for the mom going to Haiti - last year (last time i checked) travellers to Haiti were recommended to take malaria prophyllaxis such as chloroquine, which I don't think is compatible with breastfeeding - so pump and dump is preferable, but.. I think it must be taken before, during ,and after the trip - she should check with her family doc and/or with the CDC (http://www.cdc.gov) - it may not be advisable for nursing moms to travel electively to Haiti at all on the milk collection - a cousin of mine taped a plastic milk storage bag to her "opposite breast" which then leaked and filled the bag, like your client seems to be doing. She froze the milk and gave it to the baby later - said it worked great for her for over six months. hope this helps Julie Graves Moy, M.D., M.P.H. [log in to unmask] P.O. Box 4768 Austin, Texas 78765 512-440-0480 512-441-1666 fax