I agree that more than one method of expression can work well.   Many mothers 
find a way that works best for them that isn't at all like  some of the ones 
I've seen or read about or taught.  I do remember  someone who was the mother 
of twins sitting for the IBCLC exam back in 1985, who  was in the restroom 
hand expressing on a break to relieve the pressure, telling  us that she got lots 
more milk out faster by hand expression and this was before  the Marmet 
technique as widely known.
 
At the Birthing Center where I work I teach the Marmet method (that  looks 
like the one shown in the Russian site's video) with the pads of the  
thumb/finger pushing in and then rolling down onto the areola, but find that  some 
women's thumbs don't bend quite the same angle and they find it  awkward.  So for 
them I use a method that was in the 2nd ed. of Riordan, I  think which showed 
placing the thumb and opposing finger on the breast near the  edge of the 
areola, then spreading the placed thumb and finger further apart  which essentially 
cause them to press slightly inward, then to compress the  breast.  It works 
well, too. 
 
I have a dear friend ( with a number of children  -- all breastfed)  who 
didn't get much at all using the Marmet technique with the fingers close to  the 
areola.  We were having a discussion about pumps as she'd rented one to  help 
provide milk for a friend's sick baby. When she showed me her  manual 
expression method, milk sprayed out abundantly and quickly.  She  took hold of her 
breast with thumbs on top --  further up on her  breast than the edge of the 
areola, and the all the rest of her fingers opposite  on the bottom of her breast 
and then compressed the  breast rhythmically and milk streamed out so fast - 
much faster than either  the Marmet method or the hospital grade pump she also 
demonstrated for me. She  was using the pump so she could collect it easily -- 
and read while  getting the milk.;-) 
 
Mardrey Swenson  IBCLC
 
 



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