To learn about the causes and reasons for a low supply of breast milk, read the entry Low Breast Production Milk Causes due to the Mother and Breastfeeding Practices.

Article updated on April 2021.

Below are practical things you can do to avoid low breast milk production.

Photo - maman qui pratique le peau à peau avec bébé

  • Skin-to-skin with mom or dad is important day and night. With Mom, her smell will help the baby as it roots to get to the breast. For situations like this, it’s a good habit to develop during the first weeks.
  • Eating a good diet and hydrating yourself well will certainly help maintain production.
  • Natural products* can increase milk production. These include fenugreek, which seems to work well right after birth but less so after several months. Blessed thistle seems to help some women but its effectiveness is unclear due to lack of data on use and dosage.
  • We can also suggest breast compressions. When the baby is feeding, compress the breast at the same time to help empty the surface ducts and help the milk flow faster into the baby’s mouth.
  • Stimulate production using a double electric breast pump, because it produces better stimulation in the brain and therefore, better production. It is a great alternative if the baby cannot suck or if the mother cannot breastfeed.
  • Avoid overwork and get good rest on a regular basis.
  • Get help in the home for household tasks. This will help new moms concentrate on breastfeeding, rest, eating well and lower stress. For some hints about this, watch Adaptation to the Return Home with a New Baby*.

When you have tried all these non-pharmacological measures and it didn’t improve the situation, it’s important to see your doctor or professional for a follow-up exam to explore other alternatives. The best option is non-pharmacological solutions, but if necessary, the doctor can prescribe domperidone. But you have to follow the indications (not for women with known heart conditions for example). With increased production comes increased flow into the baby’s mouth. Their feeding will be more satisfying as they keep up with the flow. However, a mother who breastfeeds their baby and becomes pregnant again should never take domperidone.

In this sense, your doctor may order an EKG as a precaution before prescribing domperidone. There is few reported side effects from its use in breastfeeding settings, but they can include: dry mouth, headache and abdominal cramps. This product works best in women with breast hypoplasia (few mammary glands), breast asymmetry, breast reduction or implants and when the baby is born very prematurely. Metformin may be added to domperidone. This medicine has a different action which, when combined with domperidone, can significantly increase milk production in new mothers who are known to have polycystic ovaries, diabetes or obesity for example.

That covers information about low milk production during breastfeeding. I hope that is can help you understand the phenomenon and encourage you to see your doctor.

And don’t stop your breastfeeding before having asked for help. To learn more, watch Breastfeeding and Specific Situations*.

Talk soon,

The Baby Expert

*Both videos are in french. But the translation is coming soon.