I like mother's using olive oil for lubrication with pumping. It is very effective, doesn't go on thick and gooey (like lanolin), and is edible too--so if some is in the milk, it shouldn't be a problem. I love the idea of packaging 2 ounce bottles for mothers to use. That is very clever!
Maureen Allen RN, BSN, IBCLC
Boston, MA
-----Original Message-----
From: Susan Burger <[log in to unmask]>
To: [log in to unmask]
Sent: Mon, 3 Apr 2006 20:49:27 -0400
Subject: Re: Olive oil and angled flanges
Dear all:
I tried to post last night, but my cranky computer that likes the temperature
to be below 45
degrees Farenheit crashed when I had almost finished.
Felina of the Upper Breast Side urged me to post about the angled flanges. On
this one - my full
disclosure is that I almost swiped the prototype off the table at the ILCA
conference almost 2 years
ago because I had a client that had a poorly nursing baby, had terrible nipple
pain (so even the
SNS was excruciating), and didn't release at all to the pump. I referred her to
the breastfeeding
medicine specialist who thought the ductal placement was awry. We could both
feel milk in there,
but couldn't get it out through any means at our disposal.
Sooo..... I had a few free samples at my own request because I wanted to try
them out. I would
not be a credible researcher on this topic because I'm already convinced they
are fabulous for
some women. Someone else must do the double blinded research. (I actually
think one could do
a blindFOLD test of comfort with application of various style shields).
Yes, for certain women who have pain on pumping, these angled shields work
exceptionally well.
The difference is greater for women with large elastic breasts - the kind that
will spill out of the
sides of the shields, but the areola and nipple are loose inside the shield.
These angled shields
seem to suck the tissue up into the shield area.
I think the reason why the pain is less is that the pressure points are
distributed. The top part of
the shield has three grooves rather than the abrupt angle change where the
cylinder comes out
around the areola. Underneath there is a sort of grip pad that keeps the milk
from leaking.
Women who have small taut or even large taut breasts report less of a difference
in terms of
pumping discomfort.
However, even for these women, the angled shields work fabulously well if they
have had a
difficult delivery and are recovering (e.g. after preeclampsia when the blood
pressure isn't yet
down). This is because they lie down at a 30-35 degree angle and the milk will
go into the bottles
without pooling, especially with a camisole top with two holes cut in the
underneath shelf bra
layer so they can do Hands Free pumping. I find a camisole top with highly
stretch elastic works
better than a regular Hands Free bra during the early days when they may be
engorged because
the tops usually have more elasticity and don't put too much pressure on the
overly full breast.
Later, the Hands-Free bras make work better when the breasts are more elastic
and need more
pressure or support to release milk.
Olive oil is a miracle cure. It works much better than sticky creams because
the skin glides rather
than sticks. You have to tell women to rub it in like hand lotion so that they
don't slather
themselves with the olive oil to the point that it gets mixed in with the milk
or the shields no
longer stick. Just a light coating rubbed in.
So, there is my biased opinions. I'm totally happy if a noninvolved source who
never received the
free samples checks and verifies my impression of these shields.
Best regards,
Susan E. Burger, MHS, PhD, IBCLC
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