By Danelle Day, PhD © 2013
A common concern among new nursing mothers is milk supply. And while it is the case that very rarely does a mother carry a baby to term without also producing the milk this baby needs to thrive post-birth, the worry, "Am I making enough for my baby...?" is ubiquitous.
To maintain a full supply of human milk (and not much is needed in the early weeks or months of babyhood) a mother must drain her breasts often to create a demand. As simple and non-complex as it sounds, that is the very basic, fundamental rule of milk production: increased demand = increased supply.
This basic component of milk production in mammals is termed the Feedback Inhibitor of Lactation (FIL). In Breastfeeding Management for the Clinician: Using the Evidence, Marsha Walker explains, "FIL is an active whey protein that inhibits milk secretion as alveoli become distended and milk is not removed. Its concentration increases with longer periods of milk accumulation, down regulating milk production in a chemical feedback loop."
Unfortunately, when we decrease the demand from the body for milk production by supplementing or putting baby on a time clock (not as much milk is needed to feed baby when s/he is being filled with something else, or when longer intervals pass between feeds) then supply follows the drop in demand and decreases as well. A supplementing mom, or a mother who has been told she should only feed her baby every x number of hours, quickly finds that her milk supply dwindles, and she becomes frustrated and/or sad that breastfeeding "just isn't working out" for her and her baby.
Because of the FIL principle, when products are marketed specifically to mothers who are already breastfeeding their babies, or those who plan to nurse and wish to succeed in doing so, it is an irresponsible and hurtful move to push such items on women already concerned about their babies' wellbeing and their milk supply. Instead, we would empower the next generation of nursing (and pumping) moms, and see more happy, healthy, well-fed babies by understanding and appreciating the FIL process, and encouraging mothers to always listen to their little ones and feed on cue. And in cases where we wish to increase or build milk supply, we must make moves to nurse (and/or pump with a hospital grade pump) completely to empty, at frequent intervals.
When women elect to birth and breastfeed their babies, the female body is a powerfully wonderful, working organism - one which overcomes all kinds of roadblocks along the way. Yet we must provide our bodies with the feedback they need to fulfill what they were designed to do; and in the case of breastfeeding and milk supply, it is all about demand.
Reference:
1) Walker M: Influence of the maternal anatomy and physiology on lactation. In Breastfeeding Management for the Clinician: Using the Evidence. Sudbury, Massachusetts: Jones and Bartlett Publishers; 2006:51-82.
Related Reading:
Breastfeeding Made Simple (book)
The Baby Bond (book with excellent research on breastfeeding, among other topics)
Your Baby's Signs of Hunger (article)
Lactation Cookies: Increasing Milk Supply (article)
Nursing Mother, Working Mother (book)
Balancing Breastfeeding (article)
Making More Milk (book)
The Politics of Breastfeeding: When Breasts are Bad for Business (book)
Formula For Disaster (film)
Using Formula Like 'Similac for Supplementation' Decreases Milk Supply (article)
Breastfeeding Advocacy and Formula Feeding Guilt (article)
Helpful Breastfeeding Books
Breastfeeding Resource Page
A common concern among new nursing mothers is milk supply. And while it is the case that very rarely does a mother carry a baby to term without also producing the milk this baby needs to thrive post-birth, the worry, "Am I making enough for my baby...?" is ubiquitous.
To maintain a full supply of human milk (and not much is needed in the early weeks or months of babyhood) a mother must drain her breasts often to create a demand. As simple and non-complex as it sounds, that is the very basic, fundamental rule of milk production: increased demand = increased supply.
This basic component of milk production in mammals is termed the Feedback Inhibitor of Lactation (FIL). In Breastfeeding Management for the Clinician: Using the Evidence, Marsha Walker explains, "FIL is an active whey protein that inhibits milk secretion as alveoli become distended and milk is not removed. Its concentration increases with longer periods of milk accumulation, down regulating milk production in a chemical feedback loop."
Unfortunately, when we decrease the demand from the body for milk production by supplementing or putting baby on a time clock (not as much milk is needed to feed baby when s/he is being filled with something else, or when longer intervals pass between feeds) then supply follows the drop in demand and decreases as well. A supplementing mom, or a mother who has been told she should only feed her baby every x number of hours, quickly finds that her milk supply dwindles, and she becomes frustrated and/or sad that breastfeeding "just isn't working out" for her and her baby.
Because of the FIL principle, when products are marketed specifically to mothers who are already breastfeeding their babies, or those who plan to nurse and wish to succeed in doing so, it is an irresponsible and hurtful move to push such items on women already concerned about their babies' wellbeing and their milk supply. Instead, we would empower the next generation of nursing (and pumping) moms, and see more happy, healthy, well-fed babies by understanding and appreciating the FIL process, and encouraging mothers to always listen to their little ones and feed on cue. And in cases where we wish to increase or build milk supply, we must make moves to nurse (and/or pump with a hospital grade pump) completely to empty, at frequent intervals.
When women elect to birth and breastfeed their babies, the female body is a powerfully wonderful, working organism - one which overcomes all kinds of roadblocks along the way. Yet we must provide our bodies with the feedback they need to fulfill what they were designed to do; and in the case of breastfeeding and milk supply, it is all about demand.
Reference:
1) Walker M: Influence of the maternal anatomy and physiology on lactation. In Breastfeeding Management for the Clinician: Using the Evidence. Sudbury, Massachusetts: Jones and Bartlett Publishers; 2006:51-82.
Related Reading:
Breastfeeding Made Simple (book)
The Baby Bond (book with excellent research on breastfeeding, among other topics)
Your Baby's Signs of Hunger (article)
Lactation Cookies: Increasing Milk Supply (article)
Balancing Breastfeeding (article)
Making More Milk (book)
The Politics of Breastfeeding: When Breasts are Bad for Business (book)
Formula For Disaster (film)
Using Formula Like 'Similac for Supplementation' Decreases Milk Supply (article)
Breastfeeding Advocacy and Formula Feeding Guilt (article)
Helpful Breastfeeding Books
Breastfeeding Resource Page
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I am having to exclusively pump and give my baby breastmilk in a bottle due to him having a lip tie. We are currently waiting on a referral to an ent but in he meantime my milk supply is dwindling and i was wondering what tips you may have to increase it. I'm becoming desperaye at this point because after 7 weeks I STILL can't get my babay to latch properly!
ReplyDeleteThis was me exactly but LO had a tongue tie.. I had to supplement with formul for a short pd of time but I started nursing again a week before our TT was fixed just once a day so he could get use to the boob again lol I would suggest lactation cookies or fenugreek or smart water(electrolytes) best of luck!
DeleteDon't wait for a referral! Call a pediatric dentist and see if baby can be covered on your dental. Also a lt is almost always accompanied by a posterior tongue tie.
ReplyDelete