Expressing breast milk – your questions answered

If you would like to express your breast milk, it’s advised to wait until breast feeding is established, usually around 4-6 weeks after the birth of your baby, to avoid an oversupply of milk.

However, you may be advised to express earlier than this to help build up your available supply.

For example, a baby who for various reasons can’t sufficiently stimulate your supply, and may have slow weight gain. Expressing breast milk can boost the supply available through extra stimulation (expressing/pumping) and make feeding much easier.

One of the best times to express breast milk is about an hour after an early morning feed as your breasts naturally have a fuller supply earlier in the day.

If you’re expressing to build up your breast milk supply, you can express straight after a feed to tell your body to produce more milk. Do not expect to get any milk, this is for stimulation. Or you can express in between each feeding session. Try to express an hour after a breast feed to ensure your breasts are well drained. Your breasts make more milk to replace any milk that has been removed.

If you’re expressing to replace a breast feed that is being missed, it’s a good idea to express when your baby would usually breast feed, usually every two to three hours.

If your baby only takes milk from one breast during a feed, you can express from the other one.

Many mothers wonder how much milk they will need to if they are away from their baby.  

Exclusively breastfed infants milk intake increases rapidly in the first few weeks. After this, milk intake stays about the same between one and six months (this may increase temporarily during a growth spurt). 

Research shows exclusively breastfed babies take in around 25oz (750ml) per day between 1 month and 6 months. Knowing this can help work out how much your baby may need per feed whilst away from you.  

• Estimate the number of feeds your baby has in 24hrs.  

• Divide 25 oz by the number of feeds 

This will give you an approximate figure your exclusively breastfed baby will need at one feed.  

Breast milk’s antibacterial properties help it to stay fresh, so it can be stored at room temperature for up to 6 hours and in the fridge for up to eight days at 4°C or colder (stored at the back of the fridge, not the door of the fridge). If you’re fridge doesn’t have an in-built thermometer, you can use a fridge thermometer to check the temperature.

It can also be frozen in the freezer compartment of a fridge for up to two weeks, and for up to six months in a freezer that is -18°C.

It’s a good idea to label each sterilised bottle or container of breast milk with the date on which it was expressed, and the date it needs to be used by.

It is best to defrost frozen breast milk slowly in the fridge before giving it to your baby.

If you need to use it straightaway, you can defrost the milk by standing the bottle, bag or container it’s stored in in a jug of warm water, or by running the bottle under the warm tap. Never use a microwave to defrost or heat it.

Breast milk can be fed to your baby straight from the fridge, at room temperature or be warmed. Before you give the milk to your baby, check the temperature by shaking a few drops onto your wrist.

Breast milk can be given via a bottle or feeding cup. Once offered to the baby, what is left will need to be thrown away. 

It’s important to make sure you’ve got breastfeeding well established before trying bottles to make sure it doesn’t affect your baby’s willingness and ability to breastfeed.

In the early days, if you are concerned that giving a bottle might cause ‘teat’ confusion then you can give your milk via a cup or syringe. You can discuss this with your health visiting team for more advice and guidance.

If your baby is reluctant to take a bottle, try these tips:

• Hold and cuddle your baby first
• Warm and soften the teat by putting it in boiling water, ensuring it has cooled sufficiently down before using
• Ask someone else to give the bottle – if it’s you, your baby may want to feed from the breast
• Offer the bottle when your baby isn’t particularly hungry, but is alert and relaxed
• Try using a different position to feed
• If the baby is older (for example around four months old) try giving the milk to them in a cup
• Some babies prefer one brand of bottle over another, so you may need to try an alternative

Yes. If you are expressing and offering your breast milk by bottle, it’s recommended that you express three hourly during the day and at least once over night to establish your supply.