Milk production is a demand and supply process. As milk is removed from your breasts, your body is signalled to make more milk. The more frequently and thoroughly the breasts are emptied (though breasts are never truly 'emptied'), the faster they try to refill.
If you're pumping for a freezer stash or to store milk for a future separation from your baby, try pumping shortly after you finish nursing – maybe 15 to 30 minutes. That way, your body will have an hour and a half or so to replenish breast milk for your next nursing session.
Let the following signs be a good guide that your breastfeeding baby is getting enough: Your breasts feel softer after nursing (your baby has emptied some of the milk that was making them firm. And you're hearing the sucking and swallowing sounds associated with that emptying.
Some mothers feel a tingling or pins and needles sensation in the breast. Sometimes there is a sudden feeling of fullness in the breast. While feeding on one side your other breast may start to leak milk. You may become thirsty.
Things you should NOT worry about: How your breasts feel. Your breasts will feel softer and less full as your milk supply adjusts to your baby's needs. This does not mean you have low supply.
Despite views to the contrary, breasts are never truly empty. Milk is actually produced nonstop—before, during, and after feedings—so there's no need to wait between feedings for your breasts to refill. In fact, a long gap between feedings actually signals your breasts to make less, not more, milk.
If your breast doesn't feel full of milk, this is usually not a sign of low breastmilk supply. For most breastfeeding problems related to breastmilk supply, the answer is: “more breastfeeding.” Keep breastfeeding, keep pumping, and that will keep stimulating your body to produce more milk.
Adequate hydration also is important for breast milk production. The amount of liquid you put into your body affects how much breast milk you can produce. I encourage women to carry a bottle of water for themselves in their diaper bag.
Some might feed every 90 minutes, whereas others might go 2–3 hours between feedings. Newborns should not go more than about 4 hours without feeding, even overnight.
Increasing your milk supply will take time, so don't give up. Even dry pumps (when you pump but nothing comes out) sends a signal to your body that more milk is needed on tap, so it's getting the work done even if there's no output to show for it right away. Stick with it and you'll see the results after a few days.
Sometimes a baby may still be hungry because he wasn't attached properly to your breast, so he didn't get a full feed. In that case, your nipples will probably hurt a lot too and may look squashed. If you have any worries about feeding your baby, please don't struggle alone.
What to do: If you feel your little one is still hungry, continue to offer the breast; alternate breasts when baby seems to slow down on one side. While it's important to supplement your baby with extra breastmilk or formula should your supply be low, be sure that you offer both breasts before a bottle.
As a rule of thumb, a truly hungry baby will rarely choose sleeping over eating. So, if your baby falls asleep in your arms without taking a full feeding, it's likely he was tired — not hungry.
Once your milk supply begins to increase from drops to ounces, you may want to pump longer than 10 minutes. Many women find that pumping for about two minutes after the last drop of milk is an effective way to stimulate more milk, however, avoid pumping for longer than 20 - 30 minutes at a time.
If your baby's swallowing has slowed, they have started to fall asleep, and/or they seem frustrated at the breast, it's time to switch sides. Sometimes switching breasts multiple times per feeding can be useful, especially in cases of sleepy babies or low milk supply.
Some mothers can store 4-5 ounces per breast, so baby would only need to eat from one at each feeding. Other moms can store 1-2 ounces and baby would need to feed from both breasts. Storage capacity is not indicated by breast size, but by glandular tissue in the breast.
If a mother has consumed more than a moderate amount of alcohol, she may choose to wait 2 hours (per drink) to breastfeed her child, or feed her infant with milk that had been previously expressed when she had not been drinking, to reduce her infant's exposure to alcohol.
Regular mixed feeding with formula can make breastfeeding more challenging as it can interfere with your milk supply. Some babies may start to prefer drinking from a bottle. The way you feed your baby is a personal choice. You may choose to feed your baby just expressed breastmilk as you prefer to feed using a bottle.
Ultimately, if your baby has reached its birth weight and you're pumping enough milk during the day, it's okay to sleep eight hours without pumping at night. Keep in mind there is an adjustment period for your body as it begins to acclimate to the decrease in overnight milk removal.
Generally, moms should be pumping every 3 hours. Pumping more often can help stimulate breasts to produce more milk. Moms can try pumping both breasts for 15 minutes every two hours for 48-72 hours. Then moms can return to their normal pumping routine. Pumping for longer than 30 minutes may not be beneficial.
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.
If you are pumping before your milk comes in, you may be getting little to no milk. This can be for two reasons: Colostrum is very concentrated and your baby doesn't need much of it, so your breasts don't produce very much. Colostrum is very thick and seems to be more difficult to pump.
About 10-15 days after birth, you start making mature milk. Like each phase of breast milk, it has all the nutrients your baby needs. The amount of fat in mature milk changes as you feed your baby. Let your baby empty your first breast before switching to the other breast during a feeding.
When your breasts are empty, they will probably feel lighter and no longer uncomfortably full, as they might have at the start of the pumping session. You can also pick them up to see if they still feel heavy or full of milk.