Dear all:

In terms of the question of mothers who don't release to the pump, I think the main reason 
is that the ducts may be placed deeper in the breast than for other mothers and need 
compression rather than just suction for a good release.  Breast massage while pumping 
often helps --- I now have moms try all sorts of methods e.g. finger tips, thumb tips and 
knuckle rolls to see which works best for them and I find it highly variable mom to mom.  
Changing the shield SHAPE can help.  The typical shields are entirely conical --- there is an 
angled shield that has three grooves on top and a grippy area underneath.  These seem to 
grab and compress in more areas and usually work better for women with more elastic 
breasts.  The kind of breasts that just don't really fit into those conical shields.  Then there 
is all the psychological tricks moms can use to relax.   The only one that worked for me 
was computer games because it took my mind off work (which was stressful) and milk 
production (which I also found stressful).  And some women just are better off hand 
expressing.  

Best Susan Burger

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