How to distinguish between a perceived and a real milk supply problem?

Are you worried about having a low milk supply and does your baby seem constantly hungry? Before deciding to give formula, it's important to carefully assess your situation. Unnecessary supplementation could negatively affect your milk production. So, let's look at how to differentiate between a perceived problem and a real milk supply issue.

Are your concerns justified?

Many new mothers worry about having a low milk supply, and it's one of the most common reasons they stop breastfeeding or introduce formula. However, unnecessary supplementation can actually lead to decreased milk production. Typically, concerns arise when breasts feel softer and the baby seems to want to feed more frequently. But these signs don't necessarily mean your milk supply is low.

Common misconceptions about breastfeeding

"My breasts are small, so I won't be able to produce enough milk."

Breast size is determined by fatty tissue, which does not affect milk production. Milk production is based on glandular tissue, and its amount is not necessarily related to breast size.

"My baby takes short breaks between feeds and wakes up often to feed."

This is completely normal. Breast milk digests quickly (about an hour and a half), so babies often feed more frequently, which is perfectly healthy.

"My breasts used to be full, but now they are soft and smaller."

This is part of the normal process. In the first few weeks after birth, breasts often produce an excess of milk. After this period, milk production adapts to the baby's needs, and breasts may feel softer.

"My baby feeds constantly, but still cries and seems hungry."

If your baby is gaining weight and is healthy, this could be a sign of a growth spurt. During growth spurts, babies temporarily need more milk, and their frequent feeds help naturally increase milk production for a few days.

When to worry about a real milk supply problem?

There might be a milk supply problem if you notice the following signs:

• The baby is not gaining enough weight.

• Breasts remain soft before and after feeding during the first two weeks.

• There is no milk leaking from the other breast during feeding.

• The baby feeds briefly without clear swallowing sounds.

• The baby remains restless after feeding or is excessively sleepy and does not wake up to feed.

Causes of a milk supply problem

Poor latch

If the baby does not latch deeply enough or feeds improperly, milk production may not be stimulated correctly.

Ineffective sucking

Problems such as prematurity, tongue-tie, or illness can prevent the baby from sucking effectively.

Insufficient stimulation

If mother and child are separated for medical reasons, milk production must be maintained by pumping (at least 7 times a day) to avoid a decrease in production.

Medications and substances that reduce milk production

Some medications, estrogen-based birth control pills, nicotine, and certain herbs (like sage and peppermint) can reduce milk production.

Hormonal factors

Conditions such as thyroid problems, obesity, diabetes, and polycystic ovary syndrome (PCOS) can disrupt milk production.

How to increase milk production

Believe in yourself

Stress and negative emotions can inhibit milk production. Take time to relax and ask for help with household chores so you don't overexert yourself.

Consult a lactation specialist

A professional can help you improve your baby's latch and increase milk flow, which will promote your milk production.

Eat well and get enough rest

Breastfeeding mothers need at least 1,800 calories a day and enough sleep to maintain good milk production. A balanced diet and rest are essential.

Breastfeed frequently

Offer the breast every hour and a half during the day and at least every three hours at night. Avoid using pacifiers if your milk supply is low, as the more the baby feeds, the more milk you produce.

Encourage active sucking

Gently stimulate your baby's hands, feet, and jaw during feeding to encourage active sucking. Frequently switching breasts during a single session can also stimulate milk production.

Pump after feeding your baby

If your baby is sleepy or not feeding effectively, pump after feeding to increase your milk production. This additional stimulation can encourage your body to produce more milk.

If your milk supply decreases, temporary supplementation may be necessary to meet your baby's nutritional needs. However, with appropriate breastfeeding techniques and support, most mothers can successfully maintain or increase their milk supply and continue breastfeeding.