Because I have such a hard time expressing, (as a good many women do) - I sought the help of a friend of mine that expresses successfully now, but had a hard time in the beginning. You should wait at least 6 weeks to make sure your supply gets in good and regulates to baby, but after you notice this occuring you can surely start to build your supply slowly.
First -
if the equipment you're using isn't working, don't continue using it try something else. If you can try rental units for a while, do that. I had a $300 Medela Pump In Style high grade breast pump, with all the bells and whistles. I suffered to get 2 ounces every time. Once in 10 times I'd get 4 ounces.
She said she was the same way, and the longer she tried to pump using the machine, the more her body 'shut down'. She had to go to work full time after 6 weeks, and was trying desperately to get pumping!
On recommendation from someone she knew, she tried the Avent Isis manual pump - and has been VERY pleased, and she recommended it to me so I got one. WOW what a difference it was for me! I can get 3-4 ounces per breast now. But this unit isn't for everyone either. You have to keep trying to find one that you are comfy with and that works.
But she also gave me some further tips that I think helps loads too!
Secondly-
She said (speaking quite frankly) that expressing is a bit like having an orgasm. Some women can do it no problem, others need a bit more attention. "We're just the women that need a bit more attention."
So what we're trying to do is get 'let-down' to occur. That's when the storage areas of the breast open to let the milk down into the delivery pockets just behind and below the nipple. Fats coat the inside of these storage areas, so we want as much of that to be released as possible as well.
Pulling all the milk off the storage areas, coupled with the sucking is what makes you make more milk. Now that I'm at a place where I want to stock up, I make sure to get the breast as empty as possible.
So, to do this we need to entice letdown. Relax the tissues in the breast so we can get that milk.
She said, just like orgasm, you have to work up to let down. She told me to simulate a baby sucking at first. Nice shallow quick pulls. Baby acts like he's famished, and is drinking the foremilk quickly. Pretty soon he slows down, relaxes, and takes long draws from the breast. Maybe two quick sucks and a long, or a quick then a long... Whatever it is, try to simulate that when you pump.
Gravity can also help let-down. Lean forward and shake the girls a bit from time to time. This will help loosen pockets of milk, and will get gravity to pull the milk from the upper sinuses to the ones behind the nipple.
I've found that I sometimes pump the milk out of the sinuses behind my breast, and the upper breast is still hard and full of milk. Jiggling the girls a bit or just moving to the other breast for a bit gives gravity a bit of time to work.
Stimulation - she said I should try dragging my fingernails lightly a long the breast from the top toward the nipple. Then do the same applying slight pressure and massage that milk down, and loosen the fats in the upper storage areas, and under the arm.
Warmth - warmth is another way to get that milk moving. I use my manual pump in the shower. I can allow the stream of water to help massage the milk down, nad the warmth is relaxing to me and my breast tissue.
Of course looking at baby, holding baby, listening to a recording of baby crying. All of these things are psychological ways to get your body to let down.
Whatever works!
Her advice has helped me tremendously. And I can finally make a good storage for when we go out for the day and its awkward to feed, and for when baby starts solids, I can mix my stored breastmilk with cereal.
Hope that helps some - good luck!
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