I would suggest testing the pump with a guage. One port would be closed off.
The guage is then inserted into the one remaining breastshield and pump
turned on. It should read 50-200 mm Hg in phase I and 50-235 mm Hg in phase
II on a Medela Pump In Style Advanced. If it is under l yr. it is still in
warranty. If all is well, she can also try different sized breastshields -
both smaller and larger.  Of course, we'd want to make sure she hadn't
changed how she pumps. Fewer, but longer pumping sessions can make a lot of
moms very uncomfortable.
Hope this helps,
Anne Grider, IBCLC
Marietta, GA



On Tue, Jul 22, 2008 at 11:32 PM, Pamela Browne <[log in to unmask]>
wrote:

> Hi all,
> I would really appreciate some advice re a mother (she has asked me to
> contact other LCs for advice) who has a 6 mo baby. The mother has been
> pumping and has exclusively fed her baby EBM since birth, by choice. Baby
> is
> thriving. The mother has been experiencing deep breast pain around her
> outer
> rim of her areola (about where the breast assembly is placed on her breast)
> when pumping. She uses a Pump in Style, with the 2 phases.
> This pain began about 1 mo ago. The pain is present all the time to some
> degree but worsens when she pumps. The first phase of pumping (the 2 mins
> to
> induce MER) increases the pain somewhat but the slower regular pumping
> after
> letdown  causes more significant pain which lasts for about 5 mins and then
> it subsides a bit. She has the pump suction on three notches from maximum
> strength. Her nipples are intact and the breast assembly is not tight (the
> nipple moves freely when she pumps). The areola looks normal. She
> experiences pain when she hugs her partner, cuddles her baby, buckling on
> her seat belt, even the touch of water in the shower hurts her. She doesn't
> sleep prone, she has had no injury, no breast surgery, she is on no
> medications. She did start her periods again in early June and has had 3
> periods since then (i.e. irregular).
> Any thoughts or advice? Thank you.
> Pamela Browne (midwife, IBCLC)
> Labrador, Canada
>
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