Antenatal Hand Expression: A Guide.
Antenatal hand expression is the process of removing colostrum from your breasts during the final month of pregnancy. Growing awareness of this technique highlights its potential benefits in supporting early lactation and providing essential nutrition for newborns who may require extra calories. While more research is needed to determine its full risks and benefits, antenatal hand expression may be a helpful tool for some expectant mothers. However, before trying this technique, it is crucial to consult your obstetrician or midwife to ensure it is safe for you and your baby.
Benefits of Antenatal Hand Expression
1. Storing Colostrum for Postpartum Supplementation
Expressed colostrum can be stored and used if your baby requires supplementation after birth. In some cases, hospital staff may recommend additional calories for newborns with low blood sugar, particularly if the mother has a history of diabetes or gestational diabetes.
2. Learning a Useful Skill for Postpartum Milk Expression
Antenatal hand expression allows mothers to familiarise themselves with expressing colostrum, which may be beneficial if:
You and your baby are separated after birth.
You need to express colostrum after feeds to help increase milk production, particularly if you have conditions such as gestational diabetes, pre-eclampsia, or have had a caesarean birth.
You experience engorgement and need to express a small amount for comfort or to assist with latching.
When and How Often Should You Express?
Before beginning antenatal hand expression, always seek approval from your healthcare provider to ensure it is safe for you and your baby. Generally, antenatal hand expression should begin at 36 weeks or later, with the following guidelines:
Perform expression no more than twice a day.
Limit each session to 10 minutes.
It is normal to express very little colostrum initially, sometimes only a few drops.
How to Hand Express Colostrum
Although antenatal and postpartum hand expression techniques are similar, it is helpful to watch guidance videos, such as those provided by UNICEF. Below is a step-by-step guide to expressing colostrum before birth:
Preparing for Hand Expression
Gather the necessary supplies:
A heating pad or warm compress to encourage colostrum flow.
A small, clean bowl, plate, or cup to collect the colostrum.
Small syringes (1-3ml) to draw up the colostrum for storage.
A ziplock bag or airtight container for storing filled syringes.
Find a comfortable and relaxed setting, apply gentle warmth to your breasts, and take a few moments to unwind before beginning.
The Hand Expression Process
Massage the Breasts: Lightly touch or stroke your breasts to encourage milk flow. Avoid nipple stimulation to prevent triggering uterine contractions.
Position Your Hand: Form a C-shape with your thumb and index finger, placing them a few inches from your nipple.
Express the Colostrum: Gently compress and release the breast tissue, allowing colostrum droplets to collect in your container.
Rotate Your Hand: After a few minutes, adjust your hand position to express milk from different areas of the breast.
Collect the Colostrum: Use a small syringe to draw up the expressed colostrum.
Label and Store: Label the syringe with your name and the date. If you do not anticipate using the colostrum within three days, freeze it for later use.
Troubleshooting: What If I Cannot Express Any Colostrum?
The amount of colostrum you can express antenatally is not indicative of future milk supply
Many women find it difficult to express colostrum during pregnancy. This does not indicate an inability to produce a sufficient milk supply after birth. Your hormones will continue to regulate colostrum production, and once your baby is born, natural hormonal shifts will trigger a transition to full milk production.
Will Hand Expression Deplete My Colostrum Supply?
No, hand expression during pregnancy will not reduce the amount of colostrum available to your baby. Your body continuously produces colostrum, and after birth, hormonal changes naturally stimulate full milk production.
Antenatal hand expression can be a valuable skill for some mothers, particularly those who anticipate the need for early newborn supplementation. However, individual circumstances vary, and it is essential to consult your healthcare provider before beginning this practice. By being informed and prepared, you can make the best decision for you and your baby’s health.
