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From:
Gail Hertz <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 7 Nov 2015 12:37:31 -0500
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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.
“In addition to breastfeeding 8-10 times I’d like you to use this pump to remove milk from your breasts 5 times in 24 hours, giving yourself a break at night - because by taking milk out of the breasts They will automatically make more milk for your baby, and the milk you pump you can supplement with instead of having to give formula. I’d like you to do this for the next two days (Sat and Sun) and then follow up with me on Monday.”  Even that is stretching what a mom has time to do. And even the most devoted of dads may not have a clue on how to help with the baby in order to free up mom.

So the initial question about what would be better in theory 3x20 min vs 10x6 min was without set up  or washing times. at a conservative estimate  of 10 min per pumping session for set up and clean up that changes the reality. Just saying.



Gail Hertz
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> On Nov 7, 2015, at 12:49 AM, the juliest person you know <[log in to unmask]> wrote:
> 
> Date:    Fri, 6 Nov 2015 09:30:23 +0000From:    Pamela Morrison <[log in to unmask]>Subject: Pumping frequency vs duration
> Sally
> What you describe - the mothers who "really want to breastfeed" but wont pump more than 3-4 times a day, sounds so familiar.  It's sad.  I think this is the outcome when breastfeeding has come to be undervalued by the mother herself, her peers, her family, in the hospital, in the community, by the healthcare system and especially as reflected in national policy.  In other words, breastfeeding is great up to a point (if it's easy) but it's just not seen to be worth the effort past a certain point (if it's hard).  Whereas formula-feeding is easy, and socially acceptable and often free (Healthy Start Vouchers).
> . . . .
> In solidarity....
> Pamela Morrison IBCLCRustington, England-------------------------------------------------------
> Date:    Fri, 6 Nov 2015 08:25:07 -0500From:    Doula <[log in to unmask]>Subject: Re: Pumping frequency vs duration
> . . . .
> And in one particular situation, a mom had been sexually abused.  Breastfeedingwas fine, but pumping was ABSOLUTELY out of the question.
> —Kathy
> 
> Katherine Koncelik, CPD, CLC    -----------------------------
> Pamela, it isn't necessarily the case that a mother who pumps only 3-4 times per day doesn't actually want to breastfeed.  A few clients of mine who truly did want to breastfeed simply didn't have the time to express milk.  It's almost always the single mothers or mothers whose significant others are working all day and don't help them at night.  One mother I worked with would take an hour and a half to feed her non-latching son a bottle or he would spit it all up.  And then she'd have to change him and hold him upright for another hour.  And then she'd have to repeat the process while getting a little food or sleep herself.  She couldn't pump or hand express because no one else was available to hold the baby.  Her son is probably the least healthy person I have ever met, and she's very pro-breastfeeding even though she didn't breastfeed, or perhaps because of it.  She told me that she finally understood why single mothers were less likely to breastfeed than married mothers.  
> Katherine, I find this interesting because some women have the opposite experience--they can't breastfeed directly, but they can pump or use a nipple shield.  Some can use a pump, but not hand express, or vice versa.  It's very individual.
> And Virginia, yes, you are absolutely right about "expressing" vs "pumping."  All pumping is expressing, but not all expressing is pumping.  
> Julie Tardos, very tired from getting up early to take her daughter to 0 period color guard practice.  It will be over in a few weeks.
>  ===="I asked a librarian if she had a book on Pavlov's dog and Schroedinger's cat. She said it 'rang a bell, but she was not sure if it was there or not.'"
> 
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