It's best to learn hand-expressing with a healthcare professional assisting you. When hand expressing you should generally:
- Wash hands prior to starting.
- Massage/ stroke breast toward the nipple.
- Position the pads of your thumb and fore finger at the edge of the areola, pressing in against the breast and bringing them together.
- Keeping the fingers in place, squeeze rhythmically.
- Rotate fingers around the areola to ensure you express all the ducts evenly.
You'll usually need to express every four hours if your baby's not attaching to the breast.