Milk let-down can be quite forceful, particularly at the beginning of a feed. This fast flow of milk can upset your baby, but it might not mean you have oversupply. It can be managed through expressing before a feed, reclining slightly and burping your baby after the first few minutes.
Express some of your breast milk before you begin to breastfeed. Put your baby to the breast after the first let-down passes and the milk flow slows down. Try the laid-back nursing position.
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. Check your flange size.
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.
It is helpful to drink an 8-ounce glass of water, juice, or milk at each meal and every time you breastfeed. Some mothers find that having something warm to drink helps them relax and triggers the letdown reflex.
When your baby sucks at the breast, tiny nerves are stimulated. This causes two hormones – prolactin and oxytocin – to be released into your bloodstream. Prolactin helps make the milk, while oxytocin causes the breast to push out the milk. Milk is then released or let down through the nipple.
Although inconvenient, leaking breasts are a sign you are lactating properly. Try to breastfeed or pump regularly and not skip feedings or pumping sessions. By frequently expressing milk, you may be able to limit how often or how much your breasts leak.
Some deep breast twinges during let-down can occur as the milk ducts constrict to force the milk toward the nipple. As your body becomes more used to breastfeeding, these disappear. There can be several other causes of painful let-downs that you may want to consider: Lots of milk.
Signs of forceful letdown
Feedings feel like a struggle. Your baby may cough, choke, splutter, or gulp quickly at the breast, especially with each letdown. Baby may clamp down at the nipple to try to stop or slow the rapid flow of milk. This may cause sore, creased, pinched nipples.
Signs of a fast or forceful let-down
Choking, gasping and coughing at the breast. Coming on and off the breast during breastfeeding. Pulling on the breast and nipples (babies can also do this when the flow of milk is too slow) Rapid swallowing of milk with stress cues e.g. fussing, frowning, crying, finger splaying.
Many moms describe the sensations of let-down (aka “milk ejection reflex”) as a tingling or pins-and-needles feeling. You might feel this sensation deep in your breast as milk ducts force milk towards the nipple.
Does a Forceful Letdown Cause Problems? Many moms with overactive letdown have gassy or even colicky babies, because baby is consuming too much foremilk and not enough hindmilk. Foremilk is the thin, watery, and lactose-rich component of breast milk that is great for hydration and quick energy.
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.
When you first start pumping, you might see milk start to dribble out. Then, after a few minutes, milk may start to spray - this is your milk letting down. After some time, the letdown will finish and you'll be back to a dribble.
Leaking is a clear sign of milk production and milk release—two down, one to go! You're making plenty of breast milk; it's exiting the breasts; now all you need to do is get the milk into your baby instead of onto your shirt.
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.
When your breasts are empty, they will probably feel lighter and no longer uncomfortably full, as they might have at the start of the pumping session. You can also pick them up to see if they still feel heavy or full of milk.
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.
Does the Haakaa Pump Increase Milk Supply? Yes, it can increase your milk supply. Breast milk supply is general based on demand. If you are drawing out more milk each feeding by using the haakaa breast pump, this will signal your body to produce more milk.
An overactive letdown—that gushing effect that occurs when the milk comes down very forcefully—can be a sign of too much milk. But it can also be a sign that you waited a bit too long between feeds, or that your baby's latch isn't great, potentially caused by a tongue-tie.
Gently massage the breasts to encourage the milk and cup your breast in one hand then the other to form a "C" shape with your forefinger and thumb. Squeeze gently with your finger and thumb a few centimetres from your nipple.
Refill Pain
Some moms describe a deep ache or dull throbbing pain after they complete a feeding. This feeling can start 10-20 minutes after the feeding is over and usually lasts 10 minutes or less. The ache is from the filling up of the alveoli with blood and lymph fluid in preparation for the next feeding.
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.