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Meanwhile, doctors used an old manual pump.
But sometimes, innovation can be decidedly low-tech, and our manual pump is a case in point.
Poland's tactics appear to have come straight out of a Sven -Goran Eriksson manual: pump it long and hope for the best.
If you are a working mother who only has short breaks at work during which to pump, it's unlikely you'll pump sufficient milk with a manual pump to maintain your milk supply.
One young woman deposes about her Remington 20-gauge: "There are more luxurious shotguns out there, but the manual pump action has always made me feel like Linda Hamilton in 'Terminator 2.' " Small but lovely is an updated version of Michael Pollan's slim book FOOD RULES: AN EATER'S MANUAL (Penguin Press, $23.95), this time with art by the sublime Maira Kalman.
An Aetna spokeswoman says its benefit, for plans that cover women's preventive services with no cost sharing, covers a standard (meaning nonhospital grade) pump within 60 days of birth, every three years, or a manual breast pump within twelve months of birth provided the patient hasn't already received an electric or a manual pump in the last three years.
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The alternative is a $40 hand-operated ventilator, called an "artificial manual breathing unit," or AMBU bag, which requires constant manual pumping.
Below deck, where the clearance is too low to stand upright, hot meals are cooked on a wood stove; the crew is unceremoniously bunked in hammocks hanging like clusters of cocooned caterpillars, and even the heads require manual pumping.
Some cover purchase of manual pumps only; others exclude hospital-grade pumps, often used soon after birth to help mothers establish adequate milk flow (although some plans cover such pumps if a doctor deems one medically necessary).
"Baby-friendly" maternity wards that used to send new mothers home with free samples of infant formula now give out manual pumps: plastic, one-breast-at-a-time gizmos that work like a cross between a straw and a bicycle pump.
Some are feeding their babies but some are also using mechanical or manual pumps to express milk.
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