Hi, Jean:  Thank you for your astute comments on why some mothers cannot do 
RPS on themselves.  One of the barriers I see is that the length of time 
required for successful RPS is not correctly perceived by many.  One to 
three minutes by the clock is an eternity.  I had to have PT on my shoulder 
several months ago and the PT told me that I had to "rest" for a full 
minute between exercises and he told me to time it by the clock.  Why?  He 
said that most people rest a total of 17 seconds between exercises, as this 
is their perception of how long a minute is.
I find myself telling moms lately that neither breastfeeding nor skin-to-
skin is a "timed event".  We all seem to be in such a hurry to make 
breastfeeding happen, which leads to frantic behaviors on the part of the 
mother, baby, and yes, the HCP!

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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