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Hand expressing

Tips on expressing when you don’t have or need a pump.

Expressing 5
Hand expressing is a useful skill and can be done without any special equipment, minimal planning and cost. It may be used for short-term or occasional expressing, or even on a longer-term basis. 

Why express by hand?  

  • Colostrum is often easier to hand express in the first couple of days after your baby’s birth. Some women also express colostrum antenatally

  • When your milk comes in, you may need to soften your overfull breasts so your baby can more easily attach and feed. Alternatively, you may need to express off an initial fast let-down reflex so your baby can more easily feed. 

  • If you have damaged nipples, hand expressing is the gentlest way to express as it doesn’t put pressure on your nipples. 

  • You may want to express and freeze your milk for occasional times away from your baby. 

  • Hand expressing is useful for the times when a pump is not convenient or available.  

  • Even if you are using a breast pump, you may find you can get more milk at the end of an expressing session, if you follow it by hand expressing. 

  • For mums who need to increase their milk supply, combining hand expressing with electric pumping has been found to improve milk production. 

Hand expressing can take practice  

Some mums become very efficient at hand expressing with practice and can remove large volumes in a short amount of time. In fact, some find they prefer to express by hand than by breast pump. 

When you first try, you might feel quite discouraged if, after all your efforts, you only manage to get a small amount. Gradually, you will become more familiar with the feel of your breasts and once you get the hang of it, hand expressing can be a quick and efficient method.            

Below are some links to external sites containing video clips showing expressing (including hand expressing) and storing breastmilk. Please note that the opinions expressed at the sites listed below do not necessarily reflect those of the Australian Breastfeeding Association. 

 

Watch hand expressing in the following video.

Hand expressing antenatally

If you are pregnant and have been advised by your health practitioner to express your colostrum, the following tips may help.  

Colostrum is thick and small in volume, so expressing by hand often works best. This page explains the technique in detail and your midwife will also help you.

Most mums collect colostrum in a small syringe. You may be able to get these from the hospital you’ll be going to or from your midwife or obstetrician.

  • Wash your hands first and pop a warm washer on your breast or have a warm shower before starting.
  • As you are massaging and compressing your breast, colostrum should start to appear drop by drop. At first it may just be a glisten on the end of your nipple and it may take a bit of practice before drops appear.
  • Collect the drops of colostrum with the syringe.
  • Express each breast twice during the session.

You can use the same syringe if you collect your colostrum more than once a day, storing it in the fridge between sessions. At the end of the day, seal the syringe in a ziplock bag and mark the date and time of expressing. Store it in the freezer if you don't need it straight away. 

If you need to transport your colostrum, check with your hospital for their procedures.

Read more about expressing colostrum.

© Australian Breastfeeding Association April 2022

Read more about expressing and storing