[[[ Does it hurt to express/pump breast milk ]]]?




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Since I've decided to express my milk manually on occasions, I was just wondering does it hurt?


Answer
With just your hands or with a manual pump or electric pump?
With your hands it can be difficult to get a lot out - my mom did it though, but she also had a really good supply so it didn't take much effort on her part.
Using a manual pump can be pretty uncomfortable and it really wears down your arms.
Some women really like and prefer the manual pumps - I don't, it was just a waste of time.
Electric pumps can also be a little uncomfortable - especially your first time pumping - so it's important to put it on the lowest speed you can and then go up from there.
It can make your nipples dry and sore, so it's very important to use lanolin cream on them after every pumping session.
It doesn't "hurt" unless you're doing it wrong, but it's not always the most comfortable thing.
If you can handle nursing your baby then a pump shouldn't bother you.
They don't feel the same though - pumping is a little more intense (if that makes sense).
Good luck!

When can you start pumping breast milk... ?




ambrflame2


i am already starting to leak and i am 30 weeks.... can you start pumping early, or do you have to wait until you deliver?


Answer
It is perfectly safe to nurse or use a breast pump during pregnancy, it will NOT cause preterm labour.

However generally its best to only do so if you are nursing an older child.

You can pump now and you will get colostrum, which you could store. However your breasts make colostrum for only a short time after birth and its really not needed after that. On the other hand colostrum can be used for other treatments, such as on wounds (like stitches). It can also treat pinkeye, etc.

http://www.kellymom.com/nursingtwo/faq/05pumping.html
Is it safe to use a breastpump during pregnancy?

It is often stated that a woman should not use a breastpump when pregnant. However, there is considerable reason to believe that pumping, like breastfeeding, will not trigger preterm labor in a healthy pregnancy.

When contemplating pumping during pregnancy, it is important to consider your motives for doing so. In general, when it comes to pumping during pregnancy, your efforts are best directed elsewhere unless you are pumping to provide milk for your current nursling.

* If you are pumping to provide milk for your current nursling when you are separated, this should not pose more of a problem than breastfeeding. Many working moms continue to pump through pregnancy, although pumping output will decrease due to the hormonal changes of pregnancy. Aim to keep your pumping in scale with what you were doing before pregnancy, or in scale with your baby's normal breastfeeding. Sustained and intense pumping is more of an unknown and is not recommended.
* If you wish to put some expressed milk in the freezer for your unborn child, keep in mind that pumping is not likely to be very productive during pregnancy. Milk supply and pumping output will decrease due to the hormonal changes of pregnancy.
* Pumping prior to birth will not increase milk production for your unborn child or otherwise enhance lactation after birth.
* If you are hoping to induce labor, it is known that nipple stimulation at term (38+ weeks) can be helpful for ripening the cervix and inducing labor.



http://www.kellymom.com/nursingtwo/articles/bfpregnancy_safety.html#uterus
The well-protected uterus

The specter of breastfeeding-induced preterm labor appears to spring in large part from an incomplete understanding of the interactions between nipple stimulation, oxytocin, and pregnancy.

The first little-known fact is that during pregnancy less oxytocin is released in response to nipple stimulation than when a woman is not pregnant.5

But the key to understanding breastfeeding during pregnancy is the uterus itself. Contrary to popular belief, the uterus is not at the beck and call of oxytocin during the 38 weeks of the âpretermâ period. Even a high dose of synthetic oxytocin (Pitocin) is unlikely to trigger labor until a woman is at term.6

Instead, the uterus must actively prepare in order for labor to commence. You could say that there are two separate states of being for the uterus: the quiescent baby-holder and the active baby-birther. These states make all the difference to how the uterus responds to oxytocin, and so, one can surmise, to breastfeeding. While the baby is growing, the uterus is geared to have a muffled response to oxytocin; at term, the bodyâs preparations for labor transform the uterus in ways that make it respond intensely to oxytocin.

Many discussions of breastfeeding during pregnancy mention âoxytocin receptor sites,â the uterine cells that detect the presence of oxytocin and cause a contraction. These cells are sparse up until 38 weeks, increasing gradually after that time, and increasing 300-fold after labor has begun.6,7 The relative scarcity of oxytocin receptor sites is one of the main lines of defense for keeping the uterus quiescent throughout the entire preterm periodâbut it is not the only one.

A closer look at the molecular biology of the pregnant uterus reveals yet more lines of defense. In order for oxytocin receptor sites to respond strongly to oxytocin they need the help of special agents called âgap junction proteinsâ. The absence of these proteins renders the uterus âdown-regulated,â relatively insensitive to oxytocin even when the oxytocin receptor site density is high. And natural oxytocin-blockers, most notably progesterone, stand between oxytocin and its receptor site throughout pregnancy. 8,9,10

With the oxytocin receptor sites (1) sparse, (2) down-regulated, and (3) blocked by progesterone and other anti-oxytocin agents, oxytocin alone cannot trigger labor. The uterus is in baby-holding mode, well protected from untimely labor.4




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