Medela Symphony Mode D'emploi page 12

Program Card 2.0
IX
Addressing Special Needs
The Symphony Program Card 2.0 includes a feature that allows mothers to switch back
to the Stimulation Phase by pressing the let-down button. Some mothers find this feature
beneficial in addressing the following special needs:
No milk ejection occurs in the first two minutes of the Stimulation Phase
If your milk ejection has not occurred in the first two minutes of the Stimulation Phase
and the pump automatically switches to the Expression Phase, press the let-down button
once to return to the Stimulation Phase. If you have not achieved a milk ejection after two
consecutive Stimulation Phases, take a break, relax and try again in 15-30 minutes.
Engorgement
If, due to engorgement, you are experiencing difficulties breastfeeding or expressing milk,
careful use of the Stimulation Phase may help to provide some relief. If your milk ejection
does not occur in the first two minutes of the Stimulation Phase and the pump auto-
matically switches to the Expression Phase, press the let-down button to return to the
Stimulation Phase. Repeat this process until your milk ejection occurs. After milk ejection
you may find it beneficial to remain in the Stimulation Phase until enough milk has been
expressed so that the nipple and areola area are not as hard and engorged. After initially
draining the breast to relieve the discomfort, follow up with breastfeeding or pumping in the
Expression Phase to adequately drain the breast. Although Medela strongly encourages
pumping in the Expression Phase after milk ejection at Maximum Comfort Vacuum for the
most effective removal of milk, it may be necessary to address temporary discomfort issues
by pumping in the Stimulation Phase.
If your engorgement condition persists or worsens, consult your physician or lactation
consultant.
Sore Nipples
If, due to sore nipples, you are experiencing discomfort while pumping in the Expression
Phase, careful use of the Stimulation Phase may help to provide some relief. You can
return to the Stimulation Phase at any time by pressing the let-down button. Although
Medela strongly encourages pumping in the Expression Phase after milk ejection at
Maximum Comfort Vacuum for the most effective removal of milk, it may be beneficial to
address temporary discomfort issues by pumping in the Stimulation Phase.
If your sore nipple condition persists or worsens, consult your physician or lactation
consultant.
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