Does Pumping Before Birth Help Milk Come In? Exploring Antenatal Expression
Expressing colostrum before birth, also known as antenatal expression, can help milk come in, particularly for mothers at higher risk of delayed lactogenesis. However, it’s crucial to understand the process, benefits, and risks, and to always consult with a healthcare professional before starting.
Understanding Antenatal Expression
Antenatal expression involves manually expressing colostrum, the nutrient-rich “first milk”, during the late stages of pregnancy. This practice has gained popularity as a potential aid in establishing breastfeeding and managing certain pregnancy-related conditions. It’s not a new phenomenon, but awareness and medical recommendations have evolved significantly in recent years.
Potential Benefits of Antenatal Expression
The primary goal of antenatal expression is to collect and store colostrum for use after birth. This can be especially beneficial in several situations:
- Infants at Risk of Hypoglycemia: Babies of mothers with gestational diabetes, pre-existing diabetes, or those who are small for gestational age are at higher risk of low blood sugar (hypoglycemia) after birth. Colostrum is crucial for stabilizing their blood sugar levels.
- Mothers with Flat or Inverted Nipples: Collecting colostrum beforehand allows these mothers to have a readily available supply, even if latching is initially challenging.
- Anticipated Difficulties with Breastfeeding: Mothers with a history of breastfeeding difficulties or those expecting multiples may find antenatal expression helpful in getting a head start.
- Cleft Lip or Palate: Infants with cleft lip or palate often have difficulty latching. Expressed colostrum can be easily administered via syringe or bottle.
Beyond immediate feeding needs, antenatal expression can also provide peace of mind and build confidence in breastfeeding abilities. Familiarizing oneself with the process before birth can alleviate some of the anxiety associated with the postpartum period.
The Process of Antenatal Expression
Antenatal expression should only be undertaken with the explicit guidance and approval of a healthcare provider, such as a doctor, midwife, or lactation consultant. The typical timeframe for starting is around 36-37 weeks of gestation.
Here are the general steps involved:
- Wash Your Hands: Hygiene is paramount to prevent contamination.
- Stimulate the Nipple: Gently massage and roll the nipple to encourage milk ejection.
- Position Your Fingers: Place your thumb and index finger about 1-1.5 inches behind the nipple, forming a “C” shape.
- Press and Roll: Gently press inward towards the chest wall and then roll your fingers forward towards the nipple. Avoid squeezing the nipple directly.
- Collect the Colostrum: Collect the drops of colostrum in a sterile syringe or small container.
- Repeat: Continue the process until you have collected as much colostrum as possible.
- Storage: Store the colostrum in the freezer immediately after collection. Use sterile containers specifically designed for breast milk storage.
Common Mistakes to Avoid
While antenatal expression can be beneficial, certain mistakes can lead to complications or reduced effectiveness:
- Starting Too Early: Expressing before 36 weeks gestation can potentially stimulate uterine contractions and increase the risk of premature labor.
- Aggressive Stimulation: Excessive or forceful stimulation can also trigger contractions.
- Ignoring Pain: If you experience any pain, stop immediately and consult with your healthcare provider.
- Improper Storage: Storing colostrum incorrectly can compromise its quality and safety.
- Lack of Guidance: Attempting antenatal expression without professional guidance is risky and not recommended.
Risks and Contraindications
It is absolutely essential to discuss antenatal expression with your healthcare provider before starting. It’s not suitable for everyone. Contraindications include:
- History of Preterm Labor or Cervical Insufficiency: Stimulation of the nipples can release oxytocin, a hormone that can induce contractions.
- Placenta Previa or Vasa Previa: These conditions increase the risk of bleeding.
- Multiple Gestation: The risk of preterm labor is higher in multiple pregnancies.
Storage Guidelines for Expressed Colostrum
Proper storage is vital to preserve the quality and safety of expressed colostrum. Adhere to these guidelines:
| Storage Location | Temperature | Storage Duration |
|---|---|---|
| Room Temperature | Up to 77°F (25°C) | 4-6 hours |
| Refrigerator | 40°F (4°C) or colder | Up to 4 days |
| Freezer | 0°F (-18°C) or colder | Up to 6 months |
| Deep Freezer | -4°F (-20°C) or colder | Up to 12 months |
Always label containers with the date and time of expression. When thawing frozen colostrum, do so in the refrigerator or under lukewarm running water. Never microwave breast milk, as this can destroy nutrients and create hot spots.
Frequently Asked Questions (FAQs)
How much colostrum can I expect to collect?
The amount of colostrum you can collect varies greatly from person to person. Some mothers may only be able to express a few drops at a time, while others may collect several milliliters. Even small amounts of colostrum can be beneficial to your baby. Don’t be discouraged if you don’t collect much.
Does antenatal expression guarantee a successful breastfeeding experience?
No. While antenatal expression can be helpful, it is not a guarantee of successful breastfeeding. Many factors contribute to breastfeeding success, including proper latch, frequent feedings, and adequate hydration.
What if I can’t express any colostrum before birth?
Not being able to express colostrum before birth doesn’t necessarily mean you won’t be able to breastfeed. Some women’s milk comes in only after the baby is born. Work closely with a lactation consultant after delivery to establish breastfeeding.
Can I use a breast pump instead of hand expressing?
While some women may find success using a breast pump antenatally, hand expressing is generally recommended. Hand expression allows for more targeted stimulation and is less likely to cause discomfort. Always consult with your healthcare provider before using a breast pump antenatally.
Will antenatal expression cause me to go into labor?
Antenatal expression can potentially stimulate uterine contractions, but it’s unlikely to induce labor if your body isn’t ready. However, if you have a history of preterm labor or any other risk factors, it’s crucial to avoid antenatal expression.
How often should I express colostrum before birth?
A typical recommendation is to express for 5-10 minutes per breast, 1-2 times per day, starting around 36-37 weeks of gestation. However, your healthcare provider will provide individualized guidance based on your specific situation.
What do I do with the collected colostrum?
The collected colostrum should be stored in the freezer in sterile, breast milk storage containers. Bring the frozen colostrum with you to the hospital when you go into labor.
Is it safe to give my baby colostrum that has been frozen and thawed?
Yes, colostrum that has been properly frozen and thawed is safe and nutritious for your baby.
Can I donate my expressed colostrum?
Yes, some milk banks accept colostrum donations. Contact your local milk bank to inquire about their specific donation requirements.
What if my baby doesn’t need the expressed colostrum?
Even if your baby doesn’t need the expressed colostrum immediately, it can still be beneficial. Colostrum contains antibodies and immune factors that can help protect your baby from infection.
Where can I learn more about antenatal expression?
Talk to your healthcare provider, a lactation consultant, or a childbirth educator. They can provide personalized information and support. La Leche League International is also a valuable resource.
Is antenatal expression covered by insurance?
Coverage for lactation consultant services and supplies varies depending on your insurance plan. Check with your insurance provider to determine what benefits are available to you.