Breast Compression
The sole purpose of breast compression is to continue the flow of milk to the baby once the baby no longer drinks on his own. Compression will also stimulate a let down reflex and often causes a natural let down reflex to occur. This technique may also be useful for the following:
1. Poor weight gain in the baby.
2. Colic in the breast fed baby.
3. Frequent feedings or long feedings.
4. Sore nipples for the mother.
5. Recurrent blocked ducts
6. Feeding the baby who falls asleep quick.
If everything is going well, breast compression may not be necessary. When all is well, the mother should allow the baby to finish feeding on the first side, then if the baby wants more - offer the other side.
How to use breast compression
- Hold the baby with one arm.
- Hold the breast with the other arm, thumb on one side of your breast, your finger on the other far back from the nipple
- Keep an eye out for the baby's drinking, although there is no need to be obsessive about catching every suck. The baby will get more milk when drinking with an open pause type of suck.
- When the baby is nibbling or no longer drinking, compress the breast, not so hard that it hurts though. With the breast compression, the baby should begin drinking again.
- Keep up the pressure until the baby no longer drinks with the compression, then release the pressure. If the baby doesn't stop sucking with the release of compression, wait a bit before compressing again.
- The reason for releasing pressure is to allow your hand to rest, and allow the milk to begin flowing to the baby again. If the baby stops sucking when you release the pressure, he'll start again once he tastes milk.
- When the baby starts to suck again, he may drink. If not, simply compress again.
- Continue feeding on the first side until the baby no longer drinks with compression. You should allow him time to stay on that side until he starts drinking again, on his own.
- If the baby is no longer drinking, allow to come off the breast or take him off.
- If the baby still wants more, offer the other side and repeat the process as above.
- Unless you have sore nipples, you may want to switch sides like this several times.
- Always work to improve the baby's latch.
How To Use A Breast Pump
Just like breast feeding, pumping is a skill that you learn. When first trying a breast pump, most mothers are only able to express a few drops of milk. With the proper practice and knowledge, the mother will be more efficient at pumping.
Preparing the breast pump
- Read all the instructions in the kit very carefully.
- Every part of the breast pump will need to be sterilized before you begin using it.
- After use, all the parts of the pump will need to be washed in warm, soapy water, then rinsed with hot water and drained on a clean towel. The plastic tubing doesn't need to be cleaned unless you get milk into it. If you do wash it, it should be hung to allow time to dry and drain thoroughly.
- If your doctor feels the need, the entire kit can be sterilized every day.
- When you first start with an electric pump, the suction level should be on the lowest possible setting.
Getting started
- Warm compresses, gentle massages of the breast and gentle nipple stimulation will help to stimulate a quick let down.
- You should always relax while doing breast massages during pumping. Some mothers prefer to close their eyes then think about nursing the baby, imagining the baby in their arms. The more relaxed a mother is, the better let down she'll have and the more milk will be dispensed.
- Your first attempts at pumping should be considered practice sessions with learning to use the breast pump as the goal, not how much milk is actually dispensed.
- When you use a hand pump, quick, short pumps at the start is stimulating and will imitate more closely the way a baby breast feeds. Once the let down occurs and milk starts to flow freely, long, steadier strokes are more effective and less tiring.
- When you learn to pump, you should practice for 5 minutes on a side at least once or twice a day. Always pick the least stressful part of your day for pumping.
Relaxing and realizing that the pump is your friend is the single most important thing that a mother can do. There are several things that a mother can do to help herself relax, such as putting a picture of the baby on the pump, playing cards or a game with friends, watching television, read books, or talk on the phone. Simply watching the collection bottle is not helpful and will probably put more stress on you than you actually need.
How To Choose A Breast Pump
The milk production in the breasts, much like so many other things, work on the shear principal of supply and demand. The more breast milk your baby consumes, the more your body will need to make.
Breast pumps are generally used to insure continued production of breast milk when you cannot feed your baby - whether you are back to work, traveling, taking medication, or just out of town.
Basic types of pumps
Breast pumps can either be battery operated, hand operated, semi automatic electric, or even self cycling electric.
Hand pumps
Manual hand pumps are designed to use the strength of your hand or arm muscles for pumping one breast at a time. You can also get pumps that will use the leg and foot muscles for pumping both breasts at one time. Mothers that with carpal tunnel syndrome may want to consider using a pump designed for the arm or leg muscles or even an automatic model.
Battery operated pumps
Pumps with battery operation are the best for women who have an established supply of milk and want to pump once or even twice a day. These pumps use batteries to create suction, minimizing any type of muscle fatigue. Most battery type pumps are designed for pumping one breast at a time and are recommended for occasional usage.
Electric pumps
Even though electric pumps are more efficient than hand or even battery operated pumps, they also tend to be more expensive. You can however, rent them if you need to. Electric pumps can normally plug directly into an outlet and are designed for pumping both breasts at a time and even frequent use. Hospital grade pumps are the most efficient for initiating and maintaining milk supply, and are available for rent or purchase.



