How do I make sure my flange is the right size?

You know you have the correct size flange if the following apply:
  1. The flange fits comfortably around your breast.
  2. Only your nipple and a small part or none of your areola enters the tunnel when pumping.
  3. Your nipple moves freely when pumping without rubbing against the side of the tunnel.
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How do I know if my breast pump flange is too small?

How to Tell if Your Flange Is Too Small
  1. Friction on the nipple as it is pulled against the sides of the tunnel.
  2. Bruising or cracking at the base of the nipple.
  3. Painful pinching, pulling, or squeezing of the nipple.
  4. Clogged milk ducts.
  5. White or discolored nipple after you pump.
  6. Decreased milk production.
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What happens if you pump with the wrong flange size?

Signs of flanges that are too small:

Trouble removing milk. Often, but not always (elasticity is a factor here), the damage will be isolated to the nipple as the areola can't be pulled into the flange at all.
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Is it better for flange to be too big or too small?

Flanges should be comfortable and be large enough for your nipple button to fit in the tunnel but not so big that your areola tissue gets pulled into the tunnel. Nipple elasticity varies among people so some people will always have areola tissue in the tunnel despite proper sizing.
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How do I know if my flange size is wrong?

If it feels uncomfortable or is red or irritated, this is a tell-tale sign you may need to increase the size. On the flip side, if you notice that a large part of your areola is being suctioned into the tunnel with your nipple, then your flange is most likely too big, especially if the areola is turning white or red.
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Breast Pump Flanges : Finding the Right Flange Fit For You



What should nipples look like when pumping?

Your nipple should move freely in and out without touching the sides of the tunnel and without redness or pain. Only a little areola tissue should be pulled into the tunnel. You should see a bit of areola pulling into the tunnel with each pump cycle, but not too much or none at all.
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How do I know if my breast flange is too big?

Some signs that might indicate that your flange is too large are:
  1. your areola (the part around your nipple) is drawn into the flange.
  2. you have swelling and soreness of your areola and the base of your nipple when you take the pump off.
  3. you have chafed skin in a ring around your areola.
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Should nipples swell when pumping?

A bit of swelling that goes away after a few minutes is normal due to your nipple being under constant latch (Willow 3.0, 2.0, and 1.0) and surrounded by breast milk during the pumping session. If the swelling does not resolve within 5-10 minutes, you may be using the wrong size flange.
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How are flanges supposed to fit?

When you get your pump, you can tell that the flange is a proper fit if: You are not experiencing pain in your nipple. Your areola should have little or no tissue inside the tunnel of the breast pump. You do not feel areas of the breast that still have milk inside (which indicates the uneven removal of milk).
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Should nipples touch side of flange?

When breast pump flanges fit correctly, the nipple should move freely in and out of the flange tunnel with little to no areola pulled in. The nipple should not rub along the sides of the tunnel at any point throughout the pumping session.
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How much of your areola should be in flange?

Accurately Measure

When your nipple is centered inside the flange tunnel, it should only have a few millimeters (3-5) of wiggle room around the nipple. The entire nipple should fit comfortably without much, if any, of the areola entering the tunnel before pumping.
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Does higher suction mean more milk?

Many moms assume that having a pump with a higher suction strength will automatically mean that they will be able to pump more milk, but in fact, pumping at too high of a setting can actually inhibit your milk production.
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How do I know my flange size at home?

Use a ruler or measuring tape to find the diameter of your nipple (the horizontal width across it) in millimeters (1 cm = 10mm). Measure the nipple alone, do not include the areola, which is the outer edge around your nipple. Add 4 mm to this measurement, so if your nipple is 20 mm across, your flange size is 24 mm.
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Why do my nipples hurt after pumping?

You may have brief pain (10-15 seconds) at the beginning of each pumping while the collagen fibers in your nipples stretch. You may have slight tenderness of the nipple. Some women may have an uncomfortable sensation when their milk releases or "letting down" which may feel like tingling or "pins and needles."
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Should flange be flush with floor?

A best practice is to install the toilet flange on top of the finished floor. If you install the toilet flange flush with the finished floor, or even below the finished floor, leak paths will form, because the flange won't be at the correct height to accept the horn at the bottom of the toilet.
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Can pumping too much damage nipples?

Every woman's nipples have a different level of sensitivity. While your friend may use the pump on the highest vacuum level with no problems, the same setting may not be right for you. Too high vacuum may cause pain and eventually may also cause damage to the delicate skin around your breast, areola and nipples.
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What happens if flanges are too big?

If your flanges are too large, your areola will be pulled into your pump's breast flange tunnel, which can cause discomfort, as well. It's also possible that your areola won't receive enough stimulation, which could cause delayed onset low milk supply.
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Should milk spray when pumping?

When you first start pumping, you might see milk start to dribble out. Then, after a few minutes, milk may start to spray - this is your milk letting down. After some time, the letdown will finish and you'll be back to a dribble.
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Can your flange size change while pumping?

This means the one nipple is larger/smaller than the other and will require the use of two different sizes for each nipple. You may change flange size as you continue to breastfeed. Some moms may change back and forth between flange sizes over the course of their pumping.
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Can the wrong flange size cause engorgement?

A flange that's too big or too small can actually block your milk ducts, reducing the amount of milk you can pump. The wrong flange fit also can lead to engorgement, clogged ducts, milk blisters, and a decrease in your milk supply. Not to mention, it can be pretty painful!
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Is it okay to squeeze breast while pumping?

This is because pumps aren't as efficient as expelling all of the milk from your breasts as your baby is. To help ensure that your breasts are emptied completely during a pumping session, squeeze your breasts throughout the process.
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How long does it take nipples to adjust to pumping?

It takes time to get comfortable using a breast pump, and many women don't make much milk at first. So give yourself some time to adjust. Start at home a week or two before you'll need to be regularly pumping. If you do it right after your baby feeds or in between feedings, that will signal your body to make more milk.
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How big should nipples get when pumping?

Having a gap of about 4mm between your nipple and the breast shield allows for your nipple to expand comfortably once you are pumping. This ensures your milk keeps flowing and no pain is caused to your nipples.
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Can pumping too much decrease milk supply?

Can pumping decrease milk supply? Pumping itself does not decrease your breast milk supply. In fact, it can help boost it. But if you are having trouble with low milk supply, the first step is to check that you are using the right breast pump.
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