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Oversupply and forceful let down? Report as Inappropriate. 110 Horizon Drive, Suite 210 Raleigh, NC 27615, USA Administrative Office: +1-919-459-2167 | +1-800-LALECHE (525-3243) Grace wasn’t able to nurse while I was having a letdown anyway because she would choke on how much milk was flowing. At 5/6 weeks, I had an oversupply and forceful letdown. Discussion in 'Breastfeeding' started by apple84, Feb 13, 2012. apple84 Well-Known Member. How do you know if you have an oversupply? Baby gained 4 pounds the first month and ended up in 97% percentile and he wasn’t like feeding around the clock or anything like that. Sometimes the flow of milk in this reflex can seem to be too fast for an individual baby and they gulp, cough and gasp and may come off the breast crying while milk spurts everywhere. Some mothers notice that the problems with fast letdown or oversupply don’t start until 3-6 weeks of age. These have made a tremendous impact on me and my babies nursing journey. If milk is released very forcefully it is sometimes called a fast let-down or an overactive let-down. View EU and Canadian versions of this disclaimer. Look for early feeding cues (sucking fingers, searching with an open mouth) or try offering a breastfeed while baby is still sleepy and relaxed. Your breast pump can handle whatever letdown you give it. Overactive Letdown of milk while breastfeeding (also known as milk oversupply, overabundance of milk, or forceful milk ejection reflex) is a common occurrence in early breastfeeding. This can discourage blood flow and milk production, and soothe discomfort. #breastfeeding #overactiveletdown #oversupply Hi mamas! Lean back with a recliner or pillow and cradle hold your baby. While this is a common issue, thankfully it is easily managed. Pumping will increase your supply so i stopped doing that. April 13, 2019 No Comments. A fast let-down is not always a mother related problem (i.e. Overactive Letdown. Thread Tools. Remember that if you and your baby are coping well with the volume and flow of milk you won’t need to make any changes. But it can also occur on its own. I'm trying really hard to breastfeed my little one but I feel like I'm going insane. The Bump Baby Registry Now is the perfect time to start your Baby Registry! We finally sought out lactation support and they diagnosed me as having an “oversupply” and “forceful let-down.” It turns out that sometimes too much milk is not a good thing. You may leak as well as spray your baby in the face. If the unused side becomes uncomfortable, express a little milk until you’re more comfortable and then use cool compresses – aim for expressing less milk each time until you are comfortable without expressing milk. Although oversupply is rare, it is when your body produces too much milk and can cause a forceful let-down that could be painful for both you and your baby to deal with. the let-down is too fast); it may be a “baby problem” for example a baby may have difficulty managing normal flow as well as fast flow. I say this because when I pump (I'm returning to work soon, and am working on building up a freezer supply), most of the milk comes out in the first 5 minutes, and at most I pump about 2-3 oz. An overactive letdown is when your breast milk comes out too fast and hard at letdown. Close ... 48 hours without formula since birth! I thought it was reflux (and it probably is at least partially), but I'm starting to wonder if it's more of an issue of flow. Forceful milk flow. Instead, an oversupply causes a forceful letdown which basically causes your baby to choke, gasp for air, or start gulping while nursing. View EU and Canadian versions of this disclaimer, if the flow is too stressful some babies may. Avoiding long time intervals between breastfeeds will help to reduce engorgement and faster flow due to increased pressure of milk within the breast. My letdown is still forceful but she's coping with it better. Start by pumping first, once letdown has been achieved put baby on the breast. She explains that breastfeeding does not protect against dysphagia or aspiration and not all babies will cough or choke—some babies may stop breathing temporarily to prevent more fluid going into their lungs. OALD without oversupply? Forceful letdown. One of them is a painful letdown. I found that left alone my supply did sort itself out and if I was absolutely overfull I would hand express a little in the shower as a last resort. I had problems with forceful letdown and oversupply. Hello,I've posted before about the problems I've had feeding my ds who is now 11 weeks. Gag, choke, strangle, gulp, gasp, cough while nursing as though the milk is coming too fast, Position baby so that she is nursing “uphill” in relation to mom’s breast, where gravity is working, Cradle hold, but with mom leaning back (a recliner or lots of pillows helps). Forceful letdown/over supply: Good morning ladies! Forceful milk flow. She also is experiencing lots of uncomfortable gas … She starts sucking, I get a let down, she struggles, her mouth pours milk out the corners, she un latches, coughs, chokes and them starts screaming til I put her back on and then it all happens again. Between the constant messes, my baby’s gas, and public leaking humiliations, it was a nightmare. In addition to owning and editing Breastfeeding Support, Philippa is Managing Editor for Leader Today—La Leche League International’s Journal for Leaders. My little one is 3 weeks old and I am EBF. Mothers whose milk flows very quickly may have an overactive or forceful letdown. Is overactive letdown the same thing as oversupply? Subject: Forceful letdown/oversupply issue? Breastfeeding positions with baby above the breast can help to slow the flow of milk because milk flowing uphill is working against gravity3. While this is a common issue, thankfully it is easily managed. An IBCLC lactation consultant can help to identify whether a baby’s latch or positioning could be causing difficulties with managing the flow of milk. Then I built it back up and now I’m back to oversupply and my baby is constantly choking, crying, and I can’t get a good feed where he ends up milk drunk. I've found the best thing is expressing first then feeding and the girls feed so much better, much more settled too. It is normal and expected that milk will begin to spray and it makes complete sense when we think about what is happening within the breasts. Is it oversupply? Updated on April 09, 2008 K.K. So as the title suggests, I have loads of milk which comes out like a firehose. Nurse when baby is sleepy and relaxed. ! This can be frustrating for the baby, especially since they often get sprayed in the face. Side-lying position. Swallowing milk quickly may mean you baby needs to burp frequently. It can be normal for a newborn baby to cough or choke occasionally with the let-down while they are still learning how to breastfeed1 and to can be quite normal to spit up excess milk (have reflux) after a feed. Forceful letdown or oversupply. Baby sitting up and facing mom to nurse instead of lying down (good for nursing in public). However, some babies can seem to be overwhelmed and fussy by a very fast let-down, they may cough, choke or let go of the breast and cry. Not all mothers feel anything at all when milk begins to flow from the breast with the let-down reflex—but they will notice their baby starts to swallow milk more rapidly a few minutes into the feed. Once the flow slows, you can put your baby back to the breast. This post may contain affiliate links as Femme to Mom is a member of the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. If baby has only the nipple in his mouth rather than a good mouthful of breast it is more difficult for him to control the flow of milk. Joined: Jan 5, 2011 Messages: 4,466 Likes Received: 0. My daughter is 2.5 months old. Forceful let-down (milk ejection reflex) and oversupply. Similarly certain positions can make breastfeeding more difficult for a baby. Unfortunately life put us in a very different direction. Signs that a baby is struggling to cope with the flow of milk in a fast let-down might include: The symptoms of fast or forceful let-down listed above are often seen in babies whose mothers have too much breast milk or “oversupply” however this is not always the case—a baby may struggle with flow without oversupply. May 16, 2020 - FORCEFUL LET DOWN With my first baby I had an oversupply which ca. Forceful milk flow Coping with leaking Too much milk How oversupply happens Reducing your milk Dealing with engorgement Oversupply with blocked ducts or mastitis Adjusting to the new normality. We finally sought out lactation support and they diagnosed me as having an “oversupply” and “forceful let-down.” It turns out that sometimes too much milk is not a good thing. It is when a mother’s milk is spraying out of the nipple too quickly, often causing her baby to become fussy or to choke at the breast. In terms of the letdown … and contact your breastfeeding specialist if you’re considering using a nipple shield for a fast let down. www.kellymom.com [Accessed May 2017] LLLGB. It makes for some really messy feedings, between my milk spraying everywhere and/or his spit ups. He spits up A LOT too. But by 4-5 months it had gone way down and I had to supplement. Same! Bear in mind that regularly expressing milk before breastfeeding could ultimately stimulate your breasts to make more milk which may worsen the situation if your fast flow is connected to oversupply. In Supporting Sucking Skills In Breastfeeding Infants, Cathy Watson Genna, 2017, p164 explains that if a fast flow overwhelms breathing, the baby may: For further reading see Supporting Sucking Skills, 3e and contact the health professional in charge of your baby if you have any concerns about your baby’s swallowing or breathing coordination. www.laleche.org.uk [Accessed May 2017] NCT. But not much. When a baby starts to suckle, a reflex involving nerves and hormones (a neurohormonal reflex) releases milk from the breast. When a baby is attached well to the breast, he is more likely to be better able to control the flow of milk. You may choose a side-lying position if you have forceful letdown or oversupply of breastmilk. La leche league International. This was further confirmed during out attempts to introduce a bottle (I bought in to the notion/myth that all babies would need to take one at some point and should be introduced at 6 weeks). This article looks at signs that can indicate a baby is struggling with the flow of breast milk in a fast let-down and what to do about it. Football-hold your baby with you … ", followed by 712 people on Pinterest. A forceful flow is often associated with having “too much milk”. A new mom’s worst fear is not being able to produce enough milk. - I often feel let down sensation during the day between feeds. In terms of the letdown DD choked just like you. With forceful letdown, your baby gets sprayed, but you may not become engorged or leak as much as someone with too much milk. Sometimes you make the right amount of milk but the flow is super fast. Between feedings, try applying cool compresses to the breast (on for 30 minutes, off for at least an hour). Here are 6 tips to help deal with an overactive letdown: Overactive Letdown Tip #1: Optimise Your Baby’s Attachment. However, a nipple shield can cause other problems. If block feeding is not working after a week, it may be helpful to. Do you find your baby comes on and off the breast several times during a feed, leading you to believe that you may not have enough breast milk to satisfy your baby? Your baby may struggle to stay on the breast. Feeding your baby expressed breastmilk. My otherwise placid 3-week-old has gradually become more and more fussy at the start of nursing. How to Slow a Forceful Letdown Due to Oversupply: Here are some of the best solutions to this problem. Just with my manual pump, I would get about 3-5 oz of milk per feeding. I think I have oversupply issues, and my baby is super fussy at the breast. Pielette Mum to little men. Lactation consultant and breastfeeding author Cathy Watson Genna2 explains that problems with swallowing (dysphagia) are not common but may be seen with some premature babies, babies who have had heart surgery, babies with neurological or anatomic issues or severe reflux and some healthy term babies. Oversupply and overactive, or forceful let-down are often seen together because, when you have excessive milk, it’s common for it to flow very fast. I say this because when I pump (I'm returning to work soon, and am working on building up a freezer supply), most of the milk comes out in the first 5 minutes, and at most I pump about 2-3 oz. Start by pumping first, once letdown has been achieved put baby on the breast. www.nct.org.uk [Accessed May 2017] NCT. As a new mom, an overactive letdown, or forceful letdown, was the bane of my existence. Log in, One method for decreasing milk supply without limiting baby’s feeds is called, Another method that has worked for some is, (FDBF), where the breasts are first drained as much as possible (usually with a double electric breast pump), then block feeding is commenced, starting with around 3 hours per side. My milk ejection/letdown was totally normal, but my daughter couldn't co-ordinate sucking, swallowing and breathing rapidly enough - and hence ended up doing the above. Breastfeeding: Oversupply or forceful let-down? I have to hand express or pump the foremilk in order ... advertisement. Forceful or overactive letdown describes how fast and forcefully your milk comes out of your breast during a feeding. Also have a burp cloth so when you get that initial letdown and baby pulls off, you can catch it without getting milk everywhere. Joined: Mar 19, 2009 Messages: 10,209 Likes Received: 0. In this case, the mother’s milk slows fast that the baby can’t cope with the flow. With a fast let-down, milk might be seen spurting from the breast like water from a firefighter’s hose when baby comes off the breast mid flow. I didn’t have a forceful letdown but must have had oversupply this second time around. But I don’t think I have oversupply. For forceful letdown, leaning back so that the milk has to go against gravity helped. Breastfeeding Support will email you a regular newsletter with our latest news and articles. With an oversupply of milk, you may find your baby restless at the breast, coughing, gulping, spitting up milk, and arching away at initial letdown. levee2005. Oversupply/forceful letdown with twins. She latches and re-latches. Information found online should always be discussed with your own IBCLC lactation consultant and doctor to ensure it is appropriate for you and your baby’s situation. Forceful let-down runs the gamut from a minor inconvenience to a major problem, depending upon how severe it is and how it affects the nursing relationship. Luckily, this is nothing that should cause alarm. But not much. In This Article. “It was so painful because she was pinching my nipple with her tongue,” recalls Sarris. Side lying position – this allows baby to dribble the extra milk out of her mouth when it’s coming too fast. 10 tips that may help. Mothers whose milk flows very quickly may have an overactive or forceful letdown. This topic tends to be taboo in the breastfeeding world for a couple reasons. I try and recline when I'm feeding him to slow down the flow, or express the initial letdown into a towel, but it doesn't stop the milk from spraying everywhere or from him coughing/choking/taking in a lot of air sometimes. Football-hold your baby with you leaning back. To be precise, it’s not the amount of breast milk you produce that causes this problem, but rather the flow of milk. She’s taking no medication for reflux. If the let-down is very fast, try taking baby off the breast for a moment or two until the flow slows a little. Sep 16, 2018 - Does your baby: choke, gag, sputter, refuse to nurse, or have reflux/colic. Forceful milk flow Coping with leaking Too much milk How oversupply happens Reducing your milk Dealing with engorgement Oversupply with blocked ducts or mastitis Adjusting to the new normality. While pregnant I had planned to exclusively breastfeed with no intention of using formula. Between the constant messes, my baby’s gas, and public leaking humiliations, it was a nightmare. For general information on overactive letdown, discussion of a common cause and how to try and avoid this challenge, see my article on Overactive Letdown in the related links at the end of this page. First of all, mamas who have over supply are often able to pump high volumes of … Is it possible to have forceful letdown without oversupply or do they hand in hand? I struggle with oversupply and a forceful letdown which makes breastfeeding an arduous process for me and my baby. If baby finishes nursing on the first side and wants to continue breastfeeding, just put baby back onto the first side. Oversupply and forceful letdown … See, Any time you are breastfeeding less frequently, keep a close eye out for. How well a baby can handle a fast let-down or forceful milk flow can depend on their latch (the way baby is attached to the breast), their positioning (the way they are held) and how well they can coordinate suck, swallow and breathe. As a new mom, an overactive letdown, or forceful letdown, was the bane of my existence. Oversupply/forceful Letdown: Anyone else dealing with this? I was pretty miserable for the first couple weeks. With the volume the letdown is a bit faster, but a fast letdown and oversupply are entirely different things. I think I have oversupply issues, and my baby is super fussy at the breast. She still occasionally gets a squirter, which makes her cough and splutter, but it doesn't upset her the way it used to. If a baby can’t cope with the milk flow, he may gulp, choke and splutter while nursing. *Breastfeeding.support is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. A container or towel can catch the milk and once the flow has slowed your baby may be better able to cope with the flow. The mother’s letdown reflex may be so forceful that the baby chokes, gags and sputters as he struggles with the jet of milk that sprays too quickly into his mouth. You can let the baby nurse, then once letdown has occurred, pull baby off to catch it in a burp cloth or towel, then place baby back to … Oversupply of Milk/Forceful Letdown. First, it is important to know the difference between oversupply and a forceful letdown. Oversupply and forceful letdown aren’t just problems for the baby: They can cause nipple pain, because the baby has developed what’s known as a defensive shallow latch to help cope with the flow, says Kent. Oversupply can cause a forceful letdown, which is when the rush of milk from an overfull breast can make nursing difficult and uncomfortable for both mom and baby. Mothers who produce too much milk may suffer from full, engorged breasts, plugged ducts, and mastitis. Contact your doctor, paediatrician or health care provider with any concerns about your baby’s health and welfare. Wait until let-down occurs, then take baby off the breast while at the same time catching the milk in a towel or cloth diaper. We use MailChimp as our marketing automation platform. How to Slow a Forceful Letdown Due to Oversupply: Here are some of the best solutions to this problem. However, I'm quite certain I don't have an oversupply. Oversupply and forceful letdown are a topic that many women struggle with, but few talk about. Forceful letdown/oversupply questions. Nov 6, 2015 - Explore Association of Breastfeeding M's board "Forceful letdown, over supply, lactose overload. Breathing issues such as congestion or mucous can also be a cause of difficulty handling flow rate at breast or with a bottle. Someone in this situation needs to be heard and supported. See more ideas about forceful letdown… I have a four week old and am experiencing an oversupply of milk and forceful letdown. Too Much Milk and Oversupply While it’s good to have plenty of milk, it can be a real problem if you produce much more milk than your baby needs. Sometimes, when a mom has oversupply and her milk lets down, too much can come out at once for baby to handle. Overactive let-down can be a part of a constellation of symptoms that make up oversupply syndrome or oversupply colic. It may be that milk was spraying everywhere, frequently soaking through nursing pads and clothes. Mothers with forceful let-downs often have an oversupply of milk too. Is it possible to have forceful letdown without oversupply or do they hand in hand? I have a four week old and am experiencing an oversupply of milk and forceful letdown. I thought it was supposed to regulate by now does the fast letdown ever go away? - Breastfeeding Support. Alternatively initiate the let-down before baby comes to the breast so that the fast flow has subsided. asks from Washington, DC on April 03, 2008 6 answers. How do you know if you have a forceful letdown and what that even means? He is pooping and peeing regularly and the poop is good colour and texture. With some mindful strategies and patience, an oversupply or forceful letdown can be remedied, and nursing can be a pleasant experience. Learn more about what you’ll experience with an overactive letdown and how to deal. Use this only if nothing else is working, as it stimulates additional. Learn more about what you’ll experience with an overactive letdown and how to deal. Many moms have this in the first 4-6 weeks postpartum, as this is by design to ensure there is enough food for baby. Philippa is also a Professional Liaison Leader for La Leche League Great Britain (LLLGB) supporting La Leche League Leaders with medical queries. (She’s almost 1 month.) How easily a baby can cope with a forceful flow of milk depends on how a baby is positioned and attached to the breast and how they can cope with coordinating sucking, swallowing and breathing through a fast flow. Too much milk and oversupply. For more information see the About Page. Share; Tweet ; Pin; 60 shares. November 28, 2017 at 7:19 pm; 1 reply; TODO: Email modal placeholder . My account. at FirstCry Parenting See Nipple Shield Good or Bad? So, suffering from an overactive letdown is probably the last thing you expected. If your baby coughs, chokes, gulps and gasps or lets go of the breast just after you have a let-down: The deeper the latch, the better a baby can control flow. Other mothers will feel a tingling or prickling sensation when milk is released from the breast. I’m just managing symptoms naturally. ", followed by 712 people on Pinterest. 2016. My twins are 4 weeks old and exusively breastfed. Occasionally some babies may benefit from a referral to the Speech and Language Team (SALT) to check whether there is an underlying reason why they cannot manage the flow of milk. I think I might have an oversupply in my right boob. Sometimes an overactive letdown can come hand-in-hand with having an oversupply of milk. I’m 3 months postpartum and still have an oversupply in the mornings (baby sleeps 10 hours straight) then forceful letdown each feeding. Instead, an oversupply causes a forceful letdown which basically causes your baby to choke, gasp for air, or start gulping while nursing. When a baby breastfeeds they coordinate their breathing with sucking and swallowing in a carefully timed sequence so they do not swallow the wrong way causing milk to enter their airway instead of their oesophagus. What is a forceful let down? May 16, 2020 - FORCEFUL LET DOWN With my first baby I had an oversupply which ca. The other side leaks about a tablespoon when letdown starts. See more ideas about forceful letdown… Avoid extra breast stimulation, for example, unnecessary pumping, running the shower on your breasts for a long time or wearing breast shells. If the timing of the swallow is not quite right, fluid could enter the lungs (aspiration). See Oversupply of Breast Milk for more information and check with your IBCLC lactation consultant before reducing your milk supply. This will reduce the amount of milk that accumulates between feedings, so feedings are more manageable for baby. A new mom’s worst fear is not being able to produce enough milk. Laid back positioning- in this position, mom is reclining comfortably and baby is on top (facing down), tummy to tummy with mom. Nov 6, 2015 - Explore Association of Breastfeeding M's board "Forceful letdown, over supply, lactose overload. However, I'm quite certain I don't have an oversupply. Show Printable Version ; September 22nd, 2012, 06:02 AM #1 *beannaithe* View Profile View Forum Posts View Blog Entries View Articles BellyBelly Member Join Date May 2007 Location Otago, NZ Posts 877. Aside from the above tips in dealing with forceful letdown and oversupply, here are some additional tips that you can do with your baby for a more comfortable breastfeeding session. National Childbirth Trust. My baby coughs and chokes during feedings and gets hiccups and spits up (sometimes two and three times) after every feeding. Perhaps it wasn’t so obvious. Log out. La Leche League Great Britain. I think I have forceful let down. Find answers & help on '#AskTheExpert how to deal with oversupply or forceful letdown of milk.' I have been feeding reclining but this is only effective to a point. Oversupply and overactive, or forceful let-down are often seen together because, when you have excessive milk, it’s common for it to flow very fast. My baby gulps and chokes on it quite often and gets upset. By clicking below to submit this form, you acknowledge that the information you provide will be transferred to MailChimp for processing in accordance with their Privacy Policy and Terms. Information is provided for educational purposes only. I found that left alone my supply did sort itself out and if I was absolutely overfull I would hand express a little in the shower as a last resort. If you’re exclusively pumping, this will not be a problem for you! Burp baby frequently if she is swallowing a lot of air. 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