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Does anxiety affect breast milk?

The Impact of Anxiety on Breast Milk Production and Composition
Anxiety, particularly during the prenatal and postpartum periods, can significantly affect breastfeeding outcomes and the quality of breast milk. Research indicates that maternal anxiety can disrupt not only the mother-infant bonding experience but also the physiological processes involved in lactation.
Maternal Anxiety and Breastfeeding Behavior
Studies have shown that anxiety can impair maternal functioning, leading to challenges in breastfeeding. For instance, a systematic review highlighted that both prenatal and postpartum anxiety may hinder the mother’s ability to engage effectively in breastfeeding behaviors, which can result in suboptimal breastfeeding outcomes. This disruption can manifest in various ways, including difficulties in initiating breastfeeding, maintaining milk supply, and sustaining breastfeeding over time.
Physiological Effects on Milk Production
The physiological response to anxiety often involves the release of stress hormones, such as cortisol. Elevated cortisol levels can influence milk production and composition. Research has found that anxious mothers may pass higher levels of cortisol through their breast milk, which could potentially affect infant development. This hormonal transfer raises concerns about how stress might not only impact the mother but also the infant’s health and emotional well-being.
Milk Composition and Immunological Factors
Anxiety and stress have also been linked to changes in the immunological properties of breast milk. For example, maternal psychological distress has been associated with altered levels of immunoglobulins in breast milk, which are crucial for the infant’s immune system. This alteration could compromise the protective benefits that breastfeeding typically provides, making infants more susceptible to infections and illnesses.
Milk Supply and Stress
The relationship between stress and milk supply is complex. While some mothers may experience a decrease in milk production due to anxiety, others might find that their milk supply remains unaffected. However, the general consensus is that high levels of stress can lead to difficulties in milk ejection, a phenomenon known as dysphoric milk ejection reflex (DMER), which can make breastfeeding a distressing experience for some mothers.
Conclusion
In summary, anxiety can have profound effects on both the breastfeeding experience and the quality of breast milk. From impairing maternal behaviors to altering milk composition and potentially affecting infant health, the implications of maternal anxiety are significant. It is crucial for healthcare providers to recognize these challenges and offer support to mothers experiencing anxiety, ensuring that both maternal and infant health are prioritized during the breastfeeding journey.

Can my anxiety affect my breastfed baby?

When you are scared, stressed, or anxious, the adrenaline released by your system can inhibit oxytocin. And since oxytocin is what causes your milk to “let down”, or flow freely from your breasts, that adrenaline messes with your milk delivery system. Stress and breastfeeding just don’t mix well.

Why does my baby pull away and cry while breastfeeding?

Sometimes, your milk lets down so fast that your baby can have trouble swallowing the amount of milk that’s being released. Because of this, your baby may act fussy at breast or choke and sputter at the breast, and he or she may be quite gassy.

Can anxiety reduce milk supply?

Maternal psychological distress (e.g., perceived stress, anxiety, depression) has also been linked to lactation difficulty and breastfeeding cessation.

Can stress cause breast milk to dry up?

While stress isn’t likely to affect your milk supply over the long term, it can have a temporary effect on the mechanisms that allow your body to deliver milk to your baby, and very high levels can impact baby. It’s common for families to experience increased stress with the addition of a new baby.

Does stress affect letdown?

When you are scared, stressed, or anxious, the adrenaline released by your system can inhibit oxytocin. And since oxytocin is what causes your milk to “let down”, or flow freely from your breasts, that adrenaline messes with your milk delivery system. Stress and breastfeeding just don’t mix well.

Can babies sense stress through breastfeeding?

Cortisol can be passed to the baby through the breast milk. Past studies have shown that cortisol was found in the human milk of breastfeeding mothers experiencing higher levels of stress, and led to more crying and fussiness in their breastfed babies.

Do soft breasts mean low milk supply?

Your breasts feel softer
This happens as your milk supply adjusts to your baby’s needs. The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on your milk supply.

Could my breast milk be upsetting my baby?

You’ll know if your breast milk is upsetting baby if they are unusually gassy or fussy after eating. As you and your baby get acclimated to breastfeeding, you’ll learn what not to eat while breastfeeding if your baby reacts to a certain food or drink.

What causes problems in breastfeeding?

Some common causes of low milk supply include: A delay in initiating breastfeeding. No or very little skin-to-skin contact. A delay in milk coming in due to delivery complications, illness or diabetes.

Can babies feel when mom is anxious?

“Your infant may not be able to tell you that you seem stressed or ask you what is wrong, but our work shows that, as soon as she is in your arms, she is picking up on the bodily responses accompanying your emotional state and immediately begins to feel in her own body your own negative emotion.”

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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