You can get breast milk out of your breast through hand expression or using a breast pump.
Hand Expression:
Hand expression is a technique that uses your hands to manually extract milk from your breast. Here's how:
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Wash Your Hands: Ensure your hands are clean before starting.
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Get Comfortable: Find a comfortable position, either sitting or standing.
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Prepare Your Breast: Gently massage your breast to stimulate milk flow.
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Position Your Hand: Place your thumb and fingers (usually index and middle fingers) on opposite sides of your nipple, about 1-1.5 inches back from the base of the nipple. Imagine your fingers are forming a "C" shape.
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Compress and Release:
- Press: Gently press back towards your chest wall. This should not be painful.
- Compress: Squeeze your thumb and fingers together. This compression expresses the milk.
- Release: Release the pressure, allowing your fingers to return to their starting position.
- Repeat: Continue this press, compress, and release rhythm. Avoid sliding your fingers along the skin, as this can cause friction and discomfort.
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Collect the Milk: Express milk into a sterile container.
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Rotate Position: After a few minutes, rotate your hand slightly around the areola to express milk from different milk ducts.
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Switch Breasts: Once the milk flow slows down, switch to the other breast and repeat the process.
Using a Breast Pump:
A breast pump is a mechanical device that extracts milk from your breast. There are two main types: manual and electric.
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Choose the Right Pump: Select a pump that suits your needs and budget. Electric pumps are more efficient for frequent pumping, while manual pumps are more portable and affordable.
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Prepare the Pump: Ensure all parts of the pump are clean and properly assembled.
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Get Comfortable: Find a comfortable position and relax.
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Position the Flange: Center your nipple in the flange (the cone-shaped part that attaches to your breast). The flange should fit comfortably; your nipple should move freely without rubbing against the sides. If the flange is too small or too large, it can impact the milk output and cause pain.
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Start Pumping:
- Manual Pump: Gently squeeze the handle to create suction. Adjust the pressure to a comfortable level.
- Electric Pump: Start with a low suction setting and gradually increase it until you reach a comfortable level. Many electric pumps have different modes to mimic a baby's natural sucking pattern.
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Pump for 15-20 Minutes: Pump each breast for approximately 15-20 minutes, or until the milk flow slows down significantly.
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Massage Your Breast: While pumping, gently massage your breast to help express more milk.
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Switch Breasts: If using a single pump, switch to the other breast after pumping one side. If using a double pump, pump both breasts simultaneously.
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Store the Milk: Store expressed breast milk according to recommended guidelines.
Consistent and proper technique with either hand expression or a breast pump will help to effectively remove breast milk. It's important to be patient and find what works best for you. If you encounter problems, consult with a lactation consultant or healthcare professional.