Customer Reviews:
 the best fit I could find September 26, 2008
I had trouble getting the most out of my pumping sessions with the standard 24mm breastshield. I got the 21mm, sadly they don't make one even smaller (that I could find), as I think that would help me to gather even more milk, but the 21mm helped me to get more milk than before. I still find getting a lot out of my pumping sessions, even after going 7 hours w/o nursing, is tough. :o( If only I could JUST nurse all the time.
 Finally, a fit! June 2, 2008
2 out of 2 found this review helpful
Pumping can be mysterious when you first start. Medela pumps come with the standard 24mm flanges, but that size doesn't fit all. Oddly, there's no specific way to tell if that flange is too big (too small is easy to tell). You can pump in front of a lactation consultant for input on size. If there is a lot of space on the sides of the nipple when you begin pumping, if pumping pulls a good portion of the aerola into the flange, and if pumping hurts, then you probably need the smaller size. This 21 mm flange made pumping possible for me.
Solved My Problems April 5, 2008
2 out of 2 found this review helpful
This item solved my pumping issues. This size is very hard to find in the stores and all of the other reviews for other products encouraged people to go up a size. However, if you are not getting enough suction and there is a lot of space in the shield- try these. Unfortunately, the manufacturer doesn't give a lot of guidance on determining the correct size.
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