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Top 10 Reasons for Low Milk Supply When Breastfeeding
Our resident lactation expert, Teresa Pitman, discusses the top 10 reasons for low milk production and offers tips to find a solution
Teresa Pitman
Monday, October 05, 2009

When baby’s fussy or wants to nurse just an hour after eating, it’s natural to worry that you’re not producting enough milk. However, these are normal behaviours and more often than not baby’s weight gain reassures everyone that things are going well. However, for some mothers the results of baby’s weight checks aren’t as encouraging and the amount of milk they are producing isn’t always enough to meet baby’s needs. Diana West, IBCLC (International Board-Certified Lactation Consultant) and co-author of Making More Milk says that changes in breastfeeding techniques or assistance from a breastfeeding expert can help boost milk production significantly.

Here are some of the most common causes of low milk production and some strategies that may help.

1. Insufficient glandular tissue

Some women’s breasts don’t develop normally (for various reasons) and may not have enough “milk-making” ducts to meet their baby’s needs. Ducts do grow during each pregnancy and breastfeeding stimulates the growth of more ducts and tissue, so this may be less of a problem with a second or third baby. There are certainly steps you can take to maximize your milk production (these might include pumping and taking a prescription medication--talk to your doctor and a breastfeeding expert) but you may also need to supplement with formula. It’s worth the effort to continuing breastfeeding, though, as even a small amount of your milk will help support your baby’s immune system, brain development and nutritional needs.

2. Hormonal or endocrine problems

Perhaps you have polycystic ovary syndrome (PCOS), a low or high thyroid, diabetes, hypertension (high blood pressure) or hormonal problems that made it difficult for you to conceive. Any of these issues may also contribute to low milk production because making milk relies on the hormonal signals being sent to the breasts. What can you do? In some cases, treatment of your health problem will help you to boost milk production, although supplementation may be needed. A visit to a breastfeeding clinic or lactation consultant can help you find an approach that will work with your specific condition.

Originally published in Today's Parent, November 2009

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