Hi Laurie, good to hear from you!
 
In a message dated 4/13/2016 Laurie writes:

<<<<Do you have a favorite technique, video, article  about this?>>>>
Video, article, no, ...I found the video you mentioned and it  looks good, 
...as we know it can be a little (or alot) more  challenging with freshly 
postpartum moms, working to gets those  drops of colostrum expressed.
 
 
Technique, yes. After quickly developing a good rapport with mom (in a  
seemingly very unhurried manner) saying positive and soothing things, and  
helping mom relax (while simultaneously calming baby among other things)...then  
positioning her for comfort (pillows!), we would practice a deep cleansing  
breath "slowly in through your nose and out through your lips" while I 
stroke  her shoulders downward and say something like "just release that  
tension, ...oh yes, very good, so much better, let that tension flow down your  
arms and out your fingertips, ... that will help the milk just come  
right_on_down" while doing light effurage strokes towards the nipple during that  
last line.
 
The tone of voice and delivery of these words seems to make *a world of  
difference*, it is similar to how it would sound if someone was trying to put  
you in a meditative or hypnotic state, you see the moms face go  from tense 
anxiety to calm relief.
 
Seems almost any type of massage will work as long as mom is comfortable  
with it, ...I tend to do fingertip little circles, working from outer  
margins in concentric circles to the nipple, much like a standard breast  exam 
because I am also doing a breast exam, then stroking, kneading, gentle  rolling 
between hands, maybe a little very gentle compressing here and  there, then 
expressing a drop or two and saying in an almost hushed  tone "wow look at 
that, ...when well latched-on (my thumb and fore  fingertips are now placed 
where baby's lips should be) his tongue  cupped and undulating (my other 
hand is somewhat miming this), your baby is sooo  much better at getting that 
milk out than I am, and that looks  like plenty of milk in there, excellent".
 
I might need to repeat the relaxation routine, while calming or waking the  
baby saying in a non-hurried manner "...you are doing great, let's practice 
 that again while I get the baby, cleansing breath iiiin and ouuut, relaaax 
those  shoulders, release aaany tension, think about riiivers of milk 
flowing towwwards  your nipples..." if you see her shoulders release and her eyes 
 close to visualize rivers of milk, bingo!
 

<<<<What is the length of time that you find  productive? >>>>
this all might take a few minutes, and I would do this or similar with  
just about every mom, very rarely not do such, ...the actual massage part could 
 take a minute or two/breast (with non-engorged breast) I've probably often 
taken  less than a minute/breast.
 
 
Debbie Tobin RN BSN
Retired (mostly) in the Virginia suburbs outside the Washington DC  beltway
 
 


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