Managing Oversupply in Breastfeeding: Tips You Need to Know

Breastfeeding is a rewarding experience, but an oversupply of breast milk can lead to several complications for both the mother and the baby. Today, ANB Baby is taking an in-depth look into managing oversupply issues in breastfeeding and sharing some practical advice and solutions from La Leche League and the Cleveland Clinic for a balanced breast milk supply.

Understanding the Symptoms of Breast Milk Oversupply

Symptoms in Babies

Babies experiencing oversupply may exhibit various symptoms, including the following:

• Rapid weight gain: Babies may gain weight quickly, moving upwards through growth percentile lines.
• Explosive, green frothy stools: This can indicate a foremilk-hindmilk imbalance.
• Struggling to manage milk flow: Babies might choke, cough, or pull away from the breast.
• Pain and excessive gas: Babies can experience discomfort and increased flatulence.
• Feeding difficulties: Babies may clamp down or bite to slow the milk flow, spit up frequently, or appear constantly hungry despite significant weight gain.

Symptoms in Mothers

Mothers with oversupply may notice several symptoms as well:

• Persistent breast engorgement: Breasts rarely feel soft or comfortable.
• Forceful letdown: Milk ejection can be overactive and painful.
• Excessive leaking: Frequent milk leakage is common.
• Painful nipples: This can result from clamping down and biting by the baby.
• Recurring blocked ducts and mastitis: Frequent issues with milk ducts and inflammation.

What Causes Oversupply of Breast Milk?

Oversupply can result from various factors:

• Natural variations: Some mothers naturally produce large quantities of milk, especially with subsequent pregnancies.
• Breastfeeding management: Scheduled feeds or excessive pumping can overstimulate milk production.
• Medical conditions: Conditions like hyperprolactinemia can increase milk production.
• Herbal supplements: Certain supplements might boost milk supply unintentionally.

Managing Oversupply of Breast Milk

Adjusting Feeding Techniques

• Responsive feeding: Feed your baby on demand rather than on a fixed schedule to help regulate milk supply.
• Position adjustments: Use laid-back or side-lying positions to manage a fast letdown.
• Frequent feeding: Offering the breast more often can help manage the volume and force of milk flow.

Block Feeding

Block feeding involves nursing from the same breast for a set period before switching to the other breast. This technique can help reduce milk production by decreasing stimulation:

• Start with two-hour blocks: Nurse from one breast for about two hours, allowing the baby to feed as often as needed, then switch.
• Adjust as needed: If your breasts feel uncomfortably full, express just enough to relieve discomfort.

Managing Fast Letdown

A fast letdown can be a significant issue with oversupply. To help your baby cope:

• Ensure a deep latch: A good latch helps the baby manage milk flow better.
• Use gravity: Feed in a reclined position to slow down milk flow.
• Allow breaks: Let your baby come off the breast to catch their breath as needed.
• Hand express before feeding: Express a small amount of milk to reduce flow speed at the start of feeding.

How to Decrease Milk Supply Without Getting Mastitis

Reducing milk supply needs to be done gradually to avoid complications like mastitis:

• Gradual reduction: Decrease pumping volume and frequency slowly over days or weeks.
• Consult healthcare providers: Work with a lactation consultant to develop a safe plan.
• Monitor for symptoms: Watch for signs of mastitis, such as breast pain and flu-like symptoms.

Seeking Support for Breastfeeding Oversupply

Professional support can be invaluable when managing oversupply:

• Lactation consultants: Specialists can provide personalized strategies and support. Search the International Board of Lactation Consultant Examiners® database to find a consultant near you.
• Healthcare providers: They can rule out medical conditions and recommend appropriate treatments.

Managing Oversupply Issues in Breastfeeding at Night

Nighttime breastfeeding can be particularly challenging with oversupply:

• Nighttime block feeding: Continue block feeding through the night to maintain consistent management.
• Comfort measures: Use cold packs or cabbage leaves to relieve engorgement discomfort at night.

Shop ANB Baby to Help Find Balance and Comfort in Your Breastfeeding Journey

Breast milk oversupply can be challenging, but it can be effectively managed with the right techniques and support. If you're struggling with oversupply, consider seeking help from healthcare providers and lactation consultants. For essential breastfeeding supplies, visit ANB Baby to find products that can aid in managing your breast milk supply effectively.