Pump before she help u massage bcoz she will be using baby oil to massage n u can't latch
yes pump before breast massage cuz ML will try to massage and "squeeze" so that the milk ducts are not blocked and you wont waste a lot during the process!
I agree on bm is soooo PRECIOUS! I feel so heart pain even if bb cannot finish that last 5ml. It's like soooo difficult to squeeze that 5ml lol. I am now wondering Isit like what ecym say I didn empty my boobs thoroughly that's why after 2.5-3hrs my boobs start to drip milk and feel full. Can feel it getting harder. I want to go breast massage cause my right armpit there super lumpy and hard think super blocked there. I booked mdm Rokiah but sad is need to go her shop she don't do house visit. Usually my pumping session only "active" got the first 15mins. After that cannot really see milk coming out already. So thou I sit thru the 30mins the last 15mins no production one

if the last 15mins same as 1st half I would have pump easily 100ml on one side and 70-80ml on the other side. Looking at how quickly the girls are drinking and getting hungrier soon my supply in fridge going to finish up
Good to get a ML to try to regulate the flow. Meanwhile while you are waiting for your appointment, try to do a hot/warm compress to your right armpit and massage gently before you pump... do it every time before you pump. if you have time, after pumping, and you still feel areas that are hard , use hand to press and squeeze the hard part, you should be able to squeeze milk out from the hard part...
You cant empty the milk in your breast completely, after each pump, you should feel less full but you should be able to pump out milk even when your breasts are soft.
If you are comfortable touching your breasts, do the hot/warm compress on the hard part, massage with your fingers, then use hand to squeeze and push the hard area towards nipple (a few strokes), it will be painful in the beginning, hopefully after a few warm/hot compress, the harden part will be soften... if you are not comfortable touching your own breasts, can get your DH to help you to massage and you just "ren" the pain while he massage for you.
During your bath, you can also shower slightly hotter water over your chest area and massage your outer breasts/armpits/areola in circular motion, then if possible pump once straight after shower...
unless you super duper engorged and hand massage or pumping and massaging also cant ease, placing lettuce should be last resort cuz lettuce will reduce your milk supply almost instantly too... and your effort to pump up the supply will be wasted....