Jean, Is this the reference you are looking for? Combining hand techniques with electric pumping increases milk production in mothers of pre-term infants J Morton, JY Hall, RJ Wong, L Thairu, WE Benitz, and WD Rhine: Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA: Journal of Perinatology (2009) 29 757-764 Laura Spitzfaden, LLLL, IBCLC *********************************************** 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