Symphony 2-Phase Pumping Protocol

Maximum Comfort Vacuum™

Research has shown that you will pump more efficiently— meaning get more milk in less time—when pumping at Maximum Comfort Vacuum in the Expression Phase.

1Begin in Stimulation Phase First, start the pump by pressing the on/off button. The pump will immediately begin pumping in Stimulation Phase of the 2-Phase Expression.

2Switch to Expression Phase Once your milk starts to flow, or you sense milk ejection, press the let-down button to switch to the Expression Phase for the most effective pumping and removal of milk. If you do not press the let-down button, the pump will

automatically switch to the Expression Phase after two minutes.

3Setting your Maximum Comfort Vacuum

Maximum Comfort Vacuum is the highest vacuum you can use and still feel comfortable; it is different for every mom. To find your maximum comfort vacuum,

increase the vacuum by turning the Vacuum Regulator Knob clockwise until pumping feels slightly uncomfortable—never painful. Then, decrease the vacuum one bar by turning the knob counterclockwise.

Symphony 2.0 Program Card –

Addressing Special Needs

The Symphony 2.0 Program Card includes a feature that allows moms to switch back to the Stimulation Phase by pressing the let-down button. Some moms find this feature beneficial in addressing the following special needs.

Please note that the Stimulation Phase is always limited to two minutes.

1No milk ejection occurs in the first two minutes of the Stimulation Phase

If your milk ejection has not occurred in the first two minutes of the Stimulation Phase and the pump automatically switches to the Expression Phase, press the let-down button once to return to the Stimulation Phase. If you have not achieved a milk ejection after two consecutive Stimulation Phases, take a break, relax and try again in 15-30 minutes.

2Engorgement

If, due to engorgement, you are experiencing difficulties breastfeeding or expressing milk, careful use of the Stimulation Phase may help to provide some relief. If your milk ejection does not occur in the first two minutes of the Stimulation Phase and the pump automatically switches to the Expression Phase, press the let-down button to return to the Stimulation Phase. Repeat this process until your milk ejection occurs. After milk ejection you may find it beneficial to remain in the Stimulation Phase until enough milk has been expressed so that the nipple and areola area are not as hard and engorged. After initially draining the breast to relieve the discomfort, follow up with breastfeeding or pumping and expressing in the Expression Phase to adequately drain the breast. Although Medela strongly encourages pumping in the Expression Phase after milk ejection at Maximum Comfort Vacuum™ for the most effective removal of milk, it may be necessary to address temporary discomfort issues by pumping in the Stimulation Phase. If your engorgement condition persists or worsens, consult your physician or lactation consultant.

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