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.