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Breastfeeding Basics

Hand Expression—The Marmet Technique

Expressing milk by hand is useful to relieve engorged breasts or to stimulate let down of milk when you are ready to begin nursing. The Marmet Technique, developed by Chele Marmet at the Lactation Institute, is an easy way to hand express breast milk.

Start by positioning the thumb above the nipple and the first two fingers below the nipple, about 1" to 1-1/2" from the nipple, although not necessarily at the outer edges of the areola. Use this measurement as a guide, since breasts and areolas vary in size from one woman to another. Be sure the hand forms the letter "C" and the finger pads are at 6 and 12 o'clock in line with the nipple. This way, the fingers are positioned so that the milk reservoirs lie beneath them. (Avoid cupping the breast.)

Push straight into the chest wall, avoiding spreading fingers apart. For large breasts, first lift and then push into the chest wall. Roll thumb and fingers forward at the same time. This rolling motion compresses and empties milk reservoirs without injuring sensitive breast tissue.

Repeat rhythmically to completely drain reservoirs. Rotate the thumb and fingers to milk other reservoirs, using both hands on each breast.

Marmet Technique copyright 1978, revised 1979, 1981 and 1988. Used with permission of Chele Marmet and The Lacatation Institute, 16430 Ventura Blvd., Encino, CA 91436.

Avoid These Motions

• Do not squeeze the breast, as this can cause bruising.
• Sliding hands over the breast may cause painful skin burns.
• Avoid pulling the nipple, which may result in tissue damage.

Massage the milk-producing cells and ducts by pressing the breast firmly with the flat of the fingers into the chest wall, beginning at the top. Move fingers in a circular motion, concentrating on one spot at a time for a few seconds before moving on to another spot. Spiral around the breast toward the areola as you massage. The motion is similar to that used in a breast examination.

This publication is for general informational purposes only and it is not intended to provide any reader with specific authority, advice or recommendations. Where you deem necessary, we suggest that you seek advice regarding your particular situation from the appropriate professional.

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