6
5
1. Place the shield 6 on the breast so that the nipple is in the centre. Ensure that there is no space between the shield and the
skin, in order to produce good suction. Always keep the breast pump upright if possible.
2. Hold the breast pump by placing your thumb under the shield and the other fingers on the lower part of the handle. Diagram
C2 illustrates 2 different hand positions: you are free to choose the one you find most comfortable.
3. Start by pumping the handle 1 with a regular action and then releasing it slowly. To trigger milk production, TIGEX recommends
that you begin with a fast action, and then adopt a slower, fuller action to express milk efficiently.
You can regulate suction strength by performing a fairly wide pumping action. The further you press the handle, the greater the
suction strength produced. To reduce suction strength therefore, do not press the pump handle as far.
4. When you have finished expressing the milk, carefully unscrew the bottle 9 from the shield 6. Ensure that the bottle is kept
upright.
To store the milk, fit the watertight disk 14 into the screw ring 13 and screw tightly onto the bottle. Strictly respect the recom-
mendations for milk storage given below.
If you wish to feed the milk directly, fit the teat 12 into the ring 13 and screw onto the bottle.
Advice for expressing your milk
During breastfeeding, skin contact between baby and the breast stimulates the milk production reflex. To successfully use
your breast pump, the key is to trigger this same reflex, and therefore stimulate the let-down.
- Choose a calm place where you can be completely relaxed when expressing your milk.
- Sit down in a comfortable and relaxed position.
- Ideally, have some visual contact with your baby. If this is not possible, use a photo of your baby or have an item of clo-
thing with his smell to hand.
- Before you begin using the breast pump, you may place a hot compress on your breast for several minutes in order to re-
lax the breast tissue, which facilitates milk flow. You can also express your milk after a hot shower or bath.
- You can also massage your breasts to extract the first drops of milk manually. To do this, you can use the following 2-stage
technique (see diagram D):
- 1st stage (stimulating milk flow). Massage the breast with small circular movements, starting from the outer edge and
working towards the nipple. Finally, lean forward and shake the breasts with your hands to encourage the ejection of
milk by gravity.
- 2nd stage (extracting the milk): place your thumb, index finger and middle finger on either side of the nipple, so that
the 3 fingers form a C-shape. To eject the milk, firmly press the fingers directly against the rib cage while simultaneously
rolling the thumb and fingers forward, without pinching the nipple. Repeat this motion for 3 to 5 minutes on each breast,
moving the fingers around the nipple.
How to store and feed your expressed milk?
Take care! Only conserve milk that has been expressed from a sterilised breast pump. Clearly mark the date and time the milk
was collected on the container. Always use the oldest first.
Milk storage:
- 4h at room temperature (20-25°C)
- 48h in the fridge at or below 4°C. Do not keep milk in the fridge door as temperature variations are too great.
- 4 months in the freezer at -19°C.
Note: if you wish to freeze your milk you should do so immediately. Do not freeze milk that has already been stored in the
fridge. If you express your milk away from home, store and transport it in a cool box or in a cool bag with ice packs so the
cold chain is respected.
Defrosting and reheating the milk
Never use a microwave: this will reduce the nutritional quality of the milk and increase the risk of burns.
The milk can be defrosted by placing it in the fridge and using it within 24h. It should never be refrozen. It can also be rehea-
ted in a bain-marie in a saucepan, in a bottle-warmer or under hot tap water.
Once the milk has been taken out of the fridge, it should be used within one hour if it has been kept at room temperature and
within half an hour if it has been reheated.
Note: your milk can look slightly different after it has been stored. Before feeding your baby, shake the milk gently so that the
milk fat is thoroughly mixed through and the heat is evenly distributed. Next check the temperature of the milk by pouring a
few drops onto the inside of your forearm.
Source: AFSSA (French Agency for Food Health Safety) data, July 2005. Data valid for home storage and for children born at full term and in good
health.
Important safety information
- If the breast milk is for a premature baby, ensure that all directives
provided by your doctor are strictly respected.
- This apparatus is not designed for use by any individual (including
children) with diminished physical, sensory or mental capacities, or
any individual without experience or knowledge, unless they are super-
vised or given instructions for initial use by an individual that is res-
ponsible for their safety.
- Children should be supervised to ensure they do not play with the ap-
paratus.
- Only use the Skin Touch manual breast pump for the purpose for
which it was designed as described in this instruction manual.
- If you notice any unexpected reactions, contact your midwife, lacta-
tion consultant or doctor.
- Do not leave the apparatus in direct sunlight as UV rays and overhea-
ting may weaken the plastic materials.
- Remove any ointment containing grease before pumping milk as this
could damage the surface of the shield.
- Keep small parts out of reach of children: risk of swallowing.
- The teat and bottle supplied comply with the EN 14350 standard
Precautions for use of the bottle and teat:
For the safety and health of your child: WARNING!
- Check that the teat is in good condition before each use by stretching
it gently in all directions. Discard it at the slightest sign of deterioration
or weakness. Replace bottles and teats at the first sign of wear or
weakness. Do not make holes yourself in the teat.
- Do not expose teats to direct sunlight or other heat sources, or leave
in disinfectant (sterilisation solution) for longer than the duration re-
commended by the manufacturer as this can weaken the teat.
- Continued or prolonged “feeding” of fluids can lead to tooth decay.
Tooth decay can occur in very young children even if they are not
consuming fluids with a high sugar content. It can arise if baby is allo-
wed to use the bottle for prolonged periods during the day and particu-
larly at night, when saliva flow is reduced or if the bottle is used as a
pacifier.
- Do not leave the child alone in bed with the bottle. Accidents can oc-
cur if the child falls with the bottle, or if the bottle’s components come
apart.
- Never use the teat as a pacifier.
- For further safety, we recommend that this teat be used with the Intui-
tion Tigex bottle range.
Frequently asked questions:
- Is using a breast pump painful?
Under no circumstances should using the breast pump be painful. Do not apply force when expressing milk. If usage is pain-
ful, reduce the suction intensity by reducing the width of your hand movements or consult a breast feeding specialist.
- I am unable to pump my milk
Using a breast pump may require a little practice and several attempts. Do not feel discouraged if you don’t succeed the first
time. If after several minutes you have not managed to express any milk, try again at another time. Our guidance section will
also help you to prepare in the best possible conditions.
- I can’t manage to express enough milk.
Be aware that milk is produced as needed: if you express your milk other than during normal feeds, it may be normal for you
to have insufficient milk to express. Try expressing the milk in batches, at other times during the day (for example in the mor-
ning when the supply of milk is greater).
Stress or fatigue may reduce milk production. Rest and relaxation are therefore important. You should also drink a lot of li-
quid in order to stimulate milk production.
- How long does it take to express milk?
The duration for expressing milk can vary significantly, according to your physiology, your mood, and the time of day when
you express your milk. You can expect a 150 ml bottle to take at least 10 to 15 minutes.
- How often should I express my milk?
If you stop breastfeeding your child directly or you are unable to do so but you wish you sustain your milk production, the nor-
mal breastfeeding rhythm should be maintained. You should therefore express your milk at least 4 or 5 times per day.
For all other situations, you can express your milk as often as you wish according to your completely individual needs.
- Which breast should I pump milk from?
As with breastfeeding, milk can be expressed alternately from both breasts. Change breasts when the milk flow is low or di-
minished. Suction should however be maintained for long enough to ensure collection of the "hind” milk at the end of the
feed which provides baby with the most nutrition.
- When should I pump my milk?
If you are pumping milk to store, it is better to wait until lactation is well established, after about 4 or 5 weeks. Express your
milk ideally 30 to 60 minutes after a feed and at least 1 hour before the next feed to be sure that there is enough milk for baby
at feeding time. Never pump your milk just before a feed if you are continuing to breast feed.
If you express milk in order to sustain your milk production when you are unable to breastfeed, it is best to maintain the na-
tural feeding rhythm since the most milk is available at the customary breastfeeding times.
- When I pump milk from one breast, I lose a lot of milk from the other breast, what can I do?
This is normal because when you use a breast pump you stimulate the milk “let-down” reflex in both breasts simultaneously.
Tigex recommends you use breastfeeding cups. They should be placed on the other breast while using the breast pump to
collect and then store any milk that is released. Ensure they are thoroughly sterilised before use and decant any milk collec-
ted immediately.
- I’ve expressed my milk but baby refuses to feed. What should I do?
The first thing you should do is remain calm and relaxed, and not insist too much when baby refuses. A maximum of 10 mi-
nutes each time will suffice.
To help baby maintain his routine, give him the bottle heated to 37°C and run hot water over the teat. Be aware that starting
with your breast milk is an advantage: in this way, the baby recognizes its taste and smell and this reassures him.
Finally, as baby associates you with breastfeeding, you can try to bottle feed him in a different position from the one used for
breastfeeding so he does not become too unsettled. If baby still refuses to bottle feed, hand him over to daddy or a third per-
son.
- My breast pump is not working properly
If suction is not efficient, check that the breast pump is properly assembled (see diagram B), and check the condition of the
parts ensuring airtightness: the diaphragm 5 and the valve 8. If any parts are lost, or have deteriorated, contact the TIGEX cus-
tomer service department to replace them. Also check that the shield is correctly positioned on the breast without any air pas-
sing between the shield and the skin.
Finally, note that the valve 8 ceases to function when the bottle is too full and when it is in contact with the expressed milk.
You must therefore change the bottle.
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