Dear Jennifer and Rachel: Many thanks for expanding and articulating so well potential unintended side effects of excessive pumping for donations. I had merely been looking at the work for mom aspect because so many new moms I see are out of sync with their babies from the start and so they need to pump for the lack of breast drainage. So, I tend to think of how to make what moms consider "work" bearable for them and get rid of the pumping asap. But your comments were so timely. Yesterday, I had a woman with a premie come to my support group who was making 20 ounces more a day than her baby took. He took 3.5 oz from the breast at support group - so I figure she is up to twin level production. So, of course, I helped her with a plan to reduce her pumping. It didn't dawn on me until you both posted that my concern was not so much for her as a mother because she actually handled her excessive pumping routine well, but for her baby who needed to sit up while feeding (I took her pillow away during group) and needed extensive time sitting up afterward. Of course, there is also the possibility that as I back her off her pumping, we might miss and she might have plugged ducts so that would be a side effect to her. To me, this is a very clear example of why, when one writes informed consent forms, you can fail to explain all the risks unless you have an external independent body monitoring your actions. Even then, if you don't have out of the box thinkers really looking at the situation from all angles, you can still miss. Best regards, Susan Burger *********************************************** 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