Hi, Kathy:  Welcome back.  This issue of resistance to interventions that
promote breastfeeding really gets me steamed.  Let them show you studies
that prove that not pumping is associated with good breastfeeding
outcomes.  The scientific data to back up the "Ten Steps" are numerous
and compelling (if you need the references for the importance of frequent
emptying of the breast in establishment of a milk supply, I will post them).

Why doesn't the nurse who can't imagine telling a "fresh C/Section" (I
presume she's talking about a human being?) to pump at 6 hours, have  any
problem telling that same woman to get out of bed, use an incentive
spirometer, and all the other things that are required to prevent post op
complications?

As has been said before more eloquently than I can say it:  It's time we
stopped defending breastfeeding and interventions which promote
breastfeeding.  Since breastfeeding is the normal and ideal infant
feeding method, it is the practices which have been proven to interfere
with breastfeeding success which need to be put up to this kind of
scrutiny.  Good luck, Hope you can find some allies at your institution
for this uphill battle.  Alicia.  [log in to unmask]