<p style='font-size:12px'><font face='arial'>Use without pump<br>Hot: Helps relieve mastitis, plugged ducts, and encourages milk let-down.<br>Cold: Helps relieve pain and swelling due to engorgement.<br><br>Use with pump<br>Hot: Use with any electric or manual breast pump to encourage let-down and reduce time spent pumping.<br><br>Use hot to help relieve engorgement, plugged ducts, mastitis, and to encourage milk let-down.<br>Place one pack inside microwave lying flat for time indicated below. Each pack should be heated separately. After testing pack temperature, you may add more time in 5 second increments as needed until desired temperature is reached. Alternative heating instructions can be found in enclosed instructions leaflet. Please read carefully.<br><br>Use cold to help relieve pain and swelling due to engorgement.<br>Freeze for at least 4 hours then place into covers before use.<br><br>For use with a breast pump: Use hot with any breast pump to encourage let-down and reduce time spent pumping. Heat packs according to heat therapy instructions and wrap around the outside of the breast cushions.<br><br>Apply Therapearl 20 minutes maximum per session. To hold in place, packs can be placed in a bra. Discard pack if punctured. <br>Do not use on infants or allow infants to chew on the packs.<br><br>Medical device<br>Please see instructions for additional important use advices.</p>