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Mothers Choice Products is owned and operated by an RN with a background in prenatal and postnatal care.

Monday, 11 March 2013

Hands on Pumping - More Milk!

To Pump More Milk, Use Hands-On Pumping

Would you like an effective method for pumping more milk? Until 2009, most  assumed that when a mother used a breast pump, the pump should do all of the milk-removal work. But this changed when Jane Morton and her colleagues published a ground-breaking study in the Journal of Perinatology. The mothers in this study were pumping exclusively for premature babies in the hospital’s neonatal intensive care unit.
For premature babies, mother’s milk is like a medicine. Any infant formula these babies receive increases their risk of serious illness, so these mothers were under a lot of pressure to pump enough milk to meet their babies’ needs.
Amazingly, when these mothers used their hands as well as their pump to express milk, they pumped an average of 48 percent more milk than the pump alone could remove. According to another study, this milk also contained twice as much fat as when mothers used only the pump. According to previous research, in most mothers exclusively pumping for premature babies, milk production falters after three to four weeks. But the mothers using this “hands-on” technique continued to increase their milk production throughout their babies’ entire first eight weeks, the entire length of the study.
Hands-on pumping is not just for mothers with babies in special care. Any mother who pumps can benefit from it. How does it work? For a demonstration of this technique, watch the online video “How to Use Your Hands When You Pump” at: http://newborns.stanford.edu/Breastfeeding/MaxProduction.html. As a summary, follow these steps:
1. Massage both breasts.
2. Double pump, compressing your breasts as much as you can while pumping. (for a hands free pumping bra check out PumpEase that fit any brand of pump and allow you to double pump with both hands free.) Continue until milk flow slows to a trickle.
3. Massage your breasts again, concentrating on areas that feel full.
4. Finish by either hand expressing your milk into the pump's nipple tunnel or single pumping, whichever yields the most milk. Either way, during this step, do intensive breast compression on each breast, moving back and forth from breast to breast several times until you've drained both breasts as fully as possible.
This entire routine took the mothers in the study an average of about 25 minutes.
These two online videos demonstrate two different hand-expression techniques that can be used as part of hands-on pumping: http://newborns.stanford.edu/Breastfeeding/HandExpression.html and http://ammehjelpen.no/handmelking?id=907 (scroll down for the English version).
Hands-on pumping can be used by any mother who wants to improve her pumping milk yield or boost her milk production. Drained breasts make milk faster, and hands-on pumping helps drains your breasts more fully with each pumping.
 

Introducing Food and Making Milk 6-12 months

Will you still make milk once you start with solid food? YES!


Your milk still matters to your baby. And it feels great to see your breastfeeding baby thrive. Here are the basics from 6 to 12 months.

Fun Facts

  • You will make milk as long as your baby breastfeeds. Your baby's time at the breast drives your milk production.
  • Health organizations recommend breastfeeding for at least 1 year. (WHO Recommends 2 years)
  • Your baby begins to need other foods, too, at about 6 months.
  • Babies get teeth and learn to sit up, so they can help feed themselves. Now meals get really messy!
  • As your baby consumes other foods, he needs less of your milk. As he takes less milk, your milk productions slows. This is normal as your body adapts to the needs of the baby.

What to Expect

  • Weight gain slows. Expect a weight gain of at least 2-4 ounces (60-120 g) a week or ½ pound (240 g) a month.
  • At this age, breastfeeding becomes as much about comfort as food.
  • Babies love to play during breastfeeding.
  • Expect lots of growing, crawling, and walking!

Things to Learn

  • Try each new food for a few days before starting another.
  • Try offering liquid in a cup at around 8 months.

Seek Breastfeeding Help When

  • Breastfeeding hurts.
  • Baby gains weight too slowly.

Even when breastfeeding is going well, you may experience some of the following:
  • Your baby has fussy times. (Most babies do.)
  • She wants to feed again soon after breastfeeding. (Most babies do.)
  • She wants to feed more often. (This adjusts your milk production.)
  • Your breasts no longer feel full. (Usually at about 3-4 weeks.)
  • She wants to feed less often or for a shorter time. (Babies get faster with practice.)
  • She wakes a lot at night. (Babies need to do this to get enough milk.)
  • She will take a bottle after breastfeeding. (Babies like to suck.)
  • You can't express much milk. (This skill takes practice.)

You Know You Have Plenty of Milk When

  • Baby Gains Weight Well On Breast Alone
    • 6-12 months: 2-4 ounces (60-120 g) a week or ½ lb. (240 g) a month

Adapted from : Nancy Mohrbacher, IBCLC, FILCA, Lactation Consultant, Ameda Breastfeeding Products
Coauthor of Breastfeeding Made Simple: Seven Natural Laws for Nursing Mothers