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Subject:
From:
Dee Keith <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 8 Mar 2004 17:02:44 -0500
Content-Type:
text/plain
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PLEASE FORGIVE ME!! That was suppose to be private, just realized what I did
what a giant forage, Am I banned yet? It has been one of those days. I would
never have posted that if I realized where it was going,
I should go do what I need to instead of sit in front of this stupid screen,
Darn it, Dee Keith
----- 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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