Knowing how to hand express your breast milk can be especially helpful in a variety of situations – whether you’ve been away from your baby (and breast pump) for a longer period of time and need to express some breast milk to relieve engorgement and uncomfortable fullness, or your breasts are full and you need to soften the areola to help your little one latch better so he or she can nurse. These situations may occur for a ton of reasons, such as simply forgetting to bring your breast pump with you to work or mistakenly snoozing through an overnight pumping session (it happens – sleep can be a premium with a baby at home!). So, knowing how to correctly hand express your breast milk if away from your little one and caught without your pump can help you continue to meet your breastfeeding goals while avoiding discomfort, eventual supply concerns, and even potential health complications.

Steps to Hand Express Breast Milk:

• Always first wash your hands thoroughly with soap and warm water.
• Starting by massaging your breasts for a couple of minutes can help your milk let down.
• Support your breast with one hand – with your other hand, place your thumb and index finger around your nipple, about an inch away.
• Gently push your fingers back and towards your chest wall.
• Compress the breast between your thumb and index finger, and then roll the tissue forward and towards your nipple. Be sure not to squeeze your nipple or slide your fingers along your skin! Doing so can make you sore and/or bruised – plus, you won’t express much milk that way.
• Release the pressure and repeat by getting yourself into a rhythm – Push back, compress, roll, and release.
• Drops of breast milk should start appearing and soon after your milk will begin to spray.
• When the flow of milk slows, change the position of your thumb and index finger slightly to start expressing another area of your breast and then repeat your rhythm: push back, compress, roll, and release.
• Continue to change the position of your thumb and fingers to move around the breast in a circle, which will allow all areas of the breast to be thoroughly expressed.
• When you’re finished with the first breast, switch to your other one. Alternate between your breasts until all milk flow stops.
• Massage each breast again – they should feel noticeably softer and there shouldn’t be any firm spots or hard knots present.
• Totally emptying the breasts when manually expressing your milk – by hand expression – will usually take about 20 – 30 minutes. Figuring out how to hand express is a learned skill, but one that is very valuable as you navigate your breast milk feeding journey. With a little practice, you’ll soon be able to hand express whenever and wherever a situation may arise when it’s necessary.

Storing Breast milk

Hand-expressing milk between feedings — especially during peak times of the day when prolactin, the hormone that helps with milk production, is at its highest at night or early in the morning — can help make sure you have a bank of breast milk at your disposal.

Knowing how to store your breast milk is important information to have on hand, too. In most cases, breast milk can be stored:

• Up to four days in a standard refrigerator.
• Up to three to four months inside a standard refrigerator freezer.
• Up to six to 12 months in a separate deep freezer.
• In an insulated cooler bag with frozen ice packs for up to 24 hours while traveling.

Resources and Further Reading

La Leche League International: Pumping Breast Milk (https://llli.org/breastfeeding-info/pumping-milk/)
Mayo Clinic: Breast-Feeding and Pumping (https://store.mayoclinic.com/education/breastfeeding-and-pumping-benefits-and-tips-for-you-and-your-baby/)

These resources provide comprehensive information and tips on how to successfully pump and store breast milk, ensuring that working and non-working mothers can continue to provide the best nutrition for their babies while managing their professional responsibilities.

Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.