How can i produce more breast milk during pregnancy

I'm adopting a newborn, and I'd like to breastfeed the baby when I bring him home. Can I produce breast milk if I haven't been pregnant?

Answer From Melissa A. Kurke, R.N., I.B.C.L.C.

With considerable dedication and preparation, breastfeeding without pregnancy (induced lactation) might be possible.

Normally, the natural production of breast milk (lactation) is triggered by a complex interaction between three hormones — estrogen, progesterone and human placental lactogen — during the final months of pregnancy. At delivery, levels of estrogen and progesterone fall, allowing the hormone prolactin to increase and initiate milk production.

Induced lactation depends on the successful replication of this process. If you have months to prepare, your health care provider might prescribe hormone therapy — such as supplemental estrogen or progesterone — to mimic the effects of pregnancy. Hormone therapy may last for months.

About two months before you expect to start breastfeeding, you'll likely stop hormone therapy and begin pumping your breasts with a hospital-grade electric breast pump. This encourages the production and release of prolactin. At first, pump for five minutes three times a day. Work up to pumping for 10 minutes every four hours, including at least once during the night. Then increase pumping time to 15 to 20 minutes every 2 to 3 hours. Continue the routine until the baby arrives.

If you have a short time to prepare, hormone therapy might not be an option. Your health care provider might recommend other medications to help induce lactation. Pumping remains important for whatever time you have.

When you begin to breastfeed the baby, your health care provider might recommend continued pumping — including after feedings — to help establish your milk supply. And even if you're able to successfully induce lactation, supplemental feedings with formula or pasteurized donor human milk might be needed — especially during the initial weeks of breastfeeding. To encourage continued nipple and breast stimulation, you might use a supplemental feeding aid that delivers donor breast milk or formula through a device that attaches to your breast. Supplemental feedings can also be given with a bottle. To protect your milk supply, pump each time your baby receives a bottle-feeding.

To learn more about induced lactation and how to increase your chances of establishing breastfeeding, contact a lactation consultant at a local hospital or clinic.

With

Melissa A. Kurke, R.N., I.B.C.L.C.

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July 07, 2021

  1. Lawrence RA, et al. Induced lactation and relactation (including nursing an adopted baby) and cross-nursing. In: Breastfeeding: A Guide for the Medical Profession. 8th ed. Elsevier: 2016. https://www.clinicalkey.com. Accessed May 20, 2021.
  2. Wambach K, et al., eds. Women's health across the childbearing years. In: Breastfeeding and Human Lactation. 5th ed. Jones and Bartlett Learning; 2016.
  3. Campbell SH, et al., eds. Induced lactation and relactation. In: Core Curriculum for Interdisciplinary Lactation Care. Jones and Bartlett Publishers; 2019.
  4. Kurke MA (expert opinion). Mayo Clinic. May 20, 2021.

See more Expert Answers

See also

  1. Bathing your newborn
  2. Baby poop: What's normal?
  3. Baby sling
  4. Baby's head shape: Cause for concern?
  5. Breast-feeding support
  6. Breast milk storage
  7. Breastfeeding and medications
  8. Breastfeeding nutrition: Tips for moms
  9. Crying baby
  10. Newborn feeding basics
  11. Hyperlactation
  12. Infant development: Birth to 3 months
  13. Low milk supply
  14. Sleep tips for new parents
  15. Newborn care tips
  16. Newborn feedings
  17. Pacifiers and your baby
  18. Baby baths
  19. How to swaddle a baby
  20. Birthmarks
  21. Breastfeeding positions
  22. What a newborn really looks like
  23. Umbilical cord care: Do's and don'ts for parents
  24. Uncircumcised penis: Is special care needed?
  25. Vaccination schedule
  26. Baby's soft spots

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How can I produce more breast milk before giving birth?

Start with a gentle breast massage, stroking from the back of your breast towards the nipple to encourage the let-down reflex. Put your thumb above the nipple and your first few fingers below the nipple. You will be cupping the breast in a 'C' shape.

What foods increase breastmilk fast?

9 Foods to Help Increase Breast Milk.
Oatmeal and Porridge..
Fenugreek Seeds..
Garlic..
Barley..
Sesame Seeds..
Brewers Yeast..
Papaya..
Chickpeas..