First of all- thanks to all of you who responded. Jennifer- your right, we LC's need to be more familiar with alternative practices. I had thought that maybe chiropractic or CST intervention might be indicated but having little experience with both in use with infants I wanted to see what my peers recommended. Thansk also to those who recommended the Dancer's hold. We did try this but it wasn't very sucessful. Surprisingly what has gotten babe to breast at least half the feedings is using a nursing pillow or side lie position and absolutely avoiding all contact with babes neck/head. If this babe is permitted to "scooch' himself into a good angle he seems in less discomfort. Any attempt for mom or me to cradle him in arms seems to increase the "pop". Regarding the ISIS pump- A very large percentage of my mom's here use this pump. It's cost effective, comfortable and easy to use. surprisingly, even some of the moms with carpel tunnel have had little problem with it and I honestly haven't had any complaints about hand fatigue ( which I thought would be a big draw back) Most of my mom's are working mothers or active duty soldiers who can face a pretty long seperation time from baby daily and yet I only have a occ. mom with production problems ( which seem to occur more as babe sleeps longer at night for my group) I encourage most of my military working moms to begin "ghost working schedules" for pumping during the first weeeks of maternity leave to build up a good freezer supply. I also recommend they maintain at least a two week emergency supply in the freezer in case of unexpected seperations. It's worked really well and we've seen a definate increase in continuation rates with this group especially. In the NICU- only mom's with 35 week and above infants who are beginning to breastfeed transition to this pump and I still encourage use of the hospital pumps when they visit if they are not boarding. Yeah- I know, the recommendations are for hospital grade rentals but the Military insurance does not cover any breastpump rentals and junior enlisted don't make a lot of money. It's surprising that one of the largest employers(military)still fails to address this componant of medical support but we're working on a change.....someday...fingers crossed...hope...hope.. I know this is a long post but please permit me one "rant". Did it upset anyone else out here to recieve the notification from one of the pump companies re: price fixing for one of their top of the line products PNS? And that if you sell it for less than what they want, the company will refuse to sell you any more of that model? I continue to become less and less impressed by the "attitude" of this company. That notification was extremely bad PR to me and diminishes my support of their products. Rant, rant- Thanks Lisa Jones RN CLE IBCLC *********************************************** 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