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Subject:
From:
Nikki Lee <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 21 Jan 2005 13:47:48 EST
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Dear Friends:
    In the beginning of my career, I was not  comfortable with teaching hand 
expression. I had never done it, never seen it,  and had only read about it. I 
would mention it with clients, and my atttitude  was definitely pro-pump.
    It helped to see videos of how it worked and attend  workshops about it.  
Kittie Frantz has a good video. There is a  section of 'Breast is Best' about 
it ( the great film from Norway). Gill Rapley,  the midwife who tends the 
Baby-Friendly Hospital Initiative in the UK does a  terrific presentation, 
including a trial of using her breast model. If one does  the technique correctly on 
the model, one is rewarded with a dollop of hand  cream. Also Tine Jerris, 
who administers the BFHI in Denmark has a good film  (not ready for distribution 
yet) and a lovely presentation about hand  expression.
    There are many different ways to hand express; I  teach mothers 3 ways 
now, and encourage them to find their own. Some don't have  the money or 
resources to obtain a pump, so hand expression is perfect. It is  free, quiet, and 
environmentally sound. It also promotes a woman handling her  own breast, which 
is the foundation for breast self-exams.
    warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
Support the WHO Code and the Mother-Friendly Childbirth  Initiative

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