Wednesday, April 22, 2015

Breastfeeding when you’re sick and milk supply is low

When you are sick with a cold or other temporary illness, feeling crummy can add stress that sometimes affects your breast-milk supply.   This decrease in milk supply is usually only a temporary thing.  Once you start to feel better, a little extra attention should help your milk supply to increase.
If you feel that your supply has decreased, the first and most important thing that you can do is to pay attention to the breastfeeding basics:
      (1) frequent feedings with a
      (2) good deep latch and
      (3) enough time at breast to adequately empty the breast.

Plan on you and your baby working together to accomplish the following goals, and your milk supply should return to normal.

(1)    feeding at least 8 to 12 times in 24 hours (or at least 6 times if baby is already taking solid foods)
(2)    latching well onto the areola taking the nipple deeply into the mouth AND
(3)    nursing long enough to get to the rich “hind-milk” (the stuff that comes out last) in the feeding

Be patient, and as your health improves, your milk supply will probably also improve.  In the meantime, there are a few things that you can do that might help you feel better and possibly protect your milk supply.  Warm soups and other liquids can be soothing and bring comfort; it helps to stay adequately hydrated when you are ill, especially with a cold or flu.  Taking time for yourself to relax (deep breathing, meditation/prayer, yoga, bubble baths, etc.) will help improve milk supply as well.

If you do decide to take an herbal supplement or over-the-counter cold remedy, please take time to read and understand the ingredients in the medication or supplement.  Some of the over-the-counter cold remedies, while considered safe to take (will not harm the baby) have also been known to cause some decrease in breast-milk production.  For example, the nasal decongestant pseudoephedrine has been linked in recent research with a decrease in milk supply, particularly in mothers whose babies are over 8 months old or those mothers who may already have a low milk supply before they became ill.  As an alternative to pseudoephedrine, some health-care providers recommend using a sodium chloride (saline) nasal spray to relieve sinus congestion.   (They may also recommend trying a nasal spray with oxymetazoline, or phenylephrine as an active ingredient.)  If possible, it is best to avoid medications that are long-acting or treat multiple symptoms at the same time.  Keep in mind, that if a drug works by drying up secretions in other parts of the body, it might also affect your milk supply. 

For more information about common over-the-counter medications for symptoms of short term illnesses, check out this link:

Contact your healthcare provider prior to taking any over-the-counter medications or herbal supplements.