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Why is my milk supply low 4 months postpartum?

Understanding Low Milk Supply Four Months Postpartum
Experiencing a low milk supply four months after giving birth can be concerning for many new mothers. While it’s common for milk supply to fluctuate during the postpartum period, several factors can contribute to a perceived decrease in breast milk production.
Hormonal Changes
Around the four-month mark, many mothers notice changes in their milk supply due to hormonal shifts. After the initial postpartum phase, the body begins to adjust hormone levels, which can affect milk production. For instance, the return of menstruation can lead to temporary dips in milk supply, particularly if you are exclusively breastfeeding. This hormonal fluctuation is a normal part of the postpartum experience and can make it feel like your milk supply is lower than it actually is.
Feeding Patterns
Another critical factor is the feeding pattern of your baby. As babies grow, their feeding habits often change. They may become more efficient at breastfeeding, which can lead to a feeling of emptiness in the breasts, as they may not feel as engorged as they did in the early weeks postpartum. It’s essential to feed your baby on demand, as this encourages your body to produce more milk in response to your baby’s needs.
Stress and Dehydration
Stress and dehydration are significant contributors to low milk supply. The demands of caring for a newborn can be overwhelming, and stress can inhibit the let-down reflex, making it harder for milk to flow. Additionally, if you are not drinking enough fluids, your body may struggle to produce adequate milk. Prioritizing self-care, staying hydrated, and finding ways to manage stress can help improve your milk supply.
Medical Factors
In some cases, underlying medical issues can affect milk production. Conditions such as thyroid disorders, polycystic ovary syndrome (PCOS), or insufficient glandular tissue can impact your ability to produce milk. If you suspect that a medical condition may be influencing your milk supply, consulting with a healthcare provider or lactation consultant can provide valuable insights and support.
Birth Control Methods
The type of birth control you are using can also play a role in your milk supply. Hormonal contraceptives, particularly those containing estrogen, can lead to a decrease in milk production. If you have recently started a new birth control method, it may be worth discussing with your healthcare provider to explore alternatives that are more compatible with breastfeeding.
Conclusion
While a low milk supply four months postpartum can be distressing, understanding the various factors at play can help you navigate this phase. Hormonal changes, feeding patterns, stress, hydration, medical conditions, and birth control methods all contribute to your milk supply. If concerns persist, seeking guidance from a lactation consultant or healthcare provider can provide tailored strategies to support your breastfeeding journey. Remember, you are not alone in this experience, and many mothers face similar challenges.

What to do if a 4 month old is not getting enough breast milk?

Breastfeed frequently, two to three hourly – a total of at least eight feeds in 24 hours. Your baby may need to be woken for some feeds, or may wake to feed even more often. Make sure that attachment is good and that your baby is both sucking and swallowing (you may need to seek help with this).

Why is my breast milk supply decreasing at 4 months?

This 3-4 month timeframe is also a common time for breastfeeders to report a dip in supply because the less-than-optimal feeding finally catches up with them. If you have concerns about your baby’s latch scheduling a consult with an IBCLC who can assess your baby’s latch and oral function is your best course of action.

How to tell if breast milk is drying up?

The following are signs your baby isn’t getting enough milk:

  1. Poor weight gain. It’s normal for newborns to lose 5% to 7% of their birth weight in the first few days – some lose up to 10%.
  2. Insufficient, wet or dirty nappies.
  3. Dehydration.

How many ounces should I be pumping 4 months postpartum?

Remember that pumping schedules will differ depending on how old your baby is because your baby’s nutritional needs change over time. An average milk supply is one ounce per hour or 24 – 26 ounces per day until 6 months. Once solids are introduced you can begin to cut back on your pumping sessions if desired.

What is the 4 month regression breastfeeding?

As babies get older they become much more efficient feeders, and a feed that may previously have lasted around half an hour may now take a significantly shorter time. However, the distractibility that starts at around four months for some babies may mean breastfeeds become more sporadic, especially during the day.

Can you increase milk supply at 4 months postpartum?

It takes about 12 weeks for your supply to regulate, and even then you can still increase it. The best way to increase it is to consistently remove milk, either by nursing or pumping. Do it every three hours (including overnight) for at least 15 minutes per session. Also be sure to eat plenty and drink enough water.

How to tell if milk is drying up?

What are the signs your milk supply is decreasing?

  1. Not producing enough wet/dirty diapers each day. Especially in the first few weeks of life, the number of wet and dirty diapers your child produces is an indicator of the amount of food they’re getting.
  2. Lack of weight gain.
  3. Signs of dehydration.

What is the 4 month breastfeeding crisis?

4-month crisis (or developmental leap)
From the age of 4 months, babies are more likely to wake up at night. During the night feeds, they are now more demanding and nervous. They suckle every few minutes and ask for the breast while crying.

How much breast milk should I produce at 4 months?

~ 3 WEEKS TO 6 MONTHS
During this time, your supply will settle at around 24-32 ounces per day. Some babies need more, others less. Your supply doesn’t need to keep increasing forever.

How can I get my milk supply back after 4 months?

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.

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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