How to hand express

Expressing milk involves squeezing milk out of your breast so you can store it and feed it to your baby later. You can use a breast pump to express, or express by hand. There are lots of reasons why you might want to hand express. For example:

  • You’re going to be away from your baby for a period of time, for example if you’re going back to work
  • Your breasts are uncomfortably full (engorged)
  • Your baby isn’t breastfeeding well or is finding sucking difficult but you still want to give him or her breast milk
  • Your partner is going to help feed your baby
  • You want to boost your milk supply or keep it going while you overcome breast feeding difficulties

How to hand express your milk

  • Start by stimulating the release of milk by gently massaging the breast and nipples. You can also try applying warm face cloths to the breast. Having your baby close by or having something to remind you of baby, such as a photo, can help get your milk flowing- it might take a few minutes to get going.
  • Find the right spot to place your fingers- feel for a change in texture. Usually it’s about 2-3 cms away from the base of the nipple.
  • Cup the breast, making a ‘C’ shape with your thumb and fingers.
  • Gently squeeze and release in a steady rhythm. Avoid sliding your fingers along skin.
  • As milk flow slows down, move your fingers to another section of the breast.
  • Then move to other breast and repeat process.

Remember, wash your hands before you start, and express into a sterilised container.

Storing your expressed breast milk

The breast milk you express by hand can be stored in a sterilised container or in specially designed breast milk storage bags.

Breast milk can be kept:

  • in the fridge for up to five days at 4 degrees or lower
  • for up to two weeks in the ice compartment of a fridge
  • for up to six months in a freezer

If you cool your breast milk in the fridge, you can transport it in a cool bag with ice blocks for up to 24 hours.

Storing your breast milk in small quantities will help you to avoid waste. If you’re putting containers in the freezer, make sure you label and date each one for future reference.

Useful Links

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Leicestershire Partnership NHS Trust runs a confidential secure text messaging service for parents of children aged 0-19 years called Chat Health. The service operates Monday to Friday between 9am and 5pm, excluding bank holidays. All texts will be responded to by a public health nurse (health visitor/school nurse) within 24 hours. Outside of the service working hours, you’ll receive a message back to inform you that your text will be responded to once the line reopens.

Should you require urgent health advice in the meantime, please contact your GP, visit an NHS walk-in centre or call NHS 111. For emergencies, dial 999 or visit A&E.

Leicester City: text 07520 615381

Leicestershire & Rutland: text 07520 615382

You can also call and speak to a public health nurse on our advice line, excluding appointments: 0300 3000 007

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