For Kim Sweet, who wrote:
She already has nipple break down just from pumping, she is going to
try doing manual expression instead of using the electric ( she has
been using the classic) Emotionally I think she needs to do this.
Please help. Thank you,

I wonder if you meant "manual expression" as in "hand expression" or
if you meant a non-electric breast pump.  I think hand expression may
be more gentle on her skin and perhaps more effective.  Please let us
know what type of expression worked best for her.

Jeanne B. Fisher, MSN, RN, IBCLC
Breastfeeding Promotion Nurse
Texas Department of Health
(512)406-0744
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