Breastfeeding offers a range of health benefits, not only for the baby but also for the mother. Breast milk provides the ideal mix of nutrients required for growth and development, along with protection against various diseases.
The American Academy of Pediatrics recommends that every mother exclusively breastfeed her baby until the baby is 6 months old, continuing breastfeeding until the child is between 12-24 months or longer.
However, some mothers stop or struggle with exclusive breastfeeding due to insufficient breast milk supply. If you're facing this issue, you're not alone—many mothers experience difficulties with their milk supply. The good news is that identifying the factors contributing to reduced milk supply can help you address and overcome this problem.
Decreased Breast Milk Supply
There are several factors that can significantly affect breast milk supply:
- Emotional Factors
Stress is considered one of the most significant contributors to a reduced milk supply, especially during the first few weeks after childbirth. Changes in sleep patterns, lack of rest, and hormonal fluctuations can make mothers more prone to stress, which can decrease milk production. It's essential to create a calm and comfortable environment when breastfeeding to make the experience more enjoyable and stress-free.
Don’t hesitate to ask for help with household tasks like cooking, laundry, or cleaning so that you can focus on breastfeeding.
- Certain Medical Conditions and Medications
Some medical conditions, such as high blood pressure, diabetes, and polycystic ovary syndrome (PCOS), can affect milk production. Additionally, medications containing pseudoephedrine (such as those for sinus issues and allergies) and certain hormonal contraceptives can also decrease milk supply.
If you have any of these conditions, it’s a good idea to discuss them with your doctor or a lactation consultant to find the best solutions for improving milk production.
- Eating or Drinking Too Little
After giving birth, it’s normal for your body to take time to return to its pre-pregnancy state. Worrying about your appearance can interfere with milk production, so try not to stress.
To maintain adequate milk production, ensure you're consuming enough calories. If you're concerned about gaining excess weight, talk to your doctor to create a meal plan that supports breast milk production without causing unnecessary weight gain.
It’s also crucial to stay hydrated. Make sure to drink at least 2 liters of water daily. Carrying a water bottle with you can help remind you to stay hydrated. Adding soups to your meals can also contribute to your daily fluid intake.
- Sickness
Although illnesses like the flu or a cold generally do not affect milk production, accompanying symptoms like fatigue, diarrhea, nausea, vomiting, and loss of appetite can significantly impact your milk supply. If you're unwell and still breastfeeding, you can help boost milk production by pumping regularly to keep your baby nourished and reduce the risk of infection.
Increasing Your Breast Milk Supply
If you’re worried about low milk supply, keep in mind that this is actually rare. Most mothers simply need to follow the right steps to increase their milk production. Here are some tips:
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Breastfeed your baby directly without delay.
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Nurse your baby every 2-3 hours.
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Check your baby’s latch to ensure they’re properly attached to the breast for optimal milk intake.
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Offer the breast until it’s empty during each feeding and alternate between breasts.
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Never skip feedings. If necessary, increase your pumping sessions to boost milk production.
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Avoid using a pacifier, especially for newborns, so they can stick to a feeding schedule based on their needs.
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Refrain from drinking alcohol and smoking while breastfeeding, as these can reduce milk supply.
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Only use breast milk supplements that have been recommended by your doctor and avoid using supplements without medical advice, as they can negatively affect your health.
If your baby has difficulty latching or your milk supply isn’t improving despite these efforts, consult with your doctor or a lactation consultant to get personalized advice and ensure you’re using the correct breastfeeding techniques.
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- dr Anita Larasati Priyono
Adrienne Santos-Longhurst (2018). 5 Ways to Increase Breast Milk Production. Available from: https://www.healthline.com/health/parenting/how-to-increase-breast-milk?utm_source=ReadNext
Elizabeth LaFleur, R.N. (2020). What causes a low milk supply during breast-feeding?. Available from: https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/expert-answers/low-milk-supply/faq-20058148
Donna Murray, RN, BSN (2022). Causes of a Low Breast Milk Supply and What You Can Do About It. Available from: https://www.verywellfamily.com/common-causes-of-low-breast-milk-supply-431846
CDC (2021). Breastfeeding Benefits Both Baby and Mom. Available from: https://www.cdc.gov/nccdphp/dnpao/features/breastfeeding-benefits/index.html
Shivani Patel, M.D. (2022). 4 factors that can decrease breast milk supply – and how to replenish it. Available from: https://utswmed.org/medblog/decrease-breast-milk-supply/