Jamie,
The reason extra time cannot be given for people to pump is that there 
is a lot of work done by the proctors during the lunch break, and it 
can't get done if there are still candidates in the room. Also, the poor 
proctors need a few minutes to eat some lunch too. This work includes 
security procedures, exam counts, and photocopying every single answer 
sheet to make sure that if the originals are lost in the mail, you would 
not need to wait a whole year and take the exam again. (The chief 
proctor is notified once all the exams are processed, and the copies are 
shredded.)

Also, exam sites are not affiliated with IBLCE, and chief proctors work 
hard to beg free space from hospitals, etc, in an attempt to keep exam 
costs down (imagine how high they would be if we had to pay $500-1000 
rent for an exam room for each site). So a separate room for pumping 
would be another favor to ask, and may or may not be possible.

As we all work to build the credibility of our profession by being the 
most competent and empathetic IBCLCs we can, it should get easier to get 
better accommodations in the health care system.

Catherine Watson Genna, IBCLC  NYC

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