Breastfeeding Low Milk Supply 250219

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LOW MILK SUPPLY

Your milk supply is considered low when there is not enough breast milk being produced to meet
your baby’s needs.

Many mothers worry about their milk supply, especially Signs your baby is having
in the early stages of breastfeeding. In fact, women who
have stopped breastfeeding will most commonly say it
enough milk
was because they “didn’t have enough milk”. But nearly all After the first week following birth, your baby should:
mothers do produce enough milk for their babies.
»» wake for feeds by themselves
If your breast milk supply is genuinely low it is usually
»» settle between most feeds
a temporary situation and can be improved with the
right support. If you are concerned about your supply »» have at least 6–8 soaked nappies (4–5 heavy
it is important to seek advice from your maternal and disposable nappies) in 24 hours
child health nurse, a lactation consultant, the Australian »» pass a soft yellow stool at least once a day.
Breastfeeding Association, your local doctor or other health
care professional. Your baby should be back to birth weight by approximately
two weeks of age and gaining an average of 150 grams or
There are some common reasons why women may think more per week for the first three months of life.
their milk supply is low.

“My baby feeds too often” Possible causes of low supply


Babies naturally feed frequently (normally 8–12 times »» Your baby is not attaching well at the breast.
in 24 hours), and in the early days babies can be very This may also cause nipple pain and damage.
unsettled, but this does not mean that there is not enough
»» Your baby does not feed often enough.
milk. In fact, frequent feeding is necessary to establish
Nearly all babies need to feed at least 8–10 times
a good breast milk supply.
in 24 hours.
There is good information about breastfeeding early days
»» Your baby does not feed effectively at the breast.
in the fact sheet: Breastfeeding: Getting Started
»» You have started using formula milk as well
“My breasts feel soft”
as breastfeeding.
When your milk supply adjusts to your baby’s needs your
breasts may not feel as full (this may occur anywhere »» You have had breast surgery that is effecting your
between 3–12 weeks). As long as your baby continues to milk supply, in particular breast reduction.
feed well, your breasts will produce enough milk for your »» You have recently had mastitis.
baby.
»» You are taking oral contraceptive pills
“My baby has suddenly started to feed more frequently” containing oestrogen.
Your baby may wish to feed more during a ‘growth spurt’, »» You smoke cigarettes.
but this increased feeding over a couple of days will help
»» Some medications, including over-the-counter and
you to increase your supply.
herbal preparations, such as cold/flu tablets, may
“My baby only feeds for a short time” reduce your milk supply.
This is no cause for concern as long as your baby »» Rarely, there may be reduced or no milk production
continues to grow. After two or three months babies will because of a medical condition. This occurs in less
often take less time at the breast when feeding but still than five per cent of mothers.
be getting all they need.

LOW MILK SUPPLY D15-013 FEBRUARY 2019 PAGE 1 OF 2


www.thewomens.org.au

How to increase your milk supply Where to get more information


The key to increasing your milk supply is frequent
stimulation and emptying of the breasts. This may take Victorian Maternal & Child Health Line (24 hours)
some time and it is important that you seek advice T: 13 22 29
and support from a lactation consultant, your maternal
and child health nurse or other health care professional
skilled in breastfeeding management. Australian Breastfeeding Association
» Hold your baby “skin-to-skin” at the breast (baby is Tel: 1800 686 268 – Breastfeeding Helpline
dressed in a nappy only, so that there is direct skin W: www.breastfeeding.asn.au
contact between you and your baby). This will help
to keep your baby awake and also to increase the
release of hormones involved in breast milk production.
» Breastfeed frequently, 2–3 hourly – a total of at least Breastfeeding information at the Women’s
8-12 feeds in 24 hours. Your baby may need to be woken
www.thewomens.org.au/health-information/breastfeeding/
for some feeds, or may wake to feed even more often.
» Make sure that the attachment to your breast is good
Related fact sheets
and that your baby is both sucking and swallowing
(you may need to seek help with this). »» Breastfeeding; Getting started

» Offer each breast twice for some feeds, called switch »» Expressing breast milk
feeding. When you notice your baby is becoming tired or »» Domperidone for increasing milk supply
not swallowing very frequently anymore, take your baby off
that breast and “switch” to the next side. Repeat on both
breasts twice (that is, have four 'breasts' at this feed. This
helps your baby drain your breast more efficiently.
» Express after some/mosts breastfeeds to provide further
stimulation to your breasts and to ensure that your
breasts are well drained. This will help increase your milk
supply.
» If your baby is sleepy at the breast and not feeding well
you may need to cut short the feed and use the time to
express each breast twice, for example, express for five
minutes left side, five minutes right side and then repeat.
The expressed breast milk should then be fed to your
baby.
» When you are breastfeeding or expressing,
compress or massage your breasts to assist with
milk flow and drainage.
» If you need to give your baby extra milk, give expressed
breast milk separately and always before any infant
formula. Seek advice from a lactation consultant or other
health professional before commencing infant formula.
» Sometimes prescription medicines are used to assist
with increasing milk supply; talk with your doctor about
these.
Talk to your health professional or breastfeeding counsellor
about strategies to manage feeding and expressing while
you are increasing your milk supply. Often it takes about
one hour to feed and express. Then you and your baby
can rest between feeds.

DISCLAIMER The Royal Women’s Hospital does not accept any liability to any person for the information or advice (or use of such information or advice) which is provided in this fact sheet
or incorporated into it by reference. We provide this information on the understanding that all persons accessing it take responsibility for assessing its relevance and accuracy. Women are
encouraged to discuss their health needs with a health practitioner. If you have concerns about your health, you should seek advice from your health care provider or if you require urgent
care you should go to the nearest hospital Emergency Department. © The Royal Women’s Hospital, 2015-2019
LOW MILK SUPPLY D15-013 FEBRUARY 2019 PAGE 2 OF 2

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