On 15/05/2006, at 9:47, vgthorley wrote:

> The mothers I know who provided their breastmilk to non-latching  
> babies for the *longest* used hand expressing, not pumping.  One of  
> them hand-expressed for several babies for at least 8 months each,  
> each of them unable to attach. That's a lot of months.  (I  
> interviewed her retrospectively for a study on something else.) The  
> other was a mother I supported through a number of months, and who  
> hand-expressed for about 8 months prior to her baby's cleft palate  
> surgery.

Of all the mothers I've known who have exclusively expressed for over  
a year (some for 2 years, and one amazing mother for more than 5  
years - we all know who she is!), only one that I can think of  
routinely uses hand expression. (I encourage all to learn and  
practise it, however, if only as an emergency measure.) Just as with  
mothers, lactation supporters' experience varies.

Lara Hopkins

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