Wearable breast pumps have been a game-changer for many breastfeeding moms, offering the flexibility to pump on the go without being tethered to a wall outlet. Whether you’re juggling work, chasing after a toddler, or simply looking for a more discreet way to pump, these hands-free pumps can make your life easier.
However, using a wearable pump effectively requires some adjustments compared to traditional pumps. While some people don’t notice much of a difference between the two, others find their wearable works a lot less efficiently.
There are a variety of reasons behind this, Here are my top tips for getting the most out of your wearable pump!

In the market for a wearable breast pump? Check out my favorite wearable pumps in this article!
1. Get the Right Flange Fit
Just like with standard breast pumps, flange size matters when using a wearable pump. An ill-fitting flange can lead to discomfort, reduced milk output, or nipple damage. Many wearable pumps come with limited flange sizes, so you may need to purchase flange inserts or alternative flanges for the best fit. Keep in mind that inserts aren’t all the same, and I find that most don’t respond to them as well as
How to check your fit:
- Your nipple should move freely in the tunnel without excessive rubbing (it IS okay for the nipple to touch the sides, as long as it’s comfortable).
- There should be minimal areola pulled in with each suction cycle.
- You should feel comfortable and have good milk flow. No pain allowed – during or after the pump session.
One problem with wearable pumps is that you often can’t observe all of these things because you can’t see through the pump. The new MomCozy Air does have a clearview top, which makes it easier to see what’s going on (though inserts still make it a little tricky!)
You should also use some pumping spray, nipple cream, or even coconut oil to help with comfort and fit.
Need help finding the right size? Consider joining Fuss-Free First Year, which gives you access to my flange fitting course (and tons of other awesome resources AND a supportive community). I’ll even give you feedback if you need it!
2. Start With a Strong Letdown Before Going Hands-Free
I have had many moms tell me that their wearable pumps don’t trigger letdown as effectively as traditional pumps. If you struggle with this, try:
- Using hand expression or a warm compress before starting (the Eufy S1 Pro has a warming feature, if you’re in the market for a wearable still – use my code MAMA03 for 15% off).
- Leaning forward slightly while pumping to encourage milk flow.
- Starting with stimulation mode and switching to expression once letdown occurs.
- Use breast massage/compressions while you pump to help improve milk flow
If you find that your wearable pump doesn’t get as much milk as your traditional pump, you will likely need to use it with a primary pump for best results. I recommend that most moms limit their wearable pump to 1-2 times a day (keeping in mind there are always exceptions to that!).
3. Maintain Proper Suction and Seal
Unlike traditional pumps that have stronger, more adjustable suction, wearables rely on a good seal to maintain effective suction. Here’s how to improve it:
✅ Make sure your nipples are centered in the flange before starting – if you can’t see, you’ll need to base this on feeling.
✅ Ensure your pump is properly assembled and no parts are loose, missing or in need or replacement.
✅ Wear a supportive but not too tight bra—some compression can help, but too much can impact suction.
4. Use the Right Bra for a Secure Fit
Since wearables sit inside your bra, choosing the right pump-friendly bra is key!
- Avoid underwires or bras that compress too tightly, as they can impact milk flow.
- Look for a stretchy, wireless nursing bra that can hold the pump securely while allowing natural movement.
- If needed, try a bra extender or a looser setting to make room for the pump.
I really like this pumping bra from MomCozy. It’s affordable, comfortable and generally works well with wearable breast pumps.
Check out my top wearable pump must-haves!
5. Expect Slightly Different Output
Many moms notice that they get less milk with a wearable pump compared to a more traditional electric pump. This doesn’t necessarily mean your supply is low—it’s just a difference in pump efficiency.
- If you’re exclusively pumping, consider using a primary pump for a few sessions per day (especially in the AM hours) to maintain supply.
- Try adding an extra pumping session if your wearable pump isn’t emptying you as well.
- Track your milk output over time—some moms adjust to wearables after a few days and see improvement!
- Use hand expression after pumping to get a little bit extra milk and possibly boost your supply
- Pump for Longer if you find you are making less milk. One mom recently told me that she has to pump for longer to get the same amount of milk with her wearable pump as she does with her Spectra, but it doesn’t bother her because it’s so convenient.
- If you experience a sudden drop in milk supply, make sure your pump is still working well. I frequently see wearable pumps losing efficiency after a month or two (especially the MomCozy pumps).
6. Keep Your Pump Clean and Dry
Wearable pumps have more small parts than traditional pumps, so cleaning them properly is essential:
🧼 Hand wash parts that aren’t dishwasher safe. This little cleaning set is really great for wearables!
💨 Allow all parts to air dry completely to avoid mold buildup.
🔄 Keep spare parts on hand so you’re never without clean pump components when you need them.
Tip: If you pump multiple times a day, consider using the fridge hack—storing used pump parts in a sealed bag in the fridge between uses and washing them at the end of the day.
7. Be Mindful of Your Movements
One of the biggest perks of wearable pumps is the ability to move around while pumping. However, some activities can affect suction and milk flow.
🚶♀️ Walking or standing is usually fine, but bouncing or excessive movement can break the seal.
🛑 Avoid bending forward too much to prevent leaks.
🏋️♀️ Be cautious with excess movemenet—wearables may not stay secure during intense movement. You probably don’t want to be rebounding on a trampoline with your wearables!
8. Make Adjustments for Maximum Comfort
If your wearable pump feels uncomfortable, try these quick fixes:
✔️ Loosen or adjust your bra for a better fit.
✔️ Try a lower suction level—stronger isn’t always better! It’s amazing how many moms find the most success on lower settings
✔️ Use a lubricant (like Coboo Pumping Spray) to reduce friction and make pumping more comfortable.
9. Use Your Wearable Pump Strategically
While it’s tempting to rely solely on a wearable pump, it may not be the best long-term solution for all moms. Consider when it makes the most sense for you:
- Commuting to work? A wearable pump is great for discreet pumping in the car or at your desk.
- Busy with errands? Wearable pumps allow you to pump hands-free while getting things done.
- Needing a quick session? A wearable pump is perfect for a short pump break when you don’t have time for a full setup.
- Afternoon slump? Feeling stressed with pumping in the afternoon? Any stimulation is better than none at all, so throw on those wearables. I would try and do your more traditional pumping sessions in the morning
- Use it for power pumping to help boost supply in a more convenient fashion
10. Set Realistic Expectations
Wearable pumps are amazing tools, but they aren’t a one-size-fits-all solution. Some moms get great output, while others struggle with efficiency. If you’re not getting the results you want:
- Experiment with different settings and suction levels.
- Try different flange inserts for a better fit.
- Combine wearable pumping with traditional pumping if needed.
If you need personalized pumping support, I’m here to help! You can book a virtual consult here to work with me a or a member of my team (we work with many insurance companies!)
Wearable pumps can bring you a sense of freedom to pump on the go while keeping up with daily life. By following these tips, you’ll maximize your efficiency, maintain your supply, and make wearable pumping work for you! Remember
What’s been your experience with wearable pumps? What tips do you have for others? Let me know in the comments!