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What triggers the let down response in breastfeeding?

Understanding the Let-Down Response in Breastfeeding
The let-down response, a crucial aspect of breastfeeding, is a physiological reaction that facilitates the flow of breast milk. This reflex is primarily triggered by the act of breastfeeding itself, specifically through the suckling motions of the baby. When a baby latches onto the breast, it stimulates nerve endings in the nipple and areola, sending signals to the brain to release hormones that are essential for milk production and ejection.
The Role of Hormones
Two key hormones are involved in the let-down reflex: prolactin and oxytocin. Prolactin is responsible for stimulating milk production, ensuring that the mother has an adequate supply of milk for her baby. Meanwhile, oxytocin plays a pivotal role in the actual release of milk. When oxytocin is released into the bloodstream, it causes the milk ducts to contract, pushing the milk down towards the nipple, making it available for the baby to drink .
Triggers of the Let-Down Reflex
While the primary trigger for the let-down reflex is the baby’s suckling, several other factors can influence its occurrence. Emotional and physical states of the mother can significantly impact this reflex. For instance, feelings of relaxation and comfort can enhance the let-down response, while stress and anxiety can inhibit it. Stress hormones can interfere with the release of oxytocin, leading to a slower or delayed milk flow.
In addition to emotional states, physical stimuli can also trigger the let-down reflex. Techniques such as gentle breast massage, pumping, or even thinking about the baby can help stimulate the release of oxytocin and encourage milk flow. Some mothers may notice that their let-down reflex is more pronounced when they hear their baby cry or when they are in a familiar, comforting environment.
Variability in Experience
It’s important to note that the let-down reflex can vary widely among mothers. Some may experience a strong and immediate let-down, while others may find it more elusive. Factors such as previous breastfeeding experiences, hormonal levels, and overall health can all play a role in how effectively the let-down reflex functions.
In conclusion, the let-down response is a complex interplay of physical and emotional factors, primarily triggered by the baby’s suckling. Understanding these triggers can help mothers navigate the breastfeeding experience more effectively, ensuring that both they and their babies can enjoy the benefits of breastfeeding.

What triggers breast milk let down?

The let-down reflex (or milk ejection reflex) is an automatic natural reaction that happens in your body when your baby starts to breastfeed. 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.

How many letdowns per feed?

There are usually 2-4 letdowns per nursing session, but you may not realize it unless you pay close attention to baby’s suckling pattern.

What hormone causes the let-down reflex?

The contraction of these muscles causes ejection of milk from the glands. Physiology of lactation is determined by two hormones, prolactin and oxytocin, secreted by the mother and reflexes in the baby. Prolactin helps in milk production and oxytocin helps in ejection of milk.

What action triggers the let down reflex?

Most often, your let down reflex is triggered by a particular suckling motion your baby makes to stimulate milk production. If you pay attention to your baby’s nursing patterns, at first their suckling will be faster and shallower to stimulate the release of milk.

How do you get a strong letdown?

Hand express a small amount of milk before feeding. Gently massage or shake your breasts before feeding. This can help release more fat into the milk ducts prior to beginning the feeding. Take your baby off the breast for your first letdown.

How long does the letdown reflex last?

It is normal to have more than one let down during a breastfeeding or pumping session. You will likely see milk start to flow quickly within the first two minutes, and then a few minutes later this flow will slow down or stop altogether.

Can stress interfere with milk letdown reflex?

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.

How to trigger a let down reflex?

You can also encourage your let-down reflex by hand:

  1. gently massage your breasts.
  2. roll your nipple between your fingers.
  3. gently massage your breast towards the nipple using a finger or the flat of your hand.

What signals breast tissue to let-down milk?

The milk is stored in the lobules until the hormone oxytocin signals the tiny muscles in the lobules to contract, and push the milk through the ducts. This process is called let-down reflex or the milk-ejection reflex.

Which hormone stimulates milk letdown?

While prolactin helps make milk, oxytocin is the hormone that makes milk accessible to a breastfeeding child. Oxytocin stimulates mammary cells to contract, ejecting milk in a process often known as the letdown reflex. Oxytocin can stimulate a letdown when a baby is trying to suckle at the parent’s breast.

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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