Not sure what the problem is...ideas?

iVillage Member
Registered: 06-13-2007
Not sure what the problem is...ideas?
6
Thu, 03-18-2010 - 11:06am

Hi, I'm Courtney and just started back to work on March 4th. This is my 2nd child and I worked and pumped until my first son was 9 months old. I have a Medela PISA.


I'm having some supply and pain problems and I'd like someone's opinion. I should start by saying that after pumping 3x on the my first and second days back to work, I had mastitis by the 3rd day. I know that mastitis affects supply, but it was my first time getting it. I'm wondering if it has to do with the size of my breast shields. It seems like I was getting enough out, but maybe not? I use the large 27mm Medela personal fit shields, but it's been sore around the areola where it meets my nipple. I can't remember if that's a normal hazard to pumping or not.


Last night I went to buy the next size breast shield (30 mm) to see if it made a difference, and it still hurts around that area when I pump. Maybe the larger size isn't the answer (sucks a bit more of the areola into the tube), but I feel like my supply is getting lower and the pump doesn't empty my left breast very well (that's my lower performing side anyway, but still). Even supply in my right side has gone down.


Any thoughts on breast shield sizes? Is it normal to have that soreness? How long does it take supply to rebound from mastitis? I don't have that full feeling in the morning anymore, and am not getting that big morning output. My son does not STTN yet, so I nurse him 2-3 times in the middle of the night.


Thanks!

Fall siggy 09

Fall siggy 09
iVillage Member
Registered: 04-21-2004
Thu, 03-18-2010 - 5:56pm

From my understanding, you only need a bigger shield if your nipples are touching the sides while pumping. It sounds to me like you might have the opposite problem in that nipple--maybe the shield is too *big*. My areola doesn't get sucked into the shield at all, but just thinking about it sounds painful!

I don't have any advice about the mastitis as I've been lucky enough not to get it (yet), but I'm sure someone else will chime in with more ideas soon. Good luck, and I hope your issues are resolved soon!

Photobucket




Photobucket



Photobucket

Photobucket


Photobucket


Photobucket


Photobucket
Photobucket
iVillage Member
Registered: 08-02-2006
Thu, 03-18-2010 - 10:50pm

Welcome to the board!!!!


The PP is correct, the problem could be either too big or too small shields, and if the larger size doesn't seem better, then maybe try a smaller size.

*SPENCER* happy Mami of two precious princesses! 

Photobucket

iVillage Member
Registered: 06-13-2007
Fri, 03-19-2010 - 10:56am

Thanks for the info! Those pictures were really helpful. Sounds odd, but my right nipple needed the bigger size but my left was fine with the smaller one. Right now I think I'm extra sore on the left from trying that bigger size a couple times.


I pump on the lowest suction, so that's not a problem. I don't have speed controls-it just pumps quickly until I get letdown and then slows when I press the letdown button.


I love the idea of the bean packs! I'll have to find someplace that sells those so I don't have to wait for them to be delivered. I was at a loss for figuring out what a good solution for a hot compress would be while I'm at work.


Thanks again! I hope I get some relief soon. :)

Fall siggy 09

Fall siggy 09
iVillage Member
Registered: 08-02-2006
Fri, 03-19-2010 - 3:30pm

Glad I could help :)

*SPENCER* happy Mami of two precious princesses! 

Photobucket

iVillage Member
Registered: 06-13-2007
Tue, 03-23-2010 - 3:57pm

Spencer,


Can I please get your opinion (or anyone else who cares to chime in!) on breast shield fit again? Similar issue, different problem from last week.


Ok--I'm over the soreness I had last week (I didn't pump at all on Saturday or Sunday) which I think was from trying those larger breast shield that sucked too much into the tunnel.


Here's my new problem--so you know that I now use a bigger shield for my right than my left (was using

Fall siggy 09
iVillage Member
Registered: 08-02-2006
Wed, 03-24-2010 - 8:56pm

That's a tough one!


I think it's safe to use the olive oil long term, as long as it's preventing the chafing.

*SPENCER* happy Mami of two precious princesses! 

Photobucket