A large US insurer provides only a manual/hand pump (outside of covering a
rental for certain medical circumstances such as baby in the NICU, etc--the
rental is not covered for back to work) and all women are given a manual
pump when discharged from the hospital after birth as compliance with the
new law to provide breastfeeding equipment as needed..
There's a lot of controversy among LCs, MDs, etc about this, both pro and
con.

So, what do you think?
Can a full-time working mother maintain exclusive bf with a manual pump?
Do any of you have personal experience with full-time work using only a
manual pump?
 Is it a matter of pumping time?
Or do wave forms, suck frequency, etc play a major part in maintaining milk
production?
Any research available?

My concern is that no one kind of pump is appropriate for all mothers, and
that a manual pump is not sufficient for employed mothers (here often back
to work at 6 weeks postpartum, gone for 10 hours a day, 5 days a week).
Thanks, Susan in Berkeley CA

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