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Subject:
From:
Ann Slaughter <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 17 Apr 2004 21:25:54 -0500
Content-Type:
text/plain
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Dear Kathy,

Thank you for your message and support.  First I would like to say that I do
not profit  from this hand out.  I meerly saw a need that could not be met
in our local area and compiled the information needed to help fine a
solution.  It is free to anyone who would like to use it, if it meets their
needs.  Sharing and helping others, in the genealogy arena, is called "Acts
of Kindness".  I would like to hear back from anyone who does utilizes this
handout, just for the statistics and general results.

Thank You
Ann Slaughter RN, IBCLC



Cyclic Pumping with Medela Lactina Electric breast pump

 By Ann Slaughter RNC, IBCLC





This handout is designed to supply instructions on how to use a "Medela
Lactina" electric breast pump when a "Symphony" electric breast pump, is not
available.



The "Symphony" is the newest pump made by the Medela Company.  It is a
pre-programmed pump that mimics the cycles of a normal infant feeding
pattern at the breast.



Phases of the Pump:



Phase I:  "Butterfly suckles" - are short, rapid little suckles with low
vacuum

or suction.



Phase II:  "Longer and stronger" - is initiated after the "let-down-reflex",
also

called "MER or Milk Ejection Reflex".  This phase is identified by
Slow-longer suckles with and increased vacuum or suction.



Steps to follow:



1)      Assemble all needed supplies and pump, according to the manufacturer
's instructions.



2)      Follow your individual hospitals guidelines for pumping and
collecting pumped breast milk.  Remember to wash hands before starting.



3)      To initiate Phase I set vacuum regulator ring to "MIN - minimum" or
lowest setting available.  This setting is gradually increased to the MED -
medium" setting over a short period of time, usually 1-5 minutes.  The rate
is set between 7 or less and decreased again over a short period of time,
usually 1-5 minutes, depending on your comfort level.  This pattern is
maintained until a free flowing milk pattern is noted.  Again this may take
1-5 minutes, but time will vary between some mothers.  Once you see a steady
stream of milk flowing into the flange of the pump, the setting should be
advanced to Phase II.



4)      To initiate Phase II you must first decrease the rate to a lower
setting between 4-1.  Then you should change the setting on the vacuum
regulator ring.  It should be increased from between Medium to Maximum,
again depending on your individual comfort level.  If at any time the vacuum
or suction becomes uncomfortable or painful, you may decrease the setting to
a more tolerable or comfortable level.   There are no absolutes, these steps
are merely guide lines and are very individualized to each patient.  Phase
II may last for an additional 10-15 minutes or until milk flow is to a
minimum amount or has stopped.





  Some women experience more that one MER per pumping session.  When the
mother's milk flow has decrease to only drops or stopped altogether, she may
attempt to repeat steps # 3 and #4, if so desired, to see if additional MER
is noticed and to increase milk supply/production.


Cyclic Pumping with Medela Lactina Electric Breast Pump



Bibliography







1)      "Savings Withdrawal" Product Demonstration by Medela.   C. Wagner,
B. Curl.

       Columbus Regional Health Care Systems 2nd Annual breastfeeding
Conference,

       Columbus, GA.  August 5, 1998.



2)      "Breastfeeding, 4th ed, A Guide for The Medical Profession:  The
Science of Suckling".

       Lawrence, Ruth A., 1994, (pp. 216-220) Mosby -Year Book Inc., St.
Louis, Missouri.



3)      "Symphony: The Symphony Breast pump .. Closer Than Ever to Nature".
www.medela.com.com/symphony.html



4)  "Studies on Human Lactation:  The Development of the computerized Breast

       Measurement System".  D.B. Cox, R.A. Owens and Peter E. Hartmann.

       http://biochem.uwa.edu.au/PEH/PEHres.html



4)      "Counseling the Nursing Mother: A Lactation Consultant's Guide 3rd
edition".

 Lauwers, Judith and Shinskie, Debbie.  Jones and Bartlett Publishers, 2000,

 (pp. 233-234) Sudbury, Massachusetts.





> ------------------------------
>
> Date:    Sat, 17 Apr 2004 20:16:50 -0400
> From:    Kathy & Paul Koch <[log in to unmask]>
> Subject: Re: List moms help please
>
> > While communicating with someone off line, in regards to my "Cyclic
> > Pumping Handout", it was suggested that I ask one of the list mothers to
> > read over it and evaluate  for possible sharing on LACNET.  I must admit
I
> > never thought of that.  Is this something that one of you could do?  Are
> > personally designed handout appropriate to share here online?  This is
> > something new to me and I would not like to step outside the guidelines
of
> > the group.
>
> Ann,
>
> Lots of people share things on Lactnet and you do not need to have us
review
> it first (unless you think it is highly controversial and likely to offend
> someone!!  ;-) ).  We're happy to review posts that people think could be
> construed negatively and want another opinion before sending, but
something
> that is informational should be fine.
>
> Of course, in keeping with Lactnet guidelines, you cannot profit
financially
> from posting a handout on the list (you cannot sell it) and readers should
> be aware that "emails to Lactnet are not monitored, moderated or checked
in
> any way before appearing on the list. Information in posts is not
> necessarily correct. Take what is said on Lactnet as one person's opinion,
> use critical reading skills, and check with reliable sources before using
> any information provided on Lactnet. The list administrators take no
> responsibility for content of Lactnet postings."  (From the Lactnet
Welcome
> note)
>
> Sharing ideas is just what Lactnet is for!  Looking forward to seeing your
> handout.  :-)
>
> Kathy (list mother)
>
>              ***********************************************

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