Help with low output & elastic nipples!
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I've been told I have elastic nipples and breast tissue, which has made pumping difficult! Because my son (born at 37+4 wks w/oral ties and a recessed chin) isn't very efficient at feeding and pumping hasn't been working well, I'm worried it's affecting my supply. I'm starting to think my supply isn't the problem though, as I can usually still shoot milk across the room after a full 15-20 min pumping session.
Here's everything I've tried:
Pumps: Spectra S2, Medela Symphony (didn't feel any better than the Spectra and harder to use)
Flanges: Size 20mm hard plastic Spectras, 19mm Maymoms, 18mm Lacteks. I've ordered 17mm Pumpables and the Pumpingpals sizing kit. I've been sized for these by my LC, but we've been focusing more on breastfeeding during our sessions.
Settings: Level 3 stimulation mode, level 8 and cycle 50 for expression mode typically works best (50ml average output, about 400ml/day, less in the afternoon/evening and more in the morning). Also tried stimulation mode only, and lower vacuum levels for both but it doesn't seem to help (or I make less).
I almost always have blanching and vasospasms after pumping (more in my right breast), but no pain at all while pumping, even on high settings (level 12 vacuum on the Spectra).
Any help is appreciated, I want to get this milk OUT and into my hungry baby!!