Gail I see your points. Pretty common scenarios in todays' world, including where I work (hospital). But, really, if hospitals were truly following 10 steps and were baby friendly, few pumps would really be needed. Maybe later for working moms they are certainly efficient, but in the early days, even the 36-37 wkers who bf from birth and 24/7 unrestricted, bedding in preferably, I think use of pumps like you describe would become rare. Just to give you perspective: today helped a mom who had a baby at about 8 am (healthy mom/baby/birth). The mom came to the postpartum unit about 2pm. I was asked to instruct her on bf. Her baby was still in the nsy and had not been fed except for sugar water. This is 6 hrs later! I went in and got the baby and she put him to breast. The nurse said be careful he had apnea when we gave him the sugar water (whereupon we had a brief discussion about bf being preferable to sugar water and babies being with mom) .............. AAARRRGGGHH. None of this would be happening in bfhi facility. I'm new to this hospital and am trying to bring them into the 21st century. Wish me luck. Laurie Wheeler, IBCLC, MN, RN Violet Louisiana, s.e. USA _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html