Hand Expressing: I use a bigger size bottle, with a wide mouth. Found the normal bottle too small for my nipple. Milk tends to spray all over. Use my left hand to press, right hand to catch the milk. Thumb on the upper part, the rest of the fingers at the lower part. The angle between thumb and fingers is like a clock at 6 pm. Get it? Top and bottom. When you move, also at that angle. You can go clock-wise or counter clock-wise but the angle remains the same -opposite. Never cubit yourself. All my jari-jari NEVER move on the surface of the skin. You can get skin burn if you do that. Get a firm hold and gently squeeze to the nipple area. Don’t expect milk to start flowing immediately. NEVER also squeeze on the aerola. This area is very sensitive. Once the milk flows, it really flows because they are forced out instead of being suck out. I had noticed that I get 3 gushes of milk (in an interval of about 10 mins) each time I express. The milk will flow but when you get the gushes, you can feel the breast firm up again and the milk flows more. (Lilian)