I am one of those IBCLCs who tell moms not to pump beyond 20 minutes unless they are still dripping milk. And here's why: I have heard many times from moms who try to pump for an hour on maximum suction 2-3 times in 24 hours. Guess who has sore, cracked and bleeding nipples? And it doesn't seem to make more milk because they complain that even though they are pumping for an hour they still only get 1-2 ounces total of two sides. They say the milk spray is finished at around 10 minutes time. Their second complaint is that it takes too long to get that 1-2 ounces, and it hurts so they quit altogether. I watch alot of moms use the pump and when the milk stops dripping, the comfort level seems to decrease and moms say it hurts. Even when using low suction. Without good research to say moms should continue pumping after the flow stops and when it begins to get painful, I am hesitant to suggest more time after 15-20 minutes. When I do get moms to increase the number of times they pump in 24 hours, their supply usually increases after a few days. If something unusual is working for a particular mom, I do encourage her to follow her own ideas! 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