On 07/03/2006, at 9:58, Kathy Eng wrote:

> It is always worth a try to change to another style of pump. The  
> mothers that I work with generally do not do well on the Symphony  
> in the hospital (meaning getting nothing or just drops on day 3-4  
> but ounces the first time we have them use another pump loaned by  
> our WIC agency). It could be that no one shows them how to use the  
> Symphony pump properly.

 From my experience (12 months up close and personal with a  
Symphony!) one recurring issue was that the piston caps would pop out  
of place from time to time. The only external sign of this is  
reduction in vacuum. So I believe it's also important to ensure the  
mother is popping the top open and re-seating the caps frequently  
(along with all the usual maintenance such as replacing valves and  
membranes, etc).

Lara Hopkins

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