Breast Milk Doesn’t Come Out After Childbirth, What Should You Do?

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ASI Tak Keluar Usai Melahirkan, Harus Bagaimana?

After giving birth, there are mothers who may experience some difficulties. One of them is the problem of breast milk not coming out on the first day after giving birth. Conditions like this must be enough to make the mother worry, especially the first breast milk or colostrum is the best food that a mother can give for the first time to her little one.

So, is the milk that doesn’t come out after giving birth a sign that the mother’s body is having a problem or is something else happening? Come on, find out through the explanation below, Mums.

Also read: Breastfeeding can still be given despite experiencing these 6 problems

Causes of breast milk not coming out after giving birth

When a baby suckles at the breast for the first time, oxytocin is activated and the muscles around the alveoli contract, causing colostrum to begin to come out. But in some cases, not a few mothers whose milk is difficult to come out or even not come out at all. This may be due to the following reasons:

1. Overweight or obesity

Mothers who give birth in a state of obesity or overweight can be the cause of difficulty in milk coming out for the first time. Being overweight during pregnancy can delay the onset of postpartum lactation. Therefore, it is important to maintain weight before pregnancy so that this condition can be prevented.

2. Traumatic childbirth

Slow opening can cause labor to take a long time so that the mother has difficulty in the process of pushing. As a result, doctors sometimes resort to using forceps and a vacuum pump to induce labor. But unfortunately, this can make the mother become stressed and traumatized. Mothers who are stressed during childbirth will make the body slow to produce the hormones needed to produce breast milk.

3. Caesarean section

Delivery by emergency caesarean method can be stressful for both mother and baby. The same is true for mothers who use the planned caesarean method. In both cases, early delivery, lack of labor hormones, use of analgesics such as epidurals, and separation of mother and baby due to the baby’s special condition, reduces milk production.

4. Excessive use of intravenous fluids

The use of intravenous fluids during labor is carried out in certain circumstances. However, the use of intravenous fluids in large enough quantities during labor, can cause breast engorgement due to water retention. Until breast engorgement subsides, milk production will be affected.

Baca Also: Want a lot of milk production and smooth? Reduce Stress and Always Be Happy, Mums!

5. Blood loss

Postpartum bleeding is a condition in which a mother loses large amounts of blood, which is more than 1000 ml of postpartum blood. Excessive blood loss during labor can reduce milk production and alter the hormone prolactin. In addition, stress and fatigue due to blood loss can also delay lactogenesis, you know, Mums.

6. Retention of placental fragments

After delivery, the placenta is expelled, which causes the level of progesterone in the body to drop. However, progesterone levels can remain high if placental fragments are present, causing delayed onset of lactation, which affects milk production and supply.

7. Mother’s health condition

Health problems, such as diabetes, PCOS, gestational ovarian cysts, and thyroid conditions, can interfere with milk production. The hormonal imbalance that occurs in this condition is what alters the production and supply of breast milk.

8. Smoking and alcohol use

Research shows that smoking and tobacco use can alter the composition and production of milk. Alcohol can have a similar effect on breast milk production.

Also Read: Mums, Here’s How to Increase Breast Milk Production!

Tips to Increase Breast Milk Production after Childbirth

If you can’t express milk shortly after giving birth, don’t stress. Remember, milk production is a demand and supply mechanism. The more you feed your baby or empty your breast, the more milk you will produce. Well, try this method to increase your milk production, Mums.

1. Pumping breast milk. Using your hands or a pump, try to diligently empty your breasts every few hours. Don’t care how much milk you produce, because the more often you express and pump milk, it will stimulate the breasts to produce it.

2. Breast massage. Lactation massage is a technique of massaging the breasts in a certain way that can help facilitate the flow of milk. You can massage your own breasts 5-10 minutes between feedings to stimulate your breasts to increase milk production.

3. Breastfeed often. Apart from massaging and pumping, breastfeed your baby no matter how much milk you express. Aim to breastfeed eight to 12 times a day for about 15 to 20 minutes per session.

During each feeding session, change breasts and feed your baby at least twice on each side. Also, maintain as much skin-to-skin contact as possible. Make sure the baby is latching on to the nipple properly and sucking.

4. Compress with warm water. Compressing with warm water on your breasts, can trigger the flow of milk to be smooth. However, as much as possible do not take a warm bath after giving birth, because there is a risk of bleeding.

5. relaxation. Fatigue is one of the causes of low milk supply. So, relaxing and giving yourself a break to increase your milk supply is very important. Mums, you can choose to listen to soothing music or imagine yourself breastfeeding your little one to relax.

6. Enough rest. Caring for a newborn is not something easy. This can make you tired and have an effect on a decreased milk supply. Constant stress due to lack of rest can cause cortisol levels to rise and breast milk not come out.

7. Healthy lifestyle. Eating nutritious foods and drinks and drinking lots of water will increase your milk production and supply. Also, enjoy some physical activity whenever your doctor allows you to do so after delivery. Exercising helps maintain a healthy weight and releases endorphins that keep you stress free and happy.

Also read: How to increase breast milk with the right food intake

MomJuntion. No Breast Milk After Delivery: Causes And What To Do For It?


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