At some point, you may need to hand express your breastmilk in place of a full feeding or to establish. The basics of breast massage and hand expression on vimeo. Hand expression of breast milk interior health authority. Apply heat, massage and stroke breasts position fingers behind areola 3. This special milk is full of nutrients and antibodies for your baby. Hand expression is a useful technique, and whats more its convenient and free.
Identify a motherbaby dyad who would benefit from hand expression of colostrum prenatally. Jane morton demonstrates how easily hand expression can be taught to mothers. Try applying icy cold compresses to your breast after nursing to. How to hand express or reinforce hand expression taught in hospital.
Hand expression can boost your longterm milk supply, increasing the amount of breast milk you make for your baby and the duration of your breastfeeding relationship. Feeding your infant provides more than just good nutrition. The unicef uk baby friendly initiative hand expression video can be shown to mothers on a smart phone or other device. Warmth to the breasts and gentle massage before hand expressing may encourage breast milk to flow. Colostrum harvesting is a process involving antenatal expressing and storing of colostrum. This information leaflet will support you in expressing colostrum before you give birth, to support your baby in the early hours after they are born. Even expressing a small amount of milk will signal the body to make more. If your baby needs a supplement in the first week or so, use hand expression to provide the milk he needs.
Lactation education resources provides online lactation courses following the iblce blueprint designed to prepare students to sit for the iblce exam to achieve certification or recertification as lactation consultants. Please like and subscribe to my channel,to get updated video. Cup your breast with the palm underneath and the thumb on top. Hand expression hand expression in the first hour after birth and continuing after each feeding helps establish a good milk supply, even when breastfeeding is going well. Squeeze the breast and roll the fingers forward, massaging out some milk. Hand expression versus pumping expressing milk means removing milk from your breast other than when your baby is feeding. Breast massage and relaxation techniques support a mothers milk flow by increasing oxytocin.
The basics of breast massage and hand expression video by maya bolman, ibclc and ann witt, md, fabm, ibclc. Making milk expression work for you wic breastfeeding. If hand expression is difficult, a mother can use a hand breast pump. These include relieving or preventing engorgement and building your milk supply.
If you know you will need to express your breast milk, start to express by hand as. If you are unsure of how to talk a mother through this, ask a more experienced colleague for help. Lactation consultants these are experts specially trained to help you breastfeed or nurses can help you to use the breast pump and learn hand expression. Hand expression of breast milk health education hand expression or manual expression of breast milk is the removal of milk from the breast using a massage and compression technique.
The choice of how to express will depend on maternal preference, availability of equipment, hygiene conditions and cost. This continues in your pregnancy in preparation for your babys birth. Give your baby only breast milk for the first 6 months of their life. Download view lengua atada o amarrada tongue tie spanish. Breastfeeding education materials childbirth graphics. She also should be encouraged to initiate breastfeeding or expression of colostrum within 1 hour of birth. Hand expression is the most effective way to remove colostrum, especially in the first 24 hours after delivery becker et al. When you remove milk from your breasts either by breastfeeding or expressing, you are telling your body to make more milk. These are often called solid foods or complementary foods. Beckman bs, rn, ibclc mbc 11thannual statewide workshop and meeting november 8,9, 2018 objectives 1. When your baby takes a feeding away from the breast, your body does not receive the necessary signal to produce milk. Lactation education resources provides online lactation courses following the iblce blueprint designed to prepare students to sit for the iblce exam to achieve certification or. Manual expression of breast milk centracare health. Its benefits include quicker establishment of full lactation singh, 2009, increased confidence in hand expressing brisbane and giglia, 20, and reduced stress over breast milk supply in the immediate postpartum period cox, 2006.
Best pumping and expression practices to maximize milk. Department of obstetrics and gynecology increasing breast milk supply 2 plan to pump every time your baby would normally eat which is a minimum of 8 times every 24 hours, or every 23 hours. It also gives you a chance to hold your newborn close, cuddle him, and make eye contact. As with any form of breast milk expression, hand expression is a skill that the mother will need practice to do effectively.
Rotate hand positioning and continue in the same way from the sides, to make sure that milk is expressed from all segments of the breast. Hand expressing for additional information on hand expression, see the below resources. You can use it to stimulate milk production if you need to increase your supply, and to provide milk for your baby. Expression on breastfeeding selfefficacy and exclusivity rates. Prenatal hand expression pregnant women begin producing milk, called colostrum, early in the second trimester. It may be easier to practice hand expression in the bathtub or shower or after breastfeeding hand expression can be used. Hand expression means using your hand to rhythmically compress your breast so that milk comes out. One study found that learning hand expression during pregnancy increased mothers confidence and readiness for breastfeeding. Resources international lactation consultant association. This is the response of the mothers body to the presence of her baby.
Make sure you are comfortable the more comfortable you are, the easier hand expression will be. Help maintain milk supply if separated from baby or unable to feed baby directly at the breast 5. Antenatal hand expression buckinghamshire healthcare nhs trust. Hand expression technique michigan medicine university of. Electric pump for first week even though groups did not differ in number of expression sessions, pump expression group had greater cumulative milk volume at 7 days this deficit was not corrected when the hand group added pumping, at 28. Jun 23, 2015 hand expression technique during the first few days after delivery, your breasts will produce colostrum. All mothers should be shown hand expression before leaving hospital. Hospital requires nurses to be formally assessed for clinical competency in breastfeeding. Expressing milk by hand breastfeeding women have expressed removed milk by hand for generations. This module is designed to train wic staff on why and how to teach hand expression to wic. Latch checklist infant hunger cues hand expression. Electric breast pump expression effective removal of milk is a priority randomized to hand vs.
Hand expression technique during the first few days after delivery, your breasts will produce colostrum. Breastfeeding lactation breast pumping hand expression. If you need to express for more than a short time your midwife may suggest combining hand expressing and using an electric breast pump. Each time you express, spend about 5 minutes on each breast, for a total of 10 minutes. Pumping also lets you provide breast milk for your baby when you are apart.
Expressing close to her baby or having a photo or piece of babys clothing can also help a mothers milk production and flow. Pumping and hand expression basics wic breastfeeding. For best results, practice hand expression after you take a warm bath or shower. Wic staff may also suggest pumping to help you address common issues. Hand express 2 times a day, once in the morning and once in the evening. But there are many benefits of knowing how to express milk from the breast without the use of expensive or cumbersome pumps. If your milk supply drops, you can hand express a little bit like a teaspoon from each breast a doz. Hand expression can boost your longterm milk supply, increasing the amount of breast milk you make for your baby and the duration of your breastfeeding. Hand expressing breastmilk before a baby is born is. Expressing breastmilk is also important to sustain. The warm bottle method for the expression of breastmilk this is a useful technique to relieve severe engorgement, when a breast is very tender, and the nipple is tight, so that hand expression is difficult. Human milk actually has antibacterial properties that help it to stay fresh.
In these cases, you may want to follow the marmet technique for manual expression of breastmilk. Hand expressing milk newborn nursery stanford medicine. It is essential to store your expressed pumped milk properly to maximize its nutritional and antiinfective qualities. Most newborns have a very good feeding at the breast immediately after delivery and then sleep for several hours. Hold your breast with your fingers and thumb cupped. This document, published by ilca in 2011, summarizes the evidence demonstrating breastfeeding as the biological norm and affirms it as a public health priority. Press your fingers and thumb back towards your chest. Breastfeeding hand express expressing benefits through. Written in easytounderstand language, it is a musthave resource for all breastfeeding professionals. You may need to do this if you will be away from your baby during a feeding time or to get milk for your baby if he or she cannot breastfeed. Hand expression helps to stimulate milk supply, produces more milk than pumping alone, increases breastfeeding rates, and is an option for all mothers because it is free and requires no special equipment. Hand expression helps you to soften the breast and get the ow of milk going. Expressing breastmilk by hand expressing breastmilk by hand is a skill that takes practice. Ask your wic breastfeeding staff about practical tips to help you with pumping and hand expression.
How hand expression works the technique of hand expression mimics what happens during a breastfeed. Let the milk spray into a widemouth container, such as a bowl. Hand expression benefits early hand expression increases later milk production relieves engorged breasts stimulates milk production to increase supply increases amount of colostrum baby receives in the first few days convenient and free. Hospital requires nurses to be formally assessed for clinical competency in breastfeeding support and lactation management. Breastfeeding handouts all iable members have access to printable versions pdf of our growing library of breastfeeding education handouts. Education regarding hand expression is best initiated prenatally and continued postnatally. Impact of prenatal colostrum expression on breastfeeding self. Please be aware that the information provided is intended. Provide expressed breast milk to offer to baby while they are learning to breastfeed effectively 2. Regular frequent expressing is important to establish and maintain a good milk supply. Human milk the institute for breastfeeding and lactation. Breast milk or natural breastfeeding is good for our babies. If your milk supply drops, you can hand express a little bit like a teaspoon from each breast. If you are a breastfeeding caregiver and would like to give these to your moms, please consider joining iable.
Hand expressing in pregnancy and colostrum harvesting. Importance of delaying complementary foods and formula. This means expressing your breast milk in the final few weeks of pregnancy before your baby arrives. Teach every mother hand expression and collection techniques to maximize colostrum availability. Hand expression or manual expression of breast milk is the removal of milk from the breast using a massage and compression technique. Milk expression, defined as the removal of breast milk from a. She should be given specific instructions about hand and mechanical expression techniques and safe storage of breast milk. Hand expression hand expression is an effective method for expressing breast milk when done correctly.
Order these parent handouts printed in english on one side, in spanish on the other in quantity from. Antenatal hand expressing of breast milk colostrum is produced in womens breasts after about 16 weeks of pregnancy. Hand expressing is a good technique for obtaining small volumes of colostrum. Best pumping and expression practices to maximize milk production.
Great for lactation education, childbirth graphics specializes in breastfeeding teaching resources that cover breastfeeding benefits, getting started, latching on, breastfeeding positions, whether a baby is getting enough breastmilk, pumping and manual expression, iblce certification, and much more. Appropriate time to introduce vitaminmineral supplementation. Manual expression of breast milk marmet technique centracare. If your baby is taking supplemental feedings away from the breast, it is important for you to mimic the feeding by using a breast pump combined with hand expression. Nys ten steps to a breastfeeding friendly practice. Hand expression and using a pump can be equally effective. Assessing health worker performance in assisting a mother to learn skills of hand expression of breast milk. Hand expression can be done at the same time or just after breast pumping to make more milk. Expressing breastmilk by hand public health north zone. Hand expressing this milk can have benefits for certain women. Hand expressing breastmilk before a baby is born is called. Breastfeedings best kept maximize milk production breast. Manual expression of breast milk marmet technique at some point, you may need to hand express your breastmilk in place of a full feeding or to establish, increase or maintain your milk supply when the baby cannot breastfeed. Hand expression is convenient, free, and always available to provide breast milk to your baby, even in emergencies.
940 1531 669 1676 1586 1188 1650 658 988 853 513 472 576 285 208 415 1801 1257 962 1507 1552 1360 242 1263 1295 414 122 1427 179 172 1282 1319 1070 554 1087 802