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When Breast Milk Is Not Coming Out?

Published in Breastfeeding Issues 3 mins read

Breast milk may not come out immediately or as expected for several reasons. Here are some factors that can contribute to a delay in breast milk production or its release:

Reasons for Delayed Breast Milk Production

According to the provided reference, here are some key factors that can lead to a delay in breast milk production:

  • Premature Birth:

    • If your baby was born prematurely, especially if they needed to be separated from you right after birth, your milk supply may take longer to establish. This separation can disrupt the early and frequent skin-to-skin contact and suckling that helps stimulate milk production.
    • Practical Insight: Hospitals often have protocols to support mothers of premature infants with pumping to initiate milk production until the baby can directly breastfeed.
  • Medical Conditions:

    • Certain maternal medical conditions like diabetes or polycystic ovary syndrome (PCOS) can affect milk production. These conditions may disrupt hormone levels necessary for lactation.
    • Practical Insight: It's important to discuss these conditions with your healthcare provider or a lactation consultant, as they may provide tailored advice and strategies for breastfeeding.

Other Possible Factors

While the reference points to premature birth and certain medical conditions, there could be other reasons why milk isn't coming out as expected. These include:

  • Delayed Initial Breastfeeding:
    • If breastfeeding or pumping is not initiated within the first few hours after birth, it might delay milk coming in. Early and frequent stimulation of the breasts is vital.
  • Ineffective Latch:
    • If your baby isn't latching on properly, they may not effectively remove milk, which signals your body to produce more. A poor latch can also lead to discomfort for the mother.
    • Solution: Seeking help from a lactation consultant can help with proper latch technique.
  • Stress and Fatigue:
    • Stress and lack of sleep can impact your hormones and affect milk production. Managing these factors can improve breastfeeding.
  • Certain Medications:
    • Some medications can affect milk supply, so it's crucial to discuss any medications with your doctor and if they are safe during breastfeeding.
  • Previous Breast Surgeries:
    • Past breast surgeries can impact milk ducts and nerves which may lead to issues with milk production.

Seeking Help

If you are experiencing a delay in breast milk coming in, it's crucial to seek help from a healthcare professional, such as:

  • Your doctor or midwife
  • A lactation consultant who specializes in breastfeeding support.

They can help determine the cause of the issue and provide tailored advice.

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