Feeding
Low Milk Supply Concerns
Most parents worry about milk supply, but true low supply is rare. Real signs: baby not gaining weight, fewer than 6 wet diapers per day after day 5, dark concentrated urine, or dry mouth.
Perceived low supply (often false alarms): softer breasts after first weeks, baby feeding frequently, baby fussy in evening, can't pump much (pumping output doesn't equal what baby gets).
Milk production is supply and demand - more nursing = more milk.
What to Do
- Nurse frequently - at least 8-12 times in 24 hours to stimulate production
- Let baby finish first breast completely before offering second (hindmilk is fattier)
- Try breast compression during nursing to help baby get more milk
- Avoid pacifiers and bottles for first 3-4 weeks to establish supply
- Pump after nursing sessions to signal body to make more milk
- Stay hydrated and eat enough calories (extra 500 calories per day)
- Get evaluated by lactation consultant for weighted feeds (measures exact intake)
- Ask doctor about galactagogues (milk-producing foods/herbs) only if truly needed
When to call a doctor
Call a doctor if baby isn't gaining weight, has fewer than 6 wet diapers per day, seems lethargic, or has dry mouth and no tears when crying.