For some mums, it continues to be a sign of their let-down reflex. But some mums don't leak much at all. If your breasts don't leak, it doesn't mean they aren't working.
If you do not feel your milk letting down, it doesn't necessarily mean that something is wrong. You may never notice it, or you may feel it in the first few weeks then less over time. As long as you can see the signs your baby is getting enough breast milk and growing well, you don't have to worry.
Your breasts may leak when they become so full of milk that they overflow. (Leaking is common in women who have an overabundant milk supply). Or you might leak when your letdown reflex – which releases the milk – kicks in.
However, poor lactation response—a lack of leaking or milk production—can be due to a variety of factors. If your nipples are sore or cracked, or if your breast tissue has been damaged by a prior trauma, you may have trouble producing milk.
Some women feel the let-down reflex as a tingling sensation in the breasts or a feeling of fullness, although others don't feel anything in the breast. Most women notice a change in their baby's sucking pattern as the milk begins to flow, from small, shallow sucks to stronger, slower sucks.
Signs of forceful letdown
Some women feel milk ejection as tingling, pressure, pins-and-needles. Some do not feel anything. With a forceful letdown the tingling sensation may be painful. You may notice excessive leaking from the side where your baby is not feeding.
If there is a continual delay in letdown from the breast it can lead to reduced milk supply. Babies are also really in tune with how their mother's are feeling. Your baby can totally sense when you are sad, stressed, or anxious.
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.
Your breasts feel softer
This happens as your milk supply adjusts to your baby's needs. The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on your milk supply.
How do I know whether my breasts are empty? There's no test or way to know for sure. In general, though, if you gently shake your breasts and they feel mostly soft and you don't feel the heaviness of milk sitting in them, you're probably fine.
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.
Breastfeeding: The Let-Down Reflex
Let-down happens as milk is released into milk ducts in your breast. 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.
The longer the time between feeds, the more diluted the leftover milk becomes. This 'watery' milk has a higher lactose content and less fat than the milk stored in the milk-making cells higher up in your breast.
To put a number on it, it usually takes about 20 to 30 minutes after feeding to generate enough milk for your baby, and about 60 minutes to replenish fully. The more often your baby feeds, and the more they empty your breasts, the more milk your body will produce.
It is normal for a mother's breasts to begin to feel less full, soft, even empty, after the first 6-12 weeks. Many mothers have concerns about milk supply after the early weeks because they notice a drop in pumped amounts or they notice that their breasts feel “soft” or “empty”.
You're not getting let down. If your breasts feel like they're full but you're not able to get the milk flowing out when you pump, it could be that you're not achieving let down. The let down reflex releases your milk from the milk ducts. This only occurs when you're either breastfeeding or pumping.
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.
It's totally up to you and your comfort. If you usually go braless, you do not need to wear one during breastfeeding. Moms often have concerns about leaking a lot at night, so this may be another reason why wearing a bra at night might be helpful.
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.
It is normal for let-down not to feel as strong as your baby gets older. Some mothers never feel let-down, and some stop feeling the let-down sensation as time goes by. This does not necessarily indicate that let-down is not taking place.
Your milk supply is considered low when there is not enough breast milk being produced to meet your baby's growth needs. Many mothers worry about their milk supply, especially in the early stages of breastfeeding.
Baby keeps pulling away while breastfeeding
Babies are still learning to regulate their suck-swallow pattern. Once the let-down starts, some breastfed babies struggle to keep up with the fast flow of milk. If they're overwhelmed, this can make them pull away.