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Subject:
From:
Nikki Lee <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Tue, 27 Nov 2018 07:25:55 -0500
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Dear Lactnet Friends:

Julie-Ann asks for ideas about promoting hand expression.

The big trick is to realize that the breasts are not faucets; they are
women, and need to be treated nicely before flowing.

This means enough skin to skin that the mother sighs or yawns, indicating
that she is in parasympathetic mode, calm and content, and then oxytocin
will flow. This can take half an hour. The environment has to be gentle and
private and safe too.

I've had plenty of breastfeeding helpers complain that they never get
anything from hand expression; when I ask if they've given the mother a
chance to relax, they haven't.

Also, carry a good breast model and demonstrate hand expression. Have the
mother copy you. Being trauma-informed in our practice means that we don't
touch a breast; even permission granted doesn't mean that she will like it.
(She's given permission for umpteen vaginal exam during labor. .. and who
likes that??)

When you are calm and patient, she will be too. Sit down when you talk with
her about it. You relax automatically, and that will communicate to her.


warmly,

-- 
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC, RYT
Reviews Editor,* Clinical Lactation*
www.nikkileehealth.com
*Communications are confidential and meant only for whom they are
addressed.*

             ***********************************************

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