I believe the situation mentioned is when mother and baby are separated at 
birth because of baby's condition. There shouldn't be any reason that a 
normal mother/baby dyad would need to be pumping.

When I was an LC back in mid 80's we made it a policy that if baby had no 
access to mom, then pumping needed to start in first 12 hours.  And 
sometimes it is mom who is incapacitated, not baby, but dad or the nurses 
can help her preserve breastfeeding by pumping.

I liked someone else's idea of getting that colostrum bolus early to save 
for first tiny feeds when baby is able.

The idea of beginning pumping early helps avoid engorgement.  It's a real 
pain if baby finally gets to mom on day 3-4 and has to deal with a huge non 
elastic overfull breast with flat nipples because of the engorgement.

On the pychological side there is the idea that colostrum is precious and we 
want her baby to get every drop.  And she is doing the best she can for her 
baby off in NICU,   where the nurses are doing the care.  Only mom can make 
that precious liquid for her baby.   My philosophy for the day :-) Pat in 
SNJ 

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