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Hand Expression

Information for breastfeeding families

Hand expression is a handy skill to have whenever you need to empty your breasts and you are not with your baby or your baby is temporarily unable to breastfeed. In the first few days after birth, hand expression can be more effective at removing colostrum than using a breast pump. If your baby needs a supplement in the first week or so, use hand expression to provide the milk needed!

Hand expression routine:

1. Apply heat, massage, and stroke breasts

2. Position fingers behind areola

3. Press back toward the chest

4. Compress fingers together to express milk

5. Relax and repeat, getting a rhythm going

6. Express for 5-7 minutes

7. Move fingers to a different position

8. Massage and stroke the breast

9. Press back toward the chest

10. Compress fingers together to express milk

11. Express milk for 3-5 minutes

12. Massage and stroke breasts

13. Move fingers to a different position

14. Express milk for 1-2 minutes

15. Complete cycle takes 20-30 minutes

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Additional Resources

Using a Nipple Shield
Newborn Feeding Log
Weaning Your Breastfeeding Baby
Waking a Sleepy Baby
Congratulations on the Birth of Your Baby!
Storage and Handling of Breastmilk

"I just wanted to show my appreciation for the staff and Dr. Schumate who have been so great at getting my boys in to be evaluated when healthy for well visits and when sick. I have never had difficulty with scheduling an appointment or had a delay in care! I am so appreciative of their efficiency and expertise. From a busy working mom!"
MR
Maheshika R.

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