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18. Reasons for pumping and type of pump to use.

d. Example: Kaneson Breast Pump

(a) Used to relieve postpartum engorgement or for the woman to pump breast milk for the baby who is unable to nurse.   (b) Parts: I plastic flange, 1 plastic bottle (flange fits inside bottle; 1 rubber gasket (on flange), 2 plastic nipple adaptors, 1 plastic cover, 1 rubber nipple, 1 bottle brush, 2 extra rubber gaskets.   (c) Procedure for pumping

• The woman should wash her hands and do breast massage and hand expression.
• If the milk is not in yet, warm compresses may be used in addition to massage before pumping.
• Place plastic flange inside the plastic bottle. Place nipple adapter in flange as necessary.
• Lubricate plastic flange with sterile water or breast milk.
• Place pump on nipple slightly off center.
• Pull pump out as far as comfortable, allowing milk to flow.
• Push in pump and pull out again, repeating process.
• Pump 3 to 5 minutes per side, rotating back and forth as necessary.
• If milk is to be frozen, chill and freeze as soon as possible (chilled milk may be layered in a frozen bottle; collect 31/2 ounces in a 4-ounce bottle.)

  (d) Procedure for cleaning

• Disassemble pump-flange and bottle (do not remove rubber gasket).
• Wash with household disinfectant.
• Double wrap and date pieces and autoclave.
• No need to autoclave nipple, battle brush, and extra gaskets. Keep these in box.

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