Reduced Milk Supply - Causes, Signs, And Cure

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Sometimes, mothers experience a low milk supply that is insufficient to meet their infant's needs. Learn more about the signs of reduced milk supply.

Medically reviewed byDr. Richa Agarwal

Published At October 27, 2022
Reviewed AtJune 21, 2024

Introduction

A mother produces enough milk to provide adequate nutrition to the newborn. Still, almost all mothers worry about breastfeeding throughout their pregnancy, especially in the early days after delivery. It is also commonly seen that many women stop breastfeeding very early because they suspect that the milk secretion is less. However, it is essential to know that a low milk supply is a temporary problem, and there are many available solutions to increase the milk supply.

What Are the Signs of Reduced Milk Formation?

It is sometimes seen that everything is going smoothly between a mother and the baby, and some signs like soft breasts and poor feeding can be mistaken for low milk supply. Mothers should not worry about getting these signs, as they could be the early signs that indicate the adjustment of the mother and the baby to breastfeeding. However, if one feels that the baby is not getting enough milk and often feels hungry, one may note the signs and discuss how to rule out poor milk supply with a doctor.

The commonly known signs that indicate low milk production include,

  • Baby Is Producing Less Wet or Dirty Diapers: The number of diapers the baby uses depends on the amount of milk they are taking, especially during the initial days of their life. It is seen that breastfed infants poop more frequently than those babies who are taking formula milk. One may notice a color change in the poop of the newborn, which is initially black and then changes from greenish-yellow color to orange-yellow in the first week.

  • If Baby Shows Signs of Dehydration: The signs of dehydration include low urine production for several hours. The baby lacks tears while crying, has a prolonged sleep period, and lacks energy while awake. One should visit the doctor and discuss these signs if one notices these changes.

  • Baby Is Not Showing Weight Gain: Babies usually lose some weight after birth, but they should start regaining it by the second week. Also, some babies might show steady weight gain soon after birth. These are alarming signs, and one needs to visit the doctor immediately.

Apart from all this, it should be noted that certain signs are normal and should not be mistakenly considered abnormal.

These include babies;

  • Desire to breastfeed more often.

  • Wake up for milk.

  • Fed for a shorter time.

  • Not pooping regularly.

Many women in all populations experience all these signs. It signals the physiological changes in the body while adapting to breastfeeding.

What Are the Signs That Indicate That Baby Is Getting Enough Milk?

It is worrisome for all mothers to meet their infants' nutritional needs and calculate whether their infants are getting enough milk to support their growth and development. All mothers suffer the same concern, especially during the initial days after delivery. A mother should know that many changes are evident as the child grows. These changes are different for every child.

Some common behavioral changes that are noted in newborns so far are,

  • Wake up for food themselves.

  • Uses approximately six to eight diapers in a day.

  • Seems happy and active between the feeds.

  • Passing a soft yellow stool at least once a day.

  • Showing a gradual increase in weight.

What Could Be the Reason for the Poor Milk Supply?

Sometimes, mothers experience a decrease in milk production and are unable to feed the baby correctly. Under such circumstances, it is crucial to know the reason for the problem to correct it.

Some commonly known reasons:-

  • Unable to achieve a good latch (baby lips attachment to nipple). It affects the sucking ability of the baby and compromises the milk supply.

  • The baby is breastfeeding infrequently.

  • Feeding the baby more with formula milk.

  • Not eating well and lacking essential nutrients in daily diet.

  • When mothers introduce solids to their babies' diets, breast milk intake decreases, ultimately decreasing the milk supply.

  • Smoking habit.

  • Lactation mastitis.

  • Taking hormonal medicine and oral contraceptives containing estrogen.

  • A previous history of breast surgery can affect milk production.

  • Premature birth.

  • Pregnancy-induced blood pressure decreases the milk supply.

  • Intake of alcohol and nicotine can affect the breast milk supply.

  • Certain medications, including some over-the-counter drugs, can lower milk supply. It is best to take any medicine when prescribed by a doctor.

How to Increase the Milk Supply to Meet the Baby Needs?

Breast milk is a biological fluid secreted by the mammary gland. The amount of milk formation is dependent upon its need. There are numerous ways to increase the milk supply naturally.

Some of them are,

  • Practicing a good latch.

  • Massaging the breast before, after, and sometimes in between the feeds.

  • Attempting breastfeeding frequently.

  • Maintaining a skin-to-skin touch with the baby.

  • Extract extra milk from the breast after completing breastfeeding.

  • Apply warm compression to the breast before breastfeeding.

  • Using both breasts while feeding.

  • Eating nutritional food.

According to the Centers for Disease Control and Prevention (CDC), a well-nourished mother needs an additional 330 to 400 calories per day, and the overall calorie intake should be 2,000 calories to 2,800 calories per day.

How to Handle a Low Milk Supply?

If mothers think their infant is not receiving enough milk, they should see a breastfeeding professional or lactation consultant. In addition to evaluating the milk supply, they will watch them breastfeed to ensure their child is latching on properly and getting enough milk. They can advise modifying the feeding posture or the baby's latch for optimum feeding efficiency.

Suppose the child fails to receive enough milk from the breast, possibly due to being premature or having particular needs. In that case, women might need to express their desire to preserve their breast milk supply, and the doctor might recommend galactagogues (drugs that boost milk production).

How to Use a Breast Pump to Improve Milk Production?

If one need to stimulate milk production during the first five days after giving birth, use a double electric breast pump. This kind of pump has been shown to boost longer-term milk production since it is made to resemble how a baby stimulates the breasts during feeding.

Double pumping allows women to express more milk faster after their milk has started to come in. Additionally, this technique promotes milk production by better draining the breasts.

Keep going if one initially gets small amounts; with consistent pumping, this will rise. Aim to remove milk (by nursing or pumping) eight to 12 times daily, including one session at nighttime when the prolactin levels are highest. It is best to remove milk as often as possible. If one pumps regularly for two or three days, the supply should significantly increase.

What Is the Best Food to Increase the Breast Milk Supply?

Some studies suggest that the intake of a particular food can help mothers increase milk production.

These include,

  • Fenugreek seeds.

  • Spinach.

  • Fennel.

  • Oats.

  • Brewer's yeast.

Conclusion:

The body shows various physiological changes during breastfeeding, which can be misinterpreted as a low milk supply. If one is experiencing reduced milk formation that is not sufficient for the body, it is essential to discuss the signs with the doctor before coming to any conclusion. Mothers must know that the low milk supply problem is temporary and can be corrected with superficial modifications.

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Frequently Asked Questions

Following a healthy diet helps in increasing milk production. It should be kept in mind to feed from both breasts each time the baby is hungry. Make sure the baby is latched well. Emptying the breasts at each feeding increases milk production. Avoid using pacifiers and bottled milk in the early weeks. Make sure to get plenty of sleep. Pump out the extra milk. Massaging the breasts can stimulate milk production.
One of the leading causes of reduced milk supply is stress. Feelings of anxiousness or frustration can contribute to the cause. Other factors like improper diet, reduced water intake, and falling sick are other causes of reduced milk supply. Another major reason is substituting breastfeeding with other milk supplements or milk formulas.
Yes. Low milk supply can be reversed. Make sure to pump the milk out every two hours, even if the baby is not hungry for a few days. This will make up for the body's supply and the “demand” process and produce more milk. Pumping out milk consistently stimulates the glands in the breast to produce more milk.
Foods rich in calcium, iron, and fiber are essential to increase breast milk production. Here are some foods that help boost breast milk production.
- Oatmeal and porridge
- Fenugreek seeds.
- Garlic.
- Barley.
- Sesame seeds.
- Brewers yeast.
- Papaya.
- Chickpeas.
- Nuts like flaxseeds and almonds.
Here are some factors that affect milk production:
- Genetic background. 
- Climate and certain medical conditions. 
- Feeding year and season of calving. 
- Lactation length and dry period. 
- Breed, age, stage of lactation, parity, and milking frequency. 
- Diet and water intake.
Here are three signs to know if the milk is drying:
- Baby produces less than 6 diapers daily, indicating they are not getting enough food.
- Lack of weight gain. 
- Signs of dehydration, for example, baby not urinating often, absence of tears while crying, and low energy levels.
 
- Here are some ways one can boost breastmilk production:
- Follow a diet rich in calcium, iron, and fiber.
- Make sure the baby is latched properly.
- Offer both breasts while breastfeeding. 
- Empty the breasts each time after feeding.
- Pump out extra milk even if the baby is not hungry.
- Avoid using pacifiers and other milk formulas.
- Massage the breasts every day to boost milk production.
- Apply slightly warm packs on the breasts. 
- Get sufficient sleep and drink plenty of fluids.
Yes. Drinking water increases breast milk production. Sufficient hydration is important for breast milk production. Studies show the amount of liquid intake affects breast milk production. Overconsuming water can also be harmful. One must drink an average of eight to ten cups of water (daily) to prevent milk drying and increase milk production.
Stress and anxiety are the leading causes of mothers' inability to produce enough milk. Lack of sleep, improper diet, and reduced liquid intake are other causes of reduced milk supply. Underlying medical conditions, polycystic ovarian syndrome, thyroid problems, diabetes, hypertension, and hormonal problems contribute to the fall in milk production.
 
- Mothers should avoid:
- Eating unhealthy and heavily processed foods. 
- Alcohol consumption. 
- Drinking coffee containing caffeine.
- Eating spicy foods.
- Herbal supplements.
- Seafood (fish).
After 3 to 4 days of making colostrum, the breast becomes firmer. This indicates that the milk supply is increasing and changing from colostrum to mature milk. The milk becomes whiter and creamier, but this varies between women. Sometimes it may take longer for the milk supply to increase.
Yes. Pumping every two hours increases the milk supply. Pumping often can help stimulate breasts to produce more breast milk. Mothers can try pumping both breasts for fifteen minutes to every two hours in the initial weeks. After which mothers can return to their regular pumping routine.
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