Thank you all for the information!

Just to clear up some of the pumping questions that came as a result of my
question. Dayan (judge) Evers and I have been studding Breastfeeding in
Jewish law for 5 years and have also spoken with many poskim (A legal
rabbinic scholars)

For those who are interested the results on pumping that we have come up
with and are publishing are as flows:

Pumping on Shabbat or Yom Tov (Jewish festival day) can be reduced to a
 Rabbinic level by employing additional strategies. The list below is a
list in order of what involves the least prohibition. They are not all
relying on equally good heteriem ( applied by a rabbi in a case of need or
difficult circumstances were using a lenient opinion is permitted) , and
some of them are min-ha-Torah (a Torah prohibition). If at all possible the
first option should be used:


   1.

   Using a standard electronic timer on an electric pump.


   -

   The mother should have the flanges on her breast BEFORE the machine is
   turned on and held in place. This can be achieved with a special pumping
   bra, a cheap bra with a hole cut where the shell needs to go throw.
   Alternatively  medical grade tape has been suggested, one need to be aware
   that frequent sticking on and removing of the tape, can cause skin damage
   and that many mother need to pump between 8 and 12 times a day. There are
   mothers who have allergic reactions to such tape, this could be tested in
   advance on a less sensitive part of the body.
   -

   As for the pump the timer will only have effect if the pump does not
   have a computer chip in it. Most hospital pumps do have computer chips and
   all that is achieved when the timer is switched on in is that the LED
   display lights up.


   1.

   Having the pump switched on by a non Jewish person. The mother should
   have the flanges on her breast BEFORE the machine is turned on as discussed
   above.
   2.

   Hand pumping  done by a non Jewish woman. It should be noted that this
   requires touching an intimate part of the mother’s body (the breast) which
   many women may find uncomfortable. A woman’s comfort is important in
   lactation because being relaxed is crucial to allow milk to flow. Thus
   although  halachically better then the following options, it is often not
   practical or desirable.
   3.

   Leaving the pump on continually and putting on the flanges with a shinui
   (change from the usual). These should be placed on the breast without
   the bottles attached, and kept in place with a pumping bra or the like as
   described above. Once the first drops have fallen out of the pump the
   bottles can be attached.
   4.

   Switching on the pump with a shinui  (change from the usual) after the
   breast shells have been attached to the mother as described in number 1.
   5.

   In a case where the mother has a small volume of milk, such as in the
   first three days or when breastfeeding has gone badly wrong, it is
   imperative for the mother to both  pump and to feed the baby at the breast
   to bring up her milk supply. In these cases hand expression is more
   effective. It is not possible to do this with a shinui  (change from the
   usual). In such a case a *melacha* (work) that is a Torah prohibition
   will need to be performed, this would be permitted as such cases would be
   at least sakana pikuach nefesh (possibly life threatening).


Aiding milk removal

   -

   In the case of an ill baby or one with a problem sucking the mother will
   need to increase the pressure in the breast while the baby is drinking.
   This action is known as compression or a C-grip. It is not possible to do
   this with a shinui  (change from the usual). How ever as the baby is
   drinking and her action would not express milk if the baby were not
   drinking, the baby is the one doing a mellach (work) which is permitted
   for him. This is there for mutar (permitted).
   -

   In the case of ill babies who need a lot and /or high calorie milk the
   mother  will need to increase the pressure in the breast while machine is
   pumping as this can increase milk yields and help create fatter milk. It is
   not possible to do this with a shinui (change from the usual). In this
   case it is the machine that is doing the pumping, and although her action
   improves the milk expressed, she is just enabling rather than doing the
   expression; this action is also mutar (permitted).



>
> Date:    Mon, 20 Jun 2016 06:56:54 +0200
> From:    Naomi Salle <[log in to unmask]>
> Subject: Re: recovering from formula
>
> Thank you Georganne, I see I was not clear. No, the issue is pumping when
> breastfeeding is a problem. Formula should be a no-no in Jewish law, but so
> many are not aware of this and are aware about the Sabbaths that things do
> not always go the way we would have expected.
>
>
> > Date:    Sun, 19 Jun 2016 13:49:24 -0400
> > From:    Georganne Lopez <[log in to unmask]>
> > Subject: Re: recovering from formula
> >
> > I am just curious and please forgive my ignorance....
> > Are there observant Jewish Mom's who will not breastfeed on the Sabbath?
> > I thought that breastfeeding would be a priority and that giving formula
> would be the >"no-no".
> > Thank you
> > Georganne M.Lopez
>
>              ***********************************************
>
> Date:    Mon, 20 Jun 2016 09:03:39 +0300
> From:    Wendy Blumfield <[log in to unmask]>
> Subject: Recovering from formula
>
> I think Naomi is referring to pumping milk on the Sabbath using an electric
> pump.  That problem can be solved by pumping as much as possible the day
> before and storing it in a fridge.
> I don`t think there is any prohibition about hand-pumping.
> There is also in Jewish law the issue of "Pikuach Nefesh" which is
> interpreted as breaking the Sabbath to save a life.
> Procedures in the NICU or any hospital department would not stop for the
> Sabbath even if it meant switching on instruments or computers.
> There is certainly no problem about breastfeeding on the Sabbath.
> Wendy Blumfield
> NCT.UK Prenatal Tutor/Teacher/Breastfeeding Counsellor
> Haifa, Israel
>
>              ***********************************************
>
> > On 20 Jun 2016, at 2:03 PM, Wendy Blumfield <[log in to unmask]>
> wrote:
> >
> > I think Naomi is referring to pumping milk on the Sabbath using an
> electric pump.  That problem can be solved by pumping as much as possible
> the day before and storing it in a fridge.
> > I don`t think there is any prohibition about hand-pumping.
>
> Unfortunately there can be, if the milk is collected and saved for later
> consumption.
> http://www.jewishwomenshealth.org/article.php?article=40
>
> Lara Hopkins
>              ***********************************************
>
>
> Date:    Mon, 20 Jun 2016 05:36:15 -0400
> From:    Georganne Melnick Lopez <[log in to unmask]>
> Subject: Re: recovering from formula...
>
> Got it .thank you.
> Could the observant Mom hand express?
> On Jun 20, 2016 12:56 AM, "Naomi Salle" <[log in to unmask]>
> wrote:
>
>
>
> Date:    Mon, 20 Jun 2016 12:15:57 +0000
> From:    Holly McSpadden <[log in to unmask]>
> Subject: Re: recovering from formula...
>
> My understanding is that the issue is not pumping but turning the pump in
> and off. I helped an orthodox Jewish mom in this situation who had a friend
> turn the pump on and off for her. I had another one who received a medical
> exception to be able to use the pump.
>
> Holly McSpadden, IBCLC
>
>
> Date:    Mon, 20 Jun 2016 09:03:52 -0400
> From:    Marsha Walker <[log in to unmask]>
> Subject: Just One Bottle/Recovering from formula
>
> Naomi has asked about the effects of formula on breastfeeding infants. I
> have been writing and lecturing on "Just One Bottle" for many years. There
> is a blossoming of new research on the infant gut microbiome and the
> effects of various insults on it. Supplementing with one bottle a day of
> infant formula changes the infant's gut microbiome towards proinflammatory
> bacterial species, increases gut permeability, and decreases protective gut
> bacteria. A summary article on this is:
>
> O'Sullivan, Farver, & Smilowitz. (2015). The influence of early infant
> feeding practices on the intestinal microbiome and body composition in
> infants. Nutrition and Metabolic Insights, 8, S1.
>
> The more I learn about formula supplementation the scarier it gets. Just
> one bottle invites gut dysbiosis and its unfortunate fall out.
>
> Marsha Walker, RN, IBCLC
> Weston, MA
>
>
>
>

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