Claudia,

I believe that all of our major pump types have value. From my experience, 
many women like these computer generated pumps, but I also have found many 
women who do not.

I work for WIC and we only use Ameda products so I am not as schooled in 
working with the new Medela computer generated pumps. But, I want to add to 
this discussion that I have gotten a few moms who do not seem to like or do 
well on the computer generated machines. I have had several WIC moms tell me 
they like the Elite better than the Symphony. Why? Who knows but they claim 
comfort, that the Elite feels more comfortable and they get the same milk 
yield. I have had one mom prefer the Symphony.

And I know this isn't what is advertised -- but each mother is an 
individual. Standard flange sizes can be too small for many women.  Even if 
the nipples look marginally small to medium sized before pumping.

I know an IBCLC who has had several consults lately with moms using a 
Symphony and experiencing unrelenting and unrelieved engorgement with little 
milk removal. Switching to another type of breast pump solves the problem 
and increases yield. I have gotten several calls from women using a brand 
new PIS Advanced for a non-latching newborn who are getting less than an 
ounce each time they pump. They either bought these pumps from a big store 
or from a pump dealer who charges extra to demonstrate and these moms didn't 
pay for it. It is hard to know if moms are using the "wrong" pump or using 
it incorrectly.

Kathy Eng, BSW, IBCLC 

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