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What To Do If A Mother Has Low BreastMilk Supply?How breast milk supply works Reasons for low milk supply

Misconceptions about low milk supply Signs a baby isn't getting enough milk

What to do if a mother has low milk supply

How to increase milk supply with a breast pump To conclude

31 July, 2020 - By CWC Outreach

Breastfeeding can be overwhelming for new mothers, especially if they are worried about

producing enough breast milk to keep their baby satisfied and healthy. Unlike bottle-feeding,

where one can tell precisely how much the baby is drinking, no one can actually know how much

milk a mother has and how much her baby is taking.

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Youtube credits : FirstCry Parenting

How Breast Milk Supply WorksWhen a woman conceives and gives birth, several things happen to permit her milk to stream.

The hormone prolactin increases, and progesterone levels decrease. Breast milk is secreted in the

glandular tissue (areolas) of the breast. This smooth muscle tissue around each little milk-

creating cell contracts, when hormones are discharged. Letdown happens when these

withdrawals impel milk down the milk ducts to the areola openings and are usually activated by

the infant's cry and touch, areola stimulation, and sucking. During feeding, a mother will have a

few letdowns; however, during the initial letdown, she may see a throbbing or tingling sensation

in her chest. This is typical and felt due to the milk channels dilating as the milk streams. Since

milk creation works based on supply and demand, frequent breastfeeding will stimulate milk

creation and supply up.

Reasons For Low Milk SupplyBreast milk coming in late - A few days after birth, the volume of breastmilk increases and is

commonly known as "milk coming in." When this increase in volume does not occur in a few

days, it is termed as late or delayed lactation. Delayed lactation could lead to low milk supply,

especially if the mother does not have the right help and support.

Poor breastfeeding management - One of the most critical factors for low milk supply is not

draining enough milk from the breasts in the initial days after birth. Good milk supply depends

on standard, proficient breast draining for several weeks. Check more about the different types of

breastfeeding positions to have good breast milk supply.

Baby’s breastfeeding skills - Poor milk transfer could be due to factors unique to baby or

difficulties with a mother’s unique anatomy. Causes for poor breastfeeding skills happen

when

1. Medications used during birth can make a baby sleepy or too tired to suck correctly.

2. The infant is in agony or uneasiness following a medicinally traumatic birth.

3. The baby is premature or being little for dates.

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4. A shallow lock or improper positioning (sore areolas ordinarily demonstrate an issue with a latch).

5. An infant with low or high muscle tone.

6. Anatomical variations, for example, a little jaw (micrognathia), or congenital fissure.

7. Tongue-tie or improper tongue function.

Nipple challenges - At times an infant may feel hard to breastfeed and deplete the breasts

effectively because of variations in the mother's anatomy making breastfeeding difficult

like:

1. Inverted or flat areolas

2. Large, long, or distinctively shaped areolas, e.g., twofold nipples or areolas with a skin tag, can make itincreasingly hard for an infant to latch profoundly.

3. Large areolas make it hard to fit the baby's mouth.

4. Exceptionally tight inelastic breast tissue can make it harder for the infant to latch.

5. Nipple piercing may have prompted the scarring or conclusion of areola pores, which can block the milkstream.

Insufficient glandular tissue - There are times when the milk does not appear to come in after

birth. This might be because of insufficient glandular tissue (IGT). Different names for this

condition are lactation insufficiency, primary lactation failure, hypo plastic breasts, or mammary

hypoplasia. IGT is uncommon, and usually, there may be a few information in the mother’s

clinical history. Pointers may include having hormone or endocrine issues, little and widely

spaced breasts, if one breast is different to the next, if the mother’s breasts have not developed

and been delicate during adolescence or pregnancy or if there wasn't an inclination of feeling

fullness after the birth.

Breast surgery or trauma - Successful lactation depends on specific structures in the breast

being intact and fully developed. Any previous surgery to the chest area can potentially damage

critical nerve pathways and ducts and compromise glandular tissue in the breast.

Hormonal or endocrine disorders - A few hormones are essential for the production of milk

(like prolactin, thyroid hormones, insulin, and cortisol) and discharge of the milk (oxytocin). If a

mother has a fundamental hormonal imbalance or required fertility treatment to get pregnant, this

could signal an issue with milk creation or setback of milk.

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Diet and herbs, vitamins, and minerals - What we eat can affect milk quality in subtle ways

and, in some cases, can change the quantity of milk. Research shows that several nutrients are

essential for optimal milk production, such as protein, zinc, fiber, iron, and calcium. Diet can

likewise influence our metabolic wellbeing, which may, thus, influence milk production.

Misconceptions about low milk supplyInfants ordinarily feed regularly – around 10 to 12 times each day – and this is undoubtedly not a

sign that a mother does not have enough milk. Always remember that a baby nurses for comfort

as well, and it’s difficult to calculate a baby’s milk intake during every feed as quantities can

differ.

The below circumstances are all normal and are not signs of inadequate milk supply:

1. baby wants to feed frequently

2. baby doesn’t want to be put down

3. baby is waking in the night

4. short feeds

5. long feeds

6. baby will take a bottle after a feed

7. breasts do not feel full as they did in the early weeks

8. breasts do not leak milk, or they used to leak and have stopped

9. a mother cannot pump much milk

10. a mother has small breasts

Signs a baby isn't getting enough milk

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Signs of baby not getting enough milk

1. Baby seems very sleepy or lethargic. Babies who are not getting enough milk will have low energy. Anormal baby usually sleeps up to four hours or more at a time.

2. Baby takes very little or more time during breastfeeding. An infant who is not fed well may nod off soonafter starting to breastfeed or take longer than 30-40 minutes per feed.

3. Latching is painful or appears shallow. A poor latch can prevent the baby from getting enough milk.

4. Baby has not regained their birth weight by 10-14 days old, or weight gain is slower than expected. 155 -240 grams per week is reasonable.

5. Baby is not stooling often (they should have 3-4 stools per day by four days old). The baby's urine is notpale.

What to do if a mother has low milk supplyThe following are things that a mother can do to increase breast milk production. Boosting her

milk supply depends on how little the amount is, to begin with, and what contributes to the low

breast milk supply or production. Most of these methods should start working within a few days.

1. Breastfeed more often

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Breastfeed often and let the baby decide when to stop feeding. Breastfeeding a new baby 8 to 12

times a day can help establish and maintain milk production. But this does not mean that more or

fewer feedings indicate a problem.

2. Pump between feedings

Pumping between feedings can also help increase milk production. Warming the breasts before

pumping can help make a mother more comfortable and pump easier, too.

Try pumping whenever:

1. A mother has milk left over after a feed.

2. A baby has missed a feed.

3. A baby gets a bottle of breast milk or formula.

3. Breastfeed from both sides

Have the baby feed from both breasts at each feeding. Let the baby feed from the first breast

until they slow down or stop feeding before offering the second breast. The stimulation of having

both breasts breastfed can help increase milk production. Pumping milk from both the breasts at

a time has also helped increase milk secretion.

4. Foods, herbs, and supplements

Some foods and herbs may increase breast milk production. Some of these foods and herbs are:

1. garlic

2. ginger

3. fenugreek

4. fennel

A mother should always talk to a doctor before taking a new supplement, especially when

breastfeeding since even natural remedies can cause side effects. Refer to our blog on important

diet tips for nursing mothers to learn more about the food that help increase breast milk.

How to increase milk supply with a breast pump

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Pumping of breast milk can be an essential strategy for increasing the breast milk supply. These

tips may help improve a mother’s breast milk supply.

Using the correct breast pump

Always utilize a hospital-grade pump or a high-quality electric breast pump. A pump operated by

hand or a small electric or battery-powered pump is suitable for intermittent pumping, but it is

not good enough to build or increase breast milk supply. A double pump might be a good

investment if a mother is pumping exclusively.

Using the pump correctly

Always follow the instructions given by the manufacturers on how to use the pump correctly, and

make sure the pump is in good working condition. If a mother has questions, contact the

manufacturer or ask a lactation consultant.

Be sure that the pump shields, the part of the pump that goes over the breasts and nipples, fits

appropriately. If not, it could lead to breast issues such as sore nipples or damaged breast tissue.

Preparing before pumping

Before a mother starts to pump, she has to wash her hands and choose a breast milk storage

container that fits her needs. She will be pumping for 20 to 30 minutes, so it is necessary to get

into a comfortable position.

A mother might feel thirsty or hungry while pumping, so it is better to place a glass of water or

juice and some healthy food next to your pumping spot. The mother’s body needs lots of fluids

and some extra calories to produce milk.

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How breastpump increase breast milk

Skin-to-Skin Contact

Research shows that ‘kangaroo care’ can increase the amount of breast milk that a mother can

pump. If her baby is in the hospital and cannot breastfeed, talk to the hospital staff about using

kangaroo care as often as her baby can tolerate it.

If possible, pump while the mother is near her baby, or even holding the baby. When a mother is

pumping away from her child, try to relax and think of your baby as it could stimulate the

mother’s letdown reflex and get the breast milk flowing.

Applying Warm, Moist Heat

Before a mother pumps, place warm, wet washcloths on the breasts. This moist heat can help

bring about the flow of the breast milk. This is especially helpful if she has difficulty with

letdown.

Keeping the breast pump equipment clean

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After each use, follow the manufacturer's instructions for wiping down and cleaning the breast

pump and tubing. Wash the breast flanges and breast milk storage containers in hot water. Then,

rinse them thoroughly,allowing it to dry so thatthey'll be ready to use when a mother needs them

next.

Self-Care

When a mother is taking care of a little one, there's always so much to do, which can make her

easily to put herself at last. But if she does not take care of herself, it can affect the breast milk

supply. It is always necessary to eat a well-balanced diet with extra calories, drink plenty of

fluids, and rest.

To ConcludeIf a mother has any questions about her breast milk supply, breast pumps, or pumping, talk to

OB/GYN, a lactation consultant, or a support group such as Chennai Women's Clinic Interactive

Forum. These resources can help her decide on the pump that is right for her. They can also

provide additional help and support as the mother works to build and maintain her milk supply.