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What triggers breast milk to come out?

Understanding the Triggers of Breast Milk Production
Breast milk is a remarkable substance, providing all the essential nutrients an infant needs during the first six months of life. The process of lactation, or milk production, is complex and involves a series of hormonal changes and physiological responses that begin during pregnancy and continue after childbirth.
The Hormonal Symphony of Lactation
The journey to lactation starts with hormonal changes that occur during pregnancy. As estrogen and progesterone levels rise, they stimulate the growth of milk ducts and lobules in the breasts, preparing them for milk production. This initial phase is known as lactogenesis. By the end of pregnancy, the mammary glands are primed to produce colostrum, the nutrient-rich first milk that is crucial for newborns .
After childbirth, the dynamics shift significantly. The act of breastfeeding triggers the release of prolactin and oxytocin, two hormones essential for milk production and ejection. Prolactin is responsible for stimulating the milk-producing cells in the alveoli, while oxytocin causes the myoepithelial cells surrounding the alveoli to contract, pushing the milk into the ducts and towards the nipple. This process is commonly referred to as the let-down reflex .
The Let-Down Reflex
The let-down reflex is a critical moment in breastfeeding. It can be triggered by various stimuli, including the baby’s suckling, the sound of a baby crying, or even the sight of the baby. Mothers may experience physical sensations such as tingling, fullness, or a dull ache in the breasts, although not all women feel these signs. This reflex ensures that milk is readily available for the infant, facilitating a smooth feeding experience.
The Role of Demand in Milk Supply
Breast milk production operates on a supply and demand basis. The more frequently the breasts are emptied—whether through breastfeeding or pumping—the more milk is produced. If milk is not regularly removed, the body receives signals to reduce production. This feedback loop is crucial for maintaining an adequate milk supply that meets the infant’s needs.
Conclusion
In summary, the triggers for breast milk production are a combination of hormonal changes initiated during pregnancy, the physiological responses to breastfeeding, and the ongoing demand from the infant. This intricate system not only ensures that infants receive the nutrition they need but also adapts to their growing requirements, making breastfeeding a dynamic and responsive process.

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.

Should I keep pumping if no milk is coming out?

Increasing your milk supply will take time, so don’t give up. Even dry pumps (when you pump but nothing comes out) sends a signal to your body that more milk is needed on tap, so it’s getting the work done even if there’s no output to show for it right away. Stick with it and you’ll see the results after a few days.

What causes milk to come out of your breast?

Possible causes of nipple discharge include:

  • Abscess.
  • Birth control pills.
  • Breast cancer.
  • Breast infection.
  • Ductal carcinoma in situ (DCIS)
  • Endocrine conditions.
  • Fibrocystic breasts.
  • Galactorrhea.

What stimulates milk to exit the breast?

There are nerves in your nipples that are triggered by your baby’s sucking. These nerves cause two hormones to be released into your bloodstream. Prolactin is responsible for making more breastmilk. Oxytocin causes the let-down reflex so your milk flows.

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 breast milk production when not pregnant?

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.

Can milk come out of a breast if not pregnant?

Sometimes a woman’s breasts make milk even though she is not pregnant or breastfeeding. This condition is called galactorrhea (say: guh-lack-tuh-ree-ah). The milk may come from one or both breasts. It may leak on its own or only when the breasts are touched.

Why is milk coming out of my breast when I am not pregnant?

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.

How do you trigger milk ejection reflex?

What can I do to encourage my let-down reflex?

  1. breathing steadily and slowly.
  2. let your shoulders drop.
  3. put your feet up.
  4. have a warm, non-caffeinated drink.
  5. play some relaxing music.
  6. think about your baby — if you are away from them, you can look at photos or videos of them.

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.”

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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