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CDC’s breast pump cleaning guidelines–what working mamas need to know

To most, hoses, flanges, valves and connectors sound like things you'd find under your car's hood. But new moms only have to glance down to see these breast pump parts in action.


With all the tiny pieces, understanding how to clean a breast pump can be tricky, so the Centers for Disease Control and Prevention (CDC) issued breast pump cleaning guidelines to help parents clean pumps as well as possible. The guidelines suggest pump parts should be cleaned quickly after each use in either a dishwasher or a basin used only for baby things (not the kitchen sink), air dried and then sanitized.

These strict guidelines were met with incredulity upon release last year—as many working, pumping mothers have to make do with a quick wipe down or stash their pump in the fridge at work between uses—but the CDC means well.

The strict sanitation standards were developed after a prematurely born baby contracted a terrible illness from a breast pump left in the sink too long. "We reviewed existing resources for women about how to pump breast milk safely," said Dr. Anna Bowen, CDC medical officer, in email comments to Motherly when the guidelines were initially released. "We found little guidance that provided a lot of detail and was based on the best available science. As a result, CDC developed its own guidance."

The baby girl developed an infection at 3 weeks old, and when testing revealed the very uncommon Cronobacter sakazakii in her spinal fluid, the CDC went looking for the source and found it in frozen milk samples from the mother's personal pump, as well as on the pump itself and on the drain of the mother's kitchen sink.

The mother told the CDC she would clean her pump by placing the parts in a sink full of soapy water for hours before rinsing and air-drying all the parts. The parts were neither scrubbed nor sanitized, prompting the CDC to issue the guidelines.

The agency meant to protect babies and help parents, but the guidelines stoked panic and, in some cases, anger, in working moms who could not possibly follow them.

We reached out to Mark A. Underwood, Chief of Pediatric Neonatology and Professor of Pediatrics at the UC Davis School of Medicine.

He told Motherly the new CDC breast pump guidelines may not be helpful for moms supplying for healthy, full-term babies: "My advice is to find a sustainable approach that fits a mom's circumstance."

According to Dr. Underwood, the CDC and FDA create guidelines like those this case sparked to protect the largest number of babies from the worst possible outcomes—but not all babies require extreme levels of sanitation.

Dr. Underwood explained following the CDC guidelines is prudent for mothers pumping for premature babies or those with immune deficiencies, but other moms can relax. He said, "If she is pumping for a healthy term infant this level of detail to cleaning and sterilizing equipment may not be helpful."

While the cautious approach outlined in the CDC guidelines is designed to minimize the risk of infection, Underwood says the flip-side of the coin is the evidence that too much sanitation is actually harmful for most healthy babies. "[It] can increase risk of allergic and autoimmune diseases later in life," he says, adding that studies that have shown fewer incidents of allergies, asthma and inflammatory bowel disease in children raised on farms and in children raised without dishwashers.

We also reached out to the CDC for clarification on how the new guidelines should apply to working moms of healthy babies.

"Refrigerating used pump parts between uses might be OK if the pump kit is not contaminated," Brittany Behm, Public Affairs Specialist for the CDC said in an statement emailed to Motherly. "But cleaning the pump kit after each use is the safest method and is particularly important for babies who are younger than 2 to 3 months old, were born prematurely or have weakened immune systems."

Behm also discouraged the use of breast pump sanitizing wipes, which she said cannot adequately reach all the surfaces of pumps. Instead, she said cleaning the parts in a dishwasher or by hand is the CDC's preferred post-pump sanitizing method.

She also expressed hope that workplaces will respond to the new guidelines with better options for pumping mothers. She said, "Ideally, workplaces would provide facilities and support for mothers to safely pump and store their milk."

Unfortunately, that's not reality for many of us—but working moms of healthy babies can take comfort in Dr. Underwood's advice and just do the best we can with what we've got.

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Unstructured play is play without predetermined rules of the game. There are no organized teams, uniforms, coaches or trainers. It is spontaneous, often made-up on the spot, and changeable as the day goes on. It is the kind of play you see when puppies chase each other around a yard in endless circles or a group of kids play for hours in a fort they created out of old packing boxes.

Unstructured play is fun—no question about it—but research also tells us that it is critically important for the development of children's bodies and brains.

One of the best ways to encourage unstructured play in young children is by providing open-ended toys, or toys that can be used multiple ways. People Toy Company knows all about that. Since 1977, they've created toys and products designed to naturally encourage developmental milestones—but to kids, it all just feels like play.

Here are five reasons why unstructured play is crucial for your children—

1. It changes brain structure in important ways

In a recent interview on NPR's Morning Edition, Sergio Pellis, Ph.D., an expert on the neuroscience of play noted that play actually changes the structure of the developing brain in important ways, strengthening the connections of the neurons (nerve cells) in the prefrontal cortex, the area of the brain considered to be the executive control center responsible for solving problems, making plans and regulating emotions.

Because unstructured play involves trying out different strategies without particular goals or serious consequences, children and other animals get to practice different activities during play and see what happens. When Dr. Pellis compared rats who played as pups with rats that did not, he found that although the play-deprived rats could perform the same actions, the play-experienced rats were able to react to their circumstances in a more flexible, fluid and swift fashion.

Their brains seemed more "plastic" and better able to rewire as they encountered new experiences.

Hod Lipson, a computer scientist at Cornell sums it up by saying the gift of play is that it teaches us how to deal with the unexpected—a critically important skill in today's uncertain world.

2. Play activates the entire neocortex

We now know that gene expression (whether a gene is active or not) is affected by many different things in our lives, including our environment and the activities we participate in. Jaak Panksepp, Ph.D., a Professor at the University of Washington studied play in rats earning him the nickname of the "rat tickler."

He found that even a half hour of play affected the activity of many different genes and activated the outer part of the rats' brains known as the neocortex, the area of the brain used in higher functions such as thinking, language and spatial reasoning. We don't know for sure that this happens in humans, but some researchers believe that it probably does.

3. It teaches children to have positive interaction with others

It used to be thought that animal play was simply practice so that they could become more effective hunters. However, Dr. Panksepp's study of play in rats led him to the conclusion that play served an entirely different function: teaching young animals how to interact with others in positive ways. He believed that play helps build pro-social brains.

4. Children who play are often better students

The social skills acquired through play may help children become better students. Research has found that the best predictor of academic performance in the eighth grade was a child's social skills in the third grade. Dr. Pellis notes that "countries where they actually have more recess tend to have higher academic performance than countries where recess is less."

5. Unstructured play gets kids moving

We all worry that our kids are getting too little physical activity as they spend large chunks of their time glued to their electronic devices with only their thumbs getting any exercise. Unstructured play, whether running around in the yard, climbing trees or playing on commercial play structures in schools or public parks, means moving the whole body around.

Physical activity helps children maintain a healthy weight and combats the development of Type 2 diabetes—a condition all too common in American children—by increasing the body's sensitivity to the hormone insulin.

It is tempting in today's busy world for parents and kids to fill every minute of their day with structured activities—ranging from Spanish classes before school to soccer and basketball practice after and a full range of special classes and camps on the weekends and summer vacation. We don't remember to carve out time for unstructured play, time for kids to get together with absolutely nothing planned and no particular goals in mind except having fun.

The growing body of research on the benefits of unstructured play suggests that perhaps we should rethink our priorities.

Not sure where to get started? Here are four People Toy Company products that encourage hours of unstructured play.

1. People Blocks Zoo Animals

These colorful, magnetic building blocks are perfect for encouraging unstructured play in children one year and beyond. The small pieces fit easily in the hands of smaller children, and older children will love creating their own shapes and designs with the magnetic pieces.

People Blocks Zoo Animals 17 Piece Set, People Toy Company, $34.99

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This article was sponsored by People Toy Company. Thank you for supporting the brands that support Motherly and mamas.

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As any parent knows, newborns need to eat a lot to keep fuel in those tiny tummies. For breastfeeding mamas, that can translate to nursing sessions anywhere, any time of day—which can make it feel like a full-time job. So, what's a mama to do when she has other things on her to-do list?

Let's take a look at some celebrity mothers who are showing the world that mamas have legendary multitasking skills. 👊

Jessie James Decker is a backseat breastfeeder

By the time her third child was born, Jessie James Decker had a few tricks up her sleeve when it came to breastfeeding on the go—including how to get situated in the backseat of the car to nurse her son while he was strapped into the car seat.

Decker doesn't recommend mamas go without a seatbelt like she did, but sometimes, a bad day out with the baby calls for extreme measures. When little Forrest couldn't stop crying on the way home from his mama's photo shoot, his mama did what she had to do.

"I hopped in the back seat with Forrest and fed him with boob out leaned awkwardly over the car seat to calm him down," Decker says. "On the way home I cried, I got stressed and anxiety, and I was just a mom trying to do my best just like we all are no matter the situation."

Pink takes a hike

When son Jameson was a baby, Pink proved that breastfeeding didn't have to mean sitting at home in a glider. With some assistance from a baby carrier and a perfect position for Jameson, the multitasking mama was able to go about her hike like it was no big deal.

Gisele Bündchen 'grammed her breastfeeding glam session

In 2013, the super model proved she's also a super mama by multitasking a full-on beauty session while breastfeeding. Recognizing what a team effort it was, Bündchen captioned the post, "What would I do without this beauty squad after the 15 hours of flying and only three hours of sleep."

Tess Holliday was inspired by her fellow supermodel mama 

Tess Holliday followed in Gisele's footsteps after her youngest was born, posting this photo to Instagram. It that proves that breastfeeding mamas can not only multitask, but also don't have to conform to certain body ideals to look amazing postpartum. Any size, any shape, any time, anywhere—breastfeeding mothers like Holliday are normalizing breastfeeding and our bodies.

Padma Lakshmi proves you don't need a team

Without a beauty squad on call, Lakshmi took her multitasking to "level 💯" by using a nursing pillow to free up her two hands. It takes a brave woman to attempt mascara while breastfeeding, but the Top Chef host clearly pulls it off.

Whether a mama is trying to feed her baby on the go or while she's getting glam, it isn't always easy. Motherhood is about trying to do your best even when it feels like 100 things are going on at the same time—and yet we manage, like the super mamas we are.

[Update, September 23: This post was originally published June 12, 2018. It has been updated to include Tess Holliday's Instagram post]

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So many parents wish there was a way we could add more hours to the day. Unfortunately, we're stuck with just 24 of them, but we can try to make the most of the time we've got. One way more and more working mamas are maximizing the time we do have is by cutting out the commute and working from home.

It can add an hour or two back to your day, and (depending on your hours and circumstances) it can even make childcare arrangements easier. And with more big companies offering legit remote opportunities, it's easier than ever for parents to find these opportunities. As Motherly recently reported, Amazon is on a bit of a remote hiring spree ahead of the holiday season, and it's not the only one.

Williams-Sonoma is currently seeking Seasonal Customer Service Associates to work from home. It is looking for remote workers in Cincinnati, Cleveland, Phoenix, Reno, Tulsa, and near Raleigh, Columbus, Braselton, and Oklahoma City.

These work-from-home positions are part of Williams-Sonoma's plan to hire about 3,500 associates for its Customer Care Centers. The company says a "significant portion of positions" for the Customer Care Centers will be work-from-home. They're looking for remote workers who live no more than an hour and a half away from one of the Customer Care Centers as "on occasion our Work From Home associates must come to the Care Center for meetings and training with advanced notice," the company notes in the job postings.


The positions are very similar to what Amazon is looking for: Basically customer service reps who can take inbound calls to help shoppers with orders, returns and issues with finding products or deliveries of products. Williams-Sonoma is looking for people who can work 30 - 50 hours per week, and the pay is listed at $12 per hour.

Another perk is a 40% discount on most merchandise, which great because the Williams-Sonoma umbrella includes brands like Pottery Barn and West Elm as well.

Sounds like this could be a great gig for a mama with customer service skills and a high-speed internet connection.

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Plenty of modern motherhood paraphernalia was made to be seen—think breastfeeding pillows that seamlessly blend into living room decor or diaper bags that look like stylish purses. The breast pump though, usually isn't on that list.

It's traditionally been used in the privacy of our homes and hotel rooms in the best case scenarios, and in storage closets and restrooms in the worst circumstances. For a product that is very often used by mothers because they need to be in public spaces (like work and school), the breast pump lives a very private life.

Thankfully, some high profile moms are changing that by posting their pump pics on Instagram. These influential mamas aren't gonna hide while they pump, and may change the way the world (and product designers) see this necessary accessory.

1. Gail Simmons 

Top Chef's Gail Simmons looked amazing on the red carpet at the 2018 Emmys, but a few days after the award show the cookbook author, television host and new mama gave the world a sneak peek into her backstage experience. It wasn't all glam for Gail, who brought her pump and hands-free bra along on the big night.

We're thankful to these women for showing that breast pumps belong in public and in our Instagram feeds.

[Update, September 21, 2018: This post was originally published on May 31, 2018, but has been updated to include a recent Instagram post by Gail Simmons.]

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