From Barbara Robertson:
As an IBCLC, one of the most common reasons mothers come to see me is that they are worried about their rate of breastmilk production. Notice my terminology. RATE of breastmilk production. All mothers make some breastmilk. However, some definitely make more than others.
The first question to ask is, is this true? Are they really struggling with the rate of production OR are they worried about their rate of production and they actually have enough milk? The number one reason families wean is fear that they are not making enough milk, even though this is not true.
If they are struggling with the rate of breastmilk production or just worried that they are making enough, they don’t have to do it alone! People like me are trained to help families work as effectively as possible. Parents who are worried about their rate of breastmilk production are usually working really hard. I want them to work as smartly as possible. What will get the most bang for the buck in terms of their time and energy?
What can families do?
Again, help them get help. Social and emotional support can be just as important, perhaps more so, than the mechanics of nursing.
Suggest going to a support group! We have our Breastfeeding Cafe each week. La Leche League is worldwide. Misery does love company! Find some people who care about breastfeeding as much as they do!
During a lactation consultation, the support person will discuss herbs and medications that could help increase breastmilk production. Still, they should first focus on better breastmilk removal—better positioning and a deeper latch. Increase the frequency and effectiveness of each breastmilk removal. This is key. Without good breastmilk removal, all the herbs and medications in the world are not going to get them to where they want to go. Once effective breastmilk removal techniques are covered, they can discuss other ideas that might help upregulate breastmilk production for that parent.
Foods? Sure, why not? Good fats, extra protein, lots of fiber, and probiotics have all been shown in dairy research (I know we are not cows, but we are all mammals!) to help increase breastmilk production or the calorie count per oz. Eat to hunger, drink to thirst. Avoid mint, parsley, and sage. I have come to believe that increasing the rate of breastmilk production is like preventing a cold. Each person needs something a little different, but some common things seem to help.
I would also highly recommend Making More Milk by Diana West and Lisa Marasco. LactaLearning also has a self-study book group for this available now.
Addressing these concerns and helping families get back on track are among the most common things I do. Getting emotional and social support is critical. Then, working on improving nursing, and finally, sharing accurate medical information about possible herbs and medications would be the route I suggest.
If you work with breast/chestfeeding families and are passionate about lactation support OR you want to turn your passion for nursing into professional practice, check out LactaLearning.com and consider following us on social media!
Instagram @lacta.learning
Facebook LactaLearning