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do we measure the nipple before pump or after side of my breast still feel full after pumping

The inner diameter of the breastshield should be 1-2 mm larger than the diameter of your nipple AFTER a pumping session or 3-5 mm BEFORE a pumping session.  You should be able to see free movement of your nipple during pumping and there should be little or no suction of the areola into the tunnel of the breastshield.

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