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Expressing breastmilk & storing breastmilk

Expressing breastmilk and storing breastmilk: the basics

Expressing breastmilk is when you take milk out of your breast.

Expressing and feeding from a bottle or cup can be handy. You might want to express your breastmilk because you:

  • have swollen or engorged breasts
  • need to clear a blocked milk duct
  • are sick and don’t feel well enough to breastfeed
  • want to store some breastmilk in the fridge or freezer.

Some women find it easy to express, and other women find it more difficult. It can sometimes take a while to learn how to express.

Women express varying amounts of breastmilk. It depends on many things, including your body, your baby’s last feed and your baby’s age. It can also depend on how often you express.

If you can’t express much (or any) milk, check with your midwife, child and family health nurse or lactation consultant to make sure you’re expressing correctly. An Australian Breastfeeding Association (ABA) counsellor can also help – phone the National Breastfeeding Helpline on 1800 686 268 or use ABA LiveChat.

There are 3 ways to express:

  • by hand
  • with a manual pump
  • with an electric pump.

Most people find expressing breastmilk easier if they’re in a comfortable, private place. Get yourself relaxed and comfortable, and have a glass of water handy to drink. Give yourself plenty of time too – especially when you’re first learning to express.

Expressing breastmilk by hand

Here are the basic steps for expressing breastmilk by hand.

Getting ready

  • Wash your hands with soap and warm water. Dry hands with a clean towel.
  • Encourage your let-down reflex. You can do this by gently massaging the top and underside of your breast several times. Or you can put a warm washcloth or heatpack on your breast.
  • Place a clean plastic dish or a wide bowl under your breast, either between your legs or on a low table. You can express into the dish or bowl and leave both your hands free. You might need a clean towel on your lap to catch any spills or to wipe slippery, wet fingers.

Expressing by hand

  • Support your breast with one hand. You might find this is particularly helpful if you have large and heavy breasts.
  • With the same hand, place your thumb and finger directly opposite each other, either side of and well back from your nipple near the top of the areola.
  • Gently press inward towards the centre of the breast, until you feel the bulk of the breast. Expressing shouldn’t hurt.
  • Gently press finger and thumb towards each other using a rhythmic rolling movement. This will compress the ducts, and milk will flow out of your nipple. There might be only drops until your let-down reflex happens. After this, you should get sprays from the nipple with each squeeze.
  • Once the milk flow slows, move your thumb and finger to a different position around the areola and press again. This expresses more milk and empties all sectors of the breast. Change hands if your fingers get tired.
  • Repeat the process on the other breast. Expressing milk can be tiring, so stopping for a drink of water might help you relax before you start again.
  • If you need more milk, change from breast to breast, or wait and try again later.

Expressing breastmilk with a manual pump

Manual breast pumps usually consist of a breast shield attached to a pump handle and collection bottle or container.

Just as with hand-expressing, the first step in expressing breastmilk with a manual pump is getting yourself relaxed and comfortable. This can help to trigger your let-down. Gentle massage and warmth as described above is a good idea too.

Here are the next steps:

  • Place the breast shield of the pump directly over your breast with your nipple centred.
  • Squeeze the pump handle gently and rhythmically. You might see only drops of milk until your let-down happens and then it’ll spray.
  • Pump until your milk flow stops.
  • Switch to the other breast. You can go back and forth several times.

Expressing breastmilk with an electric pump

Electric breast pumps are much like manual pumps, except that you don’t have to do the pumping yourself. Attach the breast shield to your breast (or breasts, in the case of double pumps).

As with expressing breastmilk by hand or by manual pump, get comfortable and relaxed to start. This helps with your let-down.

Here are the next steps:

  • Place the breast shield of the pump directly over your breast with your nipple centred.
  • Start with low suction and increase it to a level that’s comfortable for you.
  • Pump until your milk flow stops.
  • If you’re using a single pump, switch to the other breast. You can go back and forth several times.

You can often get more milk by hand-expressing after the flow with the pump has stopped.

You can buy or hire electric breast pumps. The ABA hires them out, as do some pharmacies. You’ll need to buy your own pump kit to attach to a hired electric breast pump.

There are many manual and electric pumps on the market. If you’re interested in using a pump to express, it might be a good idea to speak with your child and family health nurse or an ABA counsellor. They can help you choose the right pump for your needs.

Storing expressed breastmilk

After you’ve expressed, put your breastmilk into a clean, closed container or a special breastmilk storage bag. You can buy storage bags from your pharmacy or other shops that sell baby stuff.

It’s best to refrigerate or freeze breastmilk after expressing. Don’t forget to write the date of expressing on the storage container or bag before you refrigerate or freeze the breastmilk.

If you’re adding fresh breastmilk into the same container or bag as other chilled or frozen breastmilk, cool the fresh breastmilk in the fridge first. The date on the whole container or bag should be the date when the oldest breastmilk was expressed.

The guidelines below explain how long you can store breastmilk at different temperatures and when you should use stored or frozen breastmilk.

Freshly expressed breastmilk
You can store breastmilk:

  • at room temperature (26ºC or lower) for 6-8 hours
  • in the fridge (5ºC or lower) for up to 72 hours – the best spot is the back of the fridge where it’s coldest
  • in the freezer compartment (-15ºC or lower) inside a fridge for 2 weeks
  • in the freezer section (-18ºC or lower) of a fridge with a separate door for 3 months
  • in a chest or upright deep freezer (-20ºC or lower) for 6-12 months.

Previously frozen breastmilk (thawed in the fridge but not warmed)
You can store breastmilk:

  • at room temperature (26ºC or lower) for 4 hours or less – that is, until the next feed
  • in the fridge for up to 24 hours – the best spot is the back of the fridge where it’s coldest.

Don’t refreeze previously frozen breastmilk.

Breastmilk thawed outside the fridge in warm water
You can store breastmilk:

  • at room temperature (26ºC or lower) until the end of the feed
  • in the fridge for 4 hours or until the next feed.

Don’t refreeze previously frozen breastmilk.

If your baby doesn’t finish their feed of expressed breastmilk, you can’t use it for another feed. You should throw it away. Offering small amounts of expressed breastmilk at a time might help to reduce wastage.

Transporting expressed breastmilk

You can transport expressed breastmilk between home and other places. Expressed breastmilk can travel:

  • in an insulated container like an esky or cooler bag with one or more freezer bricks
  • either frozen or fresh – if the milk has thawed, use it within 4 hours and don’t refreeze it.

Place the labelled breastmilk in the fridge as soon as you arrive or in the freezer if it’s still frozen.

Preparing expressed breastmilk for use

You can give your baby expressed breastmilk with a cup, spoon or bottle. Warm your container of breastmilk by placing it in warm water. Use fresh breastmilk first if you have some, but if you’re using frozen breastmilk, you can thaw it by placing it in either cool or warm water.

Test the temperature of the milk before feeding your baby. The temperature should be lukewarm or around body temperature. Some babies don’t mind milk that has been thawed but not warmed.

Don’t use a microwave oven to thaw or warm the milk, because this destroys some of the components of breastmilk. It can also result in hot spots, which can burn a baby.

You might notice that expressed and stored breastmilk has a surface layer of fat, with lighter milk underneath. This is normal. You can gently swirl the bottle or container after heating to mix the fat through.

Cleaning expressing equipment

Clean all breast pump parts and storage containers used to collect and store breastmilk before use. But you don’t need to clean sterile expressed breastmilk bags or new plastic bags before use.

If you’re expressing once a day or more, you should thoroughly clean your expressing equipment at least once every 24 hours. Here’s how:

  1. If your water supply is different for drinking and washing, use drinking water to clean your expressing equipment.
  2. Check the manufacturer’s instructions to find out how to pull apart your breast pump.
  3. Wash your hands well, and dry them with a clean cloth or paper towel.
  4. Take apart your breast pump and rinse with cold water to remove any milk.
  5. Wash all equipment well in hot water and detergent. Scrub with a brush that you use only for cleaning this equipment.
  6. Rinse equipment at least twice in hot water.
  7. Place equipment upside down on a clean cloth or paper towel, and cover it with another clean towel while it dries.
  8. If there’s any water left on the equipment, dry the equipment with a clean cloth.
  9. Store the dry equipment in a clean, closed container or plastic bag until next use.

In between cleans, here’s what to do if you have access to a fridge:

  • Store expressing equipment in a clean, closed container or plastic bag in the fridge until next use.
  • Make sure that you place the equipment in the fridge immediately after use.

And here’s what to do if you don’t have access to a fridge:

  • Thoroughly rinse expressing equipment in cold water after each use.
  • Store equipment in a clean, closed container or plastic bag until next use.

If you and your baby are well, you don’t need to sterilise expressing equipment after cleaning.

You do need to sterilise bottle-feeding equipment after cleaning for babies under 12 months. You can read more about cleaning and sterilising bottle-feeding equipment.

This information applies to normal healthy babies being fed their own mother’s breastmilk. If your baby is premature or sick, the health professionals caring for your baby will tell you what to do.

Why Breastfeed: Benefits for You & Your Baby

Getting ready for the birth of your baby is an exciting and busy time. One of the most important decisions you will make is how to feed your baby. What matters most is having the information, options and support you need to choose what truly works for you and your family.

Breastfeeding: a natural gift

Breastfeeding provides a lot of perks for babies and nursing parents. That’s why the American Academy of Pediatrics recommends exclusive breastfeeding for a newborn’s first six months, and continued breastfeeding as long as parent and baby like after introducing solid foods. But every family’s situation is different. Not everyone can breastfeed or continue breastfeeding for as long they’d like for various reasons. You may choose to breastfeed for a shorter time or combine breastfeeding with baby formula. Others may nurse their little ones for two years or more.

It's not an all-or-nothing choice


Giving your child at least some breast milk delivers real benefits. And even though exclusive breastfeeding is best in the beginning, this is not an all-or-nothing choice. In general, the longer you breastfeed, the greater the benefits will be to you and your baby, and the longer these benefits will last.

Why is breastfeeding so good for my baby?

Here are some of the reasons breastfeeding is good for babies:

Human milk is a superfood for babies

Human milk provides all the nutrients, calories, and fluids needed for your baby health. It supports your baby’s brain development and growth and is easiest for your little one to digest. Breastfeeding continues to deliver the healthy antibodies your infant naturally received in the womb. This boosts your baby’s immunity to everything from the common cold to more serious conditions. In fact, research shows that breastfeeding offers protection from asthma, eczema, diabetes, obesity, leukemia, tooth decay, ear infections, persistent diarrhea and much more. Studies also show that breastfeeding reduces your child’s risks for Sudden Infant Death Syndrome (SIDS) as well as other causes of infant death, and even is linked to higher IQ.

After giving your baby only breast milk for the first six months, nursing can continue as long as you and your baby wish. Nutritious solid foods, those with iron and zinc, should be introduced around six months. The only other thing you will need to give your baby is vitamin D drops, beginning soon after birth.

Breastfeeding boosts parent-child bonding

Feeding your baby will always provide snuggle time. But the physical, skin-to-skin contact of nursing helps create a special bond between you and your baby. Your baby will be comforted by the scent of your skin, the sound of your heartbeat and even the flavor of your milk. Breast milk has a naturally sweet taste, but also changes flavors depending on what you eat. No two meals are the same for your baby. This can have the added bonus of making them more likely to enjoy new foods you offer once they start eating solids.

Why is breastfeeding good for me?


Here are some of the ways breastfeeding benefits parents:

Breastfeeding benefits the nursing parent's health

If you’re the parent producing milk, your own health will benefit. It can help you recover from childbirth more quickly and easily. Hormones released during breastfeeding help the uterus to its regular size more quickly and can reduce postpartum bleeding.

Likely because of hormonal changes, breastfeeding protects you against diabetes, high blood pressure and cancers of the breast and ovaries. It may also help keep bones strong, which helps protect against bone fractures in older age. It also triggers the release of oxytocin, a hormone that has been linked with feelings of empathy, affection, calmness and positive communication—all of which can help you be the warm, attentive parent you want to be.

Breastfeeding can save money & prep time


Unlike formula, breast milk requires no purchase or preparation. Breastfeeding is also good for the environment, since there are no bottles to wash or formula cans to throw away. It’s wonderful, too, to be able to pick up the baby and go out—whether around town or on longer trips—without having to pack and carry a bag full of feeding equipment.

And while you may want to invest in a breast pump to make feeding more convenient, the cost of buying or renting a pump will likely be less than a year’s supply of formula. Plus, it is often reimbursed by insurance plans.

Breastfeeding supports contraception

Breastfeeding parents often find that their period does not return, especially during the first six months after birth. This can help keep iron in your body and may offer some natural contraceptive benefits. If you are giving your child only breast milk during this time, the baby is not yet six months, AND your period has not returned chances are good that you will not ovulate. (No ovulation, no pregnancy!) In fact, if you meet all three of these conditions, the level of contraceptive protection approaches 98%.

Overcoming challenges to breastfeeding

Finding expert support

For many nursing parents and babies, breastfeeding goes smoothly from the start. For others, it takes a little time and several attempts to get the process going effectively. Sore nipples, milk supply issues, not to mention the need to sit still for hours every day are very real issues. Talking with a midwife, lactation consultant, or doctor trained in breastfeeding right after birth can help. They can show you helpful techniques and breastfeeding positions that can help relieve nipple pain. Your pediatrician or OB-GYN can check your breasts during your postpartum visit and suggest ways to ease any discomfort you’re feeling.

Community & workplace support


There’s also the time and space it can take to breastfeed or pump your milk. It can be challenging to step away to do this, and there are some jobs that can make near impossible. This is one reason why support from partners, families, employers and communities is key. More and more employers are adopting breastfeeding-friendly policies, and laws in all 50 states protect parents’ right to breastfeed in public. By seeking the support that you need, including hands-on help at home and work, chances are good you may find the time and space to breastfeed successfully.

More information

  • Breastfeeding: AAP Policy Explained
  • Breastfeeding Benefits Your Baby's Immune System
  • Why Breastfeeding Parents Need More Support

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Breastfeeding | Philips Avent

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We'll be there for you throughout your breastfeeding journey

Philips Avent supports you in your breastfeeding quest, as breast milk is the ideal food for your baby during the first months of life. Our 1.2 manual and electronic breast pumps and breast care accessories will help you improve your lactation so you can give your baby the very best - breast milk.

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About Breastfeeding


Your body is designed for breastfeeding, but this does not mean that you do not have doubts and questions. To feel more confident, read our top tips for breastfeeding preparation to make the journey smoother for you.

First hours with baby

The first hour after birth, when mother and baby get to know each other, is called the "golden hour". It is recommended to allow the baby to have skin-to-skin contact with the mother, as well as immediately attach it to the breast. nine0003

The more often a mother breastfeeds or expresses milk in the first days after birth, the more milk is produced. That is why it is especially important to feed or pump in the first days after the birth of the baby. This time is of great importance for successful breastfeeding.

Products:

What do other mothers say about Philips Avent breast pumps?

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Take care of your breasts

The success and duration of breastfeeding largely depend on healthy breasts. To avoid discomfort during breastfeeding, take care of your breasts with special breastfeeding accessories.

Products:

What do other moms say about Philips Avent breast accessories?

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Breast milk, even when the mother is not at home

If you decide to leave your maternity leave or you just need to leave home for a while, you can continue to feed your baby with valuable breast milk, you just need to prepare - to create a breast milk bank.

Items:

New Anti-colic Bottle with AirFree Valve

Designed to reduce colic, gas and spitting up 1

Want to learn more about breastfeeding?

Download the Philips Avent Breastfeeding Guide for all the essential information on why your baby already knows how to latch on and what to do during feeding.

Philips Avent is committed to supporting parents and providing them with everything they need for the healthy development of their baby. We offer products based on the desires of women and the needs of children, and innovation you can rely on. We help parents choose the right ways to feed their babies. nine0003

We believe that breast milk is the best food for newborns, so our products are fully compliant with the WHO Code (1981). Breastfeeding support is at the heart of our mission and strategy. We welcome feedback and suggestions that help us continue to support breastfeeding. There are contraindications. Consult with a specialist.

2 RU No. RZN 2022/17376 dated May 27, 2022

There are contraindications. Consult with a specialist.

3 RU No. 2021/15810 of November 22, 2021 Consult with a specialist.

* According to the results of the study "Baby Index -2020" by Ipsos Comcon LLC in the categories of breast pumps and feeding devices and feeding equipment


*Based on GemSeek's online customer satisfaction survey of over 9,000 women using children's brands, December 2015.

*Based on GemSeek's online customer satisfaction survey of over 9,000 women using products of children's brands, December 2015.

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Breastfeeding Principles | State Budgetary Health Institution "City Polyclinic No. 3"

Principles of breastfeeding

Basic principles of successful breastfeeding:
1. Strictly adhere to the established rules of breastfeeding and regularly bring these rules to the attention of medical personnel and puerperas. nine0037 2. Train medical personnel in the necessary skills for the practice of breastfeeding.
3. Inform all pregnant women about the benefits and techniques of breastfeeding.
4. Help mothers initiate breastfeeding within the first half hour after delivery.
5. Show mothers how to breastfeed and how to maintain lactation, even if they are temporarily separated from their children.
6. Give newborns no food or drink other than breast milk, unless medically indicated. nine0037 7. Practice 24/7 stay of mother and newborn side by side in the same room.
8. Encourage breastfeeding on demand, not on schedule.
9. Do not give breastfeeding newborns any sedatives or devices that mimic the mother's breast (nipples, pacifiers).

Encourage the establishment of a breastfeeding support group and refer mothers to these groups after discharge from the maternity hospital.

A few years ago, mother and child were separated everywhere (and in some places even now). The preservation of the old methodology is due to the special condition of the woman or child, but more often it is impossible to redevelop the large premises of the old maternity hospitals. Some women are fine with this. nine0037 Features and disadvantages of separate stay of mother and child are as follows: women are in large postpartum wards, usually 6-8 people. Children are in children's large wards for 10-20 or more. Children are brought to the postnatal wards of mothers 6 times a day (the first feeding at 6 am, the last at 24 pm). Before feeding, all women are instructed to prepare for it (wash their hands, prepare their breasts, put on a scarf, mask, prepare a special diaper for feeding). Feeding is given for half an hour every 3.5 hours. nine0003

In the old days, it was prescribed to feed alternately with one breast, and after feeding, to express the rest of the milk that the dairy sister collected.

Before the night interval, both breasts were supposed to be pumped. The disadvantage of this method is, first of all, multiple contacts between women and children, which can contribute to the spread of a hospital infection. With this artificial regimen, many children do not breastfeed and sleep during feeding. Therefore, then you have to supplement them in the children's department, and women constantly express their breasts. nine0003

Individual regimen absolutely excludes such complications. The child eats, when he wants, the natural milk of his mother, who does not need to injure the breast with unnecessary pumping. In addition, the night gap leads to lactostasis and creates the risk of mastitis. For short meetings with a child, a woman does not have time to develop the skill of caring for and monitoring a child. Even if a woman is allowed to visit the nursery for feeding in a more individual way, almost all problems remain. A woman worries about a child torn from her, does not have the opportunity to caress and care for him. nine0037 For many years, women fought for their natural right to care for a child and not part with him immediately after birth.

True, the old method had some advantages: the ability to ventilate the room well, carry out cleaning, ultraviolet irradiation of both mothers' and children's wards.

When staying apart, a woman has the opportunity to take a break from the child, so some women insist on a separate stay. This most likely indicates the unpreparedness of a woman for the postpartum period and for motherhood in general. The reason for such a desire may be a lack of understanding of the importance of maternal care, a free feeding regimen, a lack of antenatal clinics, a woman’s poor health, a woman’s pronounced egocentrism, insufficient help and support for the puerperal from the staff of the postpartum department. nine0003

The advantages of breastfeeding when mother and fetus are together are:
• Constant close contact between mother and child, the child hears the familiar heartbeat of the mother, feels her warmth and caress, hears her voice, which brings them even closer and contributes to greater comfort of the child.
• Individualized care is necessary because each person, including newborns, has their own individual life cycles and needs. Some children, who are stronger, in the case when the mother has a lot of milk, also breastfeed 6 times a day at long intervals. Weaker children, especially if the mother has little milk, are applied to the breast 10 or more times, sucking out less milk at a time, but the same volume per day, besides contributing to the stimulation of lactation. nine0037 • Free-form breastfeeding stimulates lactation and promotes optimal milk production.
• Eliminates the need for constant pumping.
• Reduces the risk of lactostasis and mastitis.
• Reduces the risk of nosocomial infection.
• The activity of the mother in childbirth, necessary for restoring health, is increased.
• A woman is present when a newborn is examined by a doctor, fully controls and takes part in all manipulations performed on a newborn. nine0037 • A woman in the process of caring for a child is trained in proper care methods under the supervision of staff and is ready for self-care at home.

The woman can breastfeed lying on the side of the baby (usually with stitches in the perineum), the baby can be placed on top, the baby can be seated or standing, choosing the positions that are most comfortable for the baby and the mother.

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