Denise's 'defence' of hand expressing is something I would go along with -
it's common practice in the UK to hand express before using any form of
pump, for term babies as well as pre-term babies,  and as hand expressing
usually gets something, however small, that can be collected and given to
the baby (unlike the pump) it makes a lot of sense for mothers to do this
in the early days.

Heather Welford Neil
NCT bfc Newcastle upon Tyne UK

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