Getting a hang of breastfeeding is a challenge in itself, but after you master the logistics of how to breastfeed, you may be left wondering if you are making enough to support your growing baby. The truth is this: Your body knows just how much milk to make for your baby. And if you’re concerned about your output, there are some things you can do.
How Much Milk Should I Be Producing?: How Supply and Demand Works
Plenty of studies have proven that the amount of milk you produce depends on your baby’s demands, rather than your body’s own lactation capacity. And in turn, your baby’s demands depend on age, rate of weight gain, and ability to feed efficiently. Read on to see how milk supply changes as your baby ages.
Your Breast Milk Production From Birth to Four Weeks
The first month of breastfeeding can be the most stressful and demanding time. If you are exclusively breastfeeding you will likely feel like you are breastfeeding around the clock. The first month is critical in establishing your milk supply, but be assured that it will get much easier after this.
What’s Colostrum?
The first substance your breasts will make is colostrum. While colostrum looks a bit like breast milk, it’s thicker and more concentrated. Colostrum helps your baby build their immune system in the first few days after birth. It’s normal to only make 1-4 teaspoons of colostrum a day, which is plenty for your baby. After all, babies have tiny stomachs at first. It is also normal for a baby to lose on average 7% of their birth weight in the first week after birth, so don’t be alarmed and think you are not producing enough.
Breast Milk Production
At 3-5 days after birth your transitional milk comes in and you will notice your breast become more engorged as your milk production increases. In these first weeks, nurse each time your baby exhibits hunger cues, which is typically 8 to 12 times in 24 hours. During each feed, allow your baby to take as much milk as they want from one side. When the first breast is empty, offer your other breast and allow them to feed for as long as they want. Keep track of what breast your baby started with and alternate each session.
Babies with adequate breastmilk intake will be gaining weight, urinating at least 6 to 8 times per day and having three or more stools per day. A growth spurt is common between two to four weeks, so it is normal to notice your baby feeding more frequently during these weeks.
If your baby is in the NICU or you are unable to breastfeed during this time, you can consult these pumping schedules to get more information about how frequently you should be pumping.
Your Breast Milk Production Beyond Four Weeks
As your baby continues to grow, so will the size of their appetites. After 1 month of age, babies consume on average 25 oz of breastmilk per day. Nursing sessions will likely become more spaced and/or shorter as your baby is becoming more efficient at breastfeeding and is able to get out more milk with each session. You may also notice your breasts feel less full or firm, you stop leaking, and feeling let-down. All these changes are not a sign of a supply issue, but rather normal changes as you adjust to the amount your baby needs. By 40 days after birth is when your milk supply levels off and becomes established.
After the first one to two months you may want to start pumping, either because you are returning to work, or are going to be away from your baby for longer periods of time. Pumping sessions can be first added between or after feeding sessions. If you continue to breastfeed your baby regularly, it is normal to get out 0.5 to 2oz per pumping session. Don’t get discouraged if it takes two pumping sessions to get enough milk for one feeding session.
If you start pumping in replacement of nursing sessions, the amount you are able to pump increases. For example if you return to work and are pumping during the day and breastfeeding at night, expect to get 2 to 4oz with each pumping session. If you increase the frequency of pumping sessions during the day you can start producing extra milk for the freezer stash (more on this below).
When you introduce solids, breast milk still remains the most important source of calories and nutrition until your baby is 8 to 9 months old. After that, once their solid food intake increases, breastfeeding may space to 4 to 5 times per day and by 12 months your baby may be feeding from 2 to 6 times per day.
Your body will continue to make breast milk as long as you choose to breastfeed your baby. When it comes time to wean, previous studies show it could take 5-7 days for your breast milk to “dry up”.