I used the Medela hand pump after my second baby. I was in so much pain and the other pumps were really painful to use. A home nerse told me about this pump, so I got one. I began to use it when I was full but not ready to feed. I was able to control how fast and how hard I was able to pump. Once I had a good stream going it would just flow without pumping.After using it a few times I started to heal. I would have to say that I will be getting another one soon because Im due with my third baby in May. I would recomend this pump to new mothers as well. If you can get your hands on the Medela hand...