How to Incorporate Hand Expression Into Your Pumping Routine

Incorporating hand expression into your pumping routine can be a great way to increase the amount of milk that you are able to remove from your breasts. Here’s how to do it!

Why Hand Express?

Hand expression is a great skill to have.

First, if you know how to hand express, you’ll always have a pump that works. You never have to worry about what you’ll do if your pump breaks, or if your power goes out, or if you forget your breast shields.

(This is so important for exclusive pumpers! I forgot my breast pump charger on a trip and had to go 15 hours without pumping until I could get a replacement. Knowing how to hand express would have saved me a lot of pain.)

Additionally, some women also find that they are able to remove more milk by incorporating hand expression into their routine.

What this looks like may be different for different women. Some might find hand expressing before they start pumping helpful in getting a letdown. Others might find it works best at the end, to finish emptying your breast as much as possible. You just have test out what works best for you.

Who Should Hand Express?

If possible, I would recommend learning how to hand express just in case you ever need to do it.

(When I forgot my charger, I tried to learn how to hand express from YouTube, but I was so stressed out and distracted that I couldn’t figure it out. Practicing ahead of an potential emergency is a good idea.)

Once you’ve learned how to do it, whether you want to do it regularly is up to you. As I said above, some women find that they get more milk (or can finish pumping faster) by incorporating hand expression along with pumping. Others may not. Just see what works best for you.

How to Hand Express

Before you start, wash your hands and get a clean container that you can express into. (You might want to use a bowl or something with a wider opening than a bottle while you’re getting the hang of it.)

Then:

• Start by lightly massaging your breast and nipples, stretching the nipples a bit.
• Make a C-shape with your thumb and index finger, and place your thumb at the top of your areola and your index finger at the bottom.
• Pull your fingers back towards your chest, and then compress them together gently. Try not to slide your fingers on your skin.
• Try to aim the spray of breast milk into your container.
• Once the flow slows down, move to another spot on your breast and repeat
• When you’ve finished hand expressing the first breast, switch to the other side.

When to Hand Express?

Obviously, you can hand express whenever you need to pump but can’t because of an issue with your pump not working or for whatever reason.

If you are trying to see if you can get more milk via hand expression, here are a few different things to try, depending on what you are struggling with:

1. Letdowns are slow

If you find that it takes a long time for the milk to start spraying when you pump, try hand expressing at the beginning of your sessions.

Letdown (the process that releases milk from your breasts) is a conditioned response, and some women have a harder time triggering this reflex with a pump. You may find that you are able to get a letdown faster using hand expression, and then once your milk has let down, you can switch to pumping.

2. Getting a second letdown

If you struggle to get a second letdown (meaning your milk has slowed to a dribble and won’t start spraying again), you might try disconnecting from the pump and hand expressing until your milk lets down again.

(Some women are able to get a second letdown using the letdown/massage mode on their pump, while others are not. Again, you kind of have to test out what works best for you.)

3. Finishing emptying

If you find it takes you a long time to pump, you can try hand expressing at the end of your session (say, when you have 5 or so minutes left to pump). Some women find that this helps them finish “emptying” their breasts faster.

Have you tried hand expression? Has it helped you pump more milk? Share your experience in the comments!