19 answers

Can My Milk Supply Re-establish After a Decrease?

I brestfeed my 3 month old daughter exclusively and just returned from a trip overseas 2 weeks ago. The first week we got back I was so exhausted from my daughter's change in night time sleep schedule (being up most of the night and trying to rest in the day time) that I was not eating well or staying hydrated. For the last 2 weeks, I also did not pump my usual "1 extra pump a day" to store my milk. This and the fact that my daughter likes to take breaks during her eating recently has led to my milk supply deminishing. I used to be able to feed her and still pump at least 8 oz of milk and now I can barely get 2 oz. Even when I skip a feedbing, I can barely get 4 oz of milk (when I skip, I am giving her my milk in a bottle so she can used to it at daycare).

This week, I have started refocusing on my health and resting - eating well and drinking tons of water. And I went to the drug store today and got Fenugreek and Mother's Milk and am drinking tons of water. I have also started pumping in the morning 1 hr after I feed my daughter to store ... so I am back on my normal routine.

I am worried my milk supply will not return to normal as 4 oz is not enough for my daughter and I will need to supplement if my milk supply does not increase. She is also starting to get fussy a bit and I am afraid she is hungry.

Has anyone had a decrease in milk supply and with some help was able to re-establish and increase it back? If so, can you let me know what else I can do, what you did, and when can I expect it to come back (if at all)?
Thank you!

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So What Happened?™

Thank you for all the feedback.
It has been a week since I have tried the herbs and increased feeding of my daughter. My milk does seem to be increasing, although not as much as it used to be. I am continuing to feed her as much as I can and taking the herbs to make sure I have enough to pump so she will have it at daycare.

Featured Answers

Hi. I have just written about the same thing. I have had a decrease several times and have been blessed enough to get my supply back...but i pump like crazy it seems. I pump for a few days after each feeding to completely drain the breast she ate from. Usually it takes a good 2 days of this and i start to get the milk back. I guess now i will need to do this everyday as long as i want to bf! Geeezzzzz! Hope this helps. Good Luck ; )

Congratulations! Take in every moment as they go by so fast. That's the best advice I have for any new mom. But, when my second daughter was born, I had the same situation as you. Instead of having the walmart breast pumps, I went to my local healthy start and got one of the pumps like they give you to use at the hospital and my obgyn put me on a medicine called reglan. Now I think this is normally used for stomach pain like IBS, but it's safe enough to use and really helps. You're a good mom for wanting to continue this. I promise it's worth it. Good Luck!

More Answers

D. T,

I'm so glad you're determined to keep breastfeeding your daughter. You need to remember that just because you only have a little that you pump, your daughter can drain your breast *much* more efficiently than a pump. And, she may be getting the same amount as before and the only decrease you see is in what you're pumping.

I had my milk completely dry up from not nursing well, not drinking enough and running around too much. But, I did much like you're doing now (didn't pump, though) and it came back just as plenteous as before.

You may want to be careful to not drink too much. The part of the pituitary that controls your let down reflex also controls your anti-diuretic hormone. If you get too much water, your pituitary will start turning off the anti-diuretic hormone. Sometimes, it seems like the pituitary gets confused and when it turns off ADH, it also turns off oxytocin (the let-down hormone).

I suspect that soon, within a week, you'll see yourself back to where you were. Keep up the good work.

D. S (mom to 5, CLC)

1 mom found this helpful

Mine did without a problem. I just continued to pump immediately after most feeds (maybe every other one for you if you're heading back to work or something). At first, you'll just get 2 oz, maybe 2.5 oz, but then in a few days, you should be seeing an increase. I know it's frustrating. Just hang in there- you're fiving her the best nutrition you can!
K.

D.,

Yes, your milk supply will increase, but you'll have to work at it a bit. Drink water, water and more water. Get your healthy eating habits back on track. Pump after a couple of nursing sessions during the day. Supply and demand is the key...if you are demanding more from your body, it will supply it.

Also there are suppliments that can "help" increase as well...go to your local health food store and ask them for a recommendation. It's not going to make you like a dairy cow, but it will help.

Best of Luck to you!
amy

Yes!! Even adoptive mothers have been able to breastfeed, and they didn't have all those hormones helping to get it started! (There's a good section on kellymom about re-lactation, although the section on low supply might be better.)
http://www.kellymom.com/bf/supply/index.html
http://www.kellymom.com/bf/adopt/index.html

The kellymom website is a WONDERFUL resource for breastfeeding and other attachment parenting issues.

If your babe is trying to nurse, she will be able to do a much better job than any pump. (at least in terms of sending the message to your body that milk is in demand and your body needs to step up production.)

When my first was 4 months old, I got a nasty cold and my whole body was dehydrated - I saw a lactation consultant who said "Wear that baby like a bra. If your family wants to help you, don't let them watch the baby while you rest. They can wash dishes or make you meals or do a ton of other things. You take that baby to bed with you, lie down together, and just try to get him to nurse as often as you can."

She also recommended rich, nourishing foods for me (oatmeal, nuts, avocados - those are high in healthy fats, and breastmilk is rich in fat.) And I always took a fish oil supplement (also known as DHA supplement) because those have the healthiest fats (omega 3s) and they pass into the breastmilk and are great for building baby brains.

I've heard sometimes that TOO much water can be a problem, so don't force yourself to drink, drink, drink way beyond your thirst. I also tried the fenugreek and mother's milk teas, but I'm not sure it made too much of a difference.
The MAIN THING is that your body will respond to the baby's demands. Any time that kid opens her mouth, try to shove a nipple in it - "wear her like a bra" - and you should see the supply kick in.

I responded to your previous post about napping, too. How funny! Anyway, you are doing all the right things. It really is a demand-supply system, so the more your body thinks it has to make the more it will make. I thought I was going to have to start to supplement but so far I have been able to hold off. I have a 7 mo old son and I was having to dig into my milk stores to top off the bottles each day. I was down to just a few ounces left and freaked out. I checked out this website http://www.kellymom.com/index.html and realized that every time I dipped into my stores, I was not telling my body that I needed more milk. I ramped up my pumping and started taking fenugreek. I pump around 6 am before I nurse at 7. Then at work, I added a pumping session at 8:30 to my existing schedule of 10, 1, and 4. I also went back to pumping at about 10 at night (after nursing at 7pm). Today I put my first 2.5 ozs of milk in the freezer and was thrilled -- I had not stored any for almost a month.

So, yes, you can rebuild your supply but it will take some work. Plenty of rest, good nutrition and water, plus the supplement and continued pumping are all the right things. If you really feel like your supply is low you can talk to your doctor about some medication he/she can prescribe for you. Again, good luck!

Yes, you can! Make sure you are drinking plenty of water during and before you nurse. I used Fenugreek to keep my supply up when it was diminishing, but I believe Blessed Thistle would probably be better. Blessed Thistle is more expensive but has been known to start adoptive mothers lactating to nurse their new little ones. You might want to try that one.

I love herbs!

Hi. I have just written about the same thing. I have had a decrease several times and have been blessed enough to get my supply back...but i pump like crazy it seems. I pump for a few days after each feeding to completely drain the breast she ate from. Usually it takes a good 2 days of this and i start to get the milk back. I guess now i will need to do this everyday as long as i want to bf! Geeezzzzz! Hope this helps. Good Luck ; )

YES! You can reestablish your milk supply. I did it just a couple months ago when my daughter was six months old. There are several things you can do. First of all, continue eating a well balanced diet and drinking plenty of water, but do not force fluids as too much water can have the opposite effect. Continue taking fenugreek and drink mother's milk tea. You can drink a few cups of tea per day I think. I would breastfeed very often for a few days and pump when you can. You can even pump right after nursing for about 10 minutes to help increase your supply. You should start to notice a difference in a few days. Taking the fenugreek can cause you to smell like maple syrup after a few days. It seems to me that when I started smelling syrup was when I noticed my milk supply getting better. If these things do not work for you, you can also try a couple other things. There is a product called More Milk Plus by Motherlove. It is a combination of fenugreek and some other herbs. For some women, a combination of herbs works better than fenugreek alone. It is sold at Whole Foods or Harry's Market in Marietta. You may be able to order it online also. I have had more success with it than with fenugreek alone. There is also a medication your ob/gyn can prescribe that will greatly increase your supply. It is taken for two weeks or so and helps a lot. When I tried to reestablish my supply the fenugreek did not help me enough. Then I began taking the prescription from my doctor and after that I have continued to keep my milk supply by taking More Milk Plus. It seems like a lot of work, but it is well worth it if you are committed to the continuation of breastfeeding. Email me if you have any other questions or need more help.
Good luck!

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