There is no sharp distinction between foremilk and hindmilk — the change is very gradual. Milk is produced at all times, not just between feedings.
Volume of milk stored in the breast is greater when there has been a greater amount of time between feeds. The amount of milk that can be stored in the breast between feedings milk storage capacity varies significantly from mom to mom and is not determined by breast size although breast size can limit storage capacity.
For most women there is not a lot of storage room. This is simply not how we understand milk production to function. First of all, milk is being produced at all times, so the breast is never empty. If engorgement is severe, your breasts get very swollen and painful. Severe engorgement can make it hard for your baby to latch on to the breast properly.
As a result:. Severe engorgement can lead to blocked milk ducts and breast infection, which is called mastitis. Mastitis needs to be treated with antibiotics. If engorgement is making it hard to breastfeed, use the following steps.
They can relieve your symptoms and keep your milk flowing. If you are not breastfeeding, use one or more of these steps to relieve discomfort:. You may be able to prevent engorgement if you keep milk moving out of your breasts and take care not to let your breasts become overfilled. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.
Your use of this information means that you agree to the Terms of Use and Privacy Policy. Learn How this information was developed. To learn more about Healthwise, visit Healthwise. All rights reserved. If the baby is not satisfied with the first breast, then offer the second breast. A mom may try nursing on only one breast during a feeding to help to lessen her milk supply. Over time, she should notice her milk supply and "let-down reflex" the milk ejection reflex become easier to handle.
Sometimes a woman's let-down is really strong and causes the baby to gag and pull off of the breast. If your baby is staying on the breast and handling the flow of milk, you don't need to do anything. If the baby is pulling off and coughing, sit your baby up in a seated burp position. Pat your baby's back to help him or her regain composure. You can use a burp cloth pressed into the breast to help slow the flow, then latch your baby back onto your breast when ready to resume feeding.
Nursing your baby in a more upright position head above the breast also may decrease the force of the let-down. A side lying position also might help slow the flow of milk.
Some babies might prefer one breast over the other. If this happens, to keep up your milk supply in both breasts and prevent painful engorgement , alternate breasts and keep your baby on the first breast until it's soft, then move your baby to the second breast.
This ensures that your little one gets the hindmilk , which is creamier and contains more calories than the foremilk , which comes at the beginning of a feeding. Some babies will always take the second breast and some will be satisfied with just the first breast. What if the demand for the item wanes over time?
You might start with a small order. And if the demand grows, you might order more. This is similar to how the breasts discern how much milk to make. Breasts are designed to be efficient milk factories.
Your breasts work under the principle of supply and demand. Your baby demands milk, and your breasts supply it. He wants more? The breasts step up milk production. He eats less?
Production slows down. So what triggers the initial order to start making milk? Most of the time, it is pregnancy and the accompanying hormones that stimulate breast tissue growth. The placenta produces estrogen and progesterone, and these two hormones keep the breasts from going into full production.
After your baby is born and the placenta is delivered, the levels of these hormones drop and prolactin kicks in signaling the breasts to make lots of milk over the next few days. At this point, your breasts rely on the baby to help fine-tune the milk order so the breasts can produce just the right amount of milk. The baby removes milk from the breast—the more milk he removes, the more quickly that milk is replaced. Unlike the grocery store analogy where customers empty the shelves and then must wait for the factory to deliver more product to the store, milk is always being produced.
As long as milk is removed from the breast, more milk will be made to replace it.
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