See an IBCLC if: you're concerned about output, need flange sizing, want to optimize your pump routine, or want a supply assessment. IBCLCs can do a weighted feed to compare actual transfer to pump output.
See your pediatrician if: baby's weight gain is a concern regardless of pump numbers. Weight gain is the ultimate arbiter of adequate intake.
Check your pump parts: If output has gradually declined, replace valves, membranes, and tubing before assuming supply has dropped. Parts wear out silently and dramatically affect performance.
For more on why pump output doesn't equal supply, see our pump output vs. milk supply guide. If you're exclusively pumping, our exclusive pumping guide covers realistic output expectations at each stage. For boosting output, see power pumping and increasing milk supply.