Carole,
    Rather than discuss the impression the mother appears to have had of a
perceived conflict of interest, despite your careful wording, I'd just like
to focus on your other point - the unreliability of some pumps.  Lately I've
seen 2-3 pumps that were ineffective.  One was a tiny battery-operted one,
that was ineffective even with fresh batteries.  The other was a
well-regarded manual pump, that comes with a whole kit of artificial feeding
products that don't fit anything else.  Most mothers who come to me and are
using the latter find it effective, but recently I saw a mother with a
faulty one.  She brought it with her, as it wasn't generating anywhere
adequate negative pressure.  I tested it, and confirmed her impression, and
the pharmacy where she bought it replaced it.
   This mother was very canny and clear-thinking - I guess we've all seen
mothers who believe they have "no" milk, or "not enough" milk, based on the
inefficacy of a pump, and the belief that it must be their bodies that are
at fault, not the technology (that cost money).
     Virginia
      in Brisbane, sunny after the rain

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