Teknik urutan

Bismillah..

Bila dah start pumping ni saya rasa breast ni dah jarang penuh.. hmmmmm.. perasaan kah? Saya memang pam lepas Rifaie menyusu, dan saya tengok Rifaie elok je tidur, kencing dan poo poo. Sama seperti sebelum-sebelum ni. May be nak adjust dengan pengeluaran kot.. harap-harapnyerlah.. Jadi, sementara belum terlalu sibuk ni saya mencari artikel untuk meningkatkan susu, melalui teknik urutan. Sungguh tak puas hati bila breast dah tak penuh, macam terasa kurang susu pulak.. ehhehe..

Credit to this site --> Capital Health

Expression of Breast Milk

Breast milk can be expressed (removed from your breast) by hand or by using a breast pump. You may need to express your milk to:

• provide breast milk if your baby is not able to latch
• soften your breasts before breastfeeding (if your breasts are full or engorged)
• provide breast milk for your sick or preterm baby
• provide breast milk if you are away from your baby
• make your breasts more comfortable and maintain your milk supply if you are not able to breastfeed

You will find it easier to express your milk after:

• your baby has breastfed--> That's what I'm done
  
• using warm moist heat on your breasts (shower, towels, or facecloths)
• using breast massage --> Lepas nih nak try
  
• you have touched or cuddled your baby
• the morning feeding when you have more milk

At first you may not be able to express any milk or very little milk. This is normal. As you become more comfortable with hand expression or using a breast pump, your milk will flow more easily. After a few days your milk supply will increase. Amounts may vary with each pumping. --> I hope!

Breast Massage

Breast massage before expressing milk may help you remove more milk.

• Always handle your breasts gently. Rough handling may damage delicate breast tissue.
• Massage your breasts in small circular motions toward your nipple (see Figure 8).
• Stroke your breasts very gently toward the nipple (see Figure 9).
• Lean forward and let gravity help the milk flow.

Figure 8 - Massaging the Breast

Figure 9 - Stroking the Breast

Hand Expression

Hand expression is a learned skill that you may need to practice. It may be easier to practice in the tub or shower or after breastfeeding your baby.

1. Wash your hands.
2. Position your hand as shown (see Figure 10).
3. Push in towards your chest and gently squeeze your thumb and fingers together, rolling them forward. Continue this rolling action until your milk flows (see Figure 11).
4. Repeat this step, rotating your hand around your breast until your milk flow decreases and your breast feels soft.
5. Repeat with your other breast.

Figure 10: Hand position

Figure 11: Expression of breast milk

Breast Pumps

Breast pumps may be used instead of hand expression. There are different types of breast pumps available:

• Manual, battery-operated, and small electric pumps are for occasional breast pumping once your milk supply is established.
• Rental breast pumps are recommended for a mother who is unable to breastfeed for a period of time.
• Clean your breast pump according to the manufacturer's instructions.

If you need to use a breast pump, contact a health professional who is knowledgeable about breastfeeding.