Hi everyone, first I will start with a background. My baby is almost 3 months old. He spent the first 3 weeks in the NICU due to pneumonia. I started pumping right away and breastfeeding when possible. He started to refuse the breast at around 7 weeks of age. We found out he had tongue tie which the ENT thought was too risky to clip at that age in the office, and that the reason he was not nursing was probably multifactorial. I have had help from several lactation consultants and have reconciled with the fact that he really won't nurse. On a rare occasion( every 2 weeks or so) he will briefly comfort nurse, but I have been exclusively pumping with one 4-6 ounce formula bottle per day to keep up. I went back to work two days ago, got mastitis due to waiting too long to pump and missed a day and half of work.I have had problems with recurrent clogs,and in retrospect several bouts of mild mastitis even though pumpin pal flanges have reduced the frequency of this. I am a doctor in training and have high demands at work during the day and several large projects, presentations, and papers to work on at home. My mom helps to care for him while I am at work and the early evenings. Because of almost exclusively pumping I spend So much time pumping and cleaning parts that I barely have any time to spend with the baby. Frequently someone else will be caring for him while I am dealing with pumping. Also because of exclusively pumping I barely get any sleep, because I take care of him also at night. My original plan was to BF and pump until 12 months of age, now my goal is to get to 6 months. And recently, after the last mastitis, I am wondering if the pumping is worth it, as I feel it is affecting my work, health, and relationship with my baby and spouse who frequently will spend hours helping me get rid of a clog, and not getting any sleep himself. I am wondering what is more important, spending quality time with the baby and transitioning to formula over the next month or so, or continuing to pump until he starts solids and me not sleeping, feeling stressed, and not spending as much of my limited free time with him. Any thoughts? What is more important in the long run, spending time with the baby or the nutritional aspects of breastmilk? Iam planning to work part time starting September, and if I have another baby I really want to try breastfeeding again, with less work demands and hopefully no NICU stay.