Catherine Watson Genna wrote many good suggestions, including:

"Mom might be able to tolerate pumping better if she has the very largest
flange, and uses the pump on the absolute minimum vacuum."

It may seem really odd, but I was thinking she could also try a *narrower*
flange.  First, RPS directly to the edematous tissue of the nipple.  Then, a
narrow flange and vacuum strength as tolerated by mother.  Sometimes the
widest flange causes more nipple edema (and pain) because if the breast
doesn't fill it in its normal state, there is no vacuum until edema makes the
breast large enough to seal the system.  Of course this does nothing good for
milk yield either.

It isn't difficult or time-consuming to try it once.  If that is the problem
with the pumping she will notice an improvement right away.

Rachel Myr
Norway

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(TM)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html