UHS Post Natal Education

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

HAND EXPRESSION OF BREAST MILK

For Appointments Call: +971 6 505 8555 Or Visit: www.uhs.ae

HAND EXPRESSION OF BREAST MILK

Dear Mother, We congratulate you for your new baby.

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HAND EXPRESSION OF BREAST MILK Your milk is very important for your baby.

It is useful to express your milk if:

Your baby cannot feed at your breast

You are away from your baby

You want drops of milk to encourage your baby to suck

Your breasts are overfull or you have a blocked duct

You want some hind milk (thick milk) to rub on sore nipples, and other reasons

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HAND EXPRESSION OF BREAST MILK You can help your milk to flow by:

Sitting comfortably, relaxed and thinking about your baby

Warming your breast

Massaging or stroking your breast, and rolling your nipple between your fingers

Having your back massaged

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HAND EXPRESSION OF BREAST MILK Colostrum Colostrum is the vitamin rich thick yellow milk that comes in the first 2-3 days after birth. It contains protective factors which fight against infection. It acts as a “paint” to coat the baby’s gut to protect it. It is highly concentrated and contains many growth factors and vitamins.

Because colostrum comes in small amounts, hand expression is best suited to collect it.

Remember there is no milk in the nipples.

Milk is produced in the breast, so it is the breast that need to be compressed…

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HAND EXPRESSION OF BREAST MILK How to do hand expression to collect breast milk?

It is important to have clean hands and clean containers for the milk.

1 - Feel back from your nipple to find a place where your breast feels different.

This may feel like knots on a string or like row of peas. This is usually a good place to put pressure while expressing. Put your thumb on one side of the breast and first finger on the opposite side and use other fingers to support the breast.

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HAND EXPRESSION OF BREAST MILK 2 - Compress the breast over the ducts.

Try pressing your thumb and fingers back towards your chest, and then press your thumb and fingers towards each other, moving the milk towards the nipple. Release and repeat the pressure until the milk starts to come.

3 - Repeat in all parts of the breast.

Move your fingers around the breast to compress different ducts. Move to the other breast when milk slows. Massage your breast occasionally as you move your hand around.

How often to express depends on the reason for expressing. If your baby is very young and not feeding on your breast, you may have to express every 2-3 hours

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HAND EXPRESSION OF BREAST MILK

BABY FEEDING CUES (SIGNS) Early cues

– “I’m hungry”

Stirring

Mid cues

Mouth opening

– “I’m really hungry”

Stretching

Late cues

Crying

Turning head Seeking/rooting

Increasing physical movement

Hand to mouth

– “Calm me, then feed me”

Agitated body movements

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Colour turning red

P.O. Box: 72772, Sharjah, UAE Tel: +971 6 505 8555, Fax: +971 6 505 8444 Email: info@uhs.ae, Website: www.uhs.ae /UHSharjah /UHSharjah

/UHSharjah

/UniversityHospitalSharjah

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UNIVERSITY CITY

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‫ص‪.‬ب‪ ،72772 :‬اﻟﺷﺎرﻗﺔ ‪ ،‬اﻹﻣﺎرات اﻟﻌرﺑﯾﺔ اﻟﻣﺗﺣدة‬ ‫ھﺎﺗف‪ ،+971 6 505 8555 :‬ﻓﺎﻛس‪+971 6 505 8444 :‬‬ ‫ﺑرﯾد إﻟﻛﺗروﻧﻲ‪ ،info@uhs.ae :‬اﻟﻣوﻗﻊ اﻹﻟﻛﺗروﻧﻲ‪www.uhs.ae :‬‬

‫‪/UHSharjah‬‬

‫‪/UHSharjah‬‬

‫‪/UniversityHospitalSharjah‬‬

‫‪/UHSharjah‬‬

‫ﻧﺘﻌﺎﻣﻞ ﻣﻊ ﻣﻌﻈﻢ ﺷﺮﻛﺎت اﻟﺘﺄﻣﻴﻦ‬

‫طرﯾﻘﺔ ادرار اï»&#x;ïº£ï» ï¯¾Ø¨ ﺑﺎï»&#x;ﯾد‬

‫إﻳﻤﺎءات إرﺿﺎع اï»&#x;ﻄﻔﻞ )ﻋﻼﻣﺎت(â€â€«Ø§ ﻳﻤﺎءات اï»&#x;ﻤﺒﻜﺮة – أﻧﺎ ïº&#x;ﺎﺋﻊ‬

‫إدارة اï»&#x;ﺮاس ‪ /‬اï»&#x;ﺒﺤﺚ‬

‫ﻓﺘﺢ اï»&#x;ﻔﻢ‬

‫ﻧﺸﻂ‬

‫ا ﻳﻤﺎءات اï»&#x;ﻤﺘﻮﺳﻄﺔ – أﻧﺎ ﺣﻘﺎ ïº&#x;ﺎﺋﻊ‬

‫وﺿﻊ اï»&#x;ﻴﺪ ﻓﻲ اï»&#x;ﻔﻢ‬

‫زﻳﺎدة ﺣﺮﻛﺔ اï»&#x;ïº ïº´ï»¢â€¬

‫اï»&#x;ﺘﻤﺪد‬

‫ا ﻳﻤﺎءات اï»&#x;ﻤﺘﺄﺧﺮة – ﻫﺪﺋﻨﻲ‪ ،‬ﺛﻢ أﻃﻌﻤﻨﻲ‬

‫اﺣﻤﺮار اï»&#x;ï»®ïº&#x;ﻪ‬

‫ﺣﺮﻛﺔ اﺳﺘﺜﺎرةâ€â€«â€ª8‬‬

‫اï»&#x;ﺒﻜﺎء‬

‫طرﯾﻘﺔ ادرار اﻟﺣﻠﯾب ﺑﺎﻟﯾد‬ ‫‪2‬‬

‫ادﻓﻌﻲ ﻟﻼﻣﺎم ﺑﺎﺗﺟﺎه اﻟﺻدر ﺛم رﺟﻲ اﻻﺑﮭﺎم ﻣﻊ اﻟﺧﻧﺻر ﻟﻼﻣﺎم ﻛﺎﻧك ﺗﻘوﻣﯾن ﺑﻌﻣﻠﯾﺔ‬ ‫ﺑﺻﻣﺔ اﻻﺻﺑﻊ ﺣول اﻟﺣﻠﻣﮫ ﺳﺗﻼﺣظﯾن ﺧروج اﻟﺣﻠﯾب‪.‬‬

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‫اﻋﯾدي ﻧﻔس اﻟطرﯾﻘﮫ ﻟﺗﺗﻣﺔ اﻟﻌﺻر ﻓﻲ ﺟﻣﯾﻊ اﻻﺗﺟﺎھﺎت ﻟﻠﺻدر ﺛم اﻧﺗﻘﻠﻲ ﻟﻠﺻدر‬ ‫اﻻﺧر ﻋﻧدﻣﺎ ﯾﻘل ﺧروج اﻟﺣﻠﯾب او ﯾﺗوﻗف‪.‬‬

‫ﺗﻌﺗﻣد ﻋدد ﻣرات اﻟﻌﺻر ﻋﻠﻰ‪:‬‬ ‫ﺳﺑب اﻟﻌﺻراذا ﻛﺎن طﻔﻠك ﺻﻐﯾر وﻻ ﯾرﺿﻊ ﻣن ﺻدرك‬ ‫ﻓﯾﺟب ﻋﺻر اﻟﺣﻠﯾب ﻛل ﺳﺎﻋﺗﯾن اﻟﻰ ﺛﻼث ﺳﺎﻋﺎت‪.‬‬

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‫طرﯾﻘﺔ ادرار اﻟﺣﻠﯾب ﺑﺎﻟﯾد‬ ‫ﻛﯾﻔﯾﺔ ادرار اﻟﺣﻠﯾب ﺑواﺳطﺔ اﻟﯾد‪:‬‬ ‫ﻣن اﻟﺿروري ﻏﺳل اﻟﯾدﯾن وﺗﺣﺿﯾر وﻋﺎء ﻧظﯾف ﻟﻌﺻر اﻟﺣﻠﯾب‬

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‫اﯾﺟﺎد ﻗﻧوات اﻟﺣﻠﯾب ﺛم ﺗﻘوﻣﻲ ﺑوﺿﻊ اﺑﮭﺎﻣك ﻋﻠﻰ اﻟﻣﺟرى اﻟﻣﺧﺻص ﻟﻣرور اﻟﺣﻠﯾب‬ ‫واﻻﺻﺑﻊ اﻻﺧر )اﻟﺧﻧﺻر( ﻓﻲ اﻻﺗﺟﺎه اﻟﻣﻌﺎﻛس ﻣن اﻟﺛدي واﺳﻧدي اﻟﺛدي ﺑﺎﺻﺎﺑﻊ اﻟﯾد‬ ‫اﻟﺑﺎﻗﯾﮫ‪.‬‬

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‫طرﯾﻘﺔ ادرار اﻟﺣﻠﯾب ﺑﺎﻟﯾد‬ ‫اﻟﻠﺑﺄ ‪:‬‬

‫ھو ﺣﻠﯾب اﺻﻔر اﻟﻠون ﺛﻘﯾل ﻣﻠ ْﻰ ﺑﺎﻟﻔﯾﺗﺎﻣﯾﻧﺎت ﯾوﺟد ﻓﻲ اﻟﺛﻼث اﯾﺎم اﻻوﻟﻰ ﻣن اﻟوﻻده‪,‬‬ ‫وﯾﺣﺗوي ﻋﻠﻰ ﻋﻧﺎﺻر ﺣﺎﻣﯾﮫ ﺗﮭﺎﺟم اﻻﻟﺗﮭﺎﺑﺎت‬ ‫ھو ﻣرﻛز وﯾﺣﺗوي ﻋﻠﻰ ﻋﻧﺎﺻر وﻓﯾﺗﺎﻣﯾﻧﺎت اﻟﻧﻣو اﻟﻣﮭﻣﮫ وﻻﻧﮫ ﯾﺎﺗﻲ ﺑﻛﻣﯾﮫ ﻗﻠﯾﻠﮫ ﯾﻌﺗﺑر‬ ‫اﻟﻐﺻر ﺑﺎﻟﯾد اﻻﻓﺿل ﻟﺗﺟﻣﯾﻌﮫ‬

‫ﺗذﻛري اﻧﮫ ﻻ ﯾوﺟد ﺣﻠﯾب ﻓﻲ اﻟﺣﻠﻣﺎت اﻟﺣﻠﯾب‬ ‫ﯾوﺟد ﻓﻲ اﻟﺻدر ﻟذاﻟك ﯾﺟب اﻟﺿﻐط ﻟﻠﻌﺻر ﻋﻠﻰ اﻟﺻدر‬ ‫‪5‬‬

‫طرﯾﻘﺔ ادرار اﻟﺣﻠﯾب ﺑﺎﻟﯾد‬ ‫ﺗﺳطﯾﻌﯾن ادرار اﻟﺣﻠﯾب ﻋن طرﯾﻖ ‪:‬‬ ‫ ‬

‫اﻟﺟﻠوس ﺑراﺣﮫ واﻟﺗﻔﻛﯾر ﻓﻲ طﻔﻠك‬

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‫ﺿﻌﻲ ﻛﻣﺎدات داﻓﺋﮫ ﻋﻠﻰ ﺻدرك‬

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‫دﻟﻛﻲ ﺻدرك واﻓرﻛﻲ ﺣﻠﻣﺎﺗك ﺑﺎﺻﺑﻌك‬

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‫ﯾﻔﺿل ﺗدﻟﯾك اﻟظﮭر‬

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‫طرﯾﻘﺔ ادرار اﻟﺣﻠﯾب ﺑﺎﻟﯾد‬ ‫ﺣﻠﯾﺑك ﺿروري ﻟطﻔﻠك وﻣن اﻟﻣﻔﯾد ادرار ﺣﻠﯾﺑك اذا‪:‬‬ ‫ ‬

‫ﻛﺎن طﻔﻠك ﻻ ﯾﺳﺗطﯾﻊ ان ﯾرﺿﻊ ﻣن ﺛدﯾك‬

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‫اذا اردﺗﻲ ﻋﺻر ﻛﻣﯾﮫ ﻗﻠﯾﻠﮫ ﻟﺗﺷﺟﯾﻊ اﻟرﺿﺎﻋﮫ‬

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‫ﻛﻧت ﺑﻌﯾده ﻋن طﻔﻠك ظ ﻟراﺣﺔ اﻟﺻدر ﻻزاﻟﺔ اﻟﺗورﻣﺎت وﻣﻧﻊ اﻧﻐﻼق ﻗﻧوات‬ ‫اﻟﺣﻠﯾب‬ ‫واذا اردﺗﻲ ﻗﻠﯾل ﻣن اﻟﺣﻠﯾب ﻟﺗدﻟﯾﻛﺎﻟﺣﻠﻣﺎت ﻓﻲ ﺣﺎل وﺟود اﯾﺔ ﺗﻘرﺣﺎت‬

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‫طرﯾﻘﺔ ادرار اﻟﺣﻠﯾب ﺑﺎﻟﯾد‬

‫ﻧﮭﻧﺋك ﺑﻘدوم ﻣوﻟدك اﻟﺟدﯾد‬ ‫‪2‬‬

‫ﻗﺳم طب اﻟﻧﺳﺎء و اﻟوﻻدة‬

‫طرﯾﻘﺔ ادرار اﻟﺣﻠﯾب‬ ‫ﺑﺎﻟﯾد‬

‫ﻟﻣزﯾد ﻣن اﻟﺗﻔﺎﺻﯾل اﻻﺗﺻﺎل‪ +971 6 505 8555 :‬أو زﯾﺎرة‪www.uhs.ae :‬‬