Expressing Breast Milk By Hand

Hand expressing your breast milk (hand or manual expression) is the low-tech alternative to breast pumping. Expressing milk by hand works very well for some women as an alterntiave to breast pumping. It’s also a very handy skill to have when:

Memerah asi dengan tangan adalah salah satu cara alternative memerah asi. Dan cara ini berhasil untuk beberapa ibu sebagai alternative cara memerah asi. Dan juga cara yang mudah ketika :
1. You are caught somewhere with full breasts and you don’t have your baby or a breastpump, you’ll be able to relieve breast fullness and avoid problems with engorgement.
2. You do not need to express milk regularly.
3. Your breasts are more responsive to the skin-to-skin feeling of hand expression than to plastic pump parts.
1. Kiat dapat memerah PD yang penuh dimana saja dan tidak perlu khawatir jika kita tidak membawa bayi ataupun BP. Dan kita bisa mengosongkan PD kita dan menghindari masalah PD bengkak (nyeri)
Many women hand express a little to relieve engorgement or to soften the breast enough for baby to latch on, especially in the early days. Most women will express milk when their baby is older, whether that is for Dad to give the occasional feed, so that baby can be left with a friend or relative for a special night out, because mum has returned to work, or because baby has a medical problem which leads to difficulties with baby taking milk at the breast. I have great admiration who express their breastmilk long term, when their babies are premature or have cleft palate, as this does require dedication, and does not come with the same milky-smiled rewards.
When expressing you are fooling your body into thinking that your baby is at the breast and needs to be fed. Hand expressing and breast pumps both work on the principle of stimulating the breast to let down and then moving the milk from the milk ducts.
The amount of milk expressed is not the same as your baby receives during a feed, or even of the same proportion of fore milk to hind milk. Not only does your baby decide how much milk he or she wants, they can also control how much of the rich, but not as thirst quenching, hind milk they take in a feed. Babies and boobs were designed by nature to work hand in hand; breast pumps and hand expressing are a poor second when it comes to efficiency and the amount removed.
Expressing Breast Milk in Six Easy Steps
For starters, if you are expressing by hand then you will need a private area and a clean or sterilized wide mouthed bowl. If your ‘aim’ is poor, you can purchase a “hand expression collection unit” which is sort of like an offset wide funnel. Here are “Six Easy Steps” to express milk from your breasts by hand:
1. 1. Position your hand on your breast, with the thumb above and fingers underneath, about an inch to an inch-and-a-half behind the nipple. If your breast were a clock, your thumb would be at 12 o’clock and your fingers at 6 o’clock. Don’t cup your breast in your hand. Instead, your thumb and fingers should be directly across the nipple from each other.
2. 2. Press your thumb and fingers directly back into the breast tissue, towards the wall of your chest. Don’t move them further apart. Just press straight back into the breast.
3. 3. Roll your fingers and thumb forward to squeeze milk out of the milk sinuses, which are located under the areola behind the nipple. Don’t slide the thumb or fingers along the skin–this will quickly make you sore.
4. 4. Repeat this sequence–position, press, roll–until the milk flow ceases. Then move your hand so that the thumb and fingers are positioned at 11 and 5 o’clock and do it again. Use both hands to work your way around one breast, then switch to the other side until you have emptied all of the milk sinuses. As soon as you see milk squirting from your nipple, you know you are compressing the underlying milk sinuses. (This position is also where baby’s gums should be during efficient latch-on.)
5. 5. The trick to hand expression is discovering where to position your fingers. Experiment until you find the right spot. Having someone show you how is very helpful, too.
6. 6. Combining hand-expression with breast massage can be a very effective way to stimulate the milk-ejection reflex. Massage first, then express. Massage again, and repeat the hand- expressing routine.
Remember, hand expressing milk effectively takes practice. Read our General Breast Milk Expressing Tips below for more helpful tips.
General Breast Milk Expressing Tips
• Expressing milk is easier if you are relaxed – try deep breathing exercises. Some women from Bach Rescue remedy helpful for calming them down if they are trying to express when stress. A routine also helps to relax the body in preparation – This could be laying your pump out on a table, looking through a little photo album of baby pictures, making your self a cup of tea or anything else which you do which you could make into a ritual.
• Many women find it easier to express if baby is with them. If you can’t express in the same room as your baby, then a looking at a photo may help, as may something which smells of baby or visualising yourself feeding your baby.
• Don’t worry about the amount of milk you are producing – babies are much more effective at removing milk from the breast, and worrying that you might not be expressing as much milk as you need releases adrenaline, which works against the oxytocin which the body needs to let down milk.
• It is important that you continue expressing until hind milk flows – this is the richer, whiter milk which come after the thinner, more see through hind milk.
• Many women find that they can have multiple let downs in a session, so if you milk flow slows down it is worth continuing to see if you have a second let down.
• On the other hand, expressing for more than 20 minutes on one breast is not recommended as this could damage your breast
• Stroking firmly but not too hard from the outside of the breast to the nipple, and working your fingers in little circles, spiraling from the outside of the breast to the nipple is a great way to prepare the breast for expressing, and can be down each time the milk flow slows down.
• You may be most successful at expressing while your baby feeds from the other breast – this does take some dexterity, and possibly a helping hand from your partner
• Applying heat the breast may also help – a warm rung out flannel or a shower can often start things going If you need to express regularly, then try to express at the same time and place. Your body will adapt to this quicker.
• Learning to express is about teaching your body to respond to an additional set of cues, so don’t be surprised if your first expressing sessions aren’t very productive. Try again another day, perhaps at a different time, and see what happens.
• Most mums find that they can express more milk in the morning, and less at night. The level of your supply does vary through the day and from day to day, so don’t expect to always get the same amount.
• If you are trying to build up your supply, it is very helpful to express in the later evening. Even though you may be producing less milk, the level of hormones in your body mean that late evening feeds/expressing session are the best at ‘demanding’ a higher supply.
• Most experts say that it takes about 3 days of stimulation for the body to fully catch up with demand, so if you add an expressing session into your day, your baby may fit in an extra feed as well until your body realises what you want.
• Studies have shown that breast milk from hand expresion contains the more of the fatty hindmilk than breastmilk from pumping, and that More milk, and especially more hindmilk, is produced when milk is expressed from both breasts at the same time.
• If you are expressing from one breast at time, it is recommended that you express from one side until the milk flow slows down significantly, and then from the other side until that flow slows down, and then back to the first side etc.


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