Beloved Listmembers, Recently met with a mom with multiple risk factors for BFing failure. To wit: history of breast reduction with free nipple grafting. History of hormone-related infertility. Hypertensive during pregnancy. Unplanned Cesarian birth (lots o' fluids). Going back to work full-time in eight weeks (active duty military). This mom also had some real positives on her side. Breast surgery was 10 years ago, and she had clearly done some reading and research on BFAR. The best part was plenty of *colostrum*, easily expressed, at under 24 hours post birth! Yay! During our consultation, I made it a point to both emphasize these very real positives and explain that it was too early to tell whether supplements of AIM would be needed or not. Per mother's request we went on to talk about pumps. She had purchased an Evenflo. Perhaps my face betrayed my feelings at this point, I don't know. We discussed the inefficiency of the small motor; I tried to frame the information by explaining simply that, in her case, a different quality pump would most likely be necessary to maintain a milk supply, particularly in light of her returning to full-time work shortly. I referred her to our boutique, and to the CLE's on staff, who know the pump inventory well, told her they would be happy to discuss types, price ranges, etc. (No financial ties here, we just have a knowledgeable staff whom I trust.) The feelings of discomfort in the room were palpable at this point, and I had to overcome a strong desire to FLEE...it was pretty clear the mom had made up her mind about her pump and did not want to hear any more about it. In fact, a couple hours later, a message was conveyed to me, via the postpartum nurse, that the mother wished to see a *different LC* the next day. Oh well! Sometimes it is tough to be the bearer of bad news! Comes with the territory...it's just frustrating because I doubt a small pump like the Evenflo is going to do a good job. I also hate to see breastfeeding threatened by poor quality products, made by companies who also conveniently manufacture artificial nipples and other AIM feeding supplies. Grrr. Carole Jernigan __________________________________ Do you Yahoo!? Yahoo! Calendar - Free online calendar with sync to Outlook(TM). http://calendar.yahoo.com *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html