You might want to hand express breast milk (squeeze milk out of your breast) because:
• It can be used to help your baby attach to the breast
• It can help to prevent or relieve your breasts feeling over-full (engorgement)
• It can help to boost your milk supply
• It is great for small amounts such as your colostrum (first milk) or showing you have some milk
• It can be used to clear ducts
• It is more effective than a pump
• It’s free and you don’t need any equipment other than a clean bowl
• You need to be away from your baby, for example if they are in special care
• Your partner is going to help with feeding your baby
• Your baby can’t suck well but you still want to give them breast milk.
How to express by hand:
1. Preparation - it is important to stimulate the breast by massaging, this helps the milk to flow. Spend a few minutes gently stroking the breast with the backs of your fingers or use light circular movements with your fingertips, all around the breast. Touching your nipple will also help.
2. Location - Place your finger and thumb about 2 - 3 cm away from the base of the nipple in a 'C' shape.
3. Expression - Keeping your finger and thumb opposite each other, squeeze and release without moving the position of your fingers. It may take a few minutes for the milk to flow and it will start as drips. Collect the milk in a sterilised wide rimmed container. As flow slows down, rotate fingers around the breast and repeat the process to express milk from the whole breast. Repeat the process from step 1 on the other breast.
There are many different types of breast pumps available and the one you pick will depend on your needs. Some are basic handheld pumps that are useful if you occasionally pump. You can also use battery-operated pumps which do the hard work for you. These are especially useful if you are busy or work full time.
If you have a double electric pump, you can pump both sides at the same time. Double pumping is often recommended because it cuts pumping time in half. Usually the total pumping time for each session is only 10 to 15 minutes. This may make it easier to schedule breaks at work.
Make sure your pump and all the parts (bottles, valves, funnel etc) are clean and sterile before using them. If your baby is in hospital because they are ill or premature, your midwife will help you clean and sterilise the equipment.
You may want to store some of the breast milk you have expressed to use at a later time. If you do this, make sure it is in a sterilised container such as a bottle or special milk storage bags – remember to label and date it. It is best to store it in small quantities so you avoid wasting any.
Your breast milk can then be kept:
At the back of the fridge, not the door, for up to 8 days (at 4°C or lower)
In the ice compartment of the fridge for up to 2 weeks
In the freezer for up to 6 months
- Freshly expressed breast milk can be stored in an insulated cooler with ice packs for up to one day
The best way to defrost frozen breast milk is by leaving it in the fridge to thaw out completely. But if you need it straightaway, you can defrost it by placing the bag or container in a jug of warm water, or by holding it under running warm water.
Whichever way you defrost the milk, it must be used immediately (never re-freeze it).
Who Can Help?
If your baby is less than 28 days old you can contact your local midwifery team or you can contact the Healthy Child Programme at any time following your baby's birth by calling Just One Number on 0300 300 0123 or texting Parentline on 07520631590.
Our opening hours are 8am-6pm Monday-Friday (excluding bank holidays) and 9am-1pm on Saturdays. Norfolk Healthy Child Programme has a team of infant feeding champions who can contact you by video call/telephone initially to discuss your questions and refer you to further help if required. All of our staff are trained to Unicef standards to provide you with the best possible breastfeeding support and advice.
If you would like to make connections with other parents please click on the links for our Just One Norfolk Community Forum; the Norfolk Community Directory and Early Childhood & Family Service (ECFS) below