RECOMMENDING A REALLY POOR PUMP (poor outcome, high likelihood of causing trama) is a potentailly litigious issue for hospital-based people. You might mention this to someone whomight listen. Again--soapbox time--one of the best ways to get hospitals to insist that LCs become certified is to have patients COMPLAINT LOUDLY about the poor care/non-care they received and that next time they will go ONLY to a hospital with IBCLC-certified LCs. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %% "We are all faced with a series of great %% %% opportunities brilliantly disguised as %% %% impossible situations" - definition of a %% %% lactation consulting service. %% %% Kathleen G. Auerbach, PhD, IBCLC %% %% [log in to unmask] Homewood, Illinois USA %% %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%