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7. Expression
The Symphony breast pump is installed
with either the Symphony PLUS program
card or Symphony Standard program
card which generate the pump suction
patterns.
The Symphony PLUS program card con-
tains two pump programs. The aim of the
INITIATE program is to initiate milk
production with Medela’s initiation tech-
nology. The MAINTAIN program is designed
to build and maintain milk production with
the 2-Phase Expression technology.
The Standard program card is designed
to build-up and maintain milk production
with the 2-Phase Expression technology.
This program is identical to the MAINTAIN
program. While the Standard card can
be used to initiate lactation, Medela re-
commends using the INITIATE program of
the Symphony PLUS program card.
Contact your midwife or breastfeeding and
lactation consultant if you are experiencing
difculties in initiating lactation or for further
information on which program to use.
Which program card is installed?
To determine which program card is in-
stalled remove the program card according
to chapter 6.3. Then reinsert the card.
7.2 Selecting the right program
When the Symphony Standard card
is installed:
You will not need to select a pumping
program. The card contains the 2-Phase
Expression technology and will start with
the stimulation phase. See chapter 7.3 for
further information.
When the Symphony PLUS card
is installed:
Use the INITIATE program directly after
birth:
I Until you have pumped at least 20 mL in
total in each of your last three pumping
sessions, OR
I Throughout the rst ve days after birth.
If milk production has not started after
ve days, change to the MAINTAIN
program.
See chapter 7.5 for further information.
Use the MAINTAIN program after milk
coming in:
I Once you have pumped at least 20 mL in
total in each of your last three pumping
sessions, OR
I Beginning on day six after birth, which-
ever of the two options comes rst.
See chapter 7.6 for further information.
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