Here are several things I often found helped moms of such premies. 1. Once the flanges are positioned comfortably, DO NOT WATCH THE PUMP! First, to be in a position to watch to see what's coming out, she is stooped over and not in a relaxed position. Secondly, she is likely to be tense just wondering "where is it?" "What's wrong?". Instead, I recommend she get herself comfortable, listen to calming music, perhaps a recorded book if available, or a calm TV show. 2. When at the hospital, pump while at baby's cribside and if possible right after holding or touching baby to take advantage of a hormone surge that can come from contact with baby. 3. Imitate the sensations of having baby at the breast as much as possible: tactile-breast massage, not only to stimulate MER, but to approximate contact with baby's skin; visual-picture of baby; smell-blanket that has been in contact with baby's skin; if feasible, for auditory-recording of any sounds baby makes. Hope some of this helps or stimulates you to think of other "tricks" to overcome the fact that a hard, mechanical object just isn't the same as a soft, cuddly baby. Winnie Mading, retired LC and LLLL *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome