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You need to have a nurse or lactation consultant to teach you the proper technique for hand expression. The suction from the breast pump does not empty all of the milk, as well as colostrum, on its own. Mothers of preemies who pump before being able to breastfeed sometimes do not get enough milk when pumping. You can increase your milk supply by doing the hand expression techniques. Emptying the breasts is one of the best ways to tell your body to produce more milk. Your lactation consultant will show you how to massage and compress your breasts properly for hand expression. Even if you are not pumping, you should still empty your breasts. Doing hand expression for the first couple of days has been shown to enhance your milk supply once your milk comes in. Then do some pumping as well. I had a woman tell me she was worried she did not have enough milk. her concern was pumping for a supply while she was at work. The problem was that she was not putting the baby to the breast as often as she wished due to a fear of not having enough milk. She even went as long as six hours at night between feedings in the false hope this would save milk. The truth is that a baby suckling at feeding at the breast is what will cause your body to produce more milk. You have two breasts, you can even alternate.
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