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Is Manual Expression Of Breast Milk Safe While Having Breastfeeding Difficulties?

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Posted on Fri, 16 Sep 2016
Question: i have delivered baby through c-sec. first two days i cud not breast feed my baby as milk did not flow. so as prescribed by doctor we gave him lactogen1. now my baby is not comfortable wid breast feeding. he drinks lactogen easily. he tries to suck nipple once and leave it wen he doesn't get anything instantly.
doctor
Answered by Dr. Vaishalee Punj (1 hour later)
Brief Answer:
That is the problem of bottle feeding

Detailed Answer:
Hi
Thanks for your query.

Firstly you need to know that milk letdown may decrease if milk is not expressed regularly every 3-4 hours. Therefore you have to express milk manually to avoid this stopping of milk flow. Whatever milk is expressed, please give that to your baby.

The procedure for manually expressing milk is:

Wash your hands with soap and warm water
Cup your breast just behind your areola.
Squeeze gently with your thumb and your fingers in a C shape. This shouldn't hurt (don't squeeze the nipple directly as you'll make it sore and unable to express).
Release the pressure, then repeat, building up a rhythm. Try not to slide your fingers over the skin. At first, only drops will appear, but keep going as this will help to build up your milk supply. With practise, milk may flow freely.
When no more drops come out, move your fingers round and try a different section of your breast, and repeat.

Now coming to your exact problem of baby not suckling.

Strong will-power is needed from you to make your baby suckle again. For babies it is easier to suckle from bottle as the milk flows freely. As long as baby is getting bottle, he will not take breast. Offer breast everytime he is hungry. Babies take breast more easily when they are trying to sleep. That time they will just suckle from breast and go to sleep. So dont offer bottle before sleeping. That way baby will want to breastfeed during night also. Dont give in to babies crying and consistently keep trying for breastfeeding.

Hope it helps.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3266 Questions

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Is Manual Expression Of Breast Milk Safe While Having Breastfeeding Difficulties?

Brief Answer: That is the problem of bottle feeding Detailed Answer: Hi Thanks for your query. Firstly you need to know that milk letdown may decrease if milk is not expressed regularly every 3-4 hours. Therefore you have to express milk manually to avoid this stopping of milk flow. Whatever milk is expressed, please give that to your baby. The procedure for manually expressing milk is: Wash your hands with soap and warm water Cup your breast just behind your areola. Squeeze gently with your thumb and your fingers in a C shape. This shouldn't hurt (don't squeeze the nipple directly as you'll make it sore and unable to express). Release the pressure, then repeat, building up a rhythm. Try not to slide your fingers over the skin. At first, only drops will appear, but keep going as this will help to build up your milk supply. With practise, milk may flow freely. When no more drops come out, move your fingers round and try a different section of your breast, and repeat. Now coming to your exact problem of baby not suckling. Strong will-power is needed from you to make your baby suckle again. For babies it is easier to suckle from bottle as the milk flows freely. As long as baby is getting bottle, he will not take breast. Offer breast everytime he is hungry. Babies take breast more easily when they are trying to sleep. That time they will just suckle from breast and go to sleep. So dont offer bottle before sleeping. That way baby will want to breastfeed during night also. Dont give in to babies crying and consistently keep trying for breastfeeding. Hope it helps. Dr Vaishalee