I have to agree with Pat.  Hand expression is a useful skill for all mothers to have.  It is much easier to get really excited about precious drops of colostrum on a spoon.  
Sometimes, especially with the first expression soon after birth, a cup may be needed rather than a teaspoon - but I always start with a small teaspoon :)   If it is necessary to continue expressing on the second day, then the mother already knows how to hand express and can combine this comfortable with pumping for a greater yield.

Jean Ridler  RN  RM  IBCLC
Cape Town, South Africa

> I think pumping initially is sending the wrong message.  Gently teaching hand
> expression and catching the drops in a spoon, which can be fed to baby or
> stored in a sterile syringe for later use (baby  NPO for some reason) is probably
> the best way to go, IMHO. This surely needs to be done in first hour  if baby
> won't or can't latch.     Those golden drops get all caught up in pump apparatus,
> smeared on mom's breast,  etc.  and are lost.  Remember it is liquid gold.  Pat in
> SNJ

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