This pumping relaxation guide is part meditation and part guided imagery. There is a psychological aspect to breastfeeding and the amount of milk we let-down while pumping can be affected by stress, fear and anxiety. This is because stress hormones can interfere with oxytocin, the hormone that triggers let-down. Research tells us that moms can pump slightly more milk at each session, if they listen to relaxing music or use some sort of relaxation protocol. Meditation and deep breathing help the body to relax. Deep exhalations activate the vagus nerve which slows the heartrate, relaxes the body and can increase oxytocin levels. Visualization activates the unconscious mind, motivating it to create a current reality that matches the one we have envisioned. A vivid thought can prompt the brain to send imperceptible signals to that part of the body and can influence muscle movement and hormone secretion. Image visualization can be used to improve let-down and milk output in conjunction with a plan of frequent milk removal by baby or pump or combination of both. The following exercise can be used while pumping to attempt to relax and improve output.