Breastfeeding Mothers Guide to Making More Milk


An essential resource for nursing mothers, endorsed by La Leche League, the world’s leading breastfeeding authority

The Breastfeeding Mother''s Guide to Making More Milk combines the latest information with practical advice about new findings on causes of low supply, innovative ways to increase production, practical solutions for working and exclusively pumping moms, the special needs of premies, emotional support, and more.

Diana West, BA, IBCLC, and Lisa Marasco, MA, IBCLC, have written a comprehensive book about low milk supply to address these common concerns:


Chapter 1—Understanding Your Milk Factory

Seasons of Breast Development: Growing a Milk Factory • Hormones and the Milk-Making Process • Milk Ejection: Nature's Delivery System • How Your Body Decides How Much Milk to Make • Baby Calls the Shots • The Resource-Efficient Breast • The Role of Storage Capacity • Does Milk Production Have an Upper Limit? • The Milk Supply Equation • Milk Production Is Designed to Succeed

Chapter 2—What's Normal and What's Not?

Commonly Misinterpreted Baby Behaviors • Commonly Misinterpreted Maternal Indicators • Do You Have Enough Milk?

Chapter 3—How to Know if There Really is a Problem

Determining If Your Baby Is Getting Enough Milk • Weight Gain to Gauge Milk Intake • Diaper Output to Gauge Milk Intake • Feeding Test Weights • Measuring Production by Pumping • The Final Results • Developing a Milk Management Strategy


Chapter 4—Supplementing Without Decreasing Your Milk Supply

When to Begin Supplementation • How Much to Supplement: A Starting Point • Choosing a Supplement • Supplementation Devices • Weaning from Supplements • Solids as Supplements

Chapter 5—Getting Your Milk Production Off to a Good Start

Get a Head Start: Expressing Milk Before Baby Is Born • Nurse in the First Hour • Keep Baby Skin to Skin as Much as Possible • Delay Bathing • Optimal Milk Production Depends on an Optimal Latch • Optimizing Milk Removal: Breast Massage and Compression • Proximity and Frequency • Avoid the Visitor Syndrome • Express Milk After Breastfeeding • Don't Skip Nighttime Feedings • Putting It All Together: The Essential Elements


Chapter 6— Is It Something You're Doing?

Finding Causes of Low Milk Production • Latch Problems • When Milk Seems to Dry Up Overnight • Stealthy Saboteurs: Common Substances That Inhibit Milk Production • Nursing During Pregnancy • Outside Interferences • Feeding Frequency and Duration • Your Need for Sleep • Unnecessary Supplementation • Nutrition • Hydration

Chapter 7— Is It Something Your Baby Is Doing?

Suck Problems • Palatal Variations • Facial Abnormalities • Airway Problems • Cardiac Problems • Nervous System Issues • The Large, Small, or Early Baby • Infections • Gastroesophageal Reflux Disease

Chapter 8— Is It Something About Your Breasts?

Anatomical Variations • Breast Structure • Surgeries • Infections • Injuries

Chapter 9— Is It Your Hormones?

Hormonal Issues: The Big Spider Web • Edema • Obesity • Diabetes • Hypertension • Anemia • Postpartum Hemorrhage and Sheehan's Syndrome • Placental Problems • Thyroid Dysfunction • Infertility • Polycystic Ovary Syndrome (PCOS) • Luteal Phase Defect • Gestational Ovarian Theca Lutein Cysts • Menstruation • The Age Factor • What Do I Do Now?

Chapter 10—Can Your Mind Affect Your Supply?

Mind over Milk or Milk over Mind? • Potential Inhibitors of Milk Ejection • Harnessing Your Mind to Make More Milk


Chapter 11—Physical Techniques to Make More Milk

Breastfeed More Frequently • Breast Massage and Compressions • Warmth • Touch • Pumping • Alternative Therapies

Chapter 12—Galactogogues: Foods, Herbs, and Medications That Stimulate Milk Production

Targeting: Choosing the Best Galactogogue for Your Needs • Pharmaceutical Galactogogues • Lactogenic Foods: Setting the Stage for a Good Milk Supply • Navigating the World of Herbal Galactogogues • Milk Ejection Aids • Homeopathic Galactogogues • When Do I Stop Taking a Galactogogue?

Chapter 13—Making More Milk When You Return to Work or School

Maximizing Your Milk Production • Make Your Plan • How Milk Production Can Decrease • Increasing Your Supply While Working • Solids Take the Pressure Off

Chapter 14—Making More Milk in Special Situations: Exclusive Pumping, Premies, Multiples, Relactation, and Induced Lactation

Exclusive Pumping • Premature Babies • Multiples • Relactation • Induced Lactation


Chapter 15—Coping with Low Milk Supply

Making Peace with Your Milk Supply • Coping Techniques

Chapter 16—What About Next Time?

A Proactive Approach • Hope Is on the Horizon • Thank You for Sharing Your Journey with Us

With all the latest research and new discoveries about the way the breast makes milk and how babies feed at the breast, including innovative information about how to increase the milk supply, this book is an indispensible resource for mothers, family members, friends, caregivers, health care providers, and lactation professionals.

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