The Ameda One hand pump is a good, simple, manual pump. Your mom is pumping out a lot of milk, probably a double amount on each breast. What I have seen is most moms can remove 2-3 oz total, two sides together, on a manual pump. She might be having this transient pain upon the milk ejection reflex or she could be having mastitis starting up (because of the fever). Many mothers with over supply have trouble with plugged ducts and/or mastitis and many complain about MER pain. Also with a manual pump if the mom really squeezes it hard, it creates a very high suction. Tell this mom to put her hand all the way up on the handle to the cross bar and gently squeeze it and release it. Don't hold it for more than a few seconds. And don't pop that handle up and down. The most effective way to use a manual pump is to use it 5 minutes on each side, rotating from breast to breast 2-3 times until the milk flow has stopped. (Meaning 5 minutes on the left, five on the right, then five on the left again, five on the right again, etc.) And she should be using it 8 times in 24 hours to keep up her milk supply. Kathy Eng, BSW, IBCLC *********************************************** 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(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html