Karen, Here is what I know from experience working with moms, When they
aren't getting the milk they need they shove the control knob up to full.
Anytime a mom pumps on full she will be uncomfortable. I still believe that
the classic is the best, Symphony second, Latinia and or Pump N Style
advanced about the same, and then pump N style standard, that pump from
Hollister is crap. Maybe better than nothing at all. I also think that any
time  a new technology is introduced it has a need to be sold. I respect
Paula Meier but I also think that she had a bit of a conflict of interest in
that they were flying her all around and paying her big money. It would seem
that any pump will work for some moms and no pump for others, I am reserving
judgment until I see myself the results since I have all these. Where does
whisper wear and the Whittle stone pump fit in and why haven't we seen more
of these, money maybe? Dee
----- Original Message -----
From: "Maureen Allen" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, March 08, 2004 3:34 PM
Subject: Re: PIS Advance


> Hi all,
> Just want to jump in on this discussion, although late.  I really wanted
to
> think about my answer before I wrote.
> If you look at the specifications for a Pump in Style Advance, they are
quite
> similar to a Symphony rental breast pump.  The pattern and rate are the
same.
>  The difference seems to be the maximum vacuum, which is 235mmHg for a PIS
> Advance, and 240mmHg for a Symphony.  That seems, to me, to be a
negligible
> difference.  In the case of being afraid that your rental will not come
back (and
> I know this is a HUGE problem in the Boston area), the PIS Advance seems
to be
> a pretty good alternative, if you can get the insurer or mother to pay for
> it.  In the case of establishing and maintaining a milk supply for a baby
who
> cannot, most mothers need a good hospital-grade breastpump.  Please, I
> understand that hands were invented long before Medela and Ameda, but in
this
> geographical area, it can be a challenge to get mothers to touch their own
breasts,
> never mind hand-express long term.
> I have been fortunate enough to be involved in a research study involving
> Paula Meier, Nancy Hurst and Barbara Ackerman, which looks at milk supply
and
> breast emptying with the Symphony pump.  There were several patterns
tested,
> including the Classic and the Symphony patterns, with mothers of preterm
infants
> under 1250 grams, or under 30 weeks.  As you all know, these are the
mothers
> with which we have the biggest challenge to establish and maintain milk
supply.
> We have completed the study and I can't get into the results, but stay
tuned,
> they should be forthcoming.
> The one thing I can tell you is that every mother I tested found this pump
to
> be more comfortable than others they had used, specifically the Classic.
> Comfort goes a long way when getting a mother to pump frequently is
involved.
> I'd like to suggest that we have this particular conversation again when
the
> research results are reported.  If the Symphony pattern does as good a job
of
> maintaining milk supply as the Classic pattern, then maybe we can make the
leap
> that the PIS Advance would be a good alternative to a rental, when a
rental is
> not feasible.
> Please note that I have received NO financial reward for being part of
this
> study.
> The last thing I'd like to bring up is that several hospital-based LCs in
my
> area have been recommending an Ameda Purely Yours for initiating and
> maintaining milk supply for mothers of NICU babies.  I'd like to ask if
there is any
> research out there that supports that recommendation?
> Thanks for reading this.
> Maureen Allen RN, BSN, IBCLC
> NICU Lactation Consultant
> Brigham and Women's Hospital
> Boston, MA
>
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