by using a flange and a lever that you squeeze and release to create suction. These pumps are great for times when a mom doesn't need to pump very often. Once a mom's milk supply is well-established, manual pumps can be handy for travel, quick relief from engorgement, or to address temporary leaks. They are less expensive than electric pumps and are easy to carry around because they're small and lightweight. You can take them in your purse when you're going out. A top-notch manual pump should make the expression process easy and efficient.
Electric Pumps
Electric breast pumps operate using a motor that's powered by electricity. Some electric pumps offer innovative designs with rechargeable batteries, allowing you to move while pumping. They are available in single (pumping one breast at a time) or double (pumping both breasts simultaneously) versions. If you ever need to pump only one breast, most pumps can easily convert a double pump into a single by closing off one of the suction ports where the tubing attaches. Electric pumps are generally best known for their power and consistent pumping rhythm, making them more effective and efficient than manual pumps. This efficiency helps maintain a good milk supply and saves time. If you find yourself needing to pump frequently, especially if you're a working mom or exclusively feeding your baby with expressed breast milk, investing in a double electric pump is a good idea.
Home or Away
Pumping away from home regularly is probably best completed using an electric pump as it is fast and easy to do multiple times a day without much effort. However, if you need a quick manual expression for relief, then an electric pump might be overkill. Alternatively, pumping at home with a manual option can be exhausting if you hope to get a significant amount of milk.
How Often
The daily expression really requires a high-quality electric pump. This allows for regular pumping without a hiccup and multiple settings to find the right one with the most effective suction.
Conclusion
Selecting the best breast pump for you is a personal journey influenced by budget and unique needs. Between our breast pump selection, test results, and detailed information, we believe you can find the perfect pump. By streamlining the pump selection process and making it stress-free, you can return to caring for your baby. We believe there is something for every lactating person who wants to collect and potentially store that liquid gold.
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Juliet Spurrier, MD, Wendy Schmitz, and Molly Bradac