We Are Not Cows

Written By Emily Spaeth

In this special birthday episode, I sit down with Faith Samaan, Be Well Baby’s lead lactation consultant, to talk about flange sizing—what it is, why it matters, and how the right fit can completely change your pumping experience.

We dive into why the “standard” flange size doesn’t work for most bodies, how the latest research has shifted best practices, and why comfort, efficiency, and milk output are all deeply connected. If you’re pregnant, pumping, exclusively pumping, or supporting feeding families—this episode is packed with practical, empowering information.

About Faith

Faith Samaan is an International Board Certified Lactation Consultant (IBCLC) with nearly 18 years of experience supporting families through pregnancy, postpartum, NICU stays, and long-term feeding journeys. She’s known for her deep clinical knowledge, compassionate care, and expertise in flange sizing, tongue tie, milk supply, and complex feeding challenges.

In This Episode, We Cover:

  • What a flange actually is—and why size matters

  • Why the traditional 24mm “standard” flange is usually way too big

  • How flange sizing research has evolved

  • Why nipple-only fit (not areola) is key

  • The role of nipple elasticity, engorgement, and postpartum timing

  • Different flange shapes (conical, comfy, crater, pano) and how they affect milk removal

  • How proper flange sizing can dramatically increase milk output and comfort

  • Real-life examples of pumping success after correct sizing

  • Why silicone inserts often don’t solve the problem

  • Why flange size changes over time

  • The power of prenatal flange fitting

  • Virtual vs. in-home flange sizing options

Key Takeaways:

  • Pumping should not be painful.

  • Comfort and efficiency go hand-in-hand.

  • Most people are using flanges that are far too large.

  • Proper flange sizing can improve output, milk fat content, comfort, and confidence.

  • You are not a cow—and you deserve comfort, too. 🐄♥️

Resources

Faith Samaan offers both virtual flange sizing appointments and in-home visits in and around Portland, Oregon.

Head to bewellbaby.org to contact our team or just send a text to 971-351-2714

Article: Flange Styles: Features, Benefits, and How to Choose

Goldie Kits: Pano 13-15; Crater 12-14  (these are just to show you the shapes; you should get fitted by a professional if you can!)

Keywords

flange sizing, breast pump flange size, lactation consultant flange fitting, IBCLC advice, lactation advice, pumping comfort, breastfeeding support, chestfeeding support, pumping pain, exclusively pumping, prenatal lactation support, pumping without pain, exclusive pumping, low milk supply, NICU pumping, virtual flange fitting

Emily Spaeth https://www.bewellbabypdx.com
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