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Francie Webb is a doula who wants you to know the solution is in your own hands. Express It! The cover of the book, set against a solid red background, shows Webb, smirking with bright pink lipstick, gazing right at the reader through blue-framed glasses, pearls around her neck, cupping her breasts through her teal dress with both hands.
No matter how new moms do it, feeding their babies can be a fraught topic. Though the majority of mothers now start out breastfeeding, by six months only about half have continued. If you look at exclusive breastfeeding rates the numbers are even lower — 13 percent by some estimates. Hand expression — in which a woman uses her hands to manually release milk — can help ease engorgement, aid letdown, and allow the collection of milk any time, anywhere.
But she feels that there is a major tool missing from our tool box and wants to change that. Before the birth of her first daughter in , Webb had never heard of hand expression. First-time motherhood was full of confidence-knocking roadblocks for Webb: doctor-prescribed bed rest, not being able to deliver at the birthing center, fears about producing enough milk, and a difficult time pumping. Sometimes, one tactic or another would work for a bit, but then her output would dwindle once again.
Slowly, Webb was able to build up sufficient supply to feed her baby, but she was stressed and feeling, as she talks about in her book, not enough. Formula was not an option that Webb wanted to turn to. So I mean, there was definitely some control and anxiety shit going on there. Desperate, Webb connected with a lactation consultant who ran through a list of questions before finally suggesting a video made by Dr.
Jane Morton at Stanford University, which detailed how to maximize pumping output with the help of your hands. Webb watched in awe as big bosomed women massaged milk out of their breasts. Tentatively, she gave it a go. Indeed, a study by Dr. Morton and others found that incorporating hand-expression techniques had a measurable impact on milk supply.
Morton said in a recent phone interview, referring especially to milk expression in the first few days. Webb started hand expressing after pumping. At first she got a few drops, and then a whole extra ounce. She was able to build up her freezer stash. She was in California spending her first few nights away from her 5-month-old daughter when Webb realized that she had forgotten her pump parts across the country in her New York apartment.
Panic set in. Though Webb had yet to use hand expression as her sole method of milk removal, she had few other choices. In 24 hours she expressed 29 ounces by hand and never went back. She started spreading the good word to whoever would listen. She started doula training when her youngest was 6 weeks old, bringing her with her to the classes, and began TheMilkinMama — where she teaches her method of hand expression in person and via individual and group video conference —in Webb says that massaging the breasts first for 30 to 60 seconds is usually a key step, and then the trick is learning how to alternate massage and compression.
But with fervor! The compression is the part where you actually express the milk and also can come in different forms. That was the case for Mykkii Millott, who had her third child at the age of 40 but found it was the first time her body produced milk. Millott first took an online workshop with Webb in April , and later met with her in person.
Soon enough, she ditched the pump. Her daughter just turned 2 and they are still nursing. Morton, who has spent the last few decades on a breastfeeding crusade of her own. There was a minority of women leaving the hospital trying to breastfeed, about 20 percent. Morton , but when it comes to hand expression — and breastfeeding in general — there are still plenty of barriers.
Obviously, not everyone feels so warmly about hand expression. Erin Zimmerman is committed to her electric pump. Good riddance. Plus, though it may not be rocket science, hand expression does take some instruction and practice to get the hang of it, and, as Dr. Webb, Levine, and Dr. But as Dr. Morton points out, it can be tricky to get folks to pay attention before they need it. Already a subscriber?
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