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Aug 4, - Many women hand express milk to reduce engorgement, prevent let down, and save milk for later use. For some women, hand expression can be a more comfortable alternative to breast pumps. If you want to know how to hand express breast milk, see Step 1 to get started. How to Hand Express Breast Milk. Many women hand express milk to reduce engorgement, prevent let down, and save milk for later use. For some women.