Antenatal expression, also known as antenatal colostrum harvesting or pre-birth expression, refers to the process of manually expressing and collecting colostrum from the breasts during pregnancy. Here’s some information about antenatal expression:

Purpose: The main goal of antenatal expression is to collect colostrum, the nutrient-rich, yellowish fluid produced by the breasts during pregnancy and in the early days after birth. Colostrum is highly beneficial for newborns as it provides essential nutrients, antibodies, and immune protection. Antenatal expression can be helpful for mothers who anticipate challenges with breastfeeding, have medical conditions that may affect milk production, or have been advised to collect colostrum for specific reasons, such as high-risk pregnancies or anticipated separation from the baby after birth.

Timing: Antenatal expression is typically started around 37 weeks of pregnancy, but the timing may vary depending on individual circumstances and healthcare provider recommendations. It is important to consult with your healthcare provider or a lactation consultant before initiating antenatal expression to ensure it is appropriate for your situation.

Technique: The technique for antenatal expression is similar to hand expressing during breastfeeding. Here’s a general guideline:

• Wash your hands thoroughly before starting.
• Find a comfortable and relaxed position.
• Gently massage or apply warm compresses to your breasts to stimulate milk flow.
• Cup your breast using a “C” shape hand position, with your thumb on top and fingers underneath, about an inch or so away from the nipple base.
• Compress and release your breast using a gentle rolling motion, aiming to express colostrum into a clean container or syringe.
• Switch between breasts and continue expressing until you feel the flow of colostrum has reduced.

Storage and labeling: The collected colostrum can be stored in sterile containers, such as syringes or breast milk storage bags, labeled with the date and time. It is important to follow proper storage guidelines and consult with your healthcare provider for specific instructions on handling and storing the collected colostrum.

Assistance and guidance: If you are considering antenatal expression, it is recommended to seek guidance from a healthcare professional, such as a lactation consultant or midwife, who can provide personalized instructions, assess your individual needs, and ensure the process is safe and appropriate for you.

Antenatal expression is a technique that can support breastfeeding success in specific situations, but it is not necessary or recommended for every pregnant woman. It is important to discuss your intentions and any concerns with your healthcare provider to determine if antenatal expression is appropriate for you and to receive proper guidance throughout the process.