hand expression

Question 1

breastfeeding is regulated by hormones, explain that what the mothers don’t know

Answer 1

prolactin switches on the acini cells and FIL is in the milk and alerts the acini cells to stop producing milk when the breast is full

Question 2

Describe how to hand express

Answer 2

massage all around the breast and nipple to stimulate oxytocin
place finger in a c-shape above the ring around the nipple
then squeeze without sliding the fingers along the skin,
rotate around the breast
when milk flow slows then move onto the other breast

Question 3

how much should they hand express

Answer 3

to establish a good milk supply you will need to mimic the frequency of your baby’s feed so no less than 8 in 24 hours with at least one night feed.
can also express following a feed to further increase milk supply

Question 4

how to store EBM

Answer 4

in the fridge at temperature of 2-4 degrees for 8 days
in the hospital fr 24-48 hrs
in the freezer 6 months
fridges with an ice box for 2 weeks

Question 5

how to thaw EBM

Answer 5

do not use a microwave instead put in fridge for up to 12 hours or at room temperature

Question 6

Ways to stimulate the oxytocin reflex and describe what it is.

Answer 6

Having baby near, gently massaging the breast and any reminder of baby all stimulate the release of breast milk by promoting oxytocin which works on the muscle cells causing them to contract

Question 7

Why would hand expressing be useful and when could it be used.

Answer 7

Used: antenatally, to entice the baby, to increase milk supply, preterm baby/ separation, slow weight gain in baby