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squoggs View Drop Down
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    Posted: 05 April 2010 at 11:41am
Hi, sorry this is a pretty random question, and I wasn't sure which topic to put it under.

A friend of a friend (who is a nurse) expressed milk starting a week before her baby arrived, and saved it so she would always have a spare weeks worth available. I have only heard about it through my friend, and she didn't know any more than this.

What I want to know is, can anyone do this? Does milk just come when you start to express? Or would she have had to have some sort of medication to bring on the milk? The reason I am curious is that I want to avoid the stress of having no milk for up to a few days after the baby arrives, and wondered if I could get the milk going earlier.

Thanks in advance for your answers


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kebakat View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kebakat Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 11:44am
I didn't think that was at all possible unless you are already BF.

My understanding is that although you may have a little collostrum now expressing won't make enough of it and your milk won't come in until your hormones are altered after having bubs
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mamanee View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mamanee Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 12:11pm
Yeah I wouldn't think it possible to be able to do that unless you were already breastfeeding an older child.

I think the couple of days before your milk properly comes in, it's important for your baby to get all that colostrum from you rather than the milk that comes later on.     It's also good for you too, as breastfeeding in those early days gets your uterus to contract, and helps to bring on your milk.
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weegee View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weegee Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 1:05pm
Something happens to your hormones once baby arrives (to do with a hormone drop when the placenta is delivered) which sends the signal to your milk to 'come in' and as long as you're still pregnant you can't get that going. I'd highly recommend reading the article on kellymom about how milk production works, it will answer some questions for later on too

You can express some colostrum before baby arrives, but we're only talking tiny amounts (like you often need a syringe to suck it up off the pump), especially if this is bubba # 1. It's not called liquid gold for nothing! You would certainly not get a weeks worth unless, as the others have pointed out, you were already feeding an older child, in which case it's a possibility. I'm in the latter category and intend to express off a bit of colostrum at the very end of my pregnancy, just in case things go pear shaped and I need to have colostrum handy (for example if baby ends up in SCBU/NICU for whatever reason).

Regardless, you need to be feeding baby as often as possible for as long as possible in those first few days to develop the right receptors and things so that you will have a plentiful milk supply, so if you had some spare milk sitting there, there would be a real danger you wouldn't breastfeed as often and therefore you would be stuck with a low supply, which you definitely don't want!

One other thing to note is that prolonged nipple stimulation can induce labour so I'd be very careful doing it before term! The most I've ever heard of a still pregnant mum managing to express before birth is 80mL and it took her ages (she was trying to bring on labour - it worked eventually!).

Mum to JJ, 4 July 2008 & Addie, 28 July 2010
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Post Options Post Options   Thanks (0) Thanks(0)   Quote caliandjack Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 1:26pm
This only from the preggy books I've been reading, you can get colostrum before the baby is born and there is nothing wrong with expressing this and freezing it and bringing it with you to the birth.

No idea how easy this is?

I wouldn't have thought she'd be in milk before the birth, as it seems to come in a couple of days after.

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Shezamumof3 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Shezamumof3 Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 1:44pm
Ive never heard of that before, I didnt even have colostrum until after my babies were born!

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Post Options Post Options   Thanks (0) Thanks(0)   Quote WestiesGirl Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 1:50pm
I expressed the most tiniest amount of colostrum while I was pregnant. But I did it to bring on labour (or so they say). I dont think I got any more than 5mls so definitely not enough to freeze.

My milk didnt come through until Jackson was 2 days old
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And to complete our family, our princess has arrived
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Post Options Post Options   Thanks (0) Thanks(0)   Quote maya22 Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 1:56pm
Originally posted by squoggs squoggs wrote:

The reason I am curious is that I want to avoid the stress of having no milk for up to a few days after the baby arrives, and wondered if I could get the milk going earlier.

This is how the system is designed, and how it works best in 99.9% of situations. AFAIK it is very very rare for a full-term healthy baby to need to be supplemented in any way. It is fine for your milk not to come in for a few days, it is expected that a baby will lose 10% of birthweight after birth.

Unfortunately as much as you want to prepare for every eventuality, childbirth and a newborn gives you very little opportunity. As much as you can be in control of the rest of your life, this is one of those situations where you have to wing it and trust in yourself.

To be honest the idea of expressing before birth just makes me wince - the last thing you want to do is try to force your body to do something it can't and having bruised and sore nipples is not going to help you later.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote angel4 Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 1:58pm
I agree with what everyone has said.
Wanted to add though that you wouldnt use a pump to express colostrum anyway as there isnt enough. You hand express and collect drops (yes drops) with a syringe. I had to hand express colostrum after my first was born with a tongue tie and couldn't latch. It is very time consuming, me and a midwife would be expressing non stop in order to get 5mls to give him every couple hours.

In all honesty i wouldnt do it - unless there was a high chance bubs would need colostrum expressed straight after birth. Eg diabetic, or going into SCBU/NICU for a known reason.

Hope that helps and good luck for the rest of the pregnancy
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Post Options Post Options   Thanks (0) Thanks(0)   Quote High9 Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 3:24pm
Yeah Liquid gold alright! I hand expressed for 2 days straight and managed to get 1ml in about an hour...

It's also important after bubs is born to get baby onto your breast as soon as possible to help bring in your milk.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 7:15pm
Originally posted by maya22 maya22 wrote:

This is how the system is designed, and how it works best in 99.9% of situations. AFAIK it is very very rare for a full-term healthy baby to need to be supplemented in any way.


Not that rare. Can depend on lots of things like mum's iron levels, blood loss, drugs during labour ...

Usually supplementary feeding isn't offered until day 3 (I'm not sure if that is policy but is general practice given the whole baby-friendly initiative) and you are encouraged (made) to express after any supplementary feed is given.

But yes, it is liquid gold. I remember finally getting about 5ml and DH knocked it over . I was so upset and angry I couldn't speak.
Mum to two wee boys
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Post Options Post Options   Thanks (0) Thanks(0)   Quote J&Ls mum Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 8:07pm
My MW suggested this to me last time i saw her. Because my last baby came at 34 weeks she would like me to start around 31-32 weeks so i will have some ready when bubs arrives and won't need to use formula.
J - born 26th April 2008
and
L - born 3rd Sept 2010



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Post Options Post Options   Thanks (0) Thanks(0)   Quote mamanee Quote  Post ReplyReply Direct Link To This Post Posted: 05 April 2010 at 9:18pm
Originally posted by SER SER wrote:

My MW suggested this to me last time i saw her. Because my last baby came at 34 weeks she would like me to start around 31-32 weeks so i will have some ready when bubs arrives and won't need to use formula.


I don't understand that.   How much could you get while pregnant? Expressing is pretty rough on your nipples, even when you have milk there.    Once your baby is born surely your body will start producing enough colostrum and then milk and you'll be able to express then..   
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kebakat Quote  Post ReplyReply Direct Link To This Post Posted: 06 April 2010 at 8:11am
Originally posted by SER SER wrote:

My MW suggested this to me last time i saw her. Because my last baby came at 34 weeks she would like me to start around 31-32 weeks so i will have some ready when bubs arrives and won't need to use formula.


That sounds like weird advice considering nipple stimulation is one of those things that could bring on labour
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Post Options Post Options   Thanks (0) Thanks(0)   Quote minik8e Quote  Post ReplyReply Direct Link To This Post Posted: 06 April 2010 at 8:55am
I hand expressed some colostrum a few times before the girls were born and when I told the MW afterwards, she growled at me because nipple stimulation can bring on labour...I then hand expressed colostrum after they were born until my milk came in (about 3-4 days later) and it was sufficient because the girls were on an IV drip, and any colostrum was just an "added bonus". Sharne - I was told that a premmie digestive system isn't developed enough until approx 34 weeks to digest any milk/colostrum? That aside, we only used formula because I couldn't produce enough breast milk via pumping to feed both girls, and then we used a 50/50 mix of EBM and formula.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Babykatnz Quote  Post ReplyReply Direct Link To This Post Posted: 06 April 2010 at 12:33pm
I hand expressed colostrum as I knew I would be having a c-section, which apparently can affect the milk 'coming in' as the hormonal triggers are delayed. I wasn't able to BF my eldest as I had no idea this could be done (he was a crash section, so I had no idea I wouldnt be giving birth myself!), and my midwife with jae was impressed that I had colostrum at the ready within an hour of the c-sect, I told her I'd been hand expressing and she was happy to hear that I'd found a way to kick-start BFing this time around. Granted I didnt start doing it until around 37 weeks JIC it started something, but it meant I had something there to offer baby as soon as she was born, rather than wait a couple of days for things to start happening 'naturally'
Brandon - 05/12/2003


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Post Options Post Options   Thanks (0) Thanks(0)   Quote maya22 Quote  Post ReplyReply Direct Link To This Post Posted: 06 April 2010 at 1:44pm
Originally posted by minik8e minik8e wrote:

Sharne - I was told that a premmie digestive system isn't developed enough until approx 34 weeks to digest any milk/colostrum?


Nope my premmie (30 weeks) was on expressed colustrum/ebm within an hour. It is liquid gold, every time I went to NICU with a syringe of 1ml or 5 ml the nurses all cheered me and my effort.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Mattsmum Quote  Post ReplyReply Direct Link To This Post Posted: 07 April 2010 at 1:49am
I hand expressed colostrum for a couple of weeks before DS was born, I had gestational diabetes and there was a chance his blood sugars could go really low immediately after birth and we needed something on hand.

I expressed 3 times a day and on really good day I would get 1 mil total for the day. The stimulation can bring on contractions, but I was in the situation where I needed to have an induction, so my MW was keen for me to try anything that could bring the baby on.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote bebebaby Quote  Post ReplyReply Direct Link To This Post Posted: 07 April 2010 at 10:13pm
I worked in SCBU, and was worried I wouldnt have enough milk for my baby, so contemplated hand expressing during pregnancy. However decided I was thinking "sickness" rather than healthy normal birth. (ie so used to seeing the 'bad' side of birth rather than normal births/babies)

So didn't express. And my baby was fine, there was enough milk, sure frequent feeding but it was all 'normal'.

I spoke to a private lactation consultant, and she said that to bring on labour with nipple stimulation it has to be frequent stimulation for a long time, ie an hour. So hand expressing is unlikely to bring on labour.
And as others have said, it would only be a few mls that you would be getting.
Unless there is a risk, ie diabetes, or likely that baby will have to go to SCBU/NICU then I would trust that nature will take its course.

Relax and enjoy your pregnancy.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote squoggs Quote  Post ReplyReply Direct Link To This Post Posted: 08 April 2010 at 11:00am
Thanks, I was pretty curious as I had never heard of it before, but you pretty much all said what I originally thought. The girl who did this had IVF twins (which I didn't mention) and she is a solo-parent, so there could have been more to it than I thought.

I guess having an on-hand milk supply at the ready would be too good to be true


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