Early discharge is here to stay, at a small birthing center where I work, breastfeeding is well assessed prior to discharge and an Independent contracted IBCLC is called for ANY problems. An IBCLC does a phone F/U at day 3 to 4 PP to PROACTIVELY assess BF. I find moms will answer a phone or return my call, but will not initiate a call, often, they don't know they have a problem with breastfeeding. We have been able to get our FPs and PEDs to see babies before day 6 routinely, and a home health nurse visits on request assessing BF in addition to other things. Home LC visits can also be done. The hospital financially supports this program. 3 month F/U is also done. The bottom line, I feel is BF must be proactively supported, and making F/U phone calls by appropriate people greatly facilitates BF and prevents problems. In our town, the Nurture III is used probably 30% of the time by working moms as opposed to "other " pumps. We have had MUCH success with them, and its offered as an option. Thank you Kathy A for your input of effeciency as opposed to strength of pumps. Robin Hollen