Hand Expression Routine

  1. Beforehand expression, wash your hands thoroughly.
  2. Apply moist heat, massage the breast in a circular motion around the breast, working toward the areola.
  3. Position fingers behind the areola.
  4. Press back toward the chest.
  5. Squeeze your breast gently by bringing your thumb and fingers together. Avoid pulling or sliding on the breast surface.
  6. Compress your breast several times in this position.
  7. Rhythmically repeat compressions, moving your thumb and fingers all the way around the breast, including areas near your chest and armpits.
  8. Repeat steps 4 and 5.
  9. Repeat procedure with the other breast.
  10. Stop when the milk slows down.
  11. Complete cycle takes 20 to 30 minutes.