Dear Pam,

 One doesn't need to have a pump to spend hours a day expressing
unnesessarily.
It used to be the common advice  to mothers in the Soviet Union: feed baby
from the one breast and express (usually that means hand-expressing) "all
the milk" from that breast after feeding  - as a prophylaxis from mastitis,
by the way. Next feeding - next breast and expressing afterwards. I think
that this advice evolved as some kind of safety net against those infrequent
scheduled feedings that were recommended by the doctors. 
The mix of new and old recommendations about feeding on demand and
expressing all the milk after the feedings sometimes lead to exhaustion or
huge oversupply (or both) in mothers who diligently follow that advice.
 Mothers often advised to do this even now. I was shocked to read this
advice  even from well-known mammologist whose articles I translated into
English that summer :(

Early mastits is not uncommon here.

Sincerely yours, Victoria Nesterova
bf supporter, Kiev, Ukraine


-----Original Message-----
Subject: Pumping at Night

I wonder why this mom was pumping at 1 AM to begin with!  So many
breastfeeding problems today can be directly related to use of pumps.  I
wish I had time to study the matter further, as I see so many more problems
- the huge increase in the incidence of mastitis and mastitis occuring
earlier and earlier in the breastfeeding timeline, for example - with the
common denominator being inappropriate and unneccessary pump use.  
Have those of you from countries outside the United States noticed this
phenomenon?  I strongly suspect this is unique primarily to the US, as we
seem to be so technology-oriented mover here.

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