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Breast Pump/ Expressing milk

  1. #9
    LLL_Sarah is offline Registered User
    Join Date
    Feb 2003
    Location
    Hong Kong
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    757
    Stress doesn't really affect your milk supply that much but what it does affect is the amount of milk you can get by pumping. If you feed directly your hormones, especially oxytocin, help the milk come from milk making glands into ducts and down to the nipple. The more oxytocin in your body the stronger the milk ejection reflex. The levels of oyxtocin are much lower when you pump and so generally you get less milk then when feeding directly.

    One thing to remember is that when you return to work you will be pumping instead of breastfeeding whereas now you are pumping as well as feeding. This means that you are actually asking your body to produce more milk now - so it is bound to be tougher.

    Getting 2 oz of milk is a very good start as you are just building up your stored supply to return to work. It is fine to add milk together for a feed later on. But we usually suggest storing the milk in small quantities as you don't know how much milk your baby will need at each feed yet.

    Lots of short pumping sessions will help you increase the amount of milk you can pump and so will changing sides in the pumping session. So pump one side for five minutes then changes to the other side then change back to the first side again and then the second again and so on. You will get more milk if you pump three times for ten minutes then if you pump one for 30 minutes.

    Other things that can help are three or four minutes of nipple stimulation before you pump. And trying to be in a cool and relaxed environment.

    You might find the following article helpful,
    I'm not pumping enough milk. What can I do? http://www.kellymom.com/bf/pumping/p..._decrease.html

    Best wishes,
    SARAH
    La Leche League Leader
    www.lllhk.org

  2. #10
    yuukalim0404 is offline Registered User
    Join Date
    Apr 2008
    Location
    Tseung Kwan O
    Posts
    171
    Hi Sarah,
    Your information and advice has been constantly useful and very encouraging( from here and my other posts) Thanks!
    Breastfeeding is not easy and we really need such support to make it work, thanks again.

    I have one more question...as I will ty to increase my pumping sessions at home first, can I not sterilize my pump after every use? Usually I clean it and sterilize it before every use, but I was thinking if I pump at midnight then again at 4am or in the morning, its difficult to go and clean plus sterilize each and everytime. I have read somewhere it is ok to clean and sterlize ONCE, then store the whole pump in the fridge for later use without sterlizing again. If this is correct, how long can I continue using this pump before the next cleaning/sterlizing? Will that be one day eg 24hrs?
    Many thanks

  3. #11
    catalunya is offline Registered User
    Join Date
    Feb 2008
    Location
    HK
    Posts
    5
    Avent manual pump is good. =) It works better than the Medela Electric Mini for me.

    Most of the time I would hand express the milk, even when i go to work. I would stop expressing the milk until reaching certain amount of milk, instead of reaching a particular time. You can try pumping the milk until you have the second let-down and That would indeed help increase the amount of milk. It's a supply-and-demand "theory". ;)

  4. #12
    peainpod is offline Registered User
    Join Date
    Aug 2007
    Location
    Mid Levels
    Posts
    375
    I've been pumping for close on three months now (since returning to work.) A good pump makes a big difference so I would recommend renting a hospital-grade pump (Celki at 10/F Melbourne Plaza in Central) if you don't want to pay a lot of money buying an expensive double pump like Medela's Pump in Style. But double-pumping is a must for regular at-work moms. It not only cuts your pumping times in half, you also get more milk when you pump both breasts at the same time.

    A word of caution on how you intend to use your freezer supply. I saved a stash before returning to work - and because i have a big baby who consumes a LOT (19 oz during the 10 hours I am away from home), I ended up using a bag of frozen milk to supplement the EBM I was pumping on a daily basis.

    Occasional supplements with frozen milk is fine but if you are using frozen milk on a regular basis to make up the difference in what you can't pump, then what you're doing, is telling your body you only need x amt (in my case, 15 oz of EBM pumped daily) when you actually need x + frozen milk (in my case 19 oz - my baby consumes 3 5-oz fresh pumped EBM bottles plus 1 4-oz frozen milk bag). The problem is, once your frozen milk supply is gone, you will have a hard time trying to make up the extra milk again through pumping.

  5. #13
    yuukalim0404 is offline Registered User
    Join Date
    Apr 2008
    Location
    Tseung Kwan O
    Posts
    171
    A new problem has since emerged...I am starting to pump more milk 3oz from one side in 15-20mins. I notice when I pump the milk comes out in small squirts and some in large explosive "fountains". I suspect this is too much for my baby to handle as she chokes and coughs at times and I see milk leaking from sides of her mouth.
    So far, she is coping with this but yesterday it got so bad that she cried when drinking ( for the first time!) I am quite upset as she is hungry and I can't feed her direct. ( I had to give her expressed milk from bottle in the end)
    I wonder if anyone has same problem, and what did you do?
    She is 4 weeks old now, thanks!

  6. #14
    yan88 is offline Registered User
    Join Date
    Oct 2007
    Location
    stanley
    Posts
    35
    Try the Medela pump. it's great! i used it since the first day my son was born and it's so quick and ease to use, i used to pump 6oz from each breast in 10 mins max. i breast fed for 6 months and stopped when he starts teeth....

    It's a little pricy, it's about hkd5-6,000) but it's definately worthy the price or you can rent it from Annerley's at 6 to 700 a month.

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