Whether you're a new mom or a seasoned parenting pro, breastfeeding
often comes with its fair share of questions. Here are answers to some common queries
that mothers — new and veteran — may have.
How can I increase my milk supply?
Your milk supply is determined by the stimulation that your baby provides while
nursing. In other words, the more you breastfeed, the more milk your body produces.
So, if you seem to be producing less milk than usual, try to feed your baby more often.
You also can pump after nursing to help stimulate more milk production.
Stress, illness, and some medicines can temporarily decrease your supply. Drinking
plenty of water and eating good, nutritious food can help. But also try to take
some time for yourself each day, even if it's only for 15-30 minutes.
If your baby is younger than 6 months old and you're away from your little one for
long stretches during the day (for instance, at work), pump or hand express every
3 hours to maintain your supply. Your freshly pumped breast milk can stay at room
temperature for 6-8 hours, or in the refrigerator for up to 5 days. When keeping it
in the refrigerator, never store it on the shelves in the door.
If the milk is not going to be used within 5 days, store it in the freezer. Pumped
breast milk can be safely stored in the freezer compartment of a refrigerator that
has a separate suction-sealed door for 3-6 months or in a deep freezer for 6-12 months.
If your milk supply still seems low and you're concerned, you may want to talk
to your doctor, your pediatrician, or a lactation consultant.
If I wait to nurse, will my milk supply increase?
Actually, no — it's the opposite. Waiting too long to nurse or pump can slowly
reduce your milk supply. The more you delay nursing or pumping, the less
milk your body will produce because the overfilled breast sends the signal that you
must need less milk.
Once babies are back to their birth weight, they can sleep for longer stretches
at night and will gradually lengthen the time between nighttime feedings. Letting
your baby sleep for longer periods during the night won't hurt your breastfeeding
efforts. Your baby is able to take more during feedings, and that, in turn, will have
him or her sleeping longer between nighttime feedings. Your body will adjust to the
Some moms wake during the night with full breasts and a sleeping baby. If that
happens, pump for comfort and to help your body adjust to your little one's new schedule
The interval for daytime feedings usually stays between 1-3 hours for the first
few months and then may lengthen to 4 hours or so. Cutting back on feedings during
the day can lead to a decreased milk supply over time.
If you follow your baby's cues and spread out the feedings as he or she wishes,
your milk supply should remain at what your baby needs.
I'm producing too much milk. What can I do?
Whereas some women may feel like they don't have enough milk, others may feel like
they're making too much. Some mothers' bodies just produce more milk than their babies
need. Others overstimulate their breasts by pumping or expressing milk between feedings.
If expressing or pumping to relieve discomfort, remove just enough to feel comfortable
but don't empty the breast.
Alternate the breast that you start each feeding with. Let the baby stay at the
first breast until either the breast is very soft or the baby is full. If the baby
is not satisfied with the first breast, then offer the second breast.
A mom may try nursing on only one breast during a feeding to help to lessen her
milk supply. Over time, she should notice her milk supply and "let-down reflex" (the
milk ejection reflex) become easier to handle.
Sometimes a woman's let-down is really strong and causes the baby to gag and pull
off of the breast. If your baby is staying on the breast and handling the flow of
milk, you don't need to do anything. If the baby is pulling off and coughing, sit
your baby up in a seated burp position. Pat your baby's back to help him or her
regain composure. You can use a burp cloth pressed into the breast to help slow the
flow, then latch your baby back onto your breast when ready to resume feeding.
Nursing your baby in a more upright position (head above the breast) also may decrease
the force of the let-down. A side lying position also might help slow the flow
My baby favors just one breast. Is this OK?
Some babies might prefer one breast over the other. If this happens, to keep
up your milk supply in both breasts (and prevent painful engorgement), alternate breasts
and keep your baby on the first breast until it's soft, then move your baby to the
second breast. This ensures that your little one gets the hindmilk,
which is creamier and contains more calories than the foremilk, which
comes at the beginning of a feeding.
Some babies will always take the second breast and some will be satisfied with
just the first breast. At the end of the feeding, if both breasts are comfortable,
you don't need to pump. But if either breast is still full and uncomfortable, pump
or hand express to comfort.
Of course, if your baby won't latch onto one of your breasts, pump or hand express
that breast to maintain its milk supply until your little one is latching onto
both breasts easily.