Sometimes your baby may struggle to stay on the breast if you have a forceful letdown. This can make nursing tricky and might cause your baby to swallow extra air, leading to choking at the breast or excessive gassiness.
If you have an overactive letdown, there are two main approaches: help your baby cope with the fast flow, or try to decrease your milk supply — but only if you actually have an oversupply. We’ll go over the signs of oversupply a bit later.
During the first six weeks after birth, your milk supply is naturally adjusting to meet your baby’s needs. Most moms experience a forceful letdown and rapidly increasing milk supply during this time. It’s best not to try to decrease your supply in these early weeks — give your body a chance to regulate itself.
Also, remember that not all mothers with a forceful letdown have hyperlactation. It takes a bit of patience and time for both you and your baby to adjust.
The Signs of Oversupply include:
When you feel a letdown coming, you can briefly remove your baby from the breast and let the milk flow into a cloth. Once the letdown slows, put your baby back on the breast so they can continue nursing comfortably.
Make sure your nipple is pointing toward the roof of your baby’s mouth, not the back of their throat. A good latch can make nursing much easier and help your baby handle a forceful letdown.
Burp your baby as often as you can during a feed. This helps prevent bloating and discomfort from swallowing extra air.
Try to nurse when your baby is relaxed. A calm baby tends to suck more slowly, which makes the milk flow easier to manage and reduces the chances of choking or excessive gassiness.
Choosing the right breastfeeding position can make a big difference when you have a forceful letdown. Positions that work with gravity can help reduce air intake and prevent choking at the breast. Some good options include:
In addition to the coping strategies mentioned earlier, there are ways to gently help reduce your milk supply if needed. One method often recommended is switch nursing.
With switch nursing, you change breasts more often than usual during a feed. For example, if you normally switch after 10 minutes, try switching after 5 minutes, or even sooner. You can also switch more than once during the same feeding.
This technique allows both breasts to get stimulation while sending a natural signal to gradually decrease milk production, because neither breast is being completely drained. Unlike block feeding, switch nursing is usually more comfortable for mom, and the reduction in milk supply happens slowly. Your baby might be a little fussier than usual at first, but give it some time — both you and your little one will adjust.
How does block feeding work?
Remember, when you breastfeed less frequently, when you breastfeed less frequently, you should watch for blocked ducts, blebs, and mastitis.
Pumping or hand expression should be done with caution and only when necessary, as these can stimulate milk production, which can be counterintuitive. Also, avoid breast compressions and hot showers while breastfeeding.
Do not block feed or try to reduce your milk supply if your baby is not gaining weight as they should.
If all else fails, you can try using herbs to decrease your milk supply. Herbs should be used under the guidance of a lactation consultant.
When does a forceful letdown get better?
Between 6 and 12 weeks, most mothers notice a drop in supply and a decrease in milk flow. During this, a mother’s hormones change again, and the milk supply becomes more stable; this can also lead to frustration at the breast because the baby is accustomed to a faster milk flow. If you are struggling with a slow letdown, please see our page on increasing your milk letdown reflex.
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