Useful Tips; Adjusting The Vacuum (Intensity Of Suction); Regulate The Cycle; Encouraging The Let Down Reflex - Ardo Carum Mode D'emploi

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5. uSEFul tIPS

5.1. Adjusting the vacuum (intensity of suction)

Expressing milk should never be painful.
• Set the vacuum intensity at the highest level which is comfortable for you.
• Take care that the nipple is centred in the breast-shell.
• Check whether the size of the breast-shell fits your nipple. (See the User Manual: "ARDO PumpSet").
• In the event that the milk is not released, try massaging the breast – this can be really effective.
regulate the vacuum by touching the arrow keys.
• Intensify the vacuum, until you feel a very slight discomfort, and then reduce the intensity of the vacuum until
pumping is comfortable.
• In the event of sore nipples or painful breasts, skip the stimulation mode. The Carum will then start in express
mode with an especially mild, gentle and low level vacuum.
• It is recommended that, in pump- or stimulation mode, you adjust the suction strength each time to
suit your personal comfort level. This is because the vacuum level generated is sensitive to prevailing
atmospheric pressure.

5.2. regulate the cycle

• When babies start to breast feed, they suckle with rapid sucking motions and low suction – this causes the milk
to release by stimulating the milk ejection reflex.
For this reason, the Carum will automatically start in stimulation mode, i.e. with a higher cycles level and a
lower vacuum strength, mimicking the baby's natural behaviour.
• Select stimulation mode, choose the level of vacuum which feels most comfortable.
• When the milk begins to flow, the baby's sucking pattern changes. The baby sucks more slowly, but more
strongly. Change to express mode, and strengthen the vacuum and raise the cycles level by pressing the arrow
until a comfortable pumping experience is achieved.
• If the milk flow falters, return to stimulation mode to prompt renewed milk flow.

5.3. Encouraging the let down reflex

The milk ejection reflex may occur later when pumping than when breast feeding. The following measures may
be helpful.
• Have a warm drink.
• Relax and think about your baby.
• Look at a picture of your baby.
• Apply a warmed compress to the breast before expressing (e.g. ARDO Temperature Pack).
• Warm the cone or funnel of the breast shell before applying.
5.4. Pump efficiently
• Massaging the breast while using the breastpump can boost milk production, and promote better milk flow.

5.5. Increase the quantity of milk

• Use a double pump-set.
• For the first 10 minutes, or until no more milk is flowing, use a double pump i.e. express from both breasts at
once. Afterwards, switch to a single pump. Express from each breast for five minutes while massaging gently.
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Ardo medical AG