Let Down

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For the first few days after birth, it is harder to feel this let-down feeling since your milk has not yet come in. After your milk has come in and you have been nursing for several weeks, your let-down response will become more regular.

The let-down reflex is an important part of breastfeeding that starts milk flowing when your baby feeds. Each woman feels it differently, and some may not feel it at all. It can be affected by stress, pain and tiredness but once feeding is established, it requires little or no thought.

The let-down reflex generally occurs 2 or 3 times a feed. Most women only feel the first, if at all. This reflex is not always consistent, particularly early on, but after a few weeks of regular breastfeeding or expressing, it becomes an automatic response.

Milk let-down can be quite forceful, particularly at the beginning of a feed. This fast flow of milk can upset your baby, but it might not mean you have oversupply. It can be managed through expressing before a feed, reclining slightly and burping your baby after the first few minutes. If you continue to have problems, seek advice.

Until you and your baby fine-tune breastfeeding, many sensations and thoughts can trigger your let-down reflex. Leaking breasts can be embarrassing, but should stop once breastfeeding is fully established.

Let your baby nurse until let-down. Then quickly remove the baby from your breast and catch the rapid flow of milk in a towel before latching your baby back on to feed. (To remove your baby from your breast while actively nursing, gently insert your finger into the side of his or her mouth to break the suction. Then position baby away from the nipple).

It may help to position the baby so that the back of the baby's throat is higher than the nipple. This way the milk has to \"travel\" uphill during a let-down, which slows the flow. This can be achieved by:

Objective: To test whether level of perceived stress and reductions in levels of perceived stress (i.e., \"let-down\") are associated with the onset of migraine attacks in persons with migraine.

Dr. Jones: Getting let down. Getting let-down. The first is a psychological consequence and the second is about breastfeeding. How are they connected This is Dr. Kirtly Jones from Obstetrics and Gynecology at University of Utah Health, and this is The Scope.

Okay. That's all good. But after that in the US of A many moms have to go to work. That means if moms are still going to provide breast milk, that breast pumping pump at work becomes a reality. Now, to provide breast milk, a mom has to be at least moderately well-nourished and well-hydrated. But almost all American moms can accomplish that in the workplace. Then, there's the problem of let-down.

To make milk, moms need to be in reasonable health. They have to be breastfeeding, meaning they have to suckle. When the infant suckles, their nerves on the chest wall and the nipple feed information back to the brain to release the hormone prolactin from the pituitary gland. This hormone helps the breast make milk. But the milk just doesn't come out in a continuous dribble. It's made in the far parts of the breast called the alveoli and collected in tubes or ducts in the breast waiting for, you got it, let-down.

When the infant suckles, nerve fibers in the nipple cause the posterior pituitary to release oxytocin, which stimulates myoepithelial cells. These are little muscular cells to squeeze milk from the milk producing part of the breast called the alveoli so it can drain into the lactiferous ducts and then squeezes the milk down the pipeline to the nipple. It takes less than a minute from the time when the infant begin suckling -- the latent period -- until the milk is secreted -- the let-down. But what happens if the baby isn't there

You're in your office or you're in the ladies restroom with your breast pump or if you're lucky you have a private room with a lock and an electric outlet and an electric breast pump and a rocking chair. Nice, but you still have to get let-down. Many experienced breastfeeding moms know that just the sound of their baby giving a hungry cry can begin let-down and that could be embarrassing if the baby isn't close and you start to leak through your clothes. However, for new moms, pumping at work let-down can be difficult to get started.

If let-down is a neuroendocrine reflex from the brain, many things can get in the way of timely let-down. Anxiety, pain, embarrassment, stress, stimulants like caffeine and nicotine, too much alcohol gets in a way but a little bit of alcohol might be relaxing, but not in the workplace. Acute fear or anxiety can suppress let-down. The fight or flight mechanism inhibits let-down, as it should if you're running away from tigers or something else.

Many years ago, when I was a young obstetrician back at work shortly after the birth of our son and pumping when I could find the time, my residents gave me as a joke, I think, a pager duct taped to a breast pump. Now, there isn't anything less conducive to let-down in my world than my beeper going off and a disaster happening to some poor laboring woman on labor and delivery. What a let-down.

So what's a new mom at work to do Some suggestions include bringing a picture of your baby to look at when you're pumping. Bring something like a little t-shirt that smells like your baby with you. Try to get your head in a calm space before you put the breast pump to work. Deep breathing, focused visualization of having your baby at your breast and instead of that pump can be useful. Turning up the vacuum on the breast pump or just pumping harder with the hand pump won't do. The problem is let-down, not suction.

In an effort to increase the success at milk production and future breastfeeding for moms of very premature infants, some research has been illuminating. You can imagine that having a very sick newborn that you've never been able to nurse because they're too little and you're sitting in a pumping room next to the intensive care nursery might not be conducive to let-down.

So what else is out there Last year the annual Make the Breast Pump, Not Suck Hackathon -- isn't that a great meeting -- awarded the Technology Frontiers Award to group that were testing out virtual let-down by transforming pumping rooms at work and in public places into a nursery decorated with pictures and videos and sounds of their babies by using a virtual reality headset.

But use these first with your baby so the association can be stronger. Stay well-hydrated. And if you're struggling, get a coach through your hospital nurse lactation specialist or a La Leche League. This is hard, but you can do it. Don't get let down.

\"in a descending direction, from a higher to a lower place, degree, or condition,\" late Old English shortened form of Old English ofdune \"downwards,\" originally of dune \"off from (the) hill,\" from dune \"from the hill,\" dative of dun \"hill\" (see down (n.2)). The \"hill\" word is general in Germanic, but this sense development is peculiar to English. As a preposition, \"in a descending direction upon or along,\" from late 14c.

To be down on \"express disapproval of\" is by 1851. Down home is from 1828 as \"in one's home region,\" as an adjective phrase meaning \"unpretentious\" by 1931, American English. Down the hatch as a toast is from 1931. Down to the wire is 1901, from horse-racing.

Overactive let-down (OALD) reflex results in the forceful release of milk from the breast when the infant is suckling. It usually occurs only with the first let-down in the breastfeeding session, though in some cases the woman may have more than one let-down. Another name for this is hyper-milk ejection.

To prevent the breast from becoming overfilled or engorged with milk, the baby should be nursed at least 10 times every 24 hours, leaving a gap not longer than 5 hours at night - even for a very sleepy baby. Normally, babies should be fed on demand, at least every 2-3 hours. Frequent nursing reduces the strength of the letdown reflex.

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). At this point, hormonal changes occur that make milk supply more stable and more in line with the amount of milk that baby needs.

Sometimes babies of moms with oversupply or fast let-down get very used to the fast flow and object when it normally slows somewhere between 3 weeks to 3 months. Even though your let-down may not be truly slow, it can still seem that way to baby. See Let-down Reflex: Too Slow for tips.

Other let down triggers. Since your brain is wired to care for a newborn, other things may trigger the let down reflex. If your baby cries, or if you hear any baby cry, your milk may let down in response. If you go too long without nursing and your breasts get too full, your let down reflex may trigger to relieve the pressure.

Strong emotions may also trigger a let down of milk. If you are feeling intensely stressed, angry, or sad, your body may take that as a sign that you need to nurse your baby or release milk to alleviate pressure.

If your milk is not letting down, you can physically stimulate the nipple to allow let down. Try gently rolling your hand down your breast toward the nipple, then massage gently. It can also help to relax and think about your baby.

Breastfeeding is wonderful for your baby, but it is often full of doubts and questions. Are you producing enough milk Are you doing it right This extends to the let down reflex, too. You may wonder if your let down is strong enough or too strong.

Uterine cramps. You may notice that your uterus cramps during a let down in the days following birth. This is natural and nothing to be concerned about. As with menstrual cramps, for some the cramps are mild and barely noticeable, while for others the contractions can be more painful. 59ce067264

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