Milk production peaks by about a month after birth, with most of the increase happening in the first two weeks. Many mothers find it becomes more difficult – in some cases impossible – to increase the amount of milk they are making, after the early weeks.
Milk supply usually reaches its peak around four weeks after birth, with most of the increase happening in the first two weeks. If not enough milk is removed during this time, your breasts may end up making less milk than your baby needs.
“The first four to six weeks are the toughest, then it starts to settle down,” says Cathy. “And when you get to three months, breastfeeding gets really easy – way easier than cleaning and making up a bottle.
Because newborns' stomachs are so small, during the first week most full-term babies take no more than 1 to 2 ounces (30 to 60 mL) at feedings. After about four to five weeks, babies reach their peak feeding volume of about 3 to 4 ounces (90 to 120 mL) and peak daily milk intake of about 30 ounces per day (900 mL).
This is completely normal, with many moms experiencing a change in their breast milk supply around this time. Though every breast milk feeding journey is unique, decreased breast milk supply frequently happens around the six-month postnatal mark due to a combination of three major factors.
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.
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.
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.
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.
It may only take your baby about 5 to 10 minutes to empty each breast and get all the milk they need; however, this is different for everyone.
A growth spurt, also sometimes called a breastfeeding crisis, is a response by the baby to a clear increase in milk demand. Your baby will now ask to breastfeed at all times and may be nervous, irritable, and seemingly insatiable. Coincidentally, these demand increases occur around the same time for all babies.
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.
Lactation Crisis: When Does It Happen
There may be several lactation crises during whole breastfeeding period. Most often they appear at the 3rd and 6th week of a baby's life, later at the turn of the 3rd and 4th month and are associated with a baby's growth spurt. Of course, there may be more of them.
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.
A mama's milk supply typically peaks between the first 4-6 weeks. After 6 weeks, it may become more difficult to increase your supply. If you're experiencing a slow start to feeding during the first two months, meet with your lactation consultant and care team to come up with a plan.
Increase pumping frequency
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.
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.
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.
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.
Remember, an empty breast produces more milk, so start with the low-producing breast when you nurse your baby and encourage him to empty it completely before moving the the more productive breast. The more you nurse with the low-producing breast, the more milk it will produce.
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.
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.
Will my baby unlatch when the breast is empty? Your breasts are never really empty. You might feel they're less full, but you can usually squeeze some milk out if you try. Generally, babies will unlatch when they've had enough.
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.