Sure! What matters is not so much HOW milk is removed from the breast 
but how effectively and how well the breast is drained. Pumps are 
convenient because you can express from both breasts at once, and the 
hospital grade pumps cycle more smoothly and  express milk  more rapidly 
than most moms can hand express. I am a fan of teaching all moms to hand 
express - one never knows when there might be a pump failure or 
blackout! In fact, during the last blackout, I had 3 mothers who were 
pump dependent come to my office to learn how to hand express.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com


On 6/22/2011 12:16 PM, Ana Grantham wrote:
> I am writing to make sure that I am not misinformed.  I was under the impression that frequent hand expression is sufficient to bring in a milk supply for mother's whose babies cannot latch for a variety of reasons.  Is this true?  Can you bring in a full milk supply and maintain it with hand expression alone if necessary?
>
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