How about a pump after first 4-6 weeks when she may be needing to return to work, certainly not at first visit - wrong message. Checklist of criteria sounds like an excellent idea. Sincerely, Pat in SNJ *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html