Medela Symphony Manual Del Usuario página 12

6. Expression
6. 1 Selecting the correct Medela breast shield size
12
Make sure to use the correct breast shield size. It is an essential component of effective pumping, helping to
optimise milk flow. For more information on breast shield sizing and other available sizes,
visit www.medela.com/fittingguide.
6.2 Selecting the right program
The Symphony breast pump is installed with the Symphony PLUS program card, which contains two pump
programs. The goal of the INITIATE program is to initiate milk production. The MAINTAIN program is
designed to build and maintain milk production.
Until secretory activation (milk coming in) or a maximum of 5 days:
Use the INITIATE program directly after birth until the mother has reached secretory activation:
• For fully pump-dependent mothers:
This can be indicated by pumping at least 20 ml in total in each of her last three pumping sessions. If
not all pumping volumes have been recorded, this can be indicated by other physiological markers of
secretory activation, such as breast fullness.
• When the mother is breastfeeding and pumping:
This can be indicated by other physiological markers of secretory activation, such as breast fullness
OR
Throughout the first five days. If milk production has not started after five days, change to the MAINTAIN
program.
After secretory activation (milk coming in):
Use the MAINTAIN program after secretory activation:
• Once the mother has pumped at least 20 ml in total in each of her last three pumping sessions, OR
• Beginning on day six, whichever of the two options comes first.
6.3 Operation: INITIATE program
• Wash hands thoroughly (at least one minute) with soap and water before touching the breast, the clean
pump and the clean pump set parts. Dry your hands with a fresh towel or a single-use paper towel.
Refer to figure ¢1 on the foldout pages.
1. Press the on/off button
Æ The display text shows "INITIATE press ".
2. Press the "Let-down" button
Æ The display text will change to "INITIATE running".
CAUTION
( ¢ 1-01) to switch on the breast pump.
( ¢ 1-03) within ten seconds.