Another option for making pumping more 'doable': Encourage mom to put 
the pump together in her living area, or wherever she spends most of her 
time, and only clean the kit every 4-6 hours, environment and the baby's 
health permitting (human milk stays good at room temp at least that 
long). She can put a clean cloth over the kit to protect it between 
uses. This way it's way less work to just pump for a few minutes very 
very often. She can also consider putting the entire kit in the fridge 
in a plastic bag (just beware of condensation in the tubing, if the kit 
is not a closed system this can lead to mold growth).

Teaching manual expression can also work better. Once mom gets the hang 
of it, it's much easier for her to just express a bit after each feeding 
with her hand than mess with the pump.

Sermon of the day: - we have to be cautious of blaming mothers when our 
care plan is more than they can manage, and make sure that as Gail said, 
mothers understand the principles behind what we've recommended. Then 
it's best if we work collaboratively with mothers to problem-solve any 
issues with implementing the plan. Sometimes it's mom's anxiety that 
gets in the way, sometimes it's logistics, but talking about what makes 
it difficult to express milk (or any other component of the plan) in a 
non-judgmental way leads us to insights and solutions, not blame!

Okay, that's my three posts today, back to writing.

Catherine Watson Genna BS, IBCLC  NYC  www.cwgenna.com

On 11/7/2015 12:37 PM, Gail Hertz wrote:
> I can understand what you are saying about your frustration with a mom who cant seem to pump more than 3-4 times a day despite “really wanting to breastfeed”, BUT, I must say that pumping is a royal PIA (pain in the ***). I have never known anyone other than the mom who was in charge of assembling, storing and washing pump parts. Tedious and time consuming. And very unlike breastfeeding. And pretty much incompatible with interacting with your baby. So to maximize your bf experience, you have to give up time with your baby and assemble pump parts? Is it any wonder that Moms have a problem following through with this?
>
> If you are going to have a mom pump (or express) you need to give her P.R.D.  The Plan, the Rationale, and the Duration.
>

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