Breast shield question

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anonymous user
Registered: 12-31-1969
Breast shield question
8
Sun, 09-09-2012 - 5:11am
Hello. I was hoping to get some advise on breast shield fit. I have been pumping for 9weeks and was getting 35-40oz per day. Not sure why but for the last 2 weeks I have only gotten 25-30 oz. I have gone back and forth between the 24mm and 27mm flanges, using the 27mm ones when I was really sore due to a thrush infection. I have read that the nipple should not rub against the side of the flange, but mine does on both sizes. It oes not touch the sides when I'm not pumping. I also think too much areola is getting pulled in, even with the 24mm. I worked with an LCD my first 2 weeks pp because of latch issues and she thought the 24mm was fine, but never observed it while pumping. Today I ordered a set of pumpin pals flanges to use with my PIS pump. Should I try the smallest size? Thanks in advance for any suggestions!
Community Leader
Registered: 06-10-2008
Sun, 09-09-2012 - 9:24am
Welcome to the board and thanks for stopping by! Would it be ok if we asked a few questions?

Is baby 9 weeks old? Are you exclusively pumping or pumping in addition to nursing? If exclusively pumping, is it by choice or because of latch issues?

What kind of pump are you using? How often are you pumping?

Is the thrush cleared up now or do you need any help with that?

25-30 ounces is still a great amount to get. The average baby takes in 25 ounces of breastmilk a day. Are you needing more milk than that?

The rule of thumb is that your pump horn should fit like your wedding ring would fit on your pinky finger, a bit of wiggle room but not a ton. For some moms, it's trial and error which size flange is more comfortable and extracts more milk for them.
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Community Leader
Registered: 06-10-2008
Tue, 09-11-2012 - 1:04pm
Are you still having pain with latching? Is it an option to make an appointment with an LC if that's the case? Exclusively pumping is SUCH hard work and I just hate to see moms have to do so much extra work if there is a possible solution.
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iVillage Member
Registered: 12-21-2009
Mon, 09-17-2012 - 7:50pm

The flange should fit your nipple like a wedding ring on the pinky finger during pumping. So the sides of the nipple should have a little bit of air space all around. However, if you aren't sure go with the one that is most comfortable. There is a 30mm and a 36mm flange if you need a bigger one. I have seen some women though who seem to mold to whatever size they use so definitely go with the most comfortable in that case.

If you are still having pain no matter what size flange be sure you don't have the suction too high and make sure you don't still have any infection.

As Dana said if you'd like some help working on latch let us know we can help provide some direction and if you breastfeed at home you may find your pump volumes improve.

Warmly,

Kathy Kuhn IBCLC

iVillage lactation consultant

and Grammy to Brennan, Elias, Elianna, Tahlia, Makenna, Maura, Silas and Charlotte

 

Kathy Kuhn IBCLC ivillage lactation consultant Grammy to Brennan, Elias, Elianna, Tahlia, Makenna, Maura, Silas, and Charlotte

iVillage Member
Registered: 12-21-2009
Sun, 09-23-2012 - 6:15pm

Congrats on the latching. Keep us posted.

Warmly,

Kathy Kuhn IBCLC

iVillage lactation consultant

and Grammy to Brennan, Elias, Elianna, Tahlia, Makenna, Maura, Silas and Charlotte

Kathy Kuhn IBCLC ivillage lactation consultant Grammy to Brennan, Elias, Elianna, Tahlia, Makenna, Maura, Silas, and Charlotte