I am working with a mom that is exclusively pumping to preserve her supply 
until baby can be seen for short frenulum (another story!). She is using a 
Lactina and her supply is doing well. Her problem is the shields. Her 
breast tissue is so elastic that no matter which size shield she uses it 
pulls in too much tissue and she has trouble with milk flow. If she pulls 
back on her breast while pumping and manipulates her breast in the sheild 
for the entire 20 minutes then she is able to empty her breasts. It almost 
seems as if her breast tissue is being pulled into the shield too far, 
which doesn't allow for "compression" in the right spot. If she turns down 
the suction then she expresses much less milk. She has tried every size 
shield except the large glass one. The 24mm is the most comfortable but she 
has the same problem regardless. She does not have large breasts.  Does 
anyone have any ideas?

Thanks,

Christine Lichte, IBCLC
Warrensburg, MO

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