Even with the very best breast pump, it can sometimes be challenging to express as much breast milk as your baby needs. Using hands-on pumping techniques helps to remove more milk than pumping alone and may dramatically boost milk supply. Hands-on pumping involves using your hands to massage and compress the breasts before and throughout your pumping session to improve milk flow and support more complete milk removal.

This concept was developed by Dr. Jane Morton at Stanford University while researching ways to help mothers of preterm infants increase milk production. Many mothers experience significant increases in their average milk output when practicing these different techniques. Today, these techniques are widely recommended by lactation consultants and healthcare providers to support exclusive pumping, help increase low milk supply, improve milk removal, and maintain supply during times of separation from baby, such as returning to work.

What are the Benefits of Hands-on Pumping?

Removes More Milk

Hands-on pumping has been shown to increase milk removal, not just in the first few days, but throughout your pumping journey. More complete milk removal sends stronger signals to your breasts to make milk more efficiently and consistently, improving overall milk yield.

Helps Increase Milk Volume

Research has shown hands-on pumping techniques can help mothers express up to 50% more milk compared to pumping alone.

Higher Fat and Caloric Content

Breast massage before and during pumping helps mobilize higher-fat milk that tends to cling to the milk-making cells. This can result in milk with higher fat content and calories, which is especially important for premature babies, brain health, nervous system development, and overall infant growth. 

Shorter, More Efficient Sessions

Hands-on pumping helps trigger the milk ejection reflex (the "letdown") sooner and promotes faster milk flow. This often leads to more efficient pumping sessions. It can also allow you to adjust pumping styles and use lower suction settings, increasing comfort while removing the most milk possible.

How To Try Hands-on Pumping

The good news is that no special tools are required. Whether you are double or single pumping, or using a manual or electric pump, these hand techniques can fit easily into your pumping routine. You can watch a video demonstration and follow these simple steps:

Before Pumping

Massage your breasts and nipples with your hands:

  • Knead with circular motions over the entire breast.

  • Apply light pressure in little circles, spiraling outward along your breast tissue.

  • Use long, gentle strokes from the areola back toward the collarbone and chest wall.

This helps stimulate milk flow, prepare the milk ducts, and encourage a strong letdown.

While Pumping

  • Wearing a pumping bra allows more freedom to use both hands.

  • Begin pumping with your double electric breast pump.

  • Gently massage and compress your breasts throughout the session to support milk removal.

  • Experiment with how long you hold the compression and when to release it—this beneficial technique can help increase flow and efficiency.

  • Once milk flow slows or stops, turn off the pump and move to the next step.

After the Flow Slows

  • Option 1: Pause breast pumping and gently massage both breasts, paying special attention to any areas that still feel full, before resuming.

  • Option 2: Switch to a single pump and pump each breast separately. This frees both hands to massage and compress each breast for a few extra minutes, helping remove milk that the double pump may have missed.

Finish with Hand Expression

After using either option, hand express milk directly into the pump flange or collection bottle to finish expression and remove the most milk possible.

A Note of Encouragement

Hands-on pumping may take a little extra effort, but it can make a meaningful difference in the amount of milk you collect. With practice, you’ll find a rhythm that feels natural and comfortable for you. Remember, you’re doing something amazing for your baby, and every ounce of milk you provide makes a difference. Be gentle with yourself, trust your body, and celebrate the small victories along the way. If you need help refining your technique, a lactation consultant can offer support and guidance on your feeding journey.

Disclaimer: Our classes and accompanying materials are intended for general education purposes and should not replace medical advice. For personalized recommendations, please consult your healthcare provider and/or lactation consultant.