From Dee:
It can go either way, too big or too small. The majority of women who need a
different size need a larger flange. Way more moms need a larger Medela or
Ameda flange than those who need Medela's 21 mm flange or Ameda's insert.
So, naturally, most of the mothers who have problems are using a flange that
is too small. Condensation/backup can happen if they are using a flange that
is too big, but I don't see that as often.
Dee
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