Deena: Pumping while nursing works well. Babies are so much cuter and sweeter than noisy machines! I advise moms to start pumping about 2 weeks before they return to work to stock their freezers and remove the pressure from those first stressful days away from baby. The other thing I recommend is that moms wake up an hour before they really need to, wake the baby, and doze while nursing. Then she can shower and dress without worrying about a hungry babe. I advise she nurse again before leaving or at the sitter's. I also think that the choice of breastpump is important. Not every (quality) pump will work for every mother. Some cannot pump well with a Lactina or Lact-e Lite whereas they have no difficulty with the full size/weight pumps of the same brand. I do not beleive pump co. claims that the lighter pumps are as effective as the heavier, I have seen too many women have difficulty with the lighter pumps which resolved when they traded it in for the original Classic or Lact-e. Catherine Watson Genna, IBCLC