I had to laugh, Nikki, when I read your post. My hands were silent, but my milk flow sure wasn't. I used to hand express at the first morning feeding - baby on one breast the hand on the other. My husband used to complain that the sound of the milk hitting the bottle was waking him up and couldn't I be just a little quieter? I agree that virtually all women are capable of successful hand expression. Don't women outside the U.S. rely more on hand expression than breast pumps? Pam Hirsch, BSN,RN,IBCLC Clinical Lead, Lactation Services Advocate Good Shepherd Hospital Barrington, IL USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html