Some people find hand expression more straighforward and productive, hope this video helps explain how that works. Express milk about every 3 hours if your baby is unable to nurse 8 or more times in 24 hours. Expressing and storing breastmilk baby brands direct. This short video from the stanford school of medicine demonstrates how hand expression of breastmilk can be taught to women. For example breastmilk may be stored for up to 68 hours at room temperature and up to 72 hours in the fridge. 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. 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. Expressing breastmilk can relieve breast fullness, soften the breasts, and make it easier for the milk to flow. Pdf predictors of breastmilk expression by 1 month. You will need to use proper containers to collect the breast milk. Hand expression is a handy skill to have whenever you need to empty your breasts and you. Feeding breastmilk to premature infants decreases morbidity but is often limited owing to an insufficient milk supply and delayed attainment of lactogenesis stage ii. If you know you will need to express your breast milk, start to express by hand as. If you dont think you will use freshly expressed breast milk within 4 days, freeze it right away.
You might be thinking of returning to work, or study, or planning a night out. Or, you can express your milk into a spoon and feed it directly to the baby. This resource is part of the growing strong series and contains information for aboriginal and torres strait islander families on expressing breastmilk. Hand expression of breastmilk home stanford medicine. The expressing equipment should be cleaned really well at least once every 24 hours while it is in frequent use.
Heres a video on hand expressing breastmilk to help you with the basics. 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. 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. Healthcare providers used to think that prenatal breast milk expression would increase the risks of preterm labor, abdominal contractions, and vaginal bleeding in the mother. They were also concerned that prenatal expression could decrease fetal movement and increase the risk that the. Just as with hand expressing, the first step in expressing breastmilk with a hand held pump is getting yourself relaxed and comfortable. Expressing and storing breastmilk queensland health. If your breasts become engorged, you will need to lessen this. The power of hand expression by diana west, ba, ibclc. These storage guidelines are suitable for a healthy term born baby. Refrigerated milk in a 2door fridge can be kept for 72 hours, or in a single door fridge for 24 hours. If your baby needs a supplement in the first few, use hand expression to provide the milk he needs.
Oct 20, 2015 breast milk expression breast pumping has become prevalent as an important dimension of breastfeeding behavior. Expressing milk by hand breastfeeding women have expressed removed milk by hand for generations. Hand expression or manual expression of breast milk is the removal of milk from the breast using a massage and compression technique. The american academy of pediatrics new mothers guide to breastfeeding contacts. Many mothers will express breastmilk at some stage during breastfeeding. Frequent short sessions are usually more effective than infrequent, longer expressing sessions. If its not adjust what youre doing until it feels ok. Teaching the expression of milk by the technique of hand expression. In particular, evidence suggests that the use of breastmilk decreases the incidence and severity of the life threatening disease necrotising. The marmet technique draining the milk reservoirs 1. Storage of breastmilk containers for storing breastmilk. A video on hand expressing breastmilk healthy families bc. But there are many benefits of knowing how to express milk from the breast without the use of expensive or cumbersome pumps. Knowledge, attitude and practice of expression of breast milk among mothers in western maharashtra article pdf available january 2016 with 4,683 reads how we measure reads.
Hand expression can also help to relieve engorgement and clear blocked ducts. The objective of the present study was to evaluate the impact of breast milk expression in early postpartum period on breastfeeding duration amongst mothers of. Expressing breast milk is when you use your hands or a breast pump to get the milk from your breasts. The shelf life of frozen breast milk depends on your freezer. Breastmilk is the best gift you can give your baby. Manual expression of breast milk centracare health. In the first few days after birth, hand expression can be more effective at removing colostrum than using a breast pump. How to express your first milk for mothers small baby series duration. Mothers who pump and store their breastmilk at work in a shared refrigerator label it with their name or put it in a bag so it is not mistaken for cows milk. You can give your baby expressed breastmilk in a number of. It is also important to maintain a mothers milk supply during separation and make milk available for someone else to feed the baby. Pumping and hand expression basics wic breastfeeding.
Hand expression of breastmilk until recently hand expression of milk has been an underutilized skill in our institution. If you are pregnant or breastfeeding, milk expression by hand is a useful technique to learn. Hand expression of breastmilk hand expressing is an effective way to relieve fullness and allows you to express milk for your baby in any situation. In the first few days after birth hand expression can be more effective at removing colostrum than using a breast pump.
The first couple times, you may only get enough milk to cover the bottom of the container. If your milk is in, pump until milk no longer drips and then 1. Most newborns have a very good feeding at the breast immediately after delivery and then sleep for several hours. You can also use it to stimulate milk production and provide milk for a baby who is not breastfeeding well or needs more milk. Hand expression technique during the first few days after delivery, your breasts will produce colostrum. Aug 14, 20 some women choose to express breast milk by hand, which can be done almost anywhere.
In this paper expressing also known as pumping is used to describe using a pump to obtain breast milk, and hand expressing is used for instances where expressing is done by hand. How to express breastmilk twi breastfeeding series video. Massage again, and repeat the hand expressing routine. Here are some resources for learning this useful skill. Pdf knowledge, attitude and practice of expression of.
Watch now for free visit the stanford school of medicine website to view the video and to get more information about the presentation. Gently shake the milk before use as the fats may have separated. Freeze excess breastmilk if you produce more milk than your baby requires. If you are expressing to provide milk because your baby is ill or premature,we would advise that you express at least 8 times in 24 hours, this would include at. To relieve breast fullnessengorgement to stimulate milk production. Freeze refrigerated breastmilk immediately if you are not going to use it in the next few days. Expressing is taking breastmilk from your breast without your baby latching on. If you wish to keep a personal copy, copy the answers onto the form in your manual. Expressing and storing breastmilk breastfeeding series. Hand expression is one way to pump your milk and you only need your own two hands to do it.
This will help protect the breast milk from temperature changes from the door opening and closing. Electric breast pump expression effective removal of milk is a priority randomized to hand vs. Clearly label the breast milk with the date it was expressed. Manual expression of breast milk marmet technique centracare. Feb 16, 2016 combining hand expression with breast massage can be a very effective way to stimulate the milk ejection reflex.
Usually hand expression works better than a breast pump in the first 24 hours. If hand expression is difficult, a mother can use a hand breast pump. Some moms may not have access to or the money to pay for a breast pump. Hand expression is a useful skill for any nursing mother. Hand expressing milk newborn nursery stanford medicine. Association of timing of initiation of breastmilk expression.
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. Expressing and storing breastmilk bfn leaflet baby. Do not store breast milk in the door of the refrigerator or freezer. Breastfeeding expressing breastmilk better health channel. If you know you will need to express your breast milk, start to express by hand as soon after birth as possible. Wake your breasts up shake, massage, move them put fingers on opposite sides of your areola press back toward chest compress fingers toward each other, drawing slightly toward nipple but not sliding skin. Find a clean collection container with a wide mouth, like a cup.
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. Prevalence and outcomes of breast milk expressing in women. Assessment of breastmilk expression checklist home implementing baby friendly standards resources assessment of breastmilk expression checklist this checklist can be used to ensure that mothers are expressing their breastmilk effectively and to address any issues or concerns mothers may have. 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. Both electric and hand breast pumps are available for sale, and electric ones for hire, from the australian breastfeeding association aba, some retail stores, and some pharmacies. Assessment of breastmilk expression checklist baby. Expressing and storing breastmilk bfn leaflet home breastfeeding resources expressing and storing breastmilk bfn leaflet this leaflet for mothers on expressing and storing breastmilk, based on the latest evidence about safe storage, is available from the breastfeeding network.
Do not top up refrigerated or frozen breastmilk with fresh breastmilk unless it has been chilled first. Hand expressing is usually the best option in the early days when you have colostrum and before your milk comes in. When you cannot breastfeed, you may need to remove and. Expressing and storing breastmilk covers all aspects of expressing and storage of breastmilk including hand pump expressing, when to hirebuy a pump, long term milk expression, and correct storage and handling of breastmilk. This video shows how to hand express breast milk and how to safely store it for later use. The power of hand expression pumping article lllgb hand expression of breastmilk. When you remove milk from your breasts either by breastfeeding or expressing, you are telling your body to make more milk. Evaluation and documentation of breastfeeding using a standardized assessment form, such as the lactation assessment tool lat. This special milk is full of nutrients and antibodies for your baby. What do i need to know about expression, collection, and storage of breast milk. Breastfeeding guide your breastfeeding journey is as unique as you. You can store breast milk until your baby is ready to use it if you keep it cold properly. See more ideas about breastfeeding, breastfeeding tips and hand expressing milk. The baby may not be able to suckle well at the breast.
Hand expression of breastmilk scroll down for english. Express until no more milk comes out, at least 10 to 15 minutes each breast. 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 days. Expressing milk means squeezing milk out of your breast so you can store it and feed it to your baby later. Staff information for sick and preterm babies the importance of breastmilk cannot be overestimated, supporting growth and providing protection from infection. I am always on the go, so here i show my method and my thoughts. Information for breastfeeding families hand expression hand expression is a handy skill to have whenever you need to empty your breasts and you are not with your baby or your baby is temporarily unable to breastfeed. It also answers some frequently asked questions on this topic. Counseling the mother and her supporters about the infant feeding decision. You can learn hand expression at a wic clinic or at a lactation support center.
Antenatal expression of colostrum australian breastfeeding. At some point, you may need to hand express your breastmilk in place of a full feeding or to establish. Hand expression of breastmilk lactation education resources. If you need to express for more than a short time your midwife may suggest combining hand expressing and using an electric breast pump. Hand expression is a useful tool to help breastfeeding. It is a good idea for all mothers to learn how to express their breastmilk, so that they. Expressing your breastmilk your breastmilk is the best milk for your baby. Breastfeeding how to support success a practical guide for health workers by tine vinther and elisabet helsing, ph. Growing strong, breastfeeding, introduction of solids, pregnancy, indigenous, aboriginal, torres strait islander, baby food, expressing, breast pump, storing breastmilk created date. It is a myth that you will damage the proteins in the milk with vigorous shaking, but you may cause air bubbles to form in the milk. If you cant be with your baby at feeding time, you can collect your milk in advance by using hand expression or a breast pump. If your baby is preterm, try to start hand expression as soon as possible after birth or at least within the first six hours. Breastfeeding is used to describe the act of feeding directly from the breast, and breast milk feeding includes any means by which breast milk is given to the infant. Expressing is a way of taking milk from your breast without your baby needing to suckle.
Best pumping and expression practices to maximize milk. Predictors of breastmilk expression by 1 month postpartum and influence on breastmilk feeding duration article pdf available in breastfeeding medicine 72. If your breasts become very full, hand express a little milk just before the feed to help your baby to. Videos on hand expression of breastmilk islands wellness. Expressing breast milk june 2018 page 2 of 3 expressing frequently at least 810 times in 24hours, including overnight will help establish the milk supply. Position the thumb above the nipple and first two fingers below the nipple about 1 to 112 from the nipple, though not necessarily at the outer edges of the areola. This allows breastfeeding parents to continue giving their baby breastmilk when they are away from the baby e. Expression of breast milk is when you remove milk from your breast with your hands or a breast pump. When your breasts are too full, hand expression can help you remove just enough milk to make breastfeeding easier.
Expressing breastmilk may also help increase your milk supply. Hand expressing breastmilk hand expressing is a useful skill for all breastfeeding mothers to have whether they use it rarely or often. How to do hand expression of breast milk newborn nurses. Some basic guidelines adapted from lll tear sheet hand expression. Expressing and storing breastmilk global health media project. Hand expression of breastmilk a great video from the stanford school of medicine newborn nursery at lpch. In the first couple of days, if you are having trouble helping your baby latch on to your breast, hand express small amounts of colostrum onto a plastic spoon and give it to your baby. 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. It is, however, not clear whether increasing breast milk expression contributes to extend the duration of breastfeeding. Expressing and storing your milk when away from your baby or returning to work contents 4.
It can relieve breast fullness, stimulate milk production, and provide milk for your baby. Evaluation of the impact of breast milk expression in early. Hand expression of breast milk interior health authority. Hand expression to extract breast milkpumping and expressing. The baby needs extra breast milk as a topup feed following a breastfeed. This page gives you some tips on how to hand express and store your breastmilk. Find out the easiest ways to express and store your milk. Expressing breastmilk with a hand held pump hand held breast pumps usually consist of a suction cup attached to a pump handle and collection bottle or container.
Hand expression or manual expression of breast milk is the removal of milk from the breast using. In fact, when the milk production is not abundant as in the first few days, it is often easier to get milk with hand expression than with a pump and many women fined this the easiest way to express mature milk as well. In these cases, you may want to follow the marmet technique for manual expression of breastmilk. Here are some reasons why you may want to hand express. Expression, collection and storage of breast milk what. Hand expression can be used in place of a pump for a few reasons. This is a spontaneous tutorial of how to hand express breast milk. Some mothers say they get more milk with hand expression than with a breast pump. You can hand express a little milk if your breasts are very full to help your baby attach or to tempt a sleepy baby to feed. This video has a good demonstration of hand expression of breastmilk.
Importance of vacuum for breastmilk expression jacqueline c. Jan 14, 2018 hand expression by nancy mohrbacher, ibclc, filca. Hand expression does not replace feeding your baby at the breast. Many women find that hand expression is an efficient way to pump when only occasional expression is required. How to express breastmilk global health media project hand expression is a skill everyone should learn before birth. Some babies are extra sleepy in the first few days or need more time to practice breastfeeding. Skills requiring competency verification met observed.
How to express breastmilk there are a couple of ways for moms to express their breastmilk. After this time, combining hand expression and an electric breast pump will help you make more milk. Here, we feature blogs, research, helpful tips, and content to support you through breastfeeding challenges, successes, and. Attempt to keep your longest stretch of sleep to one 5hour period during your 24 hour day.
It can also help relieve pressure from a blocked duct or mastitis. Expressing and storing breastmilk the breastfeeding network. Expressing milk means removing milk from your breast other than when your baby is feeding. To determine the effect of the strength of applied vacuum on the flow rate and yield of breastmilk using an electric breast pump. Early initiation of milk expression following delivery has been shown to increase milk production in mothers of very lowbirthweight vlbw infants. First here are three videos on hand expression of breastmilk which relates to the conversation about various breast pumps etc which can be used to express milk. Expressing breastmilk may also be used for other reasons, including. Hand expression helps to soften the breast and help your baby attach to the breast. Cooled milk can be transported in a cool bag with deep frozen ice packs.