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Should I squeeze colostrum out?

Understanding Colostrum: The Basics
Colostrum is the first form of milk produced by mammals immediately following the birth of their young. It is rich in antibodies, nutrients, and growth factors, playing a crucial role in the health and development of newborns. For humans, colostrum is produced during the first few days post-delivery and is known for its high concentration of immunoglobulins, particularly Immunoglobulin A (IgA), which helps to establish the infant’s immune system.
The Debate on Squeezing Colostrum
The question of whether you should squeeze out colostrum often arises among new mothers, particularly those who are breastfeeding. While it is a natural instinct for some to express colostrum, the decision should be informed by a few key considerations.
1. Benefits of Expressing Colostrum:
– Nutritional Boost for the Baby: Squeezing out colostrum allows you to provide your newborn with a concentrated nutrient source. This can be especially beneficial if the baby is struggling to latch or if there are concerns about their intake.
– Establishing Supply: For mothers who plan to breastfeed, expressing colostrum can help stimulate milk production. By removing milk, even in small amounts, the body can be encouraged to produce more.
2. When to Consider It:
– Medical Recommendations: In certain situations, healthcare providers may recommend expressing colostrum. This can include cases where the baby is premature, has difficulty breastfeeding, or when the mother has specific medical conditions.
– Personal Comfort: Some mothers may feel more comfortable expressing colostrum if they are experiencing discomfort or engorgement.
3. Techniques for Expression:
– Hand Expression: This is often recommended for colostrum, as it is gentle and allows mothers to feel in control. The technique involves using the thumb and forefinger to compress the breast, drawing out the colostrum.
– Pump Usage: While pumps can be used, they may not be as effective in the early days when colostrum is produced in small amounts. Hand expression is typically preferred.
Potential Concerns
While expressing colostrum can be beneficial, there are also potential downsides to consider:
– Overstimulation: Excessive squeezing can lead to discomfort or overstimulation of the breasts, which may cause issues later on with breastfeeding.
– Anxiety: For some mothers, the act of expressing can create anxiety or pressure, especially if they are concerned about their milk supply or the baby’s feeding habits.
Conclusion: Making an Informed Decision
Ultimately, whether you should squeeze colostrum out depends on your individual circumstances. It is essential to consult with a healthcare provider or a lactation consultant who can provide personalized advice based on your and your baby’s needs. Understanding the benefits and risks associated with expressing colostrum will empower you to make the best decision for both you and your newborn.

When is too early to leak colostrum?

Milk glands and ducts start to form and multiply. Between the 12th and 16th week , alveolar cells in your breasts start to produce colostrum. Usually, though, any leaking of colostrum doesn’t happen until sometime in the third trimester of pregnancy, according to 2021 research .

Is it OK to collect colostrum while pregnant?

Colostrum is very concentrated. At birth, your baby’s stomach is about the size of a marble, so they will only need a small amount of colostrum to receive all the nutrients they need. You can collect and freeze your colostrum during the last few weeks of your pregnancy. This has many benefits for you and your baby.

When should you not collect colostrum?

Colostrum can be hand expressed and collected from 36 weeks pregnancy, provided there are no contraindications such as in the setting of previous or threatened pre -term birth, vaginal bleeding, cervical stitch, placenta previa or cervical shortening. Always check with your pregnancy care provided if it’s safe for you.

Is it bad to leak colostrum while pregnant?

Leaking is normal and nothing to worry about. If it bothers you, you can try putting a tissue or an absorbent breast pad (sometimes called maternity breast pads, or nursing pads) in your bra to absorb the milk.

Why is my colostrum clear and watery?

Colostrum is also orange, yellow, clear, or white in color. Typically, it is yellowish because it contains beta-carotene (the same thing that makes carrots yellow), but if your colostrum is thinner and more watery, don’t worry—it’s normal for it to be a little different for every person.

Is it bad to squeeze colostrum out while pregnant?

Colostrum collectors are a syringe with a blunt end (no needle) that you can use to collect your colostrum. We recommend trying no sooner than 37 weeks of pregnancy as there is a small chance that trying before this time might stimulate pre-term labour, which can be dangerous for your baby.

How early is too early to pump colostrum?

When should I start colostrum harvesting? We recommend you start colostrum harvesting from 36 weeks of pregnancy.

Does squeezing colostrum induce labor?

Although there are benefits in expressing colostrum during pregnancy, there are times when it’s not recommended. There is a risk that stimulating the breasts may trigger premature labour. Don’t try to express milk from your breasts if you: are at risk of, or had threatened premature labour.

How hard do you squeeze for colostrum?

Cup your breast with your hand in a ‘C’ shape with 4 fingers under the breast and the thumb at the top. Using your thumb and index finger, gently squeeze this area – this shouldn’t hurt. Release the pressure and then repeat again and again, building up a rhythm. Avoid sliding your fingers over the skin.

How long should you try collect colostrum?

If you want to try expressing, speak to your midwife. They will be able to discuss any concerns you have and provide you with syringes to collect your colostrum in. Start with 3 -5 minutes on each breast. The total time expressing when proficient should only be 5-10 minutes.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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