The multifaceted benefits of hand expression for both mother and baby.

2. Why Hand Express?
Helps milk supply
Pumps don’t work for
every breast
Better fat content
Prevents/resolves
plugged ducts

3. How to Hand Express
More refences:
http://newborns.stanford.edu/Breastfeeding/HandExpression.html

4. Practice!
Many women find
pumps ineffective
Technique matters
Different methods
for different
breasts

5. Using Hand Expression effectively
Start with instructed
techniques
Modify based on
homeostasis: “Feels
better to do it this
way…”
Patience!

6. Latest Research on Hand Expression
Hypogalactia Treated with Hand Expression and Translactation without the Use of Galactagogues
Suzana Lopes de Melo and Eddie Fernando Candido Murta
Journal of Human Lactation, November 2009; vol. 25: pp. 444-447, first published on June 5, 2009
Breast Milk Expression in the Workplace: A Look at Frequency and Time
Wendelin M. Slusser, Linda Lange, Victoria Dickson, Catherine Hawkes, and Rona Cohen
Journal of Human Lactation, May 2004; vol. 20: pp. 164-169
Recapturing the Art of Therapeutic Breast Massage during Breastfeeding
Maya Bolman, Linda Saju, Karine Oganesyan, Tatiana Kondrashova, and Ann M. Witt
Journal of Human Lactation, August 2013; vol. 29: pp. 328-331, first published on March 4, 201
The Importance of Hands
Jane Morton
Journal of Human Lactation, August 2012; vol. 28: pp. 276-277
Using Your Hands to Express Your Milk
Anne Merewood and Jane Abeel Morton
Journal of Human Lactation, November 2013; vol. 29: pp. 635-636

7. Breast Massage
Useful for before
expression (pump
or hand)
Increases fat
content of milk
Can help a number
of different
maladies Maya Bolman, BA, BSN, IBCLC, Breastfeeding Medicine of Northeast Ohio,
2054 South Green Rd, South Euclid, OH 44121, USA.