Dear Friends,
Hand expression is definitely a learned art, for us and for families. I 
have used Jane Morton's videos for years to help but then went and took 
Maya Bolman's hand expression and breast massage training down in 
Cleveland and learned so much. I think Nikki is absolutely right that 
you can't just jump in and start expressing. Watching Maya work (her 
video shows this) there is a lot of massaging and tapping of the breast 
that happens before and during expression. I wasn't thinking that this 
is causing the mother to relax as Nikki explained but I think she is 
correct.
Practice does make perfect! I am so much better at helping mothers with 
hand expression now because of my commitment to doing this with each 
family I see.
Warmly,

-- 

Barbara Robertson, MA, IBCLC, RLC
The Breastfeeding Center of Ann Arbor
bfcaa.com

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