Should it hurt when your milk lets down?

Some deep breast twinges during let-down can occur as the milk ducts constrict to force the milk toward the nipple. As your body becomes more used to breastfeeding, these disappear. There can be several other causes of painful let-downs that you may want to consider: Lots of milk.
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Are let downs supposed to hurt?

It's not something you've done wrong: A painful letdown reflex can sometimes be part of your breastfeeding journey. But the good news is that as your amazing body adjusts to this new role, the letdown reflex should become painless. If not, something else may be wrong.
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What does it feel like when your milk lets down?

Some women feel the let-down reflex as a tingling sensation in the breasts or a feeling of fullness, although others don't feel anything in the breast. Most women notice a change in their baby's sucking pattern as the milk begins to flow, from small, shallow sucks to stronger, slower sucks.
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How long does milk letdown hurt?

Sokolow said the pain lasted about 10 to 20 seconds per letdown. In her practice, Bowers says women who experience painful letdown often describe it as “toe-curling pain” or pain that is “a little more significant than the pins and needles pain that moms usually experience with normal letdown.”
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Why does my milk let-down Sting?

Some deep breast twinges during let-down can occur as the milk ducts constrict to force the milk toward the nipple. As your body becomes more used to breastfeeding, these disappear.
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Breast feeding and milk let-down



What does forceful letdown look like?

Most moms notice they have a forceful letdown if their babies are fussy at the breast and are choking, gulping, pulling off the breast, tugging the breast, coughing or gasping. Babies may also experience painful and excessive gas, hiccupping or spitting up.
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Do breasts hurt when they refill?

Refill Pain

This feeling can start 10-20 minutes after the feeding is over and usually lasts 10 minutes or less. The ache is from the filling up of the alveoli with blood and lymph fluid in preparation for the next feeding.
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How much milk is released during letdown?

Each milk ejection initially releases an average of one ounce of milk, with the quantity decreasing as the feeding goes on. A few women eject more than an ounce at the start of each feeding.
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How do I know that my breast is empty?

How do I know whether my breasts are empty? There's no test or way to know for sure. In general, though, if you gently shake your breasts and they feel mostly soft and you don't feel the heaviness of milk sitting in them, you're probably fine.
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Does forceful letdown go away?

Even if these measures do not completely solve the problem, many moms find that their abundant supply and fast let-down will subside, at least to some extent, by about 12 weeks (give or take a bit).
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How quickly do breasts refill?

As mentioned, the breast is never completely empty, but milk flow is greatly reduced by nursing to the point where no significant amount is expressed. It typically takes 20-30 minutes to rebuild to an adequate flow and closer to an hour to rebuild to peak flow.
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Do soft breasts mean low supply?

Many of the signs, such as softer breasts or shorter feeds, that are often interpreted as a decrease in milk supply are simply part of your body and baby adjusting to breastfeeding.
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Should I keep pumping if no milk is coming out?

If I was still producing milk at the 20-minute mark, or if a letdown didn't start until minute 8 of a 10-minute pumping session, I would keep pumping until the letdown was finished, regardless of the time. However, if you are following the schedule and no milk is coming, keep going.
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How can I speed up my let down?

How can you improve your let-down reflex?
  1. sip on a warm beverage.
  2. listen to soothing, calm music.
  3. take a warm shower before feeding.
  4. hold your baby close to your body.
  5. gently massage your breasts to stimulate milk flow.
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Why does letdown take so long at night?

Possible causes of slow let-down

Many things can be the cause of a slow or inhibited let-down: anxiety, pain, embarrassment, stress, cold, excessive caffeine use, smoking, use of alcohol, or the use of some medications. Mothers who have had breast surgery may have nerve damage that can interfere with let-down.
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How do I trigger a let down when pumping?

Here are some of the methods that they use to trigger letdown while pumping...
  1. Relax and visualise success. It's important to relax when you pump. ...
  2. Controlled breathing. ...
  3. Watch videos of your baby. ...
  4. Your baby's scent. ...
  5. Food and water. ...
  6. Massage and nipple stimulation.
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How do you get a second let down while breastfeeding?

If you can elicit a second letdown, you can increase your output and supply. On most pumps, the initial letdown cycle lasts two minutes. Pump for 6-7 minutes after that and then push the button to go through the letdown cycle again and pump for another 6-7 minutes.
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Why does baby pull off breast and cry?

Some babies pull off the breast crying due a fast or slow flow of breastmilk. If your baby pulls off your breast soon after your let-down (when milk begins to flow from your breast) and is coughing or gagging, you may have an overactive let-down reflex.
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How do you tell if your let down is too fast?

Signs of a fast or forceful let-down
  1. Choking, gasping and coughing at the breast.
  2. Coming on and off the breast during breastfeeding.
  3. Pulling on the breast and nipples (babies can also do this when the flow of milk is too slow)
  4. Rapid swallowing of milk with stress cues e.g. fussing, frowning, crying, finger splaying.
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Does pumping Make overactive letdown worse?

Pump Sparingly

Since most cases of overactive letdowns are caused by engorgement, many moms resort to pumping. Unfortunately, this can make the problem much, much worse! While pumping does provide short-term relief, you're just telling your body that you need the milk.
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Is pumping for 10 minutes enough?

Once your milk supply begins to increase from drops to ounces, you may want to pump longer than 10 minutes. Many women find that pumping for about two minutes after the last drop of milk is an effective way to stimulate more milk, however, avoid pumping for longer than 20 - 30 minutes at a time.
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How many ounces should I be pumping every 2 hours?

After the first week, you should be able to pump two to three ounces every two to three hours, or about 24 ounces in a 24 hour period.
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How do you know when you're done pumping?

A good rule of thumb is to continue pumping for about 2 – 3 minutes after the last drops of milk are pumped to ensure your breasts are completely emptied. This is also a great way to know when you're done pumping!
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What time of day is milk supply lowest?

Milk supply is lower in the afternoon and evening because prolactin levels naturally decrease throughout the day.
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Do soft breasts still have milk?

Particularly after the early weeks, it's perfectly normal for your breasts to feel soft and comfortable. This is because the amount of milk you make by this time will be in sync with the amount of milk your baby will be drinking. Some mothers, even in the early weeks, find that their breasts feel comfortable.
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