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How can I express my breastmilk by hand?

11/25/2014

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Being able to express breastmilk without a breastpump is a terrific skill to learn.  You can hand express to relieve discomfort in the breast when the breasts are full, be able to express milk without having to carry a breastpump around and it is useful for expressing small amounts of milk at the end of a feed.  There is some evidence to suggest that if you are not able to directly feed your baby at the breast in the first few days after birth, hand expressing milk can help maximise your milk supply.

Hand expressing is a learned skill and with practice some mothers have found they do a better job than a hand held pump. 

One vital factor in expressing milk is to get the milk to flow.  Around each milk-making cell are tiny muscles that contract under the influence of oxytocin.  Oxytocin is released in response to stimulus on the nipple/areola.  When our babies directly feed at the breast the rapid sucking at the beginning of the feed causes oxytocin to be released. Your milk releasing, also known as Milk Ejection, fast becomes a conditioned reflex, so that often just thinking about your baby or getting ready to breastfeed gets the milk dripping.

When you first start expressing many mothers find it tricky and generally it’s because you need to condition the breasts to respond to another stimulus – the breastpump or your hands.  So if your efforts are not being rewarded, be reassured, that, with time and practice things generally improve.

To help get the milk flowing you can warm the breast first, with a warm pack or in the shower.  Follow this with some massage of the breast or stroking of the breast.

To hand express, place you fingers at the outer edges of the areola, or even a bit beyond (this ensures you are going to compress over the glandular tissue), push into the chest wall and then compress the fingers together.  Avoid sliding down towards the nipple.  You will discover there are “sweet spots” under you fingers that will reward you with more milk.  Work your fingers around the breast, swap hands if your hand is getting tired, swap to the other breast if the milk flow is slowing.  Thinking about your baby can help your milk to flow, having someone talk to you while you are expressing can take your mind off what you are doing and help you to relax and your milk to flow.

Here is a link to a terrific video about hand expressing, it’s by Jane Morton, a US Paediatrician who works with mums with hospitalized premature babies.

Jane demonstrates the steps to express milk by hand about 1½ minutes into the video.  The hand expressing technique is the same regardless of the age of your baby.

http://newborns.stanford.edu/Breastfeeding/HandExpression.html

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How do I know my baby needs a breastfeed?

11/14/2014

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Watching the baby and “reading” the message they are sending you is often the best way to decide they need a breastfeed, rather than watching the clock. 

If you think about your eating and drinking pattern over the day, ask yourself is it always the same everyday?  Do you notice that some days you have a hungry day, where you have 3 substantial meals as well as a few snacks and then there are other days where you aren’t as ravenous?  It’s like that for our little babies as well, they have days when they seem to want to breastfeed very frequently and other days when they may not be as hungry. 
 
It’s normal for a baby to breastfeed 8-12 times in 24 hours.  You may find that some babies are regular feeders and will feed every 3 hours around the clock.  Whereas other babies will feed more erratically, they may “cluster feed” – where they feed every hour or so for about 4-6 hours and then will settle and have a longer sleep.  It makes sense that if a baby is having a long sleep they will need to jam more feeds into the rest of the day.  

Here is a lovely chart with the messages that your baby is sending you, they are also known as feeding cues.  Keep in mind - it’s much easier to feed a baby when you notice the early feeding cues than the late cues.  If your baby is crying then they will feed better if you first hold them upright against your chest and soothe them before trying to breastfeed.


Source:
http://www.health.qld.gov.au/breastfeeding/documents/feeding_cues_term.pdf

 

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    Lindy Is an International Board Certified Lactation Consultant (IBCLC) who is based in Melbourne, Australia.

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