Okay, I must be unbelievable uncoordinated. How in the world do women balance nursing and pumping at the same time??? I'm back to work now and I am very sleep deprived. If I can save time by pumping while I nurse in the middle of the night, I'd love to do so. By the time I nurse DD, pump, clean all the pump parts and try to go back to sleep, I've been up for at least 1.5 hours. At this rate, I'm averaging about 4.5 hours of sleep a night. So my question is, how does one nurse and pump at the same time?