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Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA

International Board Certified Lactation Consultant


Hand expressing - with or without pumping

Posted on April 2, 2014 at 8:16 PM
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.

Categories: Hand expressing - with or without pumping

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Reply Michelle
10:32 AM on April 8, 2014 
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?
Reply Virginia Thorley
11:11 PM on April 8, 2014 
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.
Reply wenger watches
7:21 AM on January 2, 2015 
Hey, I think your website might be having browser compatibility issues. When I look at your blog site in Ie, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, terrific blog!
Reply Virginia Thorley
12:17 AM on January 18, 2015 
wenger watches says...
Hey, I think your website might be having browser compatibility issues. When I look at your blog site in Ie, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, terrific blog!

Thank you for your comment. Yes, I am having problems in posting new topics and I have been unable to sort out the difficulty.
Reply CD & DVD Duplication
7:16 AM on August 5, 2015 
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.
Reply .
1:48 PM on October 3, 2019 
I am continually searching for some free stuffs over the web. there are likewise a few organizations which gives free examples.
Reply Virginia Thorley
8:18 AM on November 12, 2019 
Well, feeding directly from the breast is free, and at the same time it is giving your baby superior nutrition and raising levels of oxytocin, the bonding hormone, in both you and your baby. Hand-expressing milk (manually expressing) needs just a clean container and a hand, and mothers can become efficient at it. There is also less work than setting up and cleaning an expensive electronic pump.

As regards free "stuff" online (and don't we find that enticing!), free offers usually come with a catch. Look for the catch. It is often part of a clever marketing strategy. Ask yourself:
- Does this item help keep me close to my baby, or does it put a barrier in the way?
- Does it create more work for me?
- It might be a free offer today - but when I start paying for it, how much will it cost me over the next few months?
- Will the item sit in the back of a cupboard, unused?

When companies or individuals promote something, it would be silly of them if they kept giving away free stuff for a period of time. They would go broke. Often the free item is a trial offer - and after that you pay, and that might end up being more than the recommended retail price. I find that when I ask myself, "Is this bargain really a bargain?", I usually realise it isn't. It depends on the item.
Reply halpaig
6:11 PM on January 30, 2022