Expressing Your Milk by Hand

Wash your hands thoroughly with soap and water. Place one hand at the edge of the areola of one breast, with your thumb above and your fingers below the areola and the nipple in the center. Your fingers and thumb should not move on the skin, as this leads to pinching of the nipple. Pull back toward your chest, press your thumb and fingers together to squeeze the breast, and then roll them forward toward your nipple. Hold your thumb and fingers in this squeezing position as long as milk is coming out. Then let go. Do the same thing again. Continue to use this "milking" action in rhythm. Move your hand around the areola to reach all parts of each breast. Alternate between breasts, continuing until enough milk has been expressed. Remember, hand expression is like any other manual skill: It takes practice before you become good at it.

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