How to express breast milk? The rules for expressing milk during stagnation. How much milk do you need to express?

In what cases is it necessary to express and how to do this described in the article.

Often literate expressing milk can solve the problems of a young mother. Therefore, every young mother should know the principles and rules of this procedure.

Why do you need to express milk?

The reasons for expressing all are different:

• Stagnation( read below) has formed.
• Breast is too tight, the child can not take. It is necessary to express a little milk until the baby can take the breast
• The child can not or does not want to suckle. Expressing the milk, you then feed it from the bottle
• The baby is not with you, but you want to feed it with milk from the bottle. You express the maximum amount of milk every three hours and pass a bottle of milk for the baby

• If you can not feed( for example, when taking medication) to preserve lactation. You need to express in this case at least once every 3 hours. Otherwise, milk will start to be produced less. And after restoring the baby's feeding, the milk will not be enough for him.
• To enhance lactation( read below)
• Mom needs to be absent. Strain the necessary portion of milk and leave it to storage according to the rules. Storage of breast milk. How much to store, what to store, at what temperature
• Breast is full, painful sensations. The main thing here is not to overdo it: express exactly as much as necessary to stop the painful sensations. If you express more, then the next time milk will come in more than necessary. And then you will walk in a closed circle

IMPORTANT: If you are touched by one of the above reasons, then before decanting, learn the technique so as not to harm your breast

How often to express breastmilk?

The frequency of decantation depends on the cause of the decantation:

• If to increase lactation, then after each feeding and in the intervals
• If for breast augmentation, then by fact: it hurts - you do not express - do not ache - do not express
• If to maintain lactation, when the baby does not eatbreast for any reason, then every 3 hours. If less - then the milk will become less and less
• If there is stagnation, then every hour - one and a half

How to express the breast correctly?

The rules for decantation depend on which way you chose: by hand or breast pump. About both ways read in this article below in more detail

IMPORTANT: There is only one general rule: to express it so that not to injure the chest. And if you are in very severe pain, then probably something is wrong with the

Breastfeeding time

The pumping time depends also on the pumping goal:

• For relief - 2-3 minutes
• For bottle feeding - until you express the desired portion, approximately 20-30 minutes
• For strengthening of lactation - for 5-10 minutes after feeding and for 10-15 minutes between feeding
• With stasis - up toreduce the compaction, but not more than 30 minutes. Otherwise, injure the chest

How to express the breast milk breast pump?

IMPORTANT: The main condition before any decantation is the clean hands of

• . 20 minutes before pumping, drink the hot liquid. This will improve the milk rush of
• . Before decanting, you can warm your chest in the shower. This will facilitate the outflow of milk
• After warming up, you can massage your chest lightly( read more about massage below)
• Thoughts about your baby help the body make milk outflow easier

• Relax - this will also help the outflow of milk
• It is advisable to express a few drops with your hands. So the nipple will take the desired shape and the breast pump will decant better
• The nipple insert into the middle of the funnel of the breast pump
• The first pushes on the breast pump should be very light, otherwise you risk getting a crack on the nipple due to the strong vacuum
• . When the breasts are already lighter, it does not hurt so muchyou can speed up the process a little. But do not get carried away with speed in any case
• Periodically remove the breast pump from the chest and again massage the chest
• If the outflow is bad, then try to lean slightly forward
• If the nipple becomes wet, then wipe it and only then continue to express. The wet breast is expressed much worse
• After expressing for prophylaxis, anoint the nipples with a cream such as Bepanten

IMPORTANT: The sucking out pump is a technique that does not feel hurt you or not. Therefore, pour out very carefully, especially the first time. After the breast gets used and perceives this process is easier

Success of expressing the breast pump directly depends on the model you choose. How to choose the right model, see the video below.

Video: How to choose a breast pump?- Dr. Komarovsky

Will pumping help increase lactation?

Pumping can increase lactation, but no one will promise a 100% result.

Milk is produced on the basis of the demand-supply principle. Here and expressing helps that gives the body unnecessary signals that you need more milk. So the body begins to produce more.

Principles of expression for increasing lactation:

• After each feeding, try to express another breast that was fed. Even if you aim a few drops, it will be good. The organism will perceive these attempts as demand. And will produce more milk
• In the intervals between feedings, also try to breastfeed for 10 minutes, which you do not plan to give to the child. Otherwise, he will not have enough milk. Or, put in a sterile bottle to feed the baby and this milk
• It's very good to express one breast when the baby eats from the second. During feeding, there are tides of milk in both breasts. These tides are very easy and will go through the breast pump into a bottle of

. But not all moms manage to increase lactation in this way.

The main problem - can not express even a drop of milk.

IMPORTANT: Many moms manage to increase the lactation by decanting

How to express breastmilk by hand?

Expressing your hands well is because you feel your body. At first this is rather difficult, but by adapting, you will do it very quickly and efficiently.

Preparation of the for the decantation is the same as for the breast pump( see above):

• Clean hands
• Hot drink
• Shower
• Massage

Technique:

• Squeeze the nipple between the thumb and forefinger so that it takes the more elongated form
• With the left palm, pick up the breasts from below
• Throw your thumb up and to the side so that your hand holds the whole chest
• The right thumb is placed on top of the nipple on the nipple line.leather
• Point and middle finger put on the same line, but under the nipple
• Fingers you have to grope on the line something that looks like balls. If you feel - then you do exactly the right thing.
• Then your fingers are pressed in the direction towards the back, i.e.to yourself and squeeze the nipple on this line

IMPORTANT: The last two movements should be done very quickly.

• . Express well those breasts that are located on the side of the fingers that directly express the chest.
• Therefore, you need to constantly rotate your fingers clockwise and counterclockwise toexpressed all the shares of

IMPORTANT: Most likely, you will not get anything off the first try, but you try and try. Feel yourself and everything will turn out

The first expressing the milk

• The first pumping is usually done in the maternity hospital when a lot of milk comes, which the young child is not yet able to eat.
• Expressing is necessary so that the stagnation in the chest does not form
• .above)
• But at the first pumping, you should be extremely careful not to injure the chest

IMPORTANT: If you express a breast pump, then the thrust should be minimal. If the hands - then the movements should not be too strong and sharp

How to express the chest with lactostasis or mastitis?

Expressing with mastitis is the most compulsory point of treatment if the child can not resolve the stagnation itself. Therefore, decantation must be done correctly. The technique of expressing the breast pump and hands is described above. Some features only:

• With lactostasis, the nursing mother usually feels in what proportion the stagnation has occurred
• Preparation shower and massage should be directed mainly to this portion of the chest
• Do not overheat the chest strongly, as with purulent mastitis this is unacceptable
• Lightly pat the stagnant lobe with your fingers
• And at the time of decantation, all your efforts should be directed to this share of
• . For this, the fingers of the left palm should be on the side of stagnation, just like the index finger or the thumb of the right hand

IMPORTANT: Do not click on the place of stagnation!

How to express a stone breast?

Stone chest is a problem for almost all mothers in the first month after childbirth.

The pumping technique can be used as a standard for manual pumping or expressing the breast pump( see above), taking into account some of the features:

• The breast pump does not immediately take a stone breast. You must first give a stretched nipple and try a couple of drops to express the hands
• If the stone chest became in the first month after birth, the difficulty is that the ducts are still narrow, not developed. For this reason, milk can drip drop by drop
• Do not let go of your hands. Try and try. Otherwise, stagnation may form
• With a stone chest, you can try to clasp your chest with both hands at the base and, as it were, stretch them to the nipple, pressing a little. So milk can flow easier

IMPORTANT: The most effective way to express a stone chest is to give it to the baby

How to squeeze milk into a bottle?

All modern breast pumps are equipped with bottles in the kit. We are not talking about a pear-pump now. This breast pump can cause chest injury and decant worse than others.

Therefore, in order to express into a bottle, it is necessary: ​​

• To sterilize the breast pump and bottle
• Dry
• Connect the bottle to the breast pump
• Express the milk

IMPORTANT: This milk is poured into a clean feeding bottle or in a milk storage bag( storing breast milk, how much to store, what to store, at what temperature)

Back milk when decanting

When decanting, you can see that your milk first hastransparent and bluish color, and then it becomes yellow and opaque.

This is yellow and opaque milk and there is a back milk. If you leave the milk stand, then you will see how it was divided into layers: the cream on top is the back milk.

It is more difficult to express the breast milk by expressing the breast pump. It often turns out to get only the front.

IMPORTANT: The chances of obtaining back milk are usually higher. But this is all individually.

Therefore, if you can not express the rear milk - do not get discouraged, as this can happen.

Massage for expressing milk

• Tearing the chest with both hands around the rim
• Tearing with both hands from the base of the chest to the nipple
• Slapping your fingers across the chest

IMPORTANT: All movements should be light and calm to prevent damage to the mammary glands

How much milk should be in the decantation?

The amount of milk depends on when you express it:

• If you express after feeding - you can not express the drops and
• If you express the breast before feeding, you can express the desired portion for the baby( and 50 and 100 ml)
• At night, you can express moremilk, because the hormone prolactin, responsible for milk production, starts its active work from 2 to 6 in the morning.

Some mothers can not express even 10 ml before feeding: it is connected, rather with a violation of the technique of expression.

After feeding, on the contrary, you probably can not express 10 ml if it's not about the hyperlactation.

Why little milk is being expressed?

• Disagreement technique aborted
• No preparatory steps taken( see at the beginning of the article)
• Bad breast pump( about breast pump selection see above)
• The baby has eaten everything
• You can not relax

IMPORTANT: No breast pump or hands will drain as much milk as cansuck a child. If you can not express 20 ml of milk before feeding - do not think that there is no milk in the breast. Milk in the breast is and the baby will suck it

Expressing the milk before feeding

It is necessary to express the milk before feeding if:

• You leave and need to put it in the bottle
• You smeared the breast with something, after which it is recommended to express a little milk before feeding into the sink
• The baby does not take the breast and you have to decant milk every time
• Breast is too tight or stony and the baby can not take it

IMPORTANT: Before breast-feeding, express the breast more easily

Expressing the milk afterormleniya

• Previously, doctors and our grandmothers recommended after each feeding to express breast to the last drop. Now this approach is not considered correct, since the body will calculate that the expressed after feeding milk is also useful to the child. So, next time will produce a little more milk. Then you will fall into a vicious circle, which subsequently leads to an excess of milk, which in turn, is fraught with constant stagnation
• To increase lactation. Expressing after feeding for this purpose is completely justified. About this method read in this article above Will pumping help increase lactation?
• If the milk is too much, and the child eats very little. When, after feeding, you still experience chest pain from excess milk, you need to pour a little to ease your condition. Many can not, as this will also lead to hyperlactation.

Pumping is sometimes just necessary, but remember that the best assistant in decanting your breast is your baby.

Unique video: lactostasis: how to express milk?