For the mom who expects to be recieving a baby for adoption in a week, I would recommend that she get a good hand pump (preferably one that can be operated with one hand, leaving her the option of pumping the opposite breast while nursing the baby), use that a few times a day to condition her nipples and not bother with a large double pump. She does not have time for pumping with a large pump to make much difference in milk supply, before she gets her baby, and her time (and money) would be much better spent getting prepared to nurse the baby as much as possible, as soon as it arrives (besides nipple prep, education on how to breastfeed, purchasing enough supplementers to limit washing and preparing to one or two times a day, etc.). We currently see some adoptive moms get obsessed with pumping, sacrificing time with the baby at the breast for time with a pump, or just completely overwhelming themselves, trying to do it all. There are some situations where buying a top-rate pump is likely to be helpful (generally where there is a significant amount of time to prepare in advance), but also many where it is more likely to interfere than help. Mothers need to be assured that a baby latched well will do a better job of stimulating milk production than a pump, and especially that the benefits of nurturing at the breast, for both mother and baby, are irreplacable, where trying to spend a significant amount of time with a pump can actually interfere with bonding and the establishment of a long term nursing relationship. I would also recommend ditching the Reglan. We just see too many problems with depression, even from taking it for a very short time. There are several things that can make the side-effects from it more of a concern for adoptive moms, including the very real threat that the prospective birth mother will decide to parent her baby, which is often experienced by the prospective adoptive mom like a miscarriage, stillbirth, or even early infant death (where a baby is placed for a short time and then taken back). Domperidone would be much better, if she wants to use a medication, but I would make sure she understands that taking medications is not necessary and that many moms have provided many benefits (including a significant milk supply) for their babies, without taking a single dose of medication. I would also recommend that this mom start slowly with whatever pump she gets, use Lansinoh or another moisturizer before pumping, and gradually increase the time and suction, as she can, without making j0annastarrherself sore. I have seen ladies beat up their breasts (and tried it myself), thinking this will help, and have sore nipples when they try to get their babies to the breast for the first time. In order to help keep the whole issue of the necessity of pumps for adoptive moms in perspective, I like to tell of the adoptive nursing moms from Kenya who completed surveys for me a few years back. To my questions about pumping, every one of the Kenya moms had the same answer: "I have never even SEEN a breast pump!". Also, please refer this mom to www.fourfriends.com/abrw . She will find other mothers there who have successfully nursed adopted babies, with very little advance preparation, and probably some who are just starting out, like she is, too. Darillyn Starr Adoptive nursing mom to six children Counseling since 1989 _________________________________________________________________ Tired of spam? Get advanced junk mail protection with MSN 8. http://join.msn.com/?page=features/junkmail *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] 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