Thanks Pat for your response on this.. It's a (global) requirement in the BFHI assessment that all women are taught how to hand express, but regardless of where a woman gives birth, it's a skill for someone to teach her. Jan Cornfoot Breastfeeding advocate [log in to unmask] *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome