Heather:  One must be very careful about singing the praises of improved 
breast pump technology and exclusive breastpumping.  I work with a 
population with a very large disposable income.  These moms will begin 
pumping their breasts without any rational reason in a heartbeat.  I don't 
have any numbers, unfortunately, but I can pretty accurately guess that the 
percentage of moms doing this in my corner of the world is higher than I am 
comfortable with.  Some of these moms choose to pump without ever putting 
their babies to the breast; some are pumping because of breastfeeding 
problems; and some feel pressured into pumping by the "system" (HCPs, LCs, 
partner, family, etc).  What few people realize, is the HUGE time 
committment and for a mother with other children at home or responsiblities 
outside the home, pumping even part-time may be next to impossible.  I have 
seen many mothers who are now at wits' end and at great risk for postpartum 
depression because they feel they "have to pump". Mothers are making 
themselves feel guilty about not giving their baby their milk.
I think the solution is to sit down with a mother and go over realistic 
options with her and help her develop a plan for feeding her baby that 
takes her entire life situation into consideration.  
The last thing a new mother needs is more GUILT!
Sorry for the rant.

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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