Also, don't forget the psychological piece of pumping. If mom is very  
concerned with output and counting the ml as they come out, she's not  
likely to be able to pump much. some moms have a stronger  
stress-related inhibition of let-down than others. Tell the mom not to  
look at the bottles until 15 minutes have passed, and help her to work  
on relaxation, deep breathing, and that kind of thing while she is  
pumping. Even distracting her can help - hook her up to the pump and  
get her talking about something completely unrelated (but  
non-stressful) like sports, her family, childhood memories...
Also, and I can't remember if anyone mentioned this already, breast  
compressions while pumping help with output a lot. She can hold the  
pump flanges between her first two fingers, then use her thumb and  
last two fingers to massage and compress her breasts.

Kirsten Berggren, PhD, CLC
www.workandpump.com

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