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	<title>Breastfeeding 1-2-3 &#187; hand-expression</title>
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	<description>Breastfeeding 1-2-3: A Blog for Breastfeeding Tips and Support</description>
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		<title>Pumping, Expression, Breastfeeding: A Poll</title>
		<link>http://www.blisstree.com/breastfeeding123/pumping-expression-breastfeeding-a-poll/</link>
		<comments>http://www.blisstree.com/breastfeeding123/pumping-expression-breastfeeding-a-poll/#comments</comments>
		<pubDate>Tue, 08 Sep 2009 07:02:30 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[poll]]></category>
		<category><![CDATA[pumping]]></category>
		<category><![CDATA[hand-expression]]></category>
		<category><![CDATA[milk removal]]></category>
		<category><![CDATA[planning to breastfeed]]></category>
		<category><![CDATA[survey]]></category>

		<guid isPermaLink="false">http://www.blisstree.com/breastfeeding123/?p=2746</guid>
		<description><![CDATA[The implication of the Medela Breast Milk Commercial that women will need a breast pump if they plan to breastfeed got me wondering &#8212; in the last two months, have you used a pump? Was it electric or manual, or do you prefer to hand express?id you not require a pump or hand expression in the last two months? What is your opinion on whether a breast pump is necessary? As a stay-at-home mother, I used a manual pump with my first child but quickly found that my baby would not take a bottle and I only needed to express [...]<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p>The implication of the <a href="http://www.blisstree.com/breastfeeding123/the-medela-breast-milk-commercial/">Medela Breast Milk Commercial</a> that women will need a breast pump if they plan to breastfeed got me wondering &#8212; in the last two months, have you used a pump? Was it electric or manual, or do you prefer to hand express? <div id="attachment_2747" class="wp-caption aligncenter" style="width: 290px"><a href="http://www.amazon.com/gp/product/B000I0TF9E?ie=UTF8&#38;tag=breastfeed0fa-20&#38;linkCode=as2&#38;camp=1789&#38;creative=9325&#38;creativeASIN=B000I0TF9E"><img src="http://www.blisstree.com/breastfeeding123/files/2009/09/Medela-Swing-Breast-Pump.jpg" alt="Medela Swing Breast Pump" width="280" height="280" class="size-full wp-image-2747" /></a><p class="wp-caption-text">Medela Swing Breast Pump</p></div>Did you not require a pump or hand expression in the last two months? What is your opinion on whether a breast pump is necessary? As a stay-at-home mother, I used a manual pump with my first child but quickly found that my baby would not take a bottle and I only needed to express milk to relieve engorgement or get rid of a plugged duct. I preferred hand-expression for those tasks. </p>
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<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
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		<slash:comments>12</slash:comments>
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		<item>
		<title>Free Online Breastfeeding Video for Increasing Breast Milk Supply</title>
		<link>http://www.blisstree.com/breastfeeding123/free-online-breastfeeding-video-for-increasing-breast-milk-supply/</link>
		<comments>http://www.blisstree.com/breastfeeding123/free-online-breastfeeding-video-for-increasing-breast-milk-supply/#comments</comments>
		<pubDate>Wed, 10 Sep 2008 01:04:43 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[breast milk]]></category>
		<category><![CDATA[breastfeeding]]></category>
		<category><![CDATA[breastfeeding videos]]></category>
		<category><![CDATA[health of the mother]]></category>
		<category><![CDATA[how to]]></category>
		<category><![CDATA[pumping]]></category>
		<category><![CDATA[breast]]></category>
		<category><![CDATA[breast compression]]></category>
		<category><![CDATA[breast massage]]></category>
		<category><![CDATA[breastfeeding medicine]]></category>
		<category><![CDATA[breastfeeding videosBreastfeeding-videos]]></category>
		<category><![CDATA[breastfeeding-video]]></category>
		<category><![CDATA[Dr.-Jane-Morton]]></category>
		<category><![CDATA[hand-expression]]></category>
		<category><![CDATA[Jane Morton]]></category>
		<category><![CDATA[milk-supply]]></category>
		<category><![CDATA[NICU]]></category>
		<category><![CDATA[Stanford-University]]></category>

		<guid isPermaLink="false">http://www.breastfeeding123.com/free-online-breastfeeding-video-for-increasing-breast-milk-supply/</guid>
		<description><![CDATA[Remember when I interviewed Dr. Jane Morton about breastfeeding education for medical professionals? Remember when I mentioned her free online video on hand expression of breast milk? Well today I learned from About.com Breastfeeding that Dr. Morton has another fascinating free video online, this time about increasing breast milk supply when it is necessary to pump for a baby in the NICU or any baby not nursing well at the breast. It is called &#8220;Maximizing Milk Production&#8221; and in 9 minutes 35 seconds, it explains how to increase milk supply without medication. Dr. Morton recommends and demonstrates such techniques as [...]<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p><img src='http://www.blisstree.com/breastfeeding123/files/2008/09/dr_jane_morton_2.jpg' alt='dr_jane_morton_2.jpg' align="right"/>Remember when I <a href="http://www.blisstree.com/breastfeeding123/interview-with-dr-jane-morton-director-of-breastfeeding-medicine-at-stanford-university-school-of-medicine/" target="_blank">interviewed Dr. Jane Morton</a> about breastfeeding education for medical professionals? Remember when I mentioned her <a href="http://www.blisstree.com/breastfeeding123/free-video-on-hand-expression-of-breast-milk/" target="_blank">free online video on hand expression of breast milk</a>? Well today I learned from <a href="http://breastfeeding.about.com/" target="_blank">About.com Breastfeeding</a> that Dr. Morton has another fascinating free video online, this time about increasing breast milk supply when it is necessary to pump for a baby in the NICU or any baby not nursing well at the breast. It is called &#8220;<a href="http://newborns.stanford.edu/Breastfeeding/MaxProduction.html" target="_blank">Maximizing Milk Production</a>&#8221; and in 9 minutes 35 seconds, it explains how to increase milk supply without medication. Dr. Morton recommends and demonstrates such techniques as skin-to-skin contact, breast massage, &#8220;hands-on pumping,&#8221; breast compressions, and hand expression after pumping. What was really amazing to me was to see how much milk mothers were able to hand express <em>after</em> a pumping session!</p>
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
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		<title>Carnival of Breastfeeding: Pumping It Up and Cleft Palate</title>
		<link>http://www.blisstree.com/breastfeeding123/carnival-of-breastfeeding-pumping-it-up-and-cleft-palate/</link>
		<comments>http://www.blisstree.com/breastfeeding123/carnival-of-breastfeeding-pumping-it-up-and-cleft-palate/#comments</comments>
		<pubDate>Sun, 22 Jun 2008 19:28:00 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[breastfeeding]]></category>
		<category><![CDATA[breastfeeding stories]]></category>
		<category><![CDATA[carnival]]></category>
		<category><![CDATA[pumping]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[breast-pump]]></category>
		<category><![CDATA[breastfeeding blog]]></category>
		<category><![CDATA[breastpump]]></category>
		<category><![CDATA[hand-expression]]></category>
		<category><![CDATA[lactation]]></category>
		<category><![CDATA[pump]]></category>

		<guid isPermaLink="false">http://www.breastfeeding123.com/carnival-of-breastfeeding-pumping-it-up-and-cleft-palate/</guid>
		<description><![CDATA[Welcome to the June Carnival of Breastfeeding: Pumping It Up! Check out all the contributions on the topic of pumping and hand expression at the end of this post. 
Here at Breastfeeding 1-2-3 I am pleased to share this guest post from Holly, whose son has benefited from her exclusive pumping over the last 10 months!
Breastfeeding, Pumping, and Cleft Palate, by Holly
The breastfeeding relationship I share with my son is nothing like I expected it would be. 
He was born last August, healthy in every way but one&#8211;he had a cleft palate. Nine days after his birth, we ended up [...]<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p>Welcome to the June Carnival of Breastfeeding: Pumping It Up! Check out all the contributions on the topic of pumping and hand expression at the end of this post. </p>
<p>Here at Breastfeeding 1-2-3 I am pleased to share this guest post from Holly, whose son has benefited from her exclusive pumping over the last 10 months!</p>
<p><strong>Breastfeeding, Pumping, and Cleft Palate, by Holly</strong></p>
<p><img src='http://www.blisstree.com/breastfeeding123/files/2008/06/holly-baby-photo.jpg' alt='holly-baby-photo.jpg' style='float: right; border: solid 1px; padding: 2px; margin: 0px 0px 0px 8px; '/>The breastfeeding relationship I share with my son is nothing like I expected it would be. </p>
<p>He was born last August, healthy in every way but one&#8211;he had a cleft palate. Nine days after his birth, we ended up in the Emergency Room of the local Children&#8217;s Hospital because he was dehydrated. That&#8217;s how we learned that try as we might, DS couldn&#8217;t nurse. (It&#8217;s like drinking through a straw with a hole in it: you get some liquid, but it takes a lot of work. He was burning more calories than he was taking in.) I&#8217;ve been exclusively pumping and bottlefeeding him since that day.</p>
<p>The nurses in the ER&#8211;and in the NICU, where we spent the next three days&#8211;were wonderfully supportive of my desire to breastfeed. They introduced me to breast pumps and showed me what to do. When it turns out that my milk had gone back to colostrum because I wasn&#8217;t getting enough stimulation, they made sure I didn&#8217;t give up hope. The hospital&#8217;s lactation consultant was a great help too, answering our questions and helping my husband and I learn to use the special <a href="http://www.widesmiles.org/cleftlinks/WS-322.html" target="_blank">Haberman nipple</a> (<a href="http://www.amazon.com/gp/product/B000X4JDH4?ie=UTF8&#038;tag=breastfeed0fa-20&#038;linkCode=as2&#038;camp=1789&#038;creative=9325&#038;creativeASIN=B000X4JDH4" target="_blank">see an example of a complete Haberman Feeder with a bottle here</a><img src="http://www.assoc-amazon.com/e/ir?t=breastfeed0fa-20&#038;l=as2&#038;o=1&#038;a=B000X4JDH4" width="1" height="1" border="0" alt="" style="border:none !important; margin:0px !important;" />) that helps him eat.</p>
<p>Those early days were hard. It was discouraging to sit at the pump for 15 minutes, and see only a few milliliters of milk in the bottle! Slowly but surely, my supply caught up to my son&#8217;s hunger and he has had almost exclusively breast milk since that hospital visit. I was afraid that it would be hard bond with my son, but it wasn&#8217;t. We&#8217;re not often skin to skin, but all that close snuggling can&#8217;t be beat! And my husband gets to share the bond, since he shares the feeding.</p>
<p>In many ways, I am very lucky. Not only are my husband and those nurses supportive, so are my family, friends and coworkers. Before my son was born, I bought a pump from a friend in preparation for going back to work, so I had what I needed at home to start pumping right away. The book <a href="http://www.amazon.com/gp/product/1585425443?ie=UTF8&#038;tag=breastfeed0fa-20&#038;linkCode=as2&#038;camp=1789&#038;creative=9325&#038;creativeASIN=1585425443" target="_blank">The Milk Memos</a><img src="http://www.assoc-amazon.com/e/ir?t=breastfeed0fa-20&#038;l=as2&#038;o=1&#038;a=1585425443" width="1" height="1" border="0" alt="" style="border:none !important; margin:0px !important;" /> made me realize how lucky I am at work: I have a second pump in my office and can pump while I work (with the door closed and a &#8220;Dairy in Operation&#8221; sign blocking the window.) I am also grateful that this was my first child, so I&#8217;ve never known what it&#8217;s like to breastfeed. My situation is far from ideal, but it works for me since it&#8217;s the only one I know. </p>
<p>Don&#8217;t get me wrong: exclusive pumping is not fun. It&#8217;s impersonal and kind of uncomfortable. And oh, so time consuming! Ideally, I pump every 2-3 hours (except at night, when I only get up once) so it seems like every time I turn around, it&#8217;s time to pump again. And let&#8217;s face it&#8211;it&#8217;s a lot harder to discreetly attach yourself to a machine with a motor and plastic tubing than it is to discreetly nurse an infant. Our dining room table is full of the pump and all the things I keep nearby to make the best of the time I&#8217;m stuck in front of it: my computer, books, crosswords, Sudoku, the calendar where I&#8217;m recording the new things my son is doing.</p>
<p>Somewhere around the eighth month mark, I was DONE. My son developed a new habit of sitting just out of reach, bawling. I was sick to death of my life being ruled by the need to hook up to the milk machine. Luckily Angela pointed me to the <a href="http://forum.kellymom.net/forumdisplay.php?s=95ce0ef2a8a88d4bd139e5df6afbbb5c&#038;f=21" target="_blank">pumping forums at KellyMom.com</a>, and one of those moms told me about <a href="http://groups.yahoo.com/group/epers/" target="_blank">EPers</a>, a Yahoo group just for women like me who exclusively pump. What a godsend! Those ladies helped me keep going when I needed it most.</p>
<p>From the start, my goal was to pump until his cleft palate repair surgery at nine months, then try to nurse him. His surgery was last month, and was a success. Unfortunately this is the most hectic time in my work life, and adding nursing to all the other demands on my time isn&#8217;t working out well. Despite early good intentions, I did not keep up with putting him to the breast for comfort all these months, so we&#8217;d have a lot of learning to do. Instead, I may forgo the nursing and keep pumping until he&#8217;s a year old. I know better than to make such a big decision when I&#8217;m stressed out, so I&#8217;ll decide for sure when this work crunch is over. </p>
<p>Regardless of what happens, I will always be proud that I have been able to give him so much mama&#8217;s milk. Breastfeeding has always seemed like the healthiest and most natural choice to me, so even though pumping is a drag, I never really considered not doing it. The fact that it&#8217;s free and locally grown (so to speak) are icing on the cake! I will be glad to put this demand on my life behind me, but will never regret choosing to pump to feed my son.</p>
<p><strong>More Carnival Entries on Pumping and Hand Expression</strong></p>
<p>Please enjoy these contributions to the carnival as they come in:</p>
<p>Motherwear Breastfeeding Blog: <a href="http://breastfeeding.blog.motherwear.com/2008/06/the-carnival--1.html" target="_blank">Tips for Introducing a Bottle</a><br />
Mama Knows Breast: <a href="http://mamaknowsbreast.com/2008/06/enter_to_win_a_medela_free_sty_1.php" target="_blank">Enter to Win a Medela Freestyle Pump</a> (deadline July 1, 2008)<br />
BreastfeedingMums: <a href="http://breastfeedingmums.typepad.com/breastfeedingmums_blog/2008/06/june-carnival-of-breastfeeding-pumping-and-breastfeeding.html" target="_blank">Electrify Me</a><br />
Adventures of a Breastfeeding Mother: <a href="http://adventuresofabreastfeedingmother.blogspot.com/2008/06/adventures-of-pumping-dont-spill-that.html" target="_blank">Pumping Tips</a><br />
Raising Baby Bee: <a href="http://raisingbabybee.blogspot.com/2008/06/im-in-here-uh-busy.html" taget="_blank">Pumping at Work</a><br />
The Attached Mother: <a href="http://www.theattachedmother.com/once-a-pumper/" target="_blank">Donating Milk</a><br />
Hobo Mama: <a href="http://hobomama.blogspot.com/2008/06/thrills-and-chills-of-person-to-person.html" target="_blank">Thrills and Chills of Person-to-Person Milk Donation</a><br />
Mike and Toni&#8217;s: <a href="http://mikeandtonis.com/blog/?p=16" target="_blank">Hands-Free Pumping Invention</a></p>
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
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		<title>Share Your Story or Advice on Pumping or Hand Expression</title>
		<link>http://www.blisstree.com/breastfeeding123/share-your-story-or-advice-on-pumping-or-hand-expression/</link>
		<comments>http://www.blisstree.com/breastfeeding123/share-your-story-or-advice-on-pumping-or-hand-expression/#comments</comments>
		<pubDate>Wed, 04 Jun 2008 16:18:01 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[breastfeeding]]></category>
		<category><![CDATA[carnival]]></category>
		<category><![CDATA[pumping]]></category>
		<category><![CDATA[angela white]]></category>
		<category><![CDATA[blog-carnival]]></category>
		<category><![CDATA[breast feeding]]></category>
		<category><![CDATA[breast milk]]></category>
		<category><![CDATA[breastfeeding blog]]></category>
		<category><![CDATA[hand-expression]]></category>
		<category><![CDATA[lactation]]></category>

		<guid isPermaLink="false">http://www.breastfeeding123.com/share-your-story-or-advice-on-pumping-or-hand-expression/</guid>
		<description><![CDATA[
For the June Carnival of Breastfeeding we&#8217;re calling for submissions on the topics of pumping and hand expression. I am hoping this will be our biggest carnival yet, because I know there a lot of mommy bloggers out there who have experience and advice to share on many subjects relating to pumping or hand expression. 
Potential subjects include:
- Buying or renting a pump
- Pumping while in the hospital
- Going back to work
- Pumping while traveling
- Hand expression as an economical and effective alternative to pumping
- Pump reviews
- Exclusively pumping
- How to get a baby to take a bottle
- Nipple confusion [...]<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.amazon.com/gp/product/B001AHUAX4?ie=UTF8&#038;tag=breastfeed0fa-20&#038;linkCode=as2&#038;camp=1789&#038;creative=9325&#038;creativeASIN=B001AHUAX4" target="_blank"><img src='http://www.blisstree.com/breastfeeding123/files/2008/06/medela-pump-in-style.jpg' alt='medela-pump-in-style.jpg' style='display:block; border: solid 0px; padding: 2px; margin: 0px auto; '/></a><br />
For the June <a href="http://www.blisstree.com/breastfeeding123/category/carnival/" target="_blank'">Carnival of Breastfeeding</a> we&#8217;re calling for submissions on the topics of pumping and hand expression. I am hoping this will be our biggest carnival yet, because I know there a lot of mommy bloggers out there who have experience and advice to share on many subjects relating to pumping or hand expression. </p>
<p>Potential subjects include:</p>
<p>- Buying or renting a pump<br />
- Pumping while in the hospital<br />
- Going back to work<br />
- Pumping while traveling<br />
- Hand expression as an economical and effective alternative to pumping<br />
- Pump reviews<br />
- Exclusively pumping<br />
- How to get a baby to take a bottle<br />
- Nipple confusion (a.k.a. nipple or flow preference)<br />
- Your experience and advice on pumping or hand expression</p>
<p>If you would like to submit your own post about pumping or hand expression, <a href="mailto:angela@b5media.com">email me</a> your submission by June 17, 2008, for consideration for the carnival on June 24, 2008.</p>
<p>As a reminder, here are the guidelines that will increase the chances a post will be selected for inclusion:</p>
<p>– A well-written, grammatically correct post<br />
– Thoughtful commentary directly on point for the carnival subject<br />
– Overall quality of the rest of your blog and whether the general subject matter is something of interest to our readers (breastfeeding, parenting)</p>
<p>If your post is selected for inclusion, you will be asked on the day of the carnival to edit your post to link back to each of the other participants in the carnival.</p>
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
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		<title>Free Video on Hand Expression of Breast Milk</title>
		<link>http://www.blisstree.com/breastfeeding123/free-video-on-hand-expression-of-breast-milk/</link>
		<comments>http://www.blisstree.com/breastfeeding123/free-video-on-hand-expression-of-breast-milk/#comments</comments>
		<pubDate>Mon, 05 Nov 2007 23:34:57 +0000</pubDate>
		<dc:creator>Angela White, J.D., breastfeeding counselor</dc:creator>
				<category><![CDATA[breast milk]]></category>
		<category><![CDATA[breastfeeding]]></category>
		<category><![CDATA[breastfeeding videos]]></category>
		<category><![CDATA[how to]]></category>
		<category><![CDATA[pumping]]></category>
		<category><![CDATA[scientific studies]]></category>
		<category><![CDATA[hand-expression]]></category>
		<category><![CDATA[lactation]]></category>

		<guid isPermaLink="false">http://www.breastfeeding123.com/free-video-on-hand-expression-of-breast-milk/</guid>
		<description><![CDATA[Think hand expression is unnecessary or too difficult? Dr. Jane Morton offers a free video that demonstrates how to teach mothers (or how to learn for oneself) the technique for hand expression of breast milk. When I interviewed Dr. Morton last March, she mentioned new research that suggests that hand expression used in conjunction with pumping in the first three days is much more effective in promoting subsequent milk production than pumping alone. She said if women were taught to hand express in the first three days after giving birth, their milk production could be boosted significantly and fewer women [...]<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
]]></description>
			<content:encoded><![CDATA[<p>Think hand expression is unnecessary or too difficult? Dr. Jane Morton offers a free video that demonstrates how to teach mothers (or how to learn for oneself) the technique for hand expression of breast milk. When I <a href="http://www.blisstree.com/breastfeeding123/interview-with-dr-jane-morton-director-of-breastfeeding-medicine-at-stanford-university-school-of-medicine/" target="_blank">interviewed Dr. Morton last March</a>, she mentioned new research that suggests that hand expression used in conjunction with pumping in the first three days is much more effective in promoting subsequent milk production than pumping alone. She said if women were taught to hand express in the first three days after giving birth, their milk production could be boosted significantly and fewer women would experience problems (or unnecessary worries) over low milk supply. In the video, Dr. Morton explains that mothers separated from their babies have been shown to produce 80% more milk by using hand expression more than five times each day in the first three days in addition to using the electric pump!</p>
<p>Dr. Morton is Director of Breastfeeding Medicine at Lucile Packard Children&#8217;s Hospital (LPCH) and a Clinical Professor at Stanford University School of Medicine. Along with other breastfeeding resources, she offers the seven-minute 33-second video in <a href="http://newborns.stanford.edu/Breastfeeding/HandExpression.html" target="_blank">free streaming video format at LPCH&#8217;s Newborn Nursery site</a>, or copies may be purchased through the email address mentioned on that page. Note that it takes a fast internet connection and a little patience to see the entire video. When the video froze occasionally, I needed to manually advance and rewind through those sections to see the entire thing. It&#8217;s worth it though!</p>
<p>Post from: <a href="http://www.blisstree.com/breastfeeding123">Breastfeeding 1-2-3</a></p>
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