Got Milk? - KellyMom.com

Establishing and maintaining milk supply when baby is not breastfeeding

KellyMom — Sun, 28 Aug 2011 20:17:11 +0000

It is important to express your milk to establish and maintain milk supply if your baby is not nursing at all or not nursing well. By expressing, you will also have your milk available to feed baby - every bit of moms' milk that baby gets (even the tiniest amount) is like liquid gold.

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Extra (supernumerary or accessory) nipples or breast tissue

KellyMom — Tue, 13 May 2014 03:32:15 +0000

Extra nipples or breast tissue is fairly common (1-6% of women) and is a result of incomplete regression of the mammary ridge (milk line) during the development of the embryo before birth.

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Fenugreek Seed for Increasing Milk Supply

KellyMom — Tue, 02 Aug 2011 18:19:40 +0000

Fenugreek (Trigonella foenum-graecum L.) appears to be the herb that is most often used to increase milk supply. It is an excellent galactagogue, and has been used as such for centuries. In one study of ten women, "the use of fenugreek significantly increased volume of breastmilk"

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Forceful Let-down (Milk Ejection Reflex) & Oversupply

KellyMom — Sat, 20 Aug 2011 06:55:54 +0000

Is forceful let-down the problem?

Does your baby do any of these things?

Gag, choke, strangle, gulp, gasp, cough while nursing as though the milk is coming too fast

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Foremilk and hindmilk – what does this mean?

KellyMom — Mon, 29 Aug 2011 20:08:13 +0000

The breast only makes one type of milk (which has a relatively high fat content). Because of the mechanics of milk release, the amount of fat in the milk available to baby gradually changes as a feed progresses. As milk is produced in the breast, the fat globules in the milk tend to stick to each other and to the walls of the alveoli (where the milk is made). Between feedings, milk collects in the breasts and gradually moves out toward the nipple, leaving more and more of the fat "stuck" further back in the milk ducts. The more time between milk removal (feeding or expression), the lower the fat content of the milk available to baby at the beginning of the feeding.

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Frequently Asked Questions about Milk Production

KellyMom — Fri, 30 Dec 2016 21:20:17 +0000

How does milk production change over the course of lactation?

For the first few days, up to and including the point at which mom's milk "comes in," milk production does not depend upon milk being removed from the breast. After those first few days, it is necessary for milk to be regularly removed from the breast (via baby or pump) to continue milk production. The breasts will begin to shut down milk production within several days if milk is not regularly and effectively removed.

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Galactorrhea (unexpected milk production) and other nipple discharge

KellyMom — Thu, 28 Jul 2011 20:11:09 +0000

Per Breastfeeding and Human Lactation (Riordan, 2004, p. 80), "Small amounts of milk or serous fluid are commonly expressed for weeks, months, or years from women who have previously been pregnant or lactating." The amount is most often very small, however, and spontaneous flow (leaking) generally stops within 2-3 weeks. Mothers who have breastfed for a longer duration may be able to express milk for a longer time after weaning. Any stimulation, e.g. checking to see if milk is still there, frequent breast self-exams, friction from a bra , stimulation during intercourse, etc., can cause further production.

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Herbs to avoid while breastfeeding

KellyMom — Fri, 29 Jul 2011 18:00:32 +0000

Using large amounts of the following herbs and other natural remedies should be avoided while nursing because they have been known to decrease milk supply. The amounts of these herbs normally used in cooking are unlikely to be of concern; it's mainly the larger amounts that might be used therapeutically that could pose a problem. However, some moms have noticed a decrease in supply after eating things like dressing with lots of sage, sage tea (often recommended when moms are weaning), lots of strong peppermint candies or menthol cough drops, or other foods/teas with large amounts of the particular herb. These herbs are sometimes used by nursing mothers to treat oversupply, or when weaning.

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How does milk production work?

KellyMom — Wed, 31 Aug 2011 20:26:20 +0000

To understand how to effectively increase (or decrease) milk supply, we need to look at how milk production works...
For the most part, milk production is a "use it or lose it" process.
The more often and effectively your baby nurses, the more milk you will make.

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Human milk banking and other donor milk

KellyMom — Tue, 02 Aug 2011 19:37:19 +0000

Human milk banking and other donor milk

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