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B. Breast Massage and Hand Expression

1. Must be used to bring milk down to the baby, to relieve fullness, and before pumping or hand expressing to decrease the time spent on collection.

2. To massage: Place one hand under breast, with other hand stroke down toward the nipple, starting from the shoulder down, under breast, and then up. Do this for 1 minute on each breast.

3. To hand express, put thumb and forefinger on areola about 1 inch from nipple. Press back toward the chest wall and squeeze together to compress milk sinus.


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