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What to do when breast milk starts to come in?

Understanding the Onset of Breast Milk Production
For new mothers, the arrival of breast milk is a significant milestone in the postpartum journey. Typically, breast milk begins to come in around two to four days after childbirth, although this can vary based on individual circumstances. The process of lactation is a natural response initiated by hormonal changes in the body following delivery, and it plays a crucial role in providing essential nutrition to newborns.
Signs That Breast Milk Is Coming In
As your body transitions into milk production, there are several signs to look for. Many women report feeling a sense of fullness or heaviness in their breasts, which can be accompanied by a tingling sensation. This is often referred to as the “let-down” reflex, where milk is released from the mammary glands. Additionally, you may notice changes in the appearance of your breasts; they may become larger and feel firmer as milk accumulates.
The Importance of Early Breastfeeding
To facilitate a smooth transition into breastfeeding, it is highly recommended to start nursing as soon as possible after birth—ideally within the first hour. This early initiation takes advantage of the baby’s natural alertness and helps stimulate milk production. Frequent breastfeeding during this period not only encourages your body to produce more milk but also strengthens the bond between mother and baby.
What to Do If Milk Production Is Delayed
In some cases, mothers may experience a delay in milk production. If this happens, it’s essential not to panic. Instead, focus on maintaining a positive mindset and seek support. Consulting with a lactation consultant can provide valuable guidance and reassurance. They can help troubleshoot any issues and suggest techniques to enhance milk supply.
If you find that your milk has not come in by the time your baby is ready to feed, consider supplementing with formula or donor milk temporarily. The key is to ensure your baby is getting adequate nutrition while your body adjusts.
Conclusion
The journey of breastfeeding is unique for every mother, and understanding what to expect when your milk comes in can help ease the transition. By recognizing the signs of milk production, engaging in early breastfeeding, and seeking support when needed, you can navigate this important phase with confidence. Remember, patience and persistence are vital as your body adapts to this new role.

Is it OK to squeeze breast while pregnant?

What is antenatal hand expression? This technique involves expressing colostrum in the final few weeks of pregnancy. It can also be referred to as ‘colostrum harvesting’ and is advocated by some NHS Trusts. Mothers are normally advised to wait until around 36 weeks before starting antenatal expression.

Should I pump when milk comes in?

You will make only small amounts of colostrum (a rich “pre-milk”) until your milk fully comes in. Keep pumping and your supply will slowly increase. If your baby is exclusively breastfeeding and gaining weight as expected, there’s no need to pump right away.

How do you soothe your breasts when milk comes in?

apply a cloth soaked in warm water to the breast (or a warm shower or bath) just before hand expressing to encourage the flow – do not apply a lot of heat as this may increase inflammation. take some paracetamol or ibuprofen at the recommended dose to ease the pain (these are safe to take while you’re breastfeeding)

What triggers your breast milk to come in?

Once your baby and placenta are delivered, a sudden drop in your estrogen and progesterone causes the hormone prolactin to take over. Prolactin is the hormone that produces milk. You’ll notice your milk production increases dramatically at this stage. It’s often referred to as milk “coming in.”

How early can you squeeze milk out your breasts while pregnant?

Start expressing at around 36 weeks into your pregnancy. Stop if you start to feel contractions or experience vaginal bleeding. Remember any amount of colostrum will help your baby. The amount of colostrum you can express varies widely between people during pregnancy.

Should I pump to relieve engorgement when milk comes in?

If your breasts are uncomfortably full, pump or express breast milk by hand just until they are comfortable. Do not empty your breasts all the way. Releasing a lot of milk will cause your body to produce larger amounts of milk. This can make breast engorgement worse.

What to do when breast milk starts coming in?

Obtaining a deep latch, along frequent feeding, can help decrease or avoid severe engorgement. If your breasts become uncomfortable, allow baby to latch and nurse for as long as they’d like. And if necessary, jump in the shower and hand express milk to take more pressure off.

What are the stages of milk coming in?

Breast milk has three different and distinct stages: colostrum, transitional milk, and mature milk. Colostrum is the first stage of breast milk. It occurs during pregnancy and lasts for several days after the birth of the baby.

How long does engorgement last when milk comes in?

Treatment for engorgement usually resolves extreme symptoms within 24-48, hours but if not treated promptly can take 7 – 14 days or longer. It is important that engorgement is treated in order to prevent both mastitis and a decreased milk supply.

Should I pump to get rid of engorgement?

If your breasts are uncomfortably full, pump or express breast milk by hand just until they are comfortable. Do not empty your breasts all the way. Releasing a lot of milk will cause your body to produce larger amounts of milk. This can make breast engorgement worse.

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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