Nikki and Eileen:  AMEN!  Don't knock it unless you've tried it.  I have heard 
from many sources, parents and HCPs from other countries, that breast pumps 
are almost exclusively a US phenomenon.  I hand expressed by choice, for all 3 
of my babies when I returned to work full-time.  I did try out all the pumps in 
my office (manual pumps all the way up to the hospital-grade electric) when I 
returned to work after the birth of baby #2 and NONE were as efficient as the 
good ol'  free, no-tech hands!

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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