While this poor mom undergoes surgery, would it be possible for a type of  
hand's free pump to be attached to her and periodically over the 10 hr surgery  
could it be turned on for several min even to reduce engorgement?  When  Reece 
talked about the difficulty of IV lines over the chest and going under  
sterile drapes, I wondered if this would be feasible and minimally  disruptive.  It 
might take some creative taping and positioning of the  collection equipment 
but I recall a story of a lactating surgeon who wore one  such pump throughout 
lengthy surgery.  I know the surgeon was upright but  even supine might this 
be adjusted to work and tried ahead of time?
 
Barbara Latterner, BSN, RN, IBCLC



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