Kangaroo Mother Care: A Complete Guide for Mothers and Families

45 EXPRESSION OF BREAST MILK BY HAND Wash your hands thoroughly and pat themdry with a clean cloth. Sit or stand comfortably and hold a clean wide-mouthed container near the breast. Put the thumb above the nipple and areola, and the first finger or first two fingers on the breast below the nipple and areola, opposite the thumb, like the letter“C”.Support the breast with other fingers. Press the thumb and the index finger or first two fingers slightly inwards towards the chest wall. Press the breast behind the nipple and areola between the first or first two fingers and the thumb. Press and release. Repeat. At first, no milk may come, then milk will start to drip out; it may flow in streams. Press the same way from the sides, to make sure that milk is expressed from all parts of the breast. Expression of breast milk

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