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Date: | Mon, 3 Apr 2006 20:49:27 -0400 |
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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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