Dear Friends:
    Hand expressing is the most cost effective. Hand expressing frees us from 
worry about availability. I wish every mother knew how to hand express; she 
always has her hands with her and they are  silent.
   Hand expressing would make the debate about pumping much smaller. While 
pumps are easier for mothers that have to build a supply or sustain a supply for 
a baby in need, they are not necessary.
    warmly,

Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Adjunct Faculty, Union Institute and University, Lactation Program
Film Reviews Editor, Journal of Human Lactation

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