Breastfeeding Support for Indian mothers

FAQ 16: Why do I get engorged frequently? 

Oversupply can be handled easily but

  • It can produce discomfort for mom.
  • It can put mom at increased risk for plugged ducts and mastitis.
  • It can cause fast letdowns, which can be uncomfortable for the baby and can lead to a variety of unpleasant nursing behaviours, including clamping down on the nipple, pulling off the breast while nursing, and fussiness associated with feedings.
  • It can cause the baby to be gassier than average, due to the baby taking in a larger than average quantity of lactose (milk sugar), which is abundant in the milk produced by a full breast.

Best way to deal with it
Hand express till you experience relief - Note: Emptying breast, in turn, gives a signal to the brain for more production hence only express to relief is suggested and please avoid pumping if directly feeding the child

In the case of a forceful letdown,

  • Express some milk before nursing
  • Try Nursing in a reclined position
  • You use two fingers to compress (gently!) the breast behind the areola or at the areola (depends on how large your areola is) and this compresses the milk ducts and slows the flow. You could also try pressing the breast with a thumb or heel of your hand, the idea is to press into the breast tissue enough to compress the milk ducts
  • Try cold compress and massaging the breasts
  • Dangle feed in case of plugged ducts

More information on #BSIMFastLetdown can be found from the link below…/got-milk/supply-worries/fast-letdown/

  • Avoid unnecessary pumping sessions: If milk is flowing and the baby is gaining weight appropriately, there is no need to pump. Pumping to save milk in case of separation from the baby can usually be delayed for at least several weeks postpartum, if not longer.
  • Avoid Scheduled feeding and nurse the baby on demand

More Information on Oversupply here -

When Oversupply escalates it can result in Mastitis/Infection

The best thing to do for mastitis is to keep nursing baby frequently! Get a lot of rest and stay in bed with baby nursing. Here’s some more info on mastitis:

Oversupply on one side:

It's normal after 3-4 months for your breasts to get less full, which causes many mothers to worry that they are losing their milk, but it's just a sign of your supply calming down. If your baby is around that age, for example, it could be that your left side has become "normal" while your right side still has an oversupply. Everybody has a supply imbalance to some degree because our bodies are never perfectly symmetrical, and anatomical differences between left and right can get exaggerated over time by baby's preference. If you think it's a problem, you could modify your feeding pattern so that you spend more time on the left.