How to make more milk when pumping

Signs That a Breastfed Baby Is Being Well Nourished

• Your baby nurses at least 8 to 16 times in 24 hours, or every 2 to 3 hours. Your baby may be fussy once or twice a day. At these times, he or she wants to nurse often for several hours before seeming full. This is called cluster feeding.
• Your baby wets at least 6 cloth or 5 disposable diapers and has at least 1 bowel movement in 24 hours. This occurs by 1 week of age.
• You can hear your baby swallow milk while nursing or you can feel your baby swallow when lightly touching his or her throat.
• Your breasts seem softer after nursing.
• Your baby gains 4 to 8 ounces a week after the first week. There is no need to weigh your baby at home. Your baby’s doctor will do this for you. You may notice that your baby has outgrown his or her clothing.
• Your baby has regained his/her birthweight by 10 to 14 days after birth.

Factors Which Can Cause Your Milk Supply to Decrease

• Your baby feeds fewer than 8 to 16 times in 24 hours. Milk production is affected by how well the breast is drained.
• Your baby has a very weak suck, or has an improper latch.
• Giving bottles of formula or water after nursing. Most babies will suck on a bottle after nursing. This just means they need to suck. It does not mean they are still hungry. Babies cry or fuss for many reasons, such as being tired, bored, wet, hot or cold.
• Giving solid foods too early and/or before you breastfeed. Most babies do not need solid foods for the first 6 months if they are breastfeeding 8 to 16 times a day.
• Smoking can cause a decreased milk supply and interfere with the letdown reflex. Here are some things you should do:
  • Try to quit or cut down.
  • Smoke after nursing, not before.
  • Don’t smoke in the same room with your baby.
• Beginning birth control pills too soon can decrease your milk supply. Wait at least 6 weeks before taking birth control pills and then use only the mini-pill (Progestin). If you still notice a decrease in your milk supply, talk to your doctor about other birth control options. Other medications may also affect milk supply. Check with your doctor. (Refer to PI-682, Breastfeeding and Birth Control: You Have Options.)
• Mothers who are exhausted may notice a decrease in milk supply. To keep yourself from getting too tired:
  • Sleep or relax when your baby sleeps.
  • Eat balanced diet that includes high-protein food.
  • Drink when you are thirsty so that your urine is pale yellow in color. Both under and excessive over hydration can decrease milk supply.
  • Take an iron supplement if your healthcare provider says you are anemic.
  • Talk with your doctor or nurse midwife about the need for vitamin supplement.
  • Accept help when it is offered.
• Use nipple shields and pacifiers with caution.
• A breast flange that is too small or too large in size can hurt your milk supply.
• Pregnancy
• Breast reduction surgery may reduce milk supply.

If You Notice Your Milk Supply Is Low

You can increase your milk supply by:

• Nursing your baby often. Nurse every 2 hours during the day and every 3 to 4 hours at night (at least 8 to 16 times in 24 hours). If your baby will not nurse, use a good quality double electric breast pump to increase milk production. Pumping after breastfeeding signals your body to produce more milk.
• Nurse your baby at least 15 minutes at each breast. Do not limit nursing time. If your baby falls asleep after one breast, wake him or her and offer the second breast. A few babies may benefit from nursing at one breast per feeding to increase the fat content of the feeding. Switch nursing- switching breasts several times during a feeding has been shown to increase milk supply.
• Gently massage breast before and during feedings.
• Use relaxation techniques to reduce stress and promote the flow of breast milk.
• Provide skin to skin time with your baby for about 20 minutes after feeds. This “kangaroo care” has been shown to increase milk supply.
• Be sure baby is positioned and latched correctly.
• Offer both breasts at each feeding.
• Try breast compression during the feeding to help drain the breast.
• Pump immediately after breastfeeding during the day. Rest at night. Some mothers find that they get more milk if they pump for 5 minutes, rest for 5 minutes, and pump for another 10 minutes.

Talk to your doctor about using medication or the herb fenugreek.

Works Cited

Wambach, Karen and Riordan, Jan “Breastfeeding and Human Lactation”, Fifth edition, Jones & Bartlett, 2016.

If your baby eats more than you produce, it can be stressful! Many breastfeeding experts will recommend things like staying in bed and doing nothing but nursing when there are issues with supply, so that a breastfeeding parent can get plenty of nipple stimulation and rest at the same time.

While this is great advice, it won’t help people that are exclusively pumping. If you are making less than your baby is eating – or even if you just want the peace of mind of a freezer stash – here is what you can try to increase milk supply as an exclusive pumper.

This post may contain affiliate links, which means that if you click through and make a purchase, I’ll be compensated at no additional cost to you. I only recommend products I love! More info here.

Do you have a milk supply problem or a milk removal problem?

Before we talk about how to increase milk supply, let’s make sure you don’t have any issues with milk removal.

To pump enough milk, you need two things to happen:

• Enough milk is produced in your breasts
• Your pump efficiently removes the milk in your breasts

Most people focus on the first part – making milk. But some people don’t seem to respond as well to a breast pump as others, for whatever reason. If the problem is your pump isn’t effectively getting the milk out, eating all the lactation cookies in the world isn’t going to help. (Unfortunately.)

Here are some things to look at:

1. Are you doing breast compressions while you pump? Hands-on pumping can help push the milk out of your milk ducts so that you’re able to empty more efficiently. Basically, you just move your hands around your breasts while you pump and squeeze.
2. Some people find that incorporating hand expression into their pumping routine at the beginning, middle, or end of a session can help them get more milk. More on how to do this here.
3. If you’re having any pain with pumping, it’s possible your breast shields aren’t the right size – which can affect pumping efficiency, too. More on breast shield sizing here.
4. Make sure you’re using right breast pump settings – you want the vacuum strength to be the highest suction that is comfortable for you. Increase it until you start to feel discomfort, then dial it back a notch.
5. Try using a manual pump (like the Medela Harmony) or a silicone pump (like the Haakaa). Some people are able to remove more milk with these than with electric pumps.
6. Do you need to replace your pump parts? If you’ve been using the same parts for a while, they can wear out and the suction can suffer. You can see the timeframes for replacing pump parts here.

No method of increasing milk supply works for everyone, so you kind of have to try different things to see what works for you. Here’s are some options you can try, in the order I’d recommend trying them.

1. Evaluate your pumping schedule

When you’re exclusively pumping, it’s important to pump both often enough and long enough. This creates the demand that is necessary to establish, maintain, and/or increase your milk supply.

If your supply isn’t what you’d like it to be, you may want to evaluate your pumping schedule:

• The number of times that you should pump in a day depends on your baby’s age. During the first few months, you’ll want to aim for 7-10 sessions a day. Later, you can drop sessions. You can see some sample pumping schedules by age here.
• Regardless of how many times you pump in a day, you want to pump for about 120 minutes per day as a minimum guideline until you’re ready to start weaning. More on this guideline here.

If you’re pumping less than described above, changing your pumping schedule to pump more often or more total time would be the first thing I would change.

After making a change, allow for a few days to a week to see an increase in supply, and then you can reevaluate from there. (It can take a little time for your body to react to the increased demand.)

(If you want help figuring out you schedule, I have a workbook that walks you through it step by step. Use EPUMP30 for 30% off.)

2. Eat Oatmeal

Although there is no scientific research on this, enough people have noticed an increase in pumping output when they eat oatmeal that many lactation consultants recommend it as a way of increasing supply.

Any kind of oatmeal is fine. You can have a bowl of old-fashioned oats for breakfast or cook with oats (i.e., oatmeal cookies, overnight oats, pancakes, etc.).

I did an unscientific experiment to see if oatmeal would increase my supply, and I found it did. I noticed about an 1-2 oz increase in the amount I pumped on days when I ate oatmeal.

3. Power Pumping

“Power pumping” or “cluster pumping” simulates cluster feeding.

When a baby is cluster feeding, they are constantly on and off the breast, trying to get more milk. This increased “demand” signals the parent’s body to make more milk (thus hopefully increasing supply).

To mimic cluster feeding, set yourself up to the pump (hands-free, of course) and pump on and off for an hour (start with 20 minutes on, then 10 minutes off/10 minutes on) while you watch TV or something.

Try to make it as fun and easy as you can by doing something that you enjoy while you pump.

4. Hydration

While this also isn’t backed in research, many exclusive pumpers have noticed that staying hydrated can help support their milk supply.

This doesn’t mean that you need to drink gallons of water every day. It can just be hard to remember to take care of yourself and drink enough water when you also have a baby to take care of. Try bringing a bottle of water (or any hydrating fluid) with you when you sit down to pump and see if it makes a difference.

(Body Armor and Gatorade aren’t magic drinks, but some people find them helpful because they are hydrating.)

5. Try nursing teas

Nursing teas contain a mixture of herbs (like fenugreek, blessed thistle, and fennel seed) that are thought to increase milk supply.

Because the dosage in these teas are on the lower side, you’d want to drink at least a cup or two every day that you’re trying them out.

(I happen to have a discount code for Milkmaid Tea – use PUMPING15 for 15% off).

6. Take Lactation-Promoting Herbs

Many people use lactation supplements or herbal galactagogues supplements in capsule form to increase supply.

(Important Note: There is always a risk to herbal supplements or medication, which is why I recommend trying the above options first. My supply went up quite a bit when I used fenugreek, and the limited studies that have been done have reported it works for some people – but others have reported that it had the opposite effect on them.)

Fenugreek is probably the most popular of these, and some people see an increase in pumping output after 24-72 hours of starting it.

Blessed thistle is another herb that may help increase milk supply; some lactation experts recommend taking it with fenugreek for the best results.

(Legendairy Milk reached out to me and gave me a 15% off discount code for any of their supplements – use EPUMP for 15% off!)

7. Medication Options – Domperidone or Reglan

There are two medications that are not intended for anything to do with lactation, but seem to increase milk supply as a side effect.

These medications are Domperidone (also called motilium) and Reglan. They work by by blocking dopamine receptors, which results in an increase in prolactin levels. These drugs will not work in women that already have normal prolactin levels.

Both of these medications normally work within 3-4 days, but may take longer.

The downsides of using one of these medications are:

• With any medication there are risks, and you will need to discuss them with your prescribing physician.
• Reglan is contraindicated in women with a history of depression, as one of its side effects is severe depression. Given that postpartum depression may be a concern, this is something to consider.
• Domperidone has fewer side effects, and is widely used in Canada and other countries. However, it is difficult to get in the United States.

I hope this helps you understand things that you can try to increase your milk supply, what you might want to try first, and potential risks.  Ask any questions that you have in the comments!

Want help putting together the perfect pumping schedule for you that saves your sanity AND your milk supply? Check out the Exclusive Pumping Playbook! Includes cheat sheets for setting up systems and routines to make things easier. Use EPUMP30 for 30% off.

References

Why am I not producing enough milk when pumping?

How long should I pump to increase milk supply?

Will pumping every hour increase milk?