Dear Kim, You asked a very good question about why obs will give meds by the car load before the baby's born and not give the same meds after. I worked with a wonderful group of obs when I started as an LC. One of the doctors I respected a lot gave a mother an antibiotic and told her to pump and dump. As a new LC I was a little anxious to go against a doctor but I decided it is now or never. I went right up to him and started telling him that this med was not counter indicated for breastfeeding. He said "I know but if I tell her to breastfeed then I would be indirectly prescribing for the infant and I can not legally do that. We compromised and he told each mother to talk to her ped. and to talk to me. So before the baby is born, it is still the ob's patient. When he is born, he/she is no longer the ob's responsibility. In fact the baby is a liability. The sad thing is that the group had to dissolve because it was going to have to pay 1/2 million for malpractice insurance a year. The 2 best doctors went into GIFT and no longer deliver. A sad day for women in Tacoma. Pumping Dear Jon, The health department here has an open door policy about bringing children to work. The head has a disabled child who comes to work often. I will talk to the LC in the department when she gets back. The thing I find is that mothers and sometimes LCs get caught up in the MILK and not the breastfeeding. Remind her that her overall breastfeeding is more important then one bottle. It sounds like double pumping is better then running for a quickie. She might not be letting down well because of the rush. As I mentioned a few weeks ago, I had an ER doctor get so good at propping the 2 bottles, she could chart as well. My 3rd child had surgery and was allowed nothing but breast milk for 2 months while her gut took a rest. During that time I was able to break a lot of rules about where babies could be and where they couldn't be. It is possible she could make a good case for the allergy problem. Good luck Diane Herforth, BAE, IBCLC, ICCE Tacoma, WA