How Breast Compressions Build Breastfeeding Milk Supply

If you've ever wondered what on earth a breast compression is and thought to yourself, well that sounds oddly like, well, milking myself, then my friend, you would actually be right. 

Technically breast compressions refer to a breastfeeding technique used to help a baby feed more efficiently and build mother's milk supply. While the baby is drinking milk, the mother holds the breast with the thumb on the top and the other fingers on the bottom and gently squeezes her breast to help her baby get more milk. That's the official definition while the unofficial definition is, well, it's essentially milking yourself to make sure you empty out your breast fully and your baby gets all of that milk. 

Breastfeeding works on a "supply and demand" system, so you need to make sure your breast is emptied fully to send the signal for your body to produce more milk. And it's also important for your baby to get all of the milk from the breast because there's actually different milk that is produced at the end of the feeding versus the end of a feeding. The milk at the end of a feeding is called hind milk and has more fat and calories than the fore milk at the beginning of a feeding. Breast compressions can help make sure that your baby gets all of that hind milk that he or she needs to grow properly. 

Breast compressions are a helpful method to use during the following situations:

• With newborn babies who fall asleep at the breast and have difficulty finishing the feeding. Sometimes compressing the breast to force a little extra milk into the baby's mouth will help him or her finish feeding. It's almost like a gentle reminder to keep eating. 
• Babies who have shown slow progress with weight gain
• For mothers who need to increase low milk supply
• For mothers who are experiencing sore nipples and need to find a way to shorten the feeding time without reducing the amount of milk the baby consumes.
• Babies who may have latching difficulties. One study showed that some babies create vacuums with their mouths to get the milk out of breasts while others compress the breast with their gums, so it may be difficult for some babies to compress the breast as necessary. You might just want to give them a helping hand! 
• Mothers who are experiencing mastitis. Mastitis is a painful infection of the breast and can be caused by a clogged milk duct, making milk expression difficult. Performing breast compression while you have mastitis might sound painful, but you can compress the breast above the affected area or around it to help keep the milk flowing. 

Not every mother needs to do breast compressions if she is breastfeeding. If your baby is eating well and gaining weight appropriately and your milk supply levels are adequate, you don't have to perform breast compressions. 

You may also want to learn more about these common problems in the first weeks being home with a newborn:

• Postpartum Constipation
• Postpartum Hemorrhoids
• The Expectant Father: Breastfeeding 101