I had to laugh, Nikki, when I read your post.  My hands were silent, but my 
milk flow sure wasn't.  I used to hand express at the first morning 
feeding - baby on one breast the hand on the other.  My husband used to 
complain that the sound of the milk hitting the bottle was waking him up 
and couldn't I be just a little quieter?
I agree that virtually all women are capable of successful hand 
expression.  Don't women outside the U.S. rely more on hand expression than 
breast pumps?

Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   USA

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