Breast Milk Manual Expression

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While most women will use a breast pump, especially if they need to pump very often, hand expression is still a valuable skill to learn. This technique comes in handy when:A source of electricity is not available, your pump stops working, or it needs new batteries. Your breasts are engorged and hard right before breastfeeding, so you express a little bit of breast milk to soften them and make it easier for your baby to latch on. You're collecting colostrum for your preemie or newborn and since there's only a small amount, you want to get as much as you can without losing any in the pump parts or tubing. Just like any other skill, you have to learn how to do it and practice it to become good at it and get the best results. You can follow these steps to express breast milk by hand.Get into a comfortable position and try to relax. You can place a warm towel on your breasts or gently massage your breasts for a few minutes before you begin, to help get the breast milk flowing. You can use a picture of your baby, a recording of your child making sounds, a blanket with your baby's smell, or other relaxation techniques like music to help stimulate your let-down reflex. ? ? Take your hand and position it on your breast in the C-hold. That is, place your thumb on the top of your breast and your fingers underneath your breast so that your hand is in the shape of a C. ? ? Your thumb and your fingers should be 1 to 2 inches behind your nipple. With the other hand, hold a clean collection cup or breast milk storage bottle under your breast so that your nipple is directly above it. When you're ready, gently begin to push your breast back toward your body with your thumb and fingers. Next, softly bring your thumb and fingers together. Then, use a rolling motion as you move your hand forward toward your original starting position. The gentle rolling motion will move the breast milk out of the milk ducts. ? ? Don't be rough. http://gargscitechglass.com/konadnew/userfiles/brookstone-idesign-cube-clock-manual.xml

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Your breast tissue is sensitive and you can bruise it or damage it if you squeeze, pull, rub, or slide your fingers over your breast. Lean forward a little bit to collect the breast milk that should be dripping or spraying out of your breast. Be careful to get the breast milk into your collection container without any of the milk touching your hands first. Repeat steps 5 and 6 at a steady, rhythmic pace until there isn't any more breast milk coming out of your breast, or until you have alleviated the fullness of engorgement. Switch breasts each time the flow of breast milk stops. When you switch breasts, rotate your hand to another position around the nipple (C, U, backward C, upside-down U) and begin the process again. ? ? These different positions help to drain the breast milk from all the areas of your breast. When you're finished expressing your breast milk, you can give your baby the milk you expressed right away or seal it in a breast milk collection bag or container and store it to use at a later time. Other than a collection container, it doesn't require any equipment. It's quiet. It's always available. If you express breast milk by hand before and after using a breast pump you may get just as much if not more breast milk than if you only pump. Learning how to use hand expression can help you become more comfortable with your breasts and more aware of what's normal and not normal, plus it could help you notice any changes in your breasts that need attention. Using a breast pump may be quicker and more efficient for you. Some women just have trouble with hand expression and can't get any breast milk. Get it free when you sign up for our newsletter. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Hand expression technique. Updated 2015. Breastfeeding A Guide For The Medical Profession, Seventh Edition. Elsevier; 2011. Jones and Bartlett Learning; 2014. http://xn--80adic7alej3d.xn--p1ai/userfiles/brookstone-idesign-stack-manual.xml

Please upgrade your browser to improve your experience. It’s a handy way to relieve engorged breasts. You can use it to stimulate milk production if you need to increase your supply, and to provide milk for your baby.Follow these steps: Releasing and repeating rhythmically helps to mimic the action of a baby breastfeeding. Frequent short sessions are usually more effective than infrequent, longer expressing sessions. If it’s not adjust what you’re doing until it feels ok. Not all of the information may be pertinent to your family’s lifestyle. This information is general in nature and not intended to be advice, medical or otherwise. It’s a handy way to relieve engorged breasts. You can also use it to stimulate milk production and provide milk for a baby who is not breastfeeding well or needs more milk. If you use a pump Practice helps How breasts work Before you start Relax and get comfortable How to hand express Step by step How long will hand expressing take. Hand expressing shouldn’t hurt It makes it easy to save every drop of precious colostrum. You may receive information and a demonstration of hand expression from your midwife. Developing your own routine, starting with relaxation techniques and stimulating milk flow, makes it easier too. When milk is removed infrequently, your breasts may feel full but produce milk more slowly. Frequent milk removal is the key to maintaining milk production whether you are breastfeeding or expressing. Expressing stimulates your breasts—though not as effectively as a baby—to make and release milk. Once milk production has increased milk may spray in several directions so a bowl, wide mouthed container or a bottle with a funnel might be more practical. Tension or anxiety inhibits milk flow. Relaxation techniques can help increase the amount of milk you can express. The sound of running water may help, or you could practise in the bath or shower. Have your baby nearby, or think of him. http://www.drupalitalia.org/node/76458

Use photos or recordings of your baby and smell his clothing. All these will help stimulate milk flow. Take a few deep breaths, drop your shoulders and release tension with each exhalation. Bending forward with your breasts suspended means gravity can help milk flow. If you need to increase milk production, continue expressing for a couple of minutes after milk flow has stopped. You will find milk flow slows or stops sooner each time you repeat. It can take a few minutes. You may see drops of colostrum or breastmilk, or even experience a tingling sensation, but many mothers don’t see any milk until they start actually expressing. Experiment with the following suggestions to find out what works best for you. After a few seconds, lift up your fingers to move to the next area on the breast. Spiral around the breast towards the areola and nipple. Light stroking with fingers is one option, or use a soft item with a light tickle-like stroke. Continue this stroking motion from the chest wall to the nipple around the whole breast. Move you fingers closer to, or away from your nipple to find the best place for you. Do this for each section of your breast until it feels soft and comfortable. Keep your fingers and thumb opposite one another as you rotate. Switch back and forth between breasts as the flow slows to encourage further MERs. Allow plenty of time at first: the whole process may take 20 or 30 minutes, but you can always stop and start again later if you need to. Frequent short sessions are usually more effective than infrequent, longer expressing sessions. The more MERs you stimulate, the more milk you will be able to express and make. Pain or discomfort inhibit the MER and are signs that something needs adjusting. If your breast feels engorged or tender try warm moist heat immediately before expressing. Start expressing from the most comfortable areas. Breastfeeding Answers Made Simnple. Mohrbacher, N. Amarillo, Tx: Hale Publishing, 2010. All rights reserved. http://airsportstenerife.com/images/break-manual-car.pdf

Okay, thank you. But there are many benefits of knowing how to express milk from the breast without the use of expensive or cumbersome pumps. In this video, Dr. Jane Morton demonstrates how easily hand expression can be taught to mothers. Try using a different browser to view it. Reproduction for commercial purposes is prohibited. Utilization of the materials to improve care of pregnant women and their newborns is encouraged with proper citation of source. Learn to overcome friendship hurdles and bond with women who get you.Get to know each phase of your cycle to get pregnant faster.Learn to recognize the first signs of labor approaching, which signal that your little one might make an appearance soon.From newcomers like Alexander to ever-popular picks like Olivia, here are the boy and girl names predicted to top the charts this year, plus more naming trends to consider.Listen for wheezing, hacking, or barking first, then read on to find out what's normal and when it's time to worry.The trouble has trickled to the youngest grades. Learn how to spot it—and how to protect children of all ages from bullies at school.Throw a memorable bash with these clever cost-cutting kids’ birthday party ideas.Gather friends into your star-spangled backyard for a day of silly costumes, serious lip-syncing, and macaroni necklaces. Let the fireworks begin!In the first few days of breastfeeding, hand expression is often the easiest way for moms to express colostrum. Hand expression can also help in cases of engorgement and plugged ducts or mastitis. And combining hand expression with pumping has even been shown to increase the volume of milk that a mom pumps. And what about those times when you forgot your pump, your pump is malfunctioning, or your power has gone out. Hand expression to the rescue. RELATED: How to Use a Manual Breast Pump Here's what to do: There is breast milk pooling throughout your breasts, and you want to get it flowing. Warm up your hands, then massage your breasts. https://doubletroubels.com/wp-content/plugins/formcraft/file-upload/server/content/files/16285a3da4ba85---Bzv420mw8-manual.pdf

Start from the armpits, and work your way toward the nipple. You can gently squeeze, knead, sweep your fingers in a circular motion, or walk your knuckles along your breasts. RELATED: All About Your Milk Supply: How to Increase Breast Milk Output Gently push your fingers toward your chest wall (you might notice the base of your nipple protruding now, with your fingers pushing your breast tissue back). Next, roll your top and bottom fingers toward each other. At this point, you should see a drop or two of milk (that's how you know you're doing it right!). Change the placement of your fingers every now and then, so that you empty all the different areas of your breasts. And make sure you have an open bowl ready. After you're done expressing, you can then transfer the milk to a bottle, spoon, or syringe for feeding, or to a storage bag. Try experimenting with different finger placements and massage techniques to find what works best for your body. And remember: as long as drops of milk appear, you're doing it perfectly. RELATED: 10 Things to Know About Breastfeeding. She specializes in lactation, sports nutrition, exercise fitness, and weight loss programs. Even if you now have a pump at your disposal, hand expression is still a useful skill to know and learn. You can give your baby the expressed drops of colostrum (using a dropper, spoon or small medicine cup) to encourage your little one to feed. Or if your baby is simply having difficulty latching or suckling, hand expression can be used until your little one gets the hang of breastfeeding. Since an extremely full breast may make it difficult for your baby to latch, you can express a little milk to help soften the breast, making it easier for your little one to feed. Some nursing mothers find mechanical breast pumps to be uncomfortable, ineffective or expensive. www.cxnjl.com/userfiles/files/canon-zr50mc-manual-pdf

Your thumb pad will be in the 12 o’clock position and the pads of your pointer and middle fingers will be on the other side at the 6 o’clock position, forming a “C.” Your thumb and fingers should be in line with the nipple. If you have larger breasts, you may need to lift and then push your fingers into the chest wall. This rolling motion of the thumb and fingers will compress and empty the milk reservoirs around the nipple. Be sure to use both hands on each breast. Many mothers express milk directly into a bottle or breastmilk storage bag. You may feel more comfortable starting with a cup that has a wider mouth to minimize spills. If you are away from your baby, looking at a photo of your little one or even smelling their clothes or blanket can help stimulate milk flow. This way, gravity is working for you. Then massage your breasts to help stimulate the flow of milk. Start by moving your fingers around your breast, pressing firmly in a circular motion (similar to a breast examination). Then, shake your breasts gently while leaning forward so that gravity can help the milk eject. Pay attention to the flow of milk and switch to the opposite breast as the flow slows down. Your own timing and efficiency will improve as you practice the technique. Different. The many. Privacy Policy California Privacy Policy Terms of Use. You might want to express milk if: you have to be away from your baby, for example, because your baby is in special care or because you're going back to work your breasts feel uncomfortably full (engorged) your baby is not able to latch or suck well, but you still want to give them breast milk your partner is going to help with feeding your baby you want to boost your milk supply You can express milk by hand or with a breast pump. How often you express your milk, and how much you express, will depend on why you are doing it. Sometimes it takes a little while for your milk to start flowing. Try to choose a time when you feel relaxed. {-Variable.fc_1_url-

Having your baby (or a photo of them) nearby may help your milk to flow. You may find it easier to express if you cover your breasts with a warm towel first, or after you have a shower or bath. It also means you can express without needing a pump, or an electricity supply. Hand expressing allows you to encourage milk to flow from a particular part of the breast. This may be useful, for example, if one of the milk ducts in your breast becomes blocked. Hold a sterilised feeding bottle or container below your breast to catch the milk as it flows. These tips may help: Before you start, wash your hands with soap and warm water. Have something clean ready to collect the milk in. Some mothers find gently massaging their breasts before expressing helps their milk to let down. Squeeze gently, keeping your finger and thumb a few centimeteres away from your nipple, just outside the darker area around it (areola). Do not squeeze the nipple itself as you could make it sore. This should not hurt. Release the pressure, then repeat, building up a rhythm. Try not to slide your fingers over the skin. Drops should start to appear, and then your milk usually starts to flow. If no drops appear, try moving your finger and thumb slightly, but still avoid squeezing the darker area near your nipple. When the flow slows down, move your fingers round to a different section of your breast, and repeat. When the flow from one breast has slowed, swap to the other breast. Keep changing breasts until your milk drips very slowly or stops altogether. Watch a video about expressing milk by hand, on the UNICEF website. Different pumps suit different women, so ask for advice or see if you can try them before you buy. Manual pumps are cheaper but may not be as quick as an electric pump. You may be able to hire an electric pump. Your midwife, health visitor or a local breastfeeding supporter can give you details of pump hire services near you. The suction strength can be altered on some electric pumps. http://theydeserveastamp.org/wp-content/plugins/formcraft/file-upload/server/content/files/16285a3f3cbab1---C-130-x-perience-manual.pdf

Build up slowly. Setting the strength to high straightaway may be painful or damage your nipple. You may also be able to get different funnel (the part that goes over your nipple) sizes to fit your nipples. The pump should never cause bruising or catch your nipple as it is sucked into the funnel. Always make sure that the pump and container are clean and sterilised before you use them. See tips on sterilising your baby's feeding equipment. If you're freezing it, make sure you label and date it first. If you need to use it straight away you can defrost it by putting it in a jug of warm water or holding it under running warm water. Once it's defrosted, give it a gentle shake if it has separated. Use it straight away. Do not re-freeze milk that has been defrosted. Once your baby has drunk from a bottle of breast milk it should be used within 1 hour and anything left over thrown away. Or you can warm the milk to body temperature by putting the bottle in a jug of warm water or holding it under running warm water. Do not use a microwave to heat up or defrost breast milk. This can cause hot spots, which can burn your baby's mouth. Read more information about breastfeeding a premature or sick baby. If you are finding it difficult or uncomfortable to express your breast milk: Ask your midwife, health visitor or breastfeeding supporter for help. They can also tell you about other breastfeeding support available near you. Search online for breastfeeding support in your area. Call the National Breastfeeding Helpline on 0300 100 0212 (9.30am to 9.30pm daily). Visit the Bliss website for advice on expressing milk for a premature or sick baby. By using our site, you agree to our cookie policy.Julie Matheney is an International board certified Lactation Consultant (IBCLC) and the Founder of The LA Lactation Lady, her lactation consulting business based in Los Angeles, California. She has over eight years of lactation consulting experience. www.cutsky.com/d/files/canon-zr500-manual-espa-ol.pdf

She earned her MS in Speech-Language Pathology from Miami University and has earned a Certificate of Clinical Competence for Speech-Language Pathologists (CCC-SLP). She also earned her Certified Lactation Educator Counselor (CLEC) certificate from the University of California, San Diego.In this case, several readers have written to tell us that this article was helpful to them, earning it our reader-approved status.For some women, hand expression can be a more comfortable alternative to breast pumps. The process can be done anywhere, and without special tools or devices.If you washed your hands with cold water, let them warm up before touching your breasts. Cold hands can cause the process to take longer than warm hands. If it's your first time and you're feeling uncertain, you can also ask for help from a nurse, or even get some help from your partner.This can help with the expression of milk. Though it's not necessary, it certainly won't hurt the process.If you want to prime your breasts for hand expression further, you can give your breasts a gentle massage using your hands or a soft towel. Just gently knead and massage the skin around both nipples to help your breasts relax and get ready to produce milk.This position will make it easier for you to express your milk and to stay comfortable during the process. However, if you need to, you can still pump effectively if you're standing up.The pressure should be gentle and firm, but should not feel like you are squeezing the breast at all. Avoid tightening or stretching your skin over the areola, because this will make it more difficult to express the milk. Press your thumb and index finger directly back into the breast tissue, into the wall of the chest. Here are some other things to keep in mind:Spreading your fingers out reduces the effectiveness of the process. Use a rolling motion away from your body with your thumb and fingers. Compress your breast with this rolling motion. As the saying goes, you should press, compress, and then relax. Once you get used to it, you should be able to fall into a rhythm, as if the baby were nursing, which will help you express your breast milk more easily.It's up to you to find the best position that helps you express the most milk. If you're expressing just to make your breasts feel more comfortable, you can express the milk into a towel or just express it over a sink. Here are some things that you can do if you do want to save the milk for later use:Once the cup is filled, transfer the milk into a storage container.She has over eight years of lactation consulting experience. She also earned her Certified Lactation Educator Counselor (CLEC) certificate from the University of California, San Diego. Julie Matheney, MS, CCC-SLP, CLEC, IBCLC International Board Certified Lactation Consultant Expert Warning: Before you hand express your breast milk, wash the container you plan to use with hot, soapy water. That way, you can ensure there isn't any bacteria that could contaminate the milk. Change positions slightly on each breast to completely express all milk. Moving back and forth between the breasts will stimulate even more expression of milk.A lactation professional can help determine if there is any way to make the process easier, so you should consult one as soon as you can.You can easily breastfeed until your child is a year, or even two years, old. There's no need to stop before you're both ready. Most women set goals for breastfeeding of between three months and a year. Though in many parts of the world, it's usual to breastfeed for two years or even longer.If you are experiencing this, you should see a doctor.What can I do? Take a warm shower for 10 minutes before breastfeeding, and clean your nipples gently with a clean warm washcloth to remove any crust or dirt.Directly breastfeeding your baby will also help the nipple to come out naturally. Breast milk is safe for up to 8 hours at room temperature, and can also be refrigerated or frozen for longer. Some women are able to produce milk without pregnancy, such as when adopting, but you'd have to work with your doctor on that. There's not really a point, unless you need to feed a baby. Women have hand-expressed milk since the beginning of humanity. What do I do if it's causing pain when I breast fed? Hand expression of breast milk does not always direct milk in the place you expect it to go. Be prepared to wipe extra milk off of you or your clothes. Some choose to use their right hands, if they are right-handed; while left-handed women tend to use their left hands. Use whichever hand is most effective. Try again if the first attempt does not create the results you expected. The area around the nipple is where pressure should be applied to work milk out of the milk reservoirs. Breasts can be tender when breast feeding. Squeezing them can cause pain. Julie Matheney is an International board certified Lactation Consultant (IBCLC) and the Founder of The LA Lactation Lady, her lactation consulting business based in Los Angeles, California. This article has been viewed 632,052 times.With your hand in this position, apply gentle pressure inward toward your chest. As you do this, roll your thumb and fingers forward so you squeeze the milk out of the milk sinus. Make sure to avoid stretching the skin over your areola as you massage. Using a rolling motion, you should press, compress, and relax to get into a rhythm to help express your breast milk more easily. If you’re expressing just to feel a little more comfortable, and not to nurse, express the milk into a towel or over the sink. To use the milk later, simply express it directly into a bottle. For more tips, like how to prepare your breast to be expressed, scroll down. The breaststroke pump makes her sore.By continuing to use our site, you agree to our cookie policy. The breaststroke pump makes her sore. For this reason, breast milk feeding in the NICU often depends upon the mother's ability to initiate and maintain an adequate milk supply through expression, through manual (eg, hand expression) or electric pumping. Typically, a hospital-grade electric pump is the gold standard for NICU mothers. However, mothers are often challenged immediately postpartum, after a high-risk delivery, to establish milk production with the use of a hospital-grade electric pump. This may not be the most effective strategy to set the stage for future milk production. Manual expression can be an appropriate supplement to electric pumping. Manual expression refers to the use of the mother's hand to express milk from the breast. This should not be confused with manual pump expression, which is the use of a device that operates manually without the use of electric or battery power. Manual expression is thought to be advantageous over either manual or electric pumps in the first few days after delivery. 1 In addition, manual expression is often more effective in removing thick colostrum that is present in the first few days after delivery, thus priming the breast for the onset of lactogenesis III when the full milk supply is available. Lactogenesis III is a highly vulnerable time, and nurses are in a unique position to educate and support NICU mothers for breastfeeding success. Ideally, breastfeeding methods, including manual expression, should be taught in the antenatal period when the mother may be more ready to receive information with fewer periods of distraction, fatigue, or feelings of being overwhelmed from the birth experience. At-risk pregnant women on the antepartum unit are often confined to the hospital for extended periods prior to delivery; this provides an opportune time for nurses to intervene and discuss their breastfeeding plans. Neonatal nurses can also learn this simple technique to reinforce and answer questions that NICU mothers may encounter. The technique of manual expression can be easily taught using a breast model or videotape demonstration. A readily available video on the Internet by Jane Morton, MD (titled Early Hand Expression Increases Later Milk Production 2 ), can be viewed on most electronic devices (eg, smartphone, tablets, laptop). Most women find the technique easy to perform with fairly brief instruction. In addition, this technique can be easily taught by neonatal or perinatal nurses and does not rely on specialty training from a certified lactation consultant. Manual expression is not a new technique, and up until the development of battery and electric pumps, it served as the only available alternative for milk expression during infant separation. This form of expression should be combined with electric pump expression for each session. However, there are circumstances wherein mothers who are discharged from the hospital and separated from their infants do not have a hospital-grade electric pump available at home. The Affordable Care Act requires mothers to have access to a pump and breastfeeding supplies, 3 although there may be a time lag between the mother's hospital discharge and when the pump becomes available. Manual expression can be maintained when these unfortunate lapses in pump access occur. This is critical since the first 72 hours after birth set the stage for milk production and breastfeeding success. In fact, women who manually express colostrum a minimum of 6 times per day have more milk later on than those who manually express 1 to 2 times per day in the first 3 days following delivery. 1 While the frequency of manual expression is important, so is its effectiveness. Manual expression aids in complete emptying of the breast, resulting in a greater future milk production supply. Teaching mothers how to manually express is part of the Baby-Friendly Hospital Initiative (BFHI), an ongoing global commitment to implement practices that protect, promote, and support breastfeeding. 4 Hospitals providing maternity care throughout the world are interested in obtaining BFHI designation to demonstrate such a commitment to breastfeeding. Step 5 requires mothers to be shown how to breastfeed and maintain lactation, even if they are separated from their infants. Staff must report they teach mothers manual expression and be able to describe or demonstrate the correct technique or refer appropriately to lactation consultants. In addition, mothers must report they were taught how to hand express and be able to describe or demonstrate an acceptable technique or describe the subsequent referral process. 4 The Baby-Friendly designation is auditing for a limited period of time and only in maternity hospitals. For freestanding pediatric facilities with NICUs, this same standard can be applied as part of an ongoing quality improvement initiative to improve quality of breastfeeding care for mothers separated from their infants. Expanding the Baby-Friendly initiative for all hospitals providing breastfeeding consultation to mothers could result in improved and sustained breastfeeding rates for NICU infants. In addition to mothers being taught, there should be ongoing evaluation of their experience with manual expression to determine the number of days mothers may most benefit from manual expression. At this time, evidence suggests the first 3 to 5 days, or when the mother's milk comes in, as the most beneficial time for manual expression. For some, this could be longer since not all women reach full milk production at the same rate. When mothers are separated from their infants, there is a sense of loss and grief. Breastfeeding is an example of one thing they can do for their infants during this time.