Does anyone have any good guidelines for hand expression?  I feel this is
something I should touch on in my breastfeeding classes.  I teach
breastfeeding classes through a civilian hospital (hi, Debra Tobin) and
through the Navy Reserves.  I believe that with the risk of terrorism,
especially in the D.C. area where I live, that it would be a good idea for
breastfeeding women to know how to hand express.  The majority of the women
I teach plan to go back to work.  If roads are closed or traffic is stopped
(some people were stuck in DC traffic for 6+ hours after the Pentagon was
hit), and women don't have a hand pump or cigarette lighter adapter for
their pump, I'm worried about engorgement.

Maybe their is something already in print.  Please email me privately if
more appropriate.

Anne Nans, RN, IBCLC
Fredericksburg, VA

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