Cover Image
close this bookInfant Feeding in Emergencies: A Guide for Mothers (WHO, 1997, 48 p.)
View the document(introduction...)
View the documentForeword
View the documentIntroduction
View the documentWhy is breastfeeding so important?
View the documentAre commercially-made baby milks as good as breastfeeding?
View the documentWhy are commercially-made baby milks not so good?
View the documentBut can every woman breastfeed?
View the documentBut why don't the experts tell us this if breastfeeding is so important?
View the documentDo babies also need tea and water?
View the documentWhen do babies need more than just breast-milk?
View the documentSo a sick baby should go on breastfeeding?
View the documentDo breastfed babies get fewer diseases?
View the documentBut my friend's baby got ill and he was breastfed
View the documentSo breastfeeding is like a medicine?
View the documentPeople say that stress stops the milk, so during stressful times how can we breastfeed?
View the documentWhat about women who have lost a lot of weight? Can they produce milk?
View the documentDo we need special nutrition for breastfeeding?
View the documentBut what about anaemic women? Does breastfeeding drain their strength?
View the documentSomeone told me breastfeeding stopped you getting pregnant, but isn't that just a story?
View the documentHow does breastfeeding work?
View the documentWhat about women with small breasts or flat nipples?
View the documentYou said the baby has a part too. What can he do?
View the documentWhy is the baby's suckling-action important?
View the documentHow does a baby stimulate the milk?
View the documentThe first principle of breastfeeding: good attachment
View the documentWhy does good attachment not always come naturally to the baby?
View the documentWhy does the baby not always get this right?
View the documentSometimes it is hard to get a baby close because he is swaddled and his clothing gets in the way
View the documentEven if my baby attaches well, how can I be sure there will be enough milk?
View the documentYou said earlier that milk changes during a feed. Can you explain that?
View the documentBut I thought you must feed from both breasts?
View the documentYou said earlier that confidence was important but not everyone has that. What can we do?
View the documentI know women with breastfeeding problems. Can they be helped?
View the documentMy mother told me that you always get sore nipples and you just have to put up with them
View the documentWhat about special creams for sore nipples? How can we get them during an emergency?
View the documentWith this baby-led feeding how can I be hygienic and wash my nipples?
View the documentSo if I get my baby well-attached, I will never get sore nipples?
View the documentYou say breastfeeding should not hurt, but what about the engorgement that every woman gets a few days after the birth?
View the documentYou mentioned blocked ducts, mastitis and abscess. Are they common and how can we treat them?
View the documentAll these problems make breastfeeding look too difficult
View the documentYou said earlier that you can breastfeed even if you have stopped completely. How can this be done?
View the documentFood supplies can be precarious. How can we feed the babies over 6 months who need more than breast-milk alone?
View the documentWhat about premature or very small babies?
View the documentI can see the reason for expressing milk for sick or premature babies, but must all women learn to express?
View the documentHow do I express milk?
View the documentI can see that breastfeeding is possible in most cases, but we still have to face the times when it is not possible: emergencies create orphans, abandoned babies and severely ill or wounded mothers
View the documentIs it possible to feed a baby artificially without a bottle?
View the documentHow do you cup-feed a baby?
View the documentA final word

How do I express milk?

Even where women have the choice to use pumps, many prefer hand expression. Hand expression imitates a baby's suckling action more naturally. Also sterilization of breast pumps is essential for safety and may be difficult to control in emergencies.

· Wash your hands thoroughly.
· Have a clean cup or container with a wide neck.
· Make yourself comfortable.

The following instructions are just guidelines. You find the way that suits you (Figures 6a, 6b and 6c).

· Hold your breast with your four fingers underneath and your thumb on top behind the nipple. Do not squeeze the nipple.

· Gently feel the little thickenings inside your breast under the areola. These are 'lactiferous sinuses' which is where the milk collects as it comes down.

· Compress your fingers and thumb rhythmically in a way that suits you.

· Move your hand round your breast, expressing milk from the sinuses.

· Do the same with the other breast.

· If you prefer use both hands on each breast.

You may find that your milk does not 'come down' as quickly as when your baby is near you. Think about your baby. If you have a photo look at it or smell some of his clothing. Ask someone to massage your back gently. This is where women can help and support each other. If you can find another mother who has hand expressed already, ask her to teach you.

Two helpful methods to teach another woman are:

· if you are lactating let her watch you do it

OR

· make sure she is comfortable, then stand behind her and guide her own hand on her breast. In this way she has had practice under your guidance.


Figure 6a


Figure 6b


Figure 6c