Possible causes of low supply
Your baby does not feed often enough. Nearly all babies need to feed at least 8 to 12 times in 24 hours. Your baby does not feed effectively at the breast. You have started using formula milk as well as breastfeeding.
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.
Even if more time has passed, it may still be possible to increase your milk production to some extent, but unfortunately there is no guarantee of being able to make a full milk supply. Any amount of milk you are able to produce is valuable to your baby.
Ideally, you would pump as often as your baby would nurse. This may not be possible with your work/ school schedule. Most mothers find that pumping every 2-3 hours maintains their milk supply and does not cause them to become uncomfortably full.
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.
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.
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.
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 the breasts do not get emptied completely or often enough, the body begins to produce less milk. Some mothers say the milk never stops flowing while they pump. Typically, you should not pump longer than 30 minutes, even if the milk is still flowing.
To prevent adverse reactions in the baby while breastfeeding, it's recommended to avoid consuming citrus fruits, cherries, and prunes. Citrus fruits have been associated with digestive problems, fussy behavior, vomiting, and diaper rash in breastfed babies.
Signs of Poor Nutrition Postpartum
You may not be getting enough to eat as a new mom if you find yourself experiencing any of the following signs and symptoms: Feeling sluggish, lack of energy, and chronically fatigued. Recurring headaches. Lethargy.
The CDC and most breast pump manufacturers recommend cleaning pump parts thoroughly after every use to help protect babies from germs.
While the exact time that prolactin levels peak seems to differ from person to person, it most often occurs somewhere between 11 pm and 7 am. High prolactin levels at these times could lead to higher levels of milk production at these times.
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.
Trying not to go more than 4 hours without pumping/nursing is a general breastfeeding rule while breastmilk is being established. It's best to wait until after the first 12 weeks to start eliminating pumping sessions.
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.
Pumping Positions
You don't want poor posture during breast pumping because it may lead to irritation. Instead, sit or stand upright with your shoulders open, back straight, feet flat on the floor and arms supported. Try a pillow or armrest to help hold your bottles or milk catcher steady while pumping.