Expressing Milk by Hand
Normally if
you are expressing breast milk by hand it is not that you need
an excessive amount of expressed breast milk, but rather that
you are relieving the tension of engorgement.
However there are some moms that not only become very good at
expressing breast milk to fill bottles and cups but prefer it
over using a breast pump.
First things
first before you express milk by hand you should sterilize, unless
it is already sterile, the container you plan to collect the milk
in. Wash your hands thoroughly and find a quiet, relaxing place
where you can express your milk. Think of your baby, perhaps have
a picture of them near by in sight and have an article of clothing
of theirs, such as a hat, that you can smell to remind you of
your baby. Think about how cute and precious your baby is, how
much joy you get when you hold them. All of this baby thinking
will help you pump because it will help your letdown reflex.
Place the container
in front of the breast you plan to pump. Place your fingers on
your breast keeping your thumb above and your fingers below so
they form the letter C shape. Push back towards the chest wall
while squeezing your fingers and thumb together rhythmically just
behind the areola. Rotate your hand around the breast in order
to reach all of the milk ducts. Doing this for 3 to 5 minutes
at each breast, switching off and on, will help increase the flow
of milk. The more practice that a mom gets with this the easier
it gets. Often after viewing another mom express milk, it is easy
to understand how to do it yourself.
Expressing Breast
Milk by Pumping
As stated before
making sure that everything is sterile before you begin pumping,
the storage containers, breast pump, etc., is important. Again
wash your hands before pumping breast milk and to start the letdown
reflex, as always it is super important to think about your baby
while you pump milk. Follow the instructions on your pump to ensure
that you use it correctly to minimize any discomfort that you
will feel, pumping shouldn't hurt so make sure that you are comfortable
while you are doing it. If you find that pumping causes your nipples
to be abnormally sore contact a lactation consult or a le leche
league leader.
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Depending
on a mother's situation will determine if she needs to get
a breast pump for pumping breast milk. While a mother can
express breast milk by hand if she needs to, it takes practice,
so that is why it is great if you have a breast pump on
hand in the event that your baby suddenly decides to go
on a nursing
strike. Depending on how often a baby will be apart
from their mother, if she is working or out at the movies
once a week while the baby is with a sitter, will determine
if it is more practical for a mother to get a breast pump.
Types of Breast Pumps
offers information on the different kinds of breast pumps
that there are and advice on choosing a breast pump that
will work best for each mom's situation.
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Storing Breast
Milk
Expressed breast
milk is often stored in disposable or reusable bags, or the bottles
that will be used to feed it to the baby. Often the pump that
you use will determine which storage method you use and when you
are hand expressing milk it will be entirely up to you which storage
method you plan to use.
Breast milk
can be kept at room temperature for about 10 hours. If you pump
at noon you shouldn't have to worry about putting the breast milk
in the fridge or freezer until 10 o'clock at night. Note that
room temperatures are 66 to 72 degrees fahrenheit, 19 - 22 degrees
celsius, so if a mom pumps milk at work and her work area does
not exceeds these temperatures when she travels home she should
keep her pumped milk in a small cooler, and if her work area will
exceed these temperatures she should place the express milk in
the cooler right away. When she return home she can move the milk
to the refrigerator.
Breast milk
can be refrigerated for 8 days, if a mom pumps milk at work so
that while the baby is at home the next day they will get expressed
breast milk from the day before a mother need not worry about
freezing her milk keeping it refrigerated will be just fine, even
if she refrigerates expressed milk on Friday, it can safely be
giving to her baby on Monday, or even next Saturday for that matter.
If you have
to keep breast milk longer than 8 days you will want to freeze
it, keep in mind that the area you are freezing the breast milk
will effect how long it will last. Breast milk that is kept in
a compartment freezer inside a fridge it will only last up to
2 weeks, if the freezer compartment is in a separate door it will
last 3 to 4 months and when breast milk is kept in a deep freezer
it will last for a good 6 months. Since breast milk loses some
of it nutrients when frozen, freezing breast milk should only
be used when the milk will not be eaten in 8 days.
Reheating Frozen
and Refrigerated Breast Milk
When it comes
time to warm frozen or refrigerated breast milk, there are some
things to keep in mind. Never use a microwave to heat up breast
milk, as they do not heat up liquids evenly and can severely burn
a baby, will destroy many nutrients and actually changes the milk's
composition. If the breast milk that you are reheating is frozen
take the container and run it under COOL water to thaw it and
then carefully and gradually increase the water temperature to
heat the milk to feeding temperature. If the breast milk that
you are reheating is refrigerated simply warm the milk to feeding
temperatures for running it under WARM water, NOT HOT, and for
several minutes. Never heat frozen or refrigerated milk on the
stove top. Before you give reheated breast milk to your baby test
it on your wrist to make sure that it is not too hot.