Today we’re chatting about hands‑on pumping which is one of the best ways to boost your milk supply. There are many fads out there claiming they can help ‘increase a mother’s milk supply’ but the only technique that is backed by research (and in my opinion really works) is milk removal.
To make more milk, you must remove more milk...and your hands are the best tool for this!
This magic combo was first spotlighted by Dr. Jane Morton at Stanford, and it’s helped me (and countless other parents I’ve worked with) maximize output from pumping.
In this post you’ll find practical tips to help you pump smarter, not harder.
What Is Hands‑On Pumping?
Hands‑on pumping simply means you actively massage and gently compress your breasts while the pump expresses milk. A breast pump isn’t totally effective at removing all the milk from a mother’s breast. So adding massage and hand expression after the session can get the last drops of hindmilk…which sends a strong signal to your breasts to make more milk.
Why It Works
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Empty your breasts completely to tell your body, “Hey, we need more!”
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Hindmilk is thicker…. The fat‑rich milk hanging out in the back needs a little push—massage brings it forward.
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Science stamp. Dr. Morton’s study showed parents could collect up to 48 % more milk in the first weeks postpartum with this technique.
Hand Expression After the Pump: The Bonus Milk
That last 60‑second hand expression “strip” can get out more of the fat rich milk called hindmilk—no extra session required. Think of it as scraping the peanut‑butter jar sides: totally worth the effort!
How to Hand Express:
- Make a C-shape with your hand, like you are holding a cup
- Place your C-shaped hand around the base of the areola (thumb on top, fingers below the areola)
- Press back toward the chest wall, compress forward, then release.
- Rotate your hand around the breast like a clock to hit every duct and you will find your sweet spots
- Finish once the drops slow to a drizzle
Here is a wonderful video from First Droplets showing Hand Expression and Hands-On Pumping
Here are some additional targeted strategies to help you get the most milk out of your breast pump...
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Choose the Right Pump: Selecting the appropriate pump for your needs is crucial. Hospital-grade pumps are often more effective at stimulating milk production and are a worthwhile investment, especially for exclusive pumpers. Look for models with adjustable settings to customize your pumping experience.
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Establish a Consistent Pumping Schedule: Consistency is key when it comes to pumping. Set a regular pumping schedule and stick to it as closely as possible, even on weekends. This helps signal your body to produce milk at specific times, leading to more predictable output.
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Double Pump for Efficiency: If you're using a double electric pump, take advantage of its dual capabilities. Double pumping not only saves time but also stimulates higher levels of prolactin, the hormone responsible for milk production. Invest in a pumping bra to make this much easier. I love this one from Kindred Bravely, but any will do! Plus, it can lead to more symmetrical milk removal from both breasts.
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Optimize Pump Settings: Experiment with different suction levels and cycling speeds to find what works best for your body. Start with a gentle suction to trigger letdown, then gradually increase the suction to a comfortable level. Adjust the speed to mimic your baby's sucking pattern for optimal milk extraction.
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Empty the Breasts Thoroughly: Aim to empty each breast completely during pumping sessions to signal your body to produce more milk. Often you will get a later letdown. After your pump indicates that the flow has slowed, continue pumping for a few extra minutes to ensure thorough drainage.
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Stay Hydrated and Relaxed: Hydration and relaxation play vital roles in milk production. Drink plenty of water throughout the day, and find a calm, comfortable environment for pumping. Stress can inhibit milk letdown, so practice deep breathing or visualization techniques to promote relaxation.
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Maintain Breast Health: Healthy breasts are more efficient at milk production. Ensure proper breast flange fit to prevent discomfort and nipple damage. Switch up your pumping position and use your hands for massage to prevent clogged ducts.
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Seek Support and Guidance: If you're struggling to maximize milk output or experiencing any difficulties with pumping, don't hesitate to reach out for support. Certified lactation consultants can offer personalized advice and troubleshooting tips to help you achieve your breastfeeding goals.
Troubleshooting & Real‑Life Hacks
• If compression hurts: Soften your grip. Recheck flange size, too. You can also try putting coconut oil in the flange to prevent pumping pain.
• Milk still hiding: Extend the hand‑expression part by another minute or two until empty
• Engorged & stuck: Warm compress for 3 min pre‑pump, cool pack after.
• Back to work output low: Scroll baby photos, listen to a podcast or meditation, sip water, cover up the flanges so you aren't hyper focusing on your ouput—stress slows let‑down.
Hand cramps: Alternate sides or rest elbows on a pillow; give yourself little finger shakes mid‑session.Will this overstimulate if I already have plenty of milk?
FAQ
Will this cause oversupply?
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If you’re prone to oversupply, ease up on compressions once breasts feel soft, and shorten the strip phase.
How soon will I notice more milk?
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Many parents see an increase in the first few sessions...but we say give it a week to see if you notice an increase.
Can my partner help?
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Absolutely! A spare hand for compressions—or even swapping bottles—can be a game changer (and a sweet bonding moment).
By incorporating these strategies into your pumping routine, hopefully you can optimize milk output. Your dedication to breastfeeding is commendable. Keep up the fantastic work, mama—you've got this!
