Poor let-down while breast-feeding

You sometimes may notice that your milk does not flow easily, or let-down, when you attempt to breast-feed or use a breast pump. Emotional stress, fatigue, anxiety, smoking, pain, or being cold are common causes of poor let-down.

With poor let-down, you may not experience the tingling and leaking of milk that usually occurs when your milk begins to flow. You may develop sore nipples because your baby has to work harder or you have to pump longer to get the breasts to release milk.

Increasing your comfort and level of relaxation often helps. If this does not work, ask your doctor or a lactation consultant for help.



Author: Kathe Gallagher, MSW
Carrie Henley
Last Updated: June 28, 2007
Medical Review: Kathleen Romito, MD - Family Medicine
Joy Melnikow, MD, MPH - Family Medicine
Andrew Swan, MD, CCFP, FCFP - Family Medicine

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