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What to do when breast milk is not coming out?

Understanding Delayed Milk Production
For new mothers, the experience of not having breast milk come in can be both distressing and confusing. This situation, often referred to as delayed milk production, can occur for various reasons, and understanding the underlying causes is crucial for addressing the issue effectively.
Causes of Delayed Milk Production
Delayed milk production can stem from several factors. One common reason is the timing of breastfeeding initiation. It is recommended that mothers start nursing within the first hour after birth, as babies are typically alert during this period, which can help stimulate milk production. If breastfeeding is delayed, it may take longer for milk to come in.
Hormonal factors also play a significant role. After childbirth, the body undergoes a series of hormonal changes that trigger lactation. If these hormones are not adequately stimulated, perhaps due to stress or medical conditions, milk production may be affected. Additionally, certain medical conditions, such as hormonal imbalances or issues with the pituitary gland, can lead to insufficient milk supply.
Steps to Take When Milk Is Not Coming In
If you find yourself in a situation where breast milk is not coming in, there are several proactive steps you can take:
1. Frequent Breastfeeding: It is essential to breastfeed often. The more frequently you nurse, the more stimulation your body receives to produce milk. Aim to nurse at least every two to three hours.
2. Consult a Lactation Consultant: Working with a lactation consultant can provide personalized strategies to enhance milk production. They can assess your breastfeeding technique and offer tips to improve latch and positioning, which are critical for effective nursing.
3. Stay Hydrated and Nourished: Proper hydration and nutrition are vital for milk production. Ensure you are drinking enough fluids and consuming a balanced diet rich in nutrients.
4. Consider Pumping: If your baby is unable to latch effectively, using a breast pump can help stimulate milk production. Pumping can also help maintain your milk supply while you work on establishing breastfeeding.
5. Monitor Stress Levels: High stress can negatively impact milk production. Engage in relaxation techniques such as deep breathing, meditation, or gentle exercise to help manage stress.
6. Seek Medical Advice: If milk production does not improve, it is important to consult with your healthcare provider. They can evaluate for any underlying medical issues and provide additional support.
Temporary Solutions
In some cases, if milk does not come in promptly, supplementing with formula may be necessary to ensure your baby receives adequate nutrition. This should be done under the guidance of a healthcare professional to ensure that both mother and baby are supported during this challenging time.
Conclusion
Experiencing a delay in breast milk production can be a challenging aspect of early motherhood. However, by understanding the causes and taking proactive steps, mothers can work towards establishing a successful breastfeeding experience. Remember, seeking support from healthcare professionals and lactation consultants can make a significant difference in overcoming these initial hurdles.

How can I get my milk flow back?

How to re-lactate. Re-lactation is typically achieved through a combination of skin-to-skin contact with the baby and breast stimulation either through a latching baby and/or pumping every two to three hours day and night, which mimics how often a baby feeds.

How to stimulate your breasts to produce milk?

Pumping or expressing milk frequently between nursing sessions, and consistently when you’re away from your baby, can help build your milk supply. Relax and massage. Relax, hold your baby skin-to-skin, and massage your breasts before feeding to encourage your milk to let down. Take care of yourself.

How long to pump if nothing comes out?

10 minutes is ample. If you are pumping for 30 minutes and ‘nothing is coming’ out, you are not getting a letdown and you are not doing yourself any favours. Use hand expression before and after (google ‘Marmet hand expression’) and prepare the breasts with warm compresses and massage if you can.

Do soft breasts mean low milk supply?

You do not have low milk supply because your breasts feel softer than they used to. The excessive fullness we experience in the early days of breastfeeding is about vascular engorgement (blood and lymph) and it’s about the body inefficiently storing unnecessary amounts of milk between feeds.

When is it too late to increase milk supply?

NO, it is NEVER too late! 🚫⏰ With the right pump, flange, and schedule, you can absolutely increase your milk supply at any stage of your pumping journey.

Should I keep pumping if no milk is coming out?

In cases where you aren’t missing a feed at the breast, I wouldn’t pump unless you need to build up a stash for bottle feedings. Otherwise, you could end up increasing your supply too much, which could lead to more discomfort and engorgement.

What to do when breast milk stops flowing?

Ask your lactation consultant for help in obtaining a pump. Pump for two minutes after your milk stops flowing to build a good milk supply. Hand express some drops of breast milk before and after pumping to start the flow of milk and fully drain the breast when pumping.

How to unclog a duct in the breast?

Here are a few tips to help you get relief: Lightly massage your breast from the plugged duct down to the nipple before and during breastfeeding. Apply ice or cold packs to provide relief and reduce swelling. Breastfeed on demand and use different positions.

What happens if breast milk doesn’t flow?

They may suggest adjusting your feeding position or your baby’s latch so they can feed more efficiently. You could also try having more skin-to-skin contact with your baby before and during feeds to stimulate the hormone oxytocin, which gets your milk flowing.

What if my breast milk isn’t coming out?

Sometimes a health condition may cause a problem with milk production. It may briefly delay the large increase in milk production that often occurs 3 to 5 days after birth. This may cause a delay in producing large amounts of milk until 7 to 14 days after giving birth. If this happens to you, don’t give up.

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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