How to increase breast milk supply after delivery

Low Milk Supply | WIC Breastfeeding Support

Many moms worry about low milk supply, but most of the time your body makes exactly what your baby needs, even if you don't realize it. There are also ways to tell if your baby is getting enough milk. If you aren't making enough, there are ways you can build your supply. And your WIC breastfeeding staff is always there to help!

Am I Making Enough Milk?

First, look for these signs that your baby is getting enough milk. For example, pay attention to the number of wet and dirty diapers and your baby's weight gain.

Things you should NOT worry about:

• How your breasts feel. Your breasts will feel softer and less full as your milk supply adjusts to your baby's needs. This does not mean you have low supply.
• If your baby nurses for shorter periods of time, such as only 5 minutes on each breast.
• If your baby's feeds are bunched together. This is called cluster feeding and happens when your baby starts nursing more often and for longer. This can happen in the evenings or because of growth spurts.
• Not getting much milk when you express. Your baby is much more effective than a pump or hand expression at getting out milk. Find tips to help you pump.

If you are still concerned, talk to your baby's doctor about their growth.

Causes of Low Milk Supply

While most moms make plenty of milk, some do have low milk supply. This might happen if you:

• Limit your baby's breastfeeding sessions. Remember, the more you feed on demand, the more milk you make.
• Give your baby infant formula instead of breastfeeding.
• Introduce solid foods before baby is 4-6 months old.
• Take certain birth control pills or other medicine.
• Don't get enough sleep.
• Drink alcohol or smoke.
• Have had breast surgery.

Talk to your doctor if you have hepatitis B or C, herpes, or diabetes. These conditions may also affect milk supply.

Increasing Your Milk Supply

Breastfeeding frequently—especially in the first hours, days, and weeks—is the main way to increase your milk supply. Your body will make milk to meet your baby's demand.

Try these tips to help you make more milk:

• Breastfeed every time your baby is hungry. In the early weeks, your baby will eat 8-12 times every 24 hours. It's best not to put your baby on a strict feeding schedule. Follow your baby's cues, and let your baby tell you when it's time to eat.
• Make sure your baby is latching well.
• Offer both breasts at each feeding. Let your baby finish the first side, then offer the other side.
• Empty your breasts at each feeding. Hand express or pump after a feeding to draw out all the milk and signal your body to make more.
• Avoid bottles and pacifiers in the early weeks. Feed your baby from your breast whenever you can.
• Get plenty of sleep, and eat a healthy diet.
• Pump or express your milk. Pumping or expressing milk frequently between nursing sessions, and consistently when you're away from your baby, can help build your milk supply.
• Relax and massage. Relax, hold your baby skin-to-skin, and massage your breasts before feeding to encourage your milk to let down.
• Take care of yourself. Get plenty of rest, eat well, drink enough fluids, and let others help you.

Consider Charting Your Progress

Record how often your baby is breastfeeding, for how long, and on which sides. If you are supplementing with infant formula, record how much your baby is getting and decrease the infant formula as your milk supply increases. WIC breastfeeding staff can help you determine how much infant formula your baby needs.

Still Have Questions?

Contact your WIC breastfeeding expert. They can talk to you about supply concerns and give you tips to increase your supply to meet your baby's needs.

Breastfeeding: Tips to Increase Your Milk Supply l University Hospitals l Northeast Ohio

Signs That a Breastfed Baby Is Being Well Nourished

• Your baby nurses at least 8 to 16 times in 24 hours, or every 2 to 3 hours. Your baby may be fussy once or twice a day. At these times, he or she wants to nurse often for several hours before seeming full. This is called cluster feeding.
• Your baby wets at least 6 cloth or 5 disposable diapers and has at least 1 bowel movement in 24 hours. This occurs by 1 week of age.
• You can hear your baby swallow milk while nursing or you can feel your baby swallow when lightly touching his or her throat.
• Your breasts seem softer after nursing.
• Your baby gains 4 to 8 ounces a week after the first week. There is no need to weigh your baby at home. Your baby’s doctor will do this for you. You may notice that your baby has outgrown his or her clothing.
• Your baby has regained his/her birthweight by 10 to 14 days after birth.

Factors Which Can Cause Your Milk Supply to Decrease

• Your baby feeds fewer than 8 to 16 times in 24 hours. Milk production is affected by how well the breast is drained.
• Your baby has a very weak suck, or has an improper latch.
• Giving bottles of formula or water after nursing. Most babies will suck on a bottle after nursing. This just means they need to suck. It does not mean they are still hungry. Babies cry or fuss for many reasons, such as being tired, bored, wet, hot or cold.
• Giving solid foods too early and/or before you breastfeed. Most babies do not need solid foods for the first 6 months if they are breastfeeding 8 to 16 times a day.
• Smoking can cause a decreased milk supply and interfere with the letdown reflex. Here are some things you should do:
  • Try to quit or cut down.
  • Smoke after nursing, not before.
  • Don’t smoke in the same room with your baby.
• Beginning birth control pills too soon can decrease your milk supply. Wait at least 6 weeks before taking birth control pills and then use only the mini-pill (Progestin). If you still notice a decrease in your milk supply, talk to your doctor about other birth control options. Other medications may also affect milk supply. Check with your doctor. (Refer to PI-682, Breastfeeding and Birth Control: You Have Options.)
• Mothers who are exhausted may notice a decrease in milk supply. To keep yourself from getting too tired:
  • Sleep or relax when your baby sleeps.
  • Eat balanced diet that includes high-protein food.
  • Drink when you are thirsty so that your urine is pale yellow in color. Both under and excessive over hydration can decrease milk supply.
  • Take an iron supplement if your healthcare provider says you are anemic.
  • Talk with your doctor or nurse midwife about the need for vitamin supplement.
  • Accept help when it is offered.
• Use nipple shields and pacifiers with caution.
• A breast flange that is too small or too large in size can hurt your milk supply.
• Pregnancy
• Breast reduction surgery may reduce milk supply.

If You Notice Your Milk Supply Is Low

You can increase your milk supply by:

• Nursing your baby often. Nurse every 2 hours during the day and every 3 to 4 hours at night (at least 8 to 16 times in 24 hours). If your baby will not nurse, use a good quality double electric breast pump to increase milk production. Pumping after breastfeeding signals your body to produce more milk.
• Nurse your baby at least 15 minutes at each breast. Do not limit nursing time. If your baby falls asleep after one breast, wake him or her and offer the second breast. A few babies may benefit from nursing at one breast per feeding to increase the fat content of the feeding. Switch nursing- switching breasts several times during a feeding has been shown to increase milk supply.
• Gently massage breast before and during feedings.
• Use relaxation techniques to reduce stress and promote the flow of breast milk.
• Provide skin to skin time with your baby for about 20 minutes after feeds. This “kangaroo care” has been shown to increase milk supply.
• Be sure baby is positioned and latched correctly.
• Offer both breasts at each feeding.
• Try breast compression during the feeding to help drain the breast.
• Pump immediately after breastfeeding during the day. Rest at night. Some mothers find that they get more milk if they pump for 5 minutes, rest for 5 minutes, and pump for another 10 minutes.

Talk to your doctor about using medication or the herb fenugreek.

Works Cited

Wambach, Karen and Riordan, Jan “Breastfeeding and Human Lactation”, Fifth edition, Jones & Bartlett, 2016.

How to increase the amount of milk for a nursing mother? - an article in the blog of the medical center Health for Children in Moscow

Breastfeeding is the key to good health and mental peace of the child for years to come. But besides this, breastfeeding solves most of the mother's issues: from financial issues to the convenience of building your day and bonding with your child. Galina Vladimirovna Loseva, our most sought-after pediatrician with more than 20 years of experience, tells how to increase the amount of milk for good nutrition of a child

The problem of lack of milk can occur both in the early neonatal period, when lactation is becoming established, and later, for example, during lactation crises, which can occur at certain periods of time (3-6 weeks, 3-4 months, 6 months), as well as after temporary weaning during the mother’s illness or the need to take certain medications that are incompatible with breastfeeding.

Ways to increase lactation:

• Feeding on demand , especially during early lactation. Frequent feedings in the first weeks of life are essential for maximizing the number of prolactin receptors to ensure sufficient milk production in the long term. Without these receptors, lactation will be at risk by 2-3 months of age. It is advisable to attach the baby to the breast as soon as possible after childbirth. If possible, do not use bottle supplements without a good reason. Night feedings are obligatory, the need for them usually lasts up to about 6 months.
• Proper breastfeeding. The baby must include both the nipple and areola. His mouth should be wide open with his lower lip turned outward
• You can use post-feeding pumping to increase milk production. And at the same time, freeze milk to create a reserve in case the mother leaves or a case of illness in which it is necessary to interrupt breastfeeding.
• Rational nutrition for breastfeeding women. The menu should contain cereals, vegetables, fish, meat, eggs, fruits, dairy products are better than sour-milk, a small amount of nuts is acceptable. The use of strict hypoallergenic diets in a woman without an allergic history is unacceptable. Spicy dishes, spices, fried foods are excluded, this can affect the taste and smell of milk.
• Drinking enough liquid - water, green tea, compotes, fruit drinks. Drinks should preferably be warm or hot. It is recommended to take liquid 20-40 minutes before feeding.
• Eliminate alcohol, nicotine, including passive smoking.
• Compliance with the rest regimen , psycho-emotional peace, positive attitude. This is largely determined by the attitude of close people who can help a nursing mother in household chores, caring for other children, etc.
• Warm shower, light breast massage just before feeding.
• If you still need supplementary feeding, then it is better to give it with a pipette, spoon, syringe without a needle.
• Pharmacy products: Laktogon, Femilak. From herbs, galega, cumin, anise are considered safe. However, relying only on these funds is not worth it if the above points are not observed. They can be used as ancillary, as an addition to the diet of a nursing mother, which may be insufficient for certain reasons.

The material was provided by a pediatrician with more than 20 years of experience Galina Vladimirovna Loseva.

All recommendations should be applied after full-time consultation with a specialist doctor.

How Much Should a Newborn Baby Eat

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Like every new mom, you're probably wondering, "How often should a newborn eat?" and “How many milliliters does a newborn baby drink at a time?”. A mother's body is designed to provide her baby with all the nutrients she needs, but every mom needs practical advice and confidence when it comes to how much milk a newborn should drink.

Whether you are breastfeeding, bottle feeding or a combination of the two, here you will find all the information you need to know about how much food your baby needs to grow and develop properly.

Every mother has a wonderful maternal instinct, but we cannot guess the child's desires from the first time. Over time, you will learn your child's unique gestures and body movements, as well as signs that he is hungry. In the meantime, here are some of the most common signs that a child is hungry:

• turns head towards your breast or bottle;
• clenches;
• puts pens in mouth;
• pouts, smacks or licks lips.

If your child is showing any of these signs, they are probably trying to tell you it's time to eat. Ideally, your baby should be fed on demand when he is hungry. If you're breastfeeding, on-demand feeding is a good way to keep your milk supply going as your body will naturally respond to your baby's needs and continue to produce the required amount of milk. Bottle-feeding on demand can also be beneficial for your baby, as it allows him to self-regulate his feeding needs.

How much breast milk should a newborn drink?

So, how much should a newborn baby eat? A remarkable feature of each child is its uniqueness, so it would be wrong to feed the baby strictly according to the instructions. Don't panic if the recommendations below don't fit your own feeding schedule, but please contact your healthcare provider or pediatrician if you have any questions.

Although every baby is different, newborns typically eat every two to three hours, for a total of 8 to 12 meals a day.

How many milliliters does a newborn baby drink? At the very beginning, your body will only produce a small amount of yellowish and thick breast milk called colostrum. This milk is an ideal source of nutrients that your newborn needs, in addition, it has many immunological components. ¹

How much milk does a newborn baby drink? Infants drink 30-60 ml per feeding, while this volume increases to 60-90 ml by two weeks of age. So don't worry if you don't feel like your body is producing much milk in those first few days after your baby is born! Feeding times will also vary, ranging from 10 to 30 minutes at the very beginning and then gradually increasing as your baby grows.

How much breastmilk the baby takes if bottle feeding

If you choose to bottle feed your baby from time to time, do so at the same intervals and for the same period of time as if you were breastfeeding. Pumping is a great option for breastfeeding your baby. It will allow you to separate from the baby if necessary and at the same time retain all the benefits of breastfeeding.

It is also important to purchase a bottle that will help make bottle feeding more natural for both you and your baby. For example, take a look at this Philips Natural bottle. Its wide, physiologically shaped nipple promotes a natural latch that is identical to that of a mother's breast, making it easier to alternate between bottle and breastfeeding.

Philips Avent

Natural Baby Bottle

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