Low milk supply
Description
Low milk supply can be caused by several factors, and treatment depends on identifying and addressing the underlying issue. Here’s a complete breakdown 👇 ⸻ 🩺 Causes of Low Milk Supply 1. Poor latch or ineffective sucking • If the baby isn’t latching deeply or sucking efficiently, milk won’t be removed well, which lowers production. 2. Infrequent feeding or short feeds • Skipping feeds, spacing them too far apart, or cutting them short can reduce stimulation for milk production. 3. Supplementing with formula early • Reduces the baby’s demand on the breast, leading to lower supply. 4. Maternal stress, fatigue, or illness • High cortisol and exhaustion interfere with milk let-down reflex (oxytocin release). 5. Hormonal or medical conditions • Conditions like thyroid imbalance, retained placental fragments, PCOS, anemia, or diabetes. 6. Breast surgery or injury • Prior breast reduction or augmentation may affect glandular tissue or nerve supply. 7. Medications • Some birth control pills (especially those with estrogen) and decongestants (like pseudoephedrine) can reduce supply. ⸻ 🌿 Treatment and Management 1. Ensure proper latch and positioning • Work with a lactation consultant to correct baby’s latch. • Baby’s chin should touch the breast, with lips flanged outward. 2. Feed frequently and on demand • Aim for 8–12 feedings per 24 hours. • Offer both breasts at each feeding; alternate starting sides. 3. Avoid long breaks or early formula use • If supplementing is necessary, use a supplemental nursing system (SNS) so the baby continues to suck at the breast. 4. Use breast compression and massage • Gently compress breasts during feeds to help milk flow and stimulate let-down. 5. Pump or hand express after feeds • Pump for 10–15 minutes after feeding to increase stimulation. • Especially useful if baby is sleepy or inefficient at emptying breasts. 6. Stay hydrated, eat well, rest • Drink water regularly and eat balanced meals with complex carbs, protein, and healthy fats. 7. Use galactagogues (if needed) • Natural options: Fenugreek, moringa, oats, fennel, barley, garlic, and brewer’s yeast. • Medical options: Domperidone or metoclopramide (only under doctor’s supervision). 8. Manage stress and sleep • Relaxation techniques (deep breathing, gentle stretching, warm baths) can help with oxytocin release. ⸻ ⚠️ When to Seek Professional Help • Baby isn’t gaining enough weight or has fewer than 6 wet diapers per day after 5 days old. • Persistent nipple pain or cracked nipples. • You have a known medical condition or recent birth complications.
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