Hand Expression

• Removal of colostrum and stimulation of milk supply
• Inverted nipples
• Latch
• Sleepy baby
• Hypoglycemia
• Jaundice
• Weight loss
• Increase milk removal with a pump
• Engorgement
• Plugged ducts
• Mastitis/Abscess
• Inverted nipples
• Breast augmentation
• Breast reduction

1. Press your finger and thumb toward chest
2. Squeeze gently and catch the breastmilk in the container.
3. Relax hand and repeat as needed.

Clinical Guidelines

• Eglash, A., Simon, L., & Academy of Breastfeeding Medicine (2017). ABM Clinical Protocol #8: Human Milk Storage Information for Home Use for Full-Term Infants, Revised 2017. Breastfeeding Medicine, 12(7), 390–395.
• Holmes, A. V., McLeod, A. Y., & Bunik, M. (2013). ABM Clinical Protocol #5: Peripartum breastfeeding management for the healthy mother and infant at term, revision 2013. Breastfeeding Medicine, 8(6), 469–473.

References

1. Becker, G. E., Smith, H. A., & Cooney, F. (2016). Methods of milk expression for lactating women. The Cochrane Database of Systematic Reviews, 9(9), CD006170. 
2. Witt, A. M., Bolman, M., & Kredit, S. (2016). Mothers Value and Utilize Early Outpatient Education on Breast Massage and Hand Expression in Their Self-Management of Engorgement. Breastfeeding Medicine, 11, 433–439.