Customer service sent the customer the 24 mm personal fit flex breast shields to try.In follow up with a complaint handler on (b)(6) 2019, the customer indicated that she switched to the freestyle breast pump and it has made a big difference, as well as the 24 mm flex shields.The customer indicated that she believes the pumping action on the freestyle is much more gradual as opposed to the pump in style, which feels very mechanical and unnatural.The customer indicated that she developed some blistering and bleeding at the beginning, but then developed mastitis for which she received an antibiotic.The customer indicated that she was still very sore and her nipples were still very tender to the touch but she thinks that will take some time to resolve.The customers breast shields were returned and evaluated on 10/01/2019.The breast shields passed a visual inspection and were found to be acceptable.Refer to attached product evaluation.The instructions for use provides instructions for breast shield sizing, including reference to medelabreastshields.Com and referral to a lactation consultant for assistance in choosing the correct size breast shield.Based on the results of ca11-001, it cannot be definitively concluded that the pump caused or contributed to the customer's mastitis.The estimated incidence of mastitis in lactating women, whether using a breast pump or not, according to published clinical literature can be as high as 33%.In fact, clinical guidelines suggest the use of a breast pump to facilitate withdrawal of breast milk during bouts of mastitis.The complaint rate of mastitis across all reported failures, across all medela breast pumps, is 0.008% for the period of (b)(6) 2013 to (b)(6) 2017.Mastitis is usually a benign, self-limiting infection with few consequences for the suckling infant.The risk of mastitis is higher among women who have breastfed previously, especially those with a history or mastitis." riordan & wambach, 4th ed.P.294: breastfeeding and human lactation.Mastitis requires prompt medical attention for the mother for pain relief and prescription antibiotics to avoid progression to overwhelming sepsis.(b)(4).
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