Strong emotions may also trigger a let down of milk. If you are feeling intensely stressed, angry, or sad, your body may take that as a sign that you need to nurse your baby or release milk to alleviate pressure. If your milk is not letting down, you can physically stimulate the nipple to allow let down.
Instead, consider applying warm compresses on your breasts prior to pumping to achieve the same effect. Gentle, manual stimulation – Massaging or squeezing your breasts gently can help to get your milk flowing. Additional nipple stimulation (other than from the pump) can help you achieve let-down.
Each time baby begins to nurse the nerves in your breast send signals that release the milk in your milk ducts. This let down reflex usually happens after your baby has been sucking the breast for about two minutes. Some women feel this let-down reflex as a tingling or a warmth.
Possible causes of slow let-down
Many things can be the cause of a slow or inhibited let-down: anxiety, pain, embarrassment, stress, cold, excessive caffeine use, smoking, use of alcohol, or the use of some medications. Mothers who have had breast surgery may have nerve damage that can interfere with let-down.
If you do not feel your milk letting down, it doesn't necessarily mean that something is wrong. You may never notice it, or you may feel it in the first few weeks then less over time. As long as you can see the signs your baby is getting enough breast milk and growing well, you don't have to worry.
It does not mean anything has changed with your milk supply and it is perfectly normal for the sensation to go. You do not have low milk supply because you don't pump very much milk.
Oxytocin. The oxytocin reflex is also sometimes called the “letdown reflex” or the “milk ejection reflex”. Oxytocin is produced more quickly than prolactin. It makes the milk that is already in the breast flow for the current feed, and helps the baby to get the milk easily.
Most moms notice they have a forceful letdown if their babies are fussy at the breast and are choking, gulping, pulling off the breast, tugging the breast, coughing or gasping. Babies may also experience painful and excessive gas, hiccupping or spitting up.
You're not getting let down. If your breasts feel like they're full but you're not able to get the milk flowing out when you pump, it could be that you're not achieving let down. The let down reflex releases your milk from the milk ducts. This only occurs when you're either breastfeeding or pumping.
The most effective positions are those where baby's head and throat are above the level of your nipple. Some nursing positions to try: Cradle hold, but with mom leaning back (a recliner or lots of pillows helps) Football hold, but with mom leaning back.
Breastfeeding: The Let-Down Reflex
This usually happens when your baby sucks on your breast. You may even have a let-down when your baby or someone else's baby cries, or for no reason at all. Some women don't feel the let-down. Others may feel a pins and needles or tingling sensation.
Signs of milk let down
A tingling sensation either before or during a feeding. A feeling of sudden fullness. Milk dripping from the breast you're not nursing or pumping from. Baby changes from a suck-suck pattern to a constant suck-swallow.
If you can elicit a second letdown, you can increase your output and supply. On most pumps, the initial letdown cycle lasts two minutes. Pump for 6-7 minutes after that and then push the button to go through the letdown cycle again and pump for another 6-7 minutes.
Will a Haakaa cause me to have an oversupply? No, not necessarily. There is no “suckling motion” with a Haakaa. The Haakaa doesn't stimulate your body to produce more through suckling stimulation as a breast pump, manual expression, or a baby would.
The release of oxytocin will make the small muscles that surround your milk-producing tissue to contract. This contracting of the tissue will squeeze milk into your ducts. Let down typically takes two minutes to occur. When your milk lets down, you may feel a small amount of pain or tingling in your upper breasts.
If milk is released very forcefully it is sometimes called a fast let-down or an overactive let-down. With a fast let-down, milk might be seen spurting from the breast like water from a firefighter's hose when baby comes off the breast mid flow.
Hindmilk is released with every milk ejection (let-down). By the time feeding finishes on the first breast, the first milk from the second breast will contain more fat compared to the start of the feed on the first breast.
Hand-express or pump until you feel your milk flowing. Then start nursing your baby. Hold your nipple between your forefinger and your middle finger. Or gently press your hand into the side of your breast during let-down to slow the rapid flow of milk.
In pregnancy, the breasts may start to produce milk weeks or months before you are due to have your baby. If your nipples are leaking, the substance is usually colostrum, which is the first milk your breasts make in preparation for feeding your baby. Leaking is normal and nothing to worry about.
Baby keeps pulling away while breastfeeding
Babies are still learning to regulate their suck-swallow pattern. Once the let-down starts, some breastfed babies struggle to keep up with the fast flow of milk. If they're overwhelmed, this can make them pull away.
Having a low milk supply is quite rare. In fact, a third of women produce more milk than necessary. But if you're wondering if your milk supply is low, here are some signs that your baby is getting enough milk: There is adequate weight gain.
Your breasts feel softer
This happens as your milk supply adjusts to your baby's needs. The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on your milk supply.
To put a number on it, it usually takes about 20 to 30 minutes after feeding to generate enough milk for your baby, and about 60 minutes to replenish fully. The more often your baby feeds, and the more they empty your breasts, the more milk your body will produce.