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I was given a Medela PISA by my sister-in-law who used it for three days while her son was in the hospital. I replaced all the parts and then started using it when I went back to work part-time when my son was 2 months old. I used it twice daily while part-time then three times a day when I went back to the office full time. While not the most quiet, it was quiet enough so that I could be on a conference call at work while pumping. It's very efficient and pretty gentle. I'd recommend it to anyone looking to buy a pump for longer-term use at home or in the office.
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