EXPRESSING & STORING BREASTMILK
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Pumping basics
- your breasts feel uncomfortably full
- you will be spending some time away from your baby and would like someone else to give him your breastmilk, or are returning to work
- your baby is not feeding well (for example if your baby was born with a cleft lip or palate)
- your baby was born early and you need to stimulate your milk supply for when he is ready to suckle from the breast
Expressing breastmilk is the act of removing milk from your breast, either by hand or using a manual or electric pump. You may want to express milk if:
Some mothers express a little colostrum (first milk, rich in carbohydrates, protein and antibodies) to freeze during the last trimester of pregnancy, in case either they or their baby face feeding difficulties at birth.
If you are expressing shortly after birth colostrum can be stored at temperatures of up to 32ºC for 12 hours for a full term baby. You will express very small quantities, say a teaspoon or so each time, for the first couple of days. On about day 3 – 5 after your baby is born, your breasts will start to produce 'mature milk'. The volume of milk you produce will increase.
If your baby is unable to come to your breast it is important to begin expressing as soon as you are able, and to express as often as your baby would feed, about 8-12 times in 24 hours in the early days.
Pumping is an acquired art
Expression of breastmilk is a learned skill, so don’t be disheartened if you do not seem to be expressing much milk at first.
Pumps work by generating and releasing suction to remove milk from the breast. You may find it helps if you prepare a little beforehand.
Stress and cool body temperature can make pumping less productive, so you could try using a warm compress, breast massage and relaxation techniques. It also helps to have a photograph of your baby to look at, or a piece of his recently worn clothing to remind you of his smell. You may find that after an early morning feed is a good time to express, as often your supply is plentiful at this time. You can, of course, express whenever and how often you need to. You can also express from one breast while your baby is feeding from the other side.
