I am helping a mother who has been using Syntocinon nasal spray while pumping at work. She is on her last bottle and has a lot of difficulty expressing without it. With the spray she can express 4 - 6 ounces at a time using a (good) manual pump. She rented the hospital grade pump from me to see if that would work for her without the spray, but was only able to express 1 1/2 ounces per session. She works part time, but that means three full days per week. I suggested pumping on one side while the baby nurses on the other when she is home, but she was uncomfortable with the thought of the pump interfering with her time with the baby. This would also mean investing in a battery operated pump, so she could do it with one hand and she was hesitant to do that. Are there any remaining sources of Syntocinon? Please let me know if you know of any. Are there any alternatives to this spray? Any other suggestions would be greatly appreciated. Lesley Robinson, IBCLC, LLL Leader Corning, NY