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During pregnancy, our bodies develop babies by giving them exactly what they need to thrive. After birth, our bodies continue to develop our babies by producing breast milk for nutrition, immunity, food security and care.
How Increase Breast Milk Supply
Milk production is determined by supply and demand. The more milk your baby drinks, the more milk our body produces.
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A baby who is latched on properly and fed regularly on demand will produce a lot of milk even in stressful situations such as emergencies. Frequent skin-to-skin contact reduces stress and increases the amount of breast milk.
Did you know that low milk supply is rare, but one of the most common reasons mothers use formula? If you have stopped breastfeeding and want to resume breastfeeding, or are formula feeding and want to increase your milk supply, consult a lactation consultant for help.
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Supported by: International Infant Feeding Action Network (IBFAN), Safely Fed Canada, Breastfeeding Advocacy Australia, La Leche League International ().
Need More Milk? How And When To Boost Breast Milk Supply
By Magdalena Woolery (PhD Health Studies, BA Nursing, Dip HE Nursing). Illustration by Angela Eastgate. June 2020. Developed from evidence-based sources: WHO/UNICEF BFHI Implementation Guide (2018); World Health Organization (2003) Global Strategy on Infant and Young Child Feeding; World Health Organization (1997) Infant feeding in emergencies: a guide for mothers. How often and how long should a mother pump to have enough milk? When is the best time to pump, when is the baby too? Are there any tricks to getting more milk in less time? Which breast pump is better to use? This article provides tips on how to increase your milk supply while pumping and is a companion article to Do I need a breast pump?, Exclusive pump and How to get more breast milk.
Breast milk is created by supply and demand. The sooner the baby will suck at the breast, express manually or with the help of a breast pump, the faster breast milk will be produced to meet this need. Accordingly, a larger total number of pumps per day will be more profitable to supply than a smaller number of pumps spaced apart. Frequency depends on why you are expressing breast milk and how much breast milk is needed – unnecessary over-expressing can contribute to engorgement (mastitis) and/or excess milk.
If the baby is not nursing, the mother can pump when convenient, trying to do as many pumping sessions as possible to mimic the normal feeding pattern of a newborn (eight to ten feedings per day). However, if your baby is also breastfeeding, it can be difficult to determine when is the best time to pump, or even find a time to pump. Strategies include:
When pumping, the goal is to pump long enough to effectively remove milk from all parts of the breast and stimulate the mammary glands to increase production. A nursing breast is never empty, so in practice this means removing or “expressing” most of the available milk. The ideal pumping time to achieve this will vary from woman to woman depending on:
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A study of mothers of preterm infants found that double pumping with massage (hand pumping; see below) lasted an average of 25 minutes, with intervals ranging from 15 minutes for some mothers to 45 minutes for others.3 Lactation consultant Nancy Morbacher recommends starting pumping. for 20 minutes and beyond to adjust the pumping time according to the flow of breast milk: simply pump for a longer or shorter period to get all the milk out (Mohrbacher. 2020. p. 490).
The more often you pump your breasts, the more milk will be released. If you haven’t pumped eight or more times in 24 hours, try increasing the number of puffs. If you are close to your baby, try to pump as often as your baby normally breastfeeds.
Massage or manual pumping is said to significantly increase the amount of milk pumped. Manual pumping involves light massage and squeezing of the breast with hands before and during pumping. One study found that the amount of breast milk per day increased by almost 50% per day when it was expressed by hand5, and the caloric value of the expressed milk also increased6. Jane Morton, MD, of the Stanford School of Medicine, has developed a helpful video called “How to Express Breast Milk” (see 5:15), and “Exclusive Breast Pumping” also explains the technique.
Carefully. If breast massage is used, it is important to use gentle strokes equivalent to stroking, or to apply an ointment to the body. Deep massage may cause bruising or mastitis and is not recommended.78
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By gently massaging and squeezing your breasts before and during pumping, you can increase both the amount of milk and the calorie content of the pumped milk.
A combination of hand pumping and pumping can help produce more milk, especially in the first few days after birth, before milk production increases, as can using the direct pumping method.
Double pumping (expressing both breasts at the same time) saves time and can help produce more milk1011, although it is not necessary for good results12. Some single breast pumps can later be converted into double breast pumps. To pump up and pump up at the same time, you can purchase a double pump bra for free. If pumping once, switch left and right breasts every 5 minutes and repeat.
Try to pump at night, especially if you’re still awake, as prolactin (an important hormone for milk production) is higher at night. If you usually breastfeed at night, this will also help stimulate milk production.
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Expressing the breast is a short-term technique popularized by lactation consultant Cathy Watson Jenna and described in a book.
(2020). Although there may be many variations, this method is designed to simulate co-feeding to stimulate milk production. The method described in the book involves placing the breast pump in a convenient, comfortable place, and every time the mother moves around the house, she pumps for five to ten minutes, as often as possible. The goal is to suck the car. at least ten times a day for two to three days, then return to your regular pumping schedule. Methods show that parents of healthy full-term infants can leave the pump unit and cool the milk or rinse device at least every four hours, depending on room temperature (Marasco and Tay.2020). However, the official instructions recommend rinsing after each use. for more information.
Spending time with your baby can increase levels of oxytocin, one of the hormones involved in milk production, and studies show that mothers are able to express more milk after skin-to-skin contact.1516 Some mothers find that holding their baby while pumping can help increase milk production. their pumping power. If your baby isn’t around, pictures of your baby or an item of clothing that smells like your baby can help keep the oxytocin flowing.
One study of mothers who expressed milk for premature babies found that warming one breast with a warm washcloth 20 minutes before expressing produced significantly more milk than an unwarmed breast.
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Lubricants inside the pump flange and/or on the breast can make pumping more comfortable by reducing friction. Mothers used oils (such as coconut or olive), breast milk, or lanolin as lubricants. Marasco and West state that with the correct size pump flange, lubrication is not necessary (Marasco and West. 2020 p. 196) – it is important to make sure the nipple is in the center of the flange and that you are using the pump correctly. (see below), but some fat may be beneficial for some mothers.
Studies have shown that mothers who listened to recordings, turned on relaxing music and looked at pictures of their baby while expressing were able to express more milk.19202122
Expressing with these pre-pumping routines can help some mothers relax and let the milk come out. This can be important for mothers who have difficulty expressing milk with a pump. Nancy Mohrbacher recommends wrapping your arms around your shoulders for warmth, giving yourself a gentle massage, and spending five minutes doing relaxation techniques before pumping. (Mohrbacher, 2020, p. 480) For additional tips on regulating the ducking reflex, see in the section Expressing only breast milk.
Some mothers find that looking at milk collection bottles to see how much milk they are getting at each session can be quite stressful. Covering the breast pump with a sock or glove can reduce the amount of milk you collect, and if it helps you feel more relaxed while pumping, you’ll be able to pump more milk as a result.
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For some mothers, recording pumping times can be helpful as they see their milk supply increase over time and realize that their efforts are being rewarded.
Different types of breast pumps will suit different mothers, and one type of breast pump is not necessarily better than another in terms of performance.
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