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Old Mar 26th, 2010, 16:51 PM   1
Kota
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Pumping question... the bit that goes around the nipple/boob...


Okay, I have a medela swing and after daily pumping for the last 2wks, am still lucky to get 3oz a day out of it, 2 of them at about 5am, and the rest is in dribs and drabs through the day.. I'm taking fenugreek, eating oats, have just started drinking some crazy herbal mothers milk nursing tea and drinnking stacks of water... and nowt..

So I'm wondering.. the bit of the pump that actually goes over the boob and around the nipple. how much of my nipple/boob should be covered by that? How much of the nipple/areola should be getting 'suctioned' to get the best possible output?? and would having the wrong size shield limit the milk that I'm able to pump?



 
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Old Mar 26th, 2010, 17:47 PM   2
Marleysgirl
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Yes, wrong sized shields would affect your pumping efficiently. The Medela UK website is useless on the subject, but the US site has some useful information:

Quote:
To determine whether you think you might need a Large or Extra Large breastshield, look at your nipple as it is drawn into the tunnel of the shield during pumping. It should move freely and easily, and should not rub against the sides of the tunnel. If the breastshield fits tightly, your nipple will rub against the sides of the tunnel with each vacuum movement of the pump. After several pumpings, you may notice that the outside of the nipple (rather than the nipple tip) is tender or sore. You may also see a little ring of skin flecks in the tunnel of the breastshield after you pump. While a little circle of milk in the tunnel is normal, a ring of skin flecks probably indicates that the tunnel is too small, and that you would be more comfortable with a larger breastshield. When your nipple moves freely in the tunnel of the breastshield, you will also note a gentle pulling movement in the areola each time the pump cycles. If you do not see any movement in the areola with the pump vacuum, the breastshield is probably too small.
Links:
http://www.medela.com/ISBD/breastfee...eldfitting.php
http://www.medelabreastfeedingus.com...d-breastshield

Different sized shields can however be obtained from Medela UK, I believe. They just don't promote the fact, you have to phone them.

FWIW Fenugreek and oats didn't work for me, I had to get Domperidon on prescription to boost my supply.



 
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Old Mar 26th, 2010, 17:50 PM   3
Eve
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I was wondering the same thing. I have a madela harmony manual pump and I get a good amount in the morning, the only time I pump...anyways, My whole nipple and some of my areola gets sucked into the pump and the whole thing fits over the entire areola and part of my boob as well... not sure if that helps or not... I am also real large chested, so maybe that changes things. I use the shield that came with the pump whichever size that is.... I probably didn't help out at all lol but figured I would try



 
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Old Mar 26th, 2010, 19:37 PM   4
purpleish
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Hi Kota,
I didnt realize that the "flange" affects so much of the pump suction, I believe that the 24mm comes with the pump by default... I had to switch to the 21mm. If you are getting any irritation on your breast, you may need to switch down a mm, or if your nipple,aerola doesnt fit into the neck of the flange, you may want to change up a size.. I would def' check the medela web site - its very useful
Hang in there, for the pump to increase my supply, I had to pump at least every 2 hrs... felt like I was always connected!
Feel free to PM me if you want to chat

Purple



 
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Old Mar 26th, 2010, 22:43 PM   5
westbrja
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Funny, I just posted this exact same question and then scrolled down and seen this post lol. Good info cuz I wondered the same thing. I always got flecks of skin in the tunnel and never could pump much. I questioned if it was my pump since it's a 10 year old Medela. Thanks for asking this question.



 
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Old Mar 27th, 2010, 03:31 AM   6
Punky79
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Ok I'm being a bit thick but what do you mean by 'flecks of skin'?

On my Ameda just about my whole aerola and nipple go into the tube bit and touch the sides of the tube but it's not uncomfortable - does that mean it's too small?



 
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Old Mar 27th, 2010, 06:25 AM   7
Kota
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I don't know.. I'm still so confused.. I was staring at my boob while pumping this mroning trying to figure out if it was to much nipple/not enough, flecks of skin ARGH!!!! It doesn't hurt, I just don't feel i'm getting 'enough' :sigh:

I really need to have a 2 day pumping marathon and pump every 2hrs but with a little boy that is either on my boob or on my lap when he's not its sooo hard..



 
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Old Mar 27th, 2010, 11:01 AM   8
purpleish
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Hey there...
Ok, if you're going to Feed him directly and want to pump at the same time, I would let him feed first, and then pump when he's done, even if nothing comes out - it will help encourage more flow. Personally, my nipple and some of my aerola enters the neck/tube || of the "flange" \ /
||
Key questions I would ask, is any milk being pulled with the pump? Do you feel any suction?...This is from the medela web site:
"Select a breastshield (the part of the pump that is shaped like a funnel) that fits to your breast. The breastshield should closely surround your nipple but leave enough space so your nipple is not rubbing against the wall of the shield. Your nipple should be centered in the shield."

Hope that helps....
Purple



 
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