Women with diabetes and a low-risk pregnancy can often safely express colostrum in late pregnancy. Starting around 36 weeks, antenatal expressing can offer early immune support for your newborn, especially if feeding challenges are anticipated. Be sure to check with your midwife or obstetrician before beginning to ensure it’s safe for you.
Why should I collect colostrum (the first milk) before my baby is born?
Breastmilk, especially colostrum, protects your baby’s immune system, enhances gut health and aids brain development.
If it is anticipated that your baby may experience difficulties feeding after birth or maintaining their blood sugar, they can be given colostrum collected antenatally. For example, if you have diabetes.
When should I start?
Hand expressing colostrum/breastmilk may start from 36 weeks gestation. ·
Express for 5 minutes each side once or twice a day.
Is it OK if I only get a few drops or no milk?
Yes, it is common for about 25 per cent of women to get none or only a few drops. But try every day, and it will increase gradually.
How should I collect the colostrum?
Collect colostrum/breastmilk first into a clean container, spoon or syringe, whichever is easier for you, and seal with the cap provided.
Write the time, date and your name on the labels provided and attach to the container or syringe.
You can put the syringe in the fridge and add more colostrum to it later in the day.
How do I store the colostrum once it is collected?
Place the syringes in the freezer in a zip lock bag at the end of the day and start with a new syringe each day.
How do I bring it to the hospital for my baby?
Bring your frozen colostrum to the hospital in a cooler or insulated bag with a freezer brick to keep it frozen. Once defrosted the milk will need to be used within 24 hours.
Cease expressing immediately and do not resume if you experience any discomfort, abdominal or uterine tightening, cramping, and/or bleeding, and contact your birthing unit or antenatal care provider immediately.
Helpful video:
To watch a video on how to hand express, click here.
Handout for parents:
