Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA - International Board Certified Lactation Consultant

Hand expressing - with or without pumping

Best Practice for expressing milk long-term – “hands on pumping”
-          Have a photo of your baby, so that you can focus on your little one, instead of the machine
-          Massage the breast or apply a warm pack
-          Hand express to start the flow [See YouTube videos – links below]
-          If using a machine pump, apply the well-fitting pump flange, making sure to centre your nipple so it won’t rub against the side. (A mirror can help.)
-          When the flow slows or stops, switch sides. You can switch back and forth if your supply is really low
-          When no more milk is coming, or 15-20 minutes is up, whichever  comes first, stop pumping
-          Use your hands to express your breasts for a little bit more
-          If you keep the pump set up on the table, you can do a short pumping session anytime you walk by it. That’s called “power pumping” – great stmulation!
- If you have no electric power or your manual pump breaks, you can skip the pumping stages – and just express by hand. With practice you will improve.  In many parts of the word pumping machines aren’t marketed as local women can’t afford them  and they become good at hand expression.
- You can hand express anywhere, with no need for a power socket.  It is a skill worth learning and practising. Practice makes perfect.
Search Results for “hand expression”RECOMMENDED:
1.                             Hand Expression Tutorial - YouTube
2.                             Hand Expression of Breastmilk - Newborn Nursery at LPCH ...
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But there are many benefits of knowing how to express milk from the breast ... In this video, Dr. Jane Morton demonstrates how easily hand expression can be  ...
3.                             Maximizing Milk Production with Hands On Pumping - Newborn ...
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Maximizing Milk Production with Hands On Pumping... This video demonstrates some ways that pumping mothers can increase production without medication.

5 Comments to Hand expressing - with or without pumping:

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Michelle on Tuesday, 8 April 2014 8:32 PM
Is expressed milk the same as milk direct from the breast, or does it lose part of its nutrition value because it isn't as fresh?
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Virginia Thorley on Wednesday, 9 April 2014 9:11 AM
Michelle, thank you for your question. Yes, it is the same milk when freshly expressed. After that it depends on storage and any processing. Even so, expressed breastmilk that has been chilled or frozen has human proteins, human fats, and human sugars (unlike manufactuere substitutes). Even if some of the living cells in breastmilk (part of the protective mechanisms) are reduced they are believed to be more than enough to provide protection, even if the milk is pasteurised. The exception would be if someone boiled it - an old practice from the 1940s and 1950s that is no longer done in hospitals. There are other protective factors, besides the living cells, among them the oligosacchrines I discussed in another thread on this blog. So, expressed milk is still breastmilk. Feeding directly from the breast is of course best as tghe milk goes straight into the baby. Freshly expressed milk or expressed milk that has been chilled or frozen is still nutritionally just right for babies, and has enough protective components.
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wenger watches on Friday, 2 January 2015 5:21 PM
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Virginia Thorley on Sunday, 18 January 2015 10:17 AM
Thank you for your comment. Yes, I am having problems in posting new topics and I have been unable to sort out the difficulty.

CD & DVD Duplication on Wednesday, 5 August 2015 5:16 PM
It’s really a great article. You have a very informative blog post here and I just wanted to comment & thank you for posting this. I’ve bookmarked your blog and I’ll be back to read more in the future my friend! Also nice colors on the layout, it’s really easy on the eyes.
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