In some countries, double pumps are so expensive that few mothers can rent them. Buying a double pump is virtually impossible. I have seen quite a few mothers establish and maintain their milk production with hand expression only. Success is closely related to mother's motivation and commitment and her skill at hand expression. Most use no mechanical milk extraction at all, others "make do" with the most simple mechanical (not electrical) extractor you can imagine. Please remember that not all the world is as affluent as North America or Europe, and that mothers breastfeed succesfully in a wide variety of circumstances. Best regards Veronica Veronica Garea GALM Bariloche IBFAN Bariloche - LLL Argentina *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome