Hi Heather and Denise,

To the best of my knowledge, hand expressing before using any form of pump,
isn't common practice in The Netherlands (geographically seen 'next' to the
UK). My experience is that hand expressing is used too little (by moms) and
when it's used I see it often done like only compressing the nipple instead
of reaching the sinusses. This shows the cultural differences once more.
It's nice to see the different approaches and to learn the different ways
of naming things (Denise, I didn't know you meant this by 'expressing' :-o).

Ok, yes, I'll confess, I'm totally and completely addicted to Lactnet.
Thanks for being there.......

Renate Rietveld, IBCLC
Rijswijk, The Netherlands

At 09:30 17-3-00 +0000,  Heather from the UK wrote:
>Denise's 'defence' of hand expressing is something I would go along with -
>it's common practice in the UK to hand express before using any form of
>pump, for term babies as well as pre-term babies,  and as hand expressing
>usually gets something, however small, that can be collected and given to
>the baby (unlike the pump) it makes a lot of sense for mothers to do this
>in the early days.


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Renate Rietveld, IBCLC
E-mail  : [log in to unmask]
Homepage: http://www.casema.net/~rietveld/index.htm
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