Expressing and storing colostrum before birth may decrease the risk of your baby requiring formula supplementation after birth. It may also assist in the promotion of successful, exclusive breastfeeding for you and your baby. You and your baby may benefit from prenatal colostrum collection if you:
• Have Type I, II, or gestational diabetes
• Have high blood pressure or have developed preeclampsia during pregnancy
• Are at risk for low milk production (if you have breast hypoplasia, PCOS, a history of breast surgery, or a history of low supply)
• Are giving birth to multiples
• Are planning to give birth by c-section
• Have a raised body mass index (BMI)
• Are expecting a baby with a congenital condition such as down syndrome or heart problems
• Are expecting a baby with a cleft lip and/or palate
It is recommended that you consult with your OB/midwife prior to expressing colostrum prenatally. Do not express if:
• You have a history of preterm labor.
• You have a history of cervical incompetence.
• You have experienced contractions, vaginal bleeding, or premature rupture of membranes this pregnancy
• Breast pump
• Breast milk storage container or 5ml syringe with cap
Remember prior to pumping while pregnant, please discuss with your OB for individual advice.
How to Hand Express by Dr. Jane Morton, Stanford School of Medicine
Prenatal Breastmilk Expression by Jenna Reinhart RN, IBCLC
Antenatal expression of colostrum (Mater Mothers Hospital)