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Old 04-24-2013, 09:23 PM   #1
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Flange size-up, or...?

So, I'm a totally newbie to pumping (and motherhood in general). I'm trying to pump a bit now to work on my stash for when I return to work (I have a good amount of time at home still) and I'm maybe getting 50 - 100 mL at this time. I haven't been able to pump in the 3 - 5 AM time slot yet, but I digress...

Today I pumped for a full twenty minutes and my nipples were HUGE after I finished. Do I need to size up my flanges? I made the mistake and had to BF DD not long after, which was just painful - I felt like she had nothing but nipple because they were so big.

Thanks for the help. I'm hoping it gets better and I start producing more milk. DD is only three weeks now.

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Old 04-24-2013, 09:38 PM   #2
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You can try sizing up and see if your nipples get up to that larger flange size or remain closer to what you're comfortable with. My nipples would always "swell" to the flange size but it never really irritated me. With the exception for when I got AF, then I did need a size up because of the pain and sensitivity.

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Old 06-09-2013, 07:08 AM   #3
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Re: Flange size-up, or...?

A little bit of swelling is normal for me, but you might need to actually size down. Are your nipples being pulled all the way to the end of the flanges? If so, that's a good sign the flanges are too big.

http://www.medela.com/IW/en/breastfe...astshield.html
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Old 06-10-2013, 09:48 AM   #4
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Re: Flange size-up, or...?

from LLLI article: "Some pumps have the option of different sized breast shields or flanges. A well fitting flange will allow for comfortable pumping and a good flow of milk. A mother should be comfortable both while pumping and afterward. While pumping, she should see her nipple moving easily in the tunnel of the flange, pulling her areola slightly with it. Her nipple should not rub against the sidewalls of the flange (Jones 2009)." http://www.llli.org/docs/0_babupdate...expression.pdf a lactation specialist can measure your nipples to fit you for flanges. if no lactation specialist nearby i'd call a lacttion consultant and see if they can measure you.
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