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What causes excessive breast milk production?

Understanding Excessive Breast Milk Production
Excessive breast milk production, often referred to as hyperlactation or oversupply, can be a complex issue for breastfeeding mothers. While breast milk is essential for infant nutrition, an overabundance can lead to various challenges for both the mother and the baby.
Physiological Mechanisms Behind Milk Production
Breast milk production typically ramps up significantly within the first few days after childbirth, a process known as “milk coming in”. This surge is primarily driven by hormonal changes, particularly the increase in prolactin, a hormone responsible for milk synthesis. In a normal breastfeeding scenario, the more a baby suckles, the more milk is produced, creating a supply-and-demand relationship that regulates lactation.
However, in some cases, this system can become unbalanced, leading to excessive milk production. Factors contributing to this condition include hormonal imbalances, particularly elevated levels of prolactin or estrogen, which can stimulate the mammary glands to produce more milk than necessary.
Causes of Hyperlactation
1. Hormonal Imbalances: Conditions such as hyperprolactinemia, where there is an excess of prolactin in the bloodstream, can lead to galactorrhea, or the production of milk outside of breastfeeding contexts. This condition can occur in women who are not currently nursing and may be linked to various medical issues, including pituitary gland disorders.
2. Frequent Feeding: Mothers who breastfeed frequently or pump milk excessively may inadvertently encourage their bodies to produce more milk. This can create a cycle where the body continues to produce milk in response to perceived demand, even when the baby may not require it.
3. Induced Lactation: Some women may induce lactation for various reasons, such as adopting a baby or wanting to breastfeed after a previous cessation. This process can sometimes lead to an oversupply if not carefully managed.
4. Lifestyle Factors: Stress, diet, and overall health can also influence milk production. For instance, a well-nourished mother may produce more milk, while stress can disrupt hormonal balance, potentially leading to fluctuations in supply.
Implications of Excessive Milk Production
While having an ample supply of breast milk can seem advantageous, it can lead to complications. Babies may struggle with feeding if the flow is too fast, leading to choking or excessive gas. Additionally, mothers may experience discomfort, engorgement, or even mastitis, an infection caused by blocked milk ducts.
In some cases, excessive milk production can also be linked to increased risks for certain health issues, such as early breast cancer events, particularly in women who have a history of breastfeeding.
Conclusion
Excessive breast milk production is a multifaceted issue influenced by hormonal, physiological, and lifestyle factors. Understanding these causes can help mothers manage their breastfeeding experience more effectively, ensuring both their comfort and their baby’s well-being. If a mother suspects she has an oversupply, consulting with a healthcare provider can provide tailored strategies to address the situation.

How many ounces is considered oversupply?

4-5 oz
An oversupply of breast milk generally refers to a mother who is able to nurse her infant, or multiples, and is still able to produce a significant amount of breast milk (more than 4-5 oz) in a pump session after a feeding.

What produces a lot of breastmilk?

Foods That Promote Milk Production. Many vegetables, whole grains, and herbs are high in plant estrogens and other compounds that may increase milk supply. They’re called galactagogues. New mothers in many cultures have used these foods for centuries to optimize breastfeeding.

How do I stop excessive breast milk?

Block feeding ensures that one breast always contains leftover milk. This will trigger your breasts to reduce their milk production, and should gradually resolve oversupply of milk. How long it takes varies from person to person. Block feeding will also help to reduce the amount of thinner foremilk your baby eats.

What does it mean when you produce a lot of milk?

While it’s good to have plenty of milk, some mothers produce more milk than their babies need. This is usually called oversupply. Some babies cope very well with a generous milk supply; however, others will be unhappy and uncomfortable even though they are gaining weight and appearing to thrive.

Why is my milk supply suddenly so high?

Sometimes, there’s no specific cause — your body may simply produce large amounts of milk, especially at first. This usually gets better if you only nurse or pump to meet your infant’s needs. Pumping more than your infant needs can cause breast milk oversupply.

What causes increased breast milk production?

Lactation generally continues as long as milk is removed from your breast. The more milk that’s removed, the more milk your body makes to replace it. Frequent feeding or pumping will cause your body to make more milk.

What is considered oversupply breastmilk?

Oversupply of breastmilk is when you continue to make too much milk after the first 6 weeks of feeding. Oversupply of breastmilk can have many causes. Oversupply can make breastfeedingdifficult for you and your baby. If you think you have oversupply, get support from a healthcare professional.

Does leaking breasts mean good milk supply?

You can leak breastmilk for a variety of reasons including having a full supply, or if your body is not yet sure how much to produce, if your mature milk is starting to come in, if you’ve missed a feeding, or even if you are just thinking about your baby.

What causes overproduction of breastmilk?

Many women naturally make more milk than their infant needs. Sometimes an oversupply is created by over stimulating the breasts by doing both breastfeeding and pumping. Having an oversupply of breast milk can be uncomfortable for both a mother and infant.

Why am I lactating so much?

Excessive breast stimulation, medicine side effects or conditions of the pituitary gland all may contribute to galactorrhea. Often, galactorrhea results from increased levels of prolactin, the hormone that stimulates milk production. Sometimes, the cause of galactorrhea can’t be determined.

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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