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
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.