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In this video, a mother uses breast compression during a feed to increase the flow of milk (1 minute, 37 seconds) Using a breast pump can maintain and improve milk supply if the baby is unable to nurse effectively. Attempts to increase milk supply should begin promptly as the longer low supply continues, the more difficult it is to reverse. [2]
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A galactagogue, or galactogogue (from Greek: γάλα [γαλακτ-], milk, + ἀγωγός, leading), also known as a lactation inducer or milk booster, is a substance that promotes lactation in humans and other animals. [1] [2] It may be synthetic, plant-derived, or endogenous. They may be used to induce lactation and to treat low milk supply.
In western, galactagogue is a food that aims at increasing milk production. Natural galactagogue mix, including herbal tea, might enhance milk secretion. [7] Pharmacological galactagogues, i.e. medications, also show their abilities in boosting milk production, e.g. domperidone. [9] [54] [55]
Galactagogues increase milk supply, although even herbal variants carry risks. Non-pharmaceutical methods should be tried first, such as pumping out the mother's breast milk supply often, warming or massaging the breast, as well as starting milk pumping earlier after the child is born if they cannot drink milk at the breast. [41] [42] [43] [44]
Breast milk supply augments in response to the baby's demand for milk, and decreases when milk is allowed to remain in the breasts. [ 10 ] : 18–21 [ 10 ] : 27–34 [ 22 ] [ 10 ] : 72–80 [ 117 ] When considering a possibly low milk supply, it is important to consider the difference between "perceived low milk supply" and "true low milk supply".
A sharp increase in citrate and lactose concentration; [8] [9] Plasma α-lactalbumin levels peak; [8] and; Decreased breast milk sodium concentration. [10] [11] Note that delayed onset of lactogenesis II is distinct from low milk supply, where there is a normal onset of lactation, but breast milk is produced in small and insufficient amounts. [12]
When the milk supply is more firmly established, autocrine (or local) control system begins. During this stage, the more that milk is removed from the breasts, the more the breast will produce milk. [9] [10] Research also suggests that draining the breasts more fully also increases the rate of milk production. [11]