I'm afraid I disagree with the majority here.  My first choice is  always to 
orally coach a mother through a technique with her using her own  body.
 
If that's not working, and it is necessary to demonstrate techniques,  manual 
expression, breast holds, etc., I always use a breast model.  I may  hold it 
over my own breast and shirt, but I feel it is important to do this to  
reinforce a level of professionalism and a degree of decorum and dignity , if  you 
will, in our work.  I can't imagine other medical professionals using  their 
own bodies to demonstrate to patients.
 
I guess the closest I could think of would be a plastic surgeon grabbing  his 
belly flab when explaining a tummy tuck or pulling back his face when  
simulating a facelift.  They don't do that.  Even my physical  therapist describes 
rather than demonstrates exercises.  
 
I admit it, I still do use my own breast in telephone counseling, but when  I 
have an audience, no.
 
Barbara Ash, MA, IBCLC, RLC
Falls Church, VA

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