Linda, Your idea of lactation assistants is interesting. A few months ago our medical director suggested the same thing for us in the hospital lactation center. It is a good idea, but we have not really looked into doing it. Has anyone else? A closely supervised breastfeeding educator could be a real help--telephone screening, pump rentals and instruction, back to work appointments, etc. The wild and wooly cases would be handled by the IBCLC. Pardee Hinson Charlotte, NC [log in to unmask]