4 hours a day on one aspect of mothering? Sounds about right to me. Just wait until the little sucker is talking and talking back. Discipline can take 4 hours of each day, easily. The big problem is that many women I know think that life after baby will look something like life before baby except smelling like powder and with lots of giggles. Not so. Welcome to motherhood, where the babies never match the pastel-colored illustrations in the nursery rhyme books. If more women surrounded themselves with a community of women, then more women wouldn't feel so all alone in caring for their children. Those four hours mom is pumping are four hours when another adult can be bonding with the baby and mom can be watching a movie .
By

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Teddy A., I am not sure if you're referring to breastmilk or formula... but either way, didn't other things contribute to "who you are today," such as your education, your upbringing, other things you have been eating for the majority of your life, your exercise habits, your inborn personality? Neither breastmilk or formula is the be-all-end-all of making you who you are as an adult. There are contributing factors, but it is not the only issue involved. And when you, as a man (I assume by your name and how you addressed us as "you ladies"), speak to women as needing to "chill out" and stop "having spasms," then you just make yourself look like you have little respect for us in general and think of us all as a bunch of emotional basketcases. If you want to contribute something factual or informative, please do.
By Erin

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You ladies need to chill the freak out... stop all the spasms. It's good stuff It made me who I am today
By Teddy A.

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A pump will never be as effective as a suckling little one. I can pump between 1-2 oz in a pumping session but my DS definatley gets more than that each time according to his diapers...and weight gain...
By Honumomma

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Erin, it is not explicitely mentioned on this site, but they say that this Barb is the person behind Blue Orchid Press, and the Blue Orchid website at http://www.blueorchidpress.com/about_barb.html confirms that she works for that practice. That link also provides a complete list of her credentials. The most interesting part (extracted from her bio): "Barbara currently works as a nurse practitioner at Women Physicians OB/GYN Medical Group in Mountain View where her patients rely on her to listen to their concerns and provide them with the most current information on a variety of topics including pregnancy, postpartum, breastfeeding, menopause, and fertility. She also serves on advisory boards for several multi-national companies that provide services and pharmaceutical products for women's health." Most current information indeed... :(
By Agnes

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Jen, I agree with you that sometimes a mother follows all the recommendations yet doesn't get the results she wants. So you and I agree on that point -- we don't disagree. However, my comment below was not about what this mother or any other mother did or chose. My comment was aimed at the apparently inadequate information that Barb provided this mother, and at the misinformation about breastfeeding that is contained in Barb's blog entry (and indeed throughout this formula-funded website.) When a mother is well-supported with reliable, evidence-based information, her chances of breastfeeding success go up. When she is sabotaged with misinformation or a lack of information, her chances go down. Of course the mother is the one who sets the goals and defines "success" in her breastfeeding relationship. That is her right and must remain so. The job of her healthcare providers and other "support staff" is to give her the most reliable information available so that she can make informed decisions for herself and her baby. A healthcare provider who does otherwise is unethical, incompetent, or both.
By songbh

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This is what happened to a friend of mine. She was sick of pumping and not getting much. She tried almost everything mentioned above and it didn't work. She went to 3 different lactation consultants! Sometimes things are just out of our control. BTW, she is still nursing her baby (7 months old) a few times a day. I disagree with songbh, sometimes you can do everything suggested and you don't get the results you want. my friend wanted to build up a supply in the freezer so she would be ready to return to work, but unfortunately there were diminishing results as time went on. I don't see any problem with deciding not to pump.
By jen

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This is crazy! I am a mom who had a "huge stash" before she went back to work, and here's the secret...Pump WITH your baby. Pump on one side and feed your baby with the other. You get more milk anyway from a stronger letdown nursing baby. Then you aren't married to the pump. I don't judge moms for their choices, but this info is just wrong. 8 times a day??!!!PLEASE! When your milk comes in and you are nursing a baby, you can get a good 16 ounces from two pumping sessions. That's all you need! I'm really incredulous! All the nursing working moms I know like pumping during work because its a time to reflect and think about their baby, and do the BEST thing for her. Moms have a choice, but it's amazing this misinformation (like this) out there that undermines a moms choice to breastfeed! My resolve to avoid supplementation and encourage all moms to breastfeed is that much stronger because of crafty tactics like this "blog." Not one dollar from my hard-earned paycheck goes in Ross' pocket, or Nestle. Go to kellymom.com for the real scoop on pumping. Not this paid for rhetoric!!!!
By Kelly

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You really know this is the same Barb? If I might ask, what is she, exactly? You say she works for an OB/GYN practice... I assume she is an OB/GYN, then, or at least a nurse (RN) with the practice. And Barb, feel free to answer this yourself... and my apologies if somewhere on this site it does have your credentials... I just haven't seen it if it's on here somewhere.
By Erin

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Barb works for a OB/GYN practice located in the hospital where I delivered my two sons (heard about them, never used them, but they have a good rep). The hospital has an extremely good lactation center two floors below, whose front door you walk by when coming to see the OBs in the maternity building. That center has excellent LCs available for consults 6 days a week along with twice weekly support groups hosted by very knowledgeable people. Why wasn't that mom sent there on her way out instead being fed incorrect information??? (I mean, beyond the obvious which is that Barb is paid by formula companies to make sure mothers are kept uninformed about their choices)
By Agnes

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Yeah that (comment below). I was wondering why Barb didn't at least refer this mother to a lactation consultant - somebody who would have known all the info? I am also confused as to why she would begin feeding the baby formual mixed with EBM before returning to work... this will lower her supply and cause her to rely on formula even when she is with her baby... and if she is trying to build up a freezer stash, then why is she feeding it to the baby, mixed with formula, while still on maternity leave? Also, the type of pump being used was never mentioned, or whether the mother had received instruction on how to best use it (another thing an LC could have offered guidance on). I would have felt so angry if I had been asking Barb for advice, not knowing she was running this site paid for by formula companies, and then realized that maybe - just maybe - she hadn't referred me to somebody more knowledgeable on breastfeeding so that I would be validated in using formula, which she benefits from monetarily (they paid for her website!). Clearly a conflict of interest.
By Erin

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Wow, a lot of misinformation and confusion in this story! Let me start by suggesting that if any readers here want reliable information about combining breastfeeding and paid employment, don't listen to Barb. Come over to the forum (icon in the right-hand menu) and ask your questions. There are people on the forums who both know what they're talking about and aren't being paid to confuse you into choosing formula; they will help you find more accurate and helpful information. 1) I never judge women for the choices they make about their lives, families, or breastfeeding relationships. Whoever this mother is (if in fact she exists), I hope she and her baby are well and happy, that she feels comfortable with her feeding choices and is enjoying motherhood. 2) But I don't hesitate to judge so-called healthcare providers when they offer inaccurate breastfeeding information -- especially when they are being paid to do so by the formula industry (as Barb is). 3) There is no need for a breastfeeding mother to build up a large freezer stash before she returns to work. When she is back at work, what she pumps on Monday will be fed to the baby on Tuesday. At any given time, she needs at most enough EBM in the freezer to feed the baby for a couple days -- and that stash should be treated as an emergency resource, not a routine necessity. If she finds she can't pump enough at work to keep up with her baby's daily intake during their separations, then we could talk about strategies to increase her pumping output. There is no valid reason for her to be pumping 8 times a day to build a huge stash while she is on maternity leave and exclusively breastfeeding. It's not necessary for her goal of continuing to provide her baby with breastmilk after her maternity leave ends. Did you explain this process to her, Barb? 4) From Barb's description of this mother's situation, it is not at all clear why she ended up supplementing with formula while she is still on maternity leave. If recently she was nursing exclusively AND pumping 8 times a day to obtain about 10 extra ounces of EBM per day, it is confusing why she would find it either necessary or helpful to continue pumping even twice a day, then mixing her EBM with formula and giving it to her baby. Barb, did you let her know that one of her options was to stop pumping altogether and breastfeed exclusively during her remaining maternity leave? (I would have offered this information along with information about gradual weaning of pumping sessions to avoid engorgement and the risk of plugged ducts or mastitis.) Did you inform her of the risks of introducing foods (including formula) other than breastmilk before the age of six months? Did you discuss the risk of the baby developing nipple preference and the impact that might have on their breastfeeding relationship as she returns to work? 5) I think breastfeeding advocacy is most effective when the goal is to answer mothers' questions with reliable information and to make sure they know what all their choices are, including the risks and benefits of each possible choice. There is little evidence in this story that this mother received accurate information about any of her choices. This story is just another attempt by a formula-industry shill to circulate the kind of misinformation that sabotages successful breastfeeding and makes formula use sound normal and preferred in situations that could just as easily be resolved with better breastfeeding management.
By songbh

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