Gosh, I'm posting a lot today! You probably won't hear much from me after this for a while... Regarding the diminishing returns for moms pumping in the NICU...... I saw the documentary on cup feeding in a third world country, and one of the things that really stood out to me was how the mothers would all gather at the same time to hand express their milk for their babies. I was awed as I watched them express with ease, and I wondered if being with other mothers and watching the milk flow perhaps helped them to relax and allow their own milk to flow.... I've wondered off and on about the application of this thought to our private hospital settings.... just a thought. ****************************************************************************** Lisa A. Marasco, IBCLC / [log in to unmask] International Board Certified Lactation Consultant / [log in to unmask] ******************************************************************************