Evidence-Based Strategies to Increase Supply
Proven methods to support lactation and infant nutrition
Optimize "Supply and Demand"
The most effective way to increase production is to empty the breasts more often.
⏰Increase Frequency
Aim for 8–12 feedings every 24 hours. If the baby sleeps longer stretches, you may need to wake them or pump during the interval.
🔋Empty Completely
Ensure the breasts are fully drained at each feed. If the baby falls asleep or doesn't empty the breast, use a pump or hand expression immediately after the feed for 5–10 minutes.
🔄Switch Nursing
If the baby slows down or loses interest, switch to the other breast. You can switch back and forth multiple times during a single feed to trigger multiple "let-downs."
The "Power Pumping" Technique
This method mimics a baby's "cluster feeding" to artificially boost hormone levels (prolactin). Replace one regular pumping session per day with this routine:
- 20 min Pump
- 10 min Rest
- 10 min Pump
- 10 min Rest
- 10 min Pump
Maternal Nutrition and Hydration
💧 Hydration
Drink to thirst. Your urine should be pale yellow. While dehydration decreases supply, forcing excess water beyond thirst does not increase supply.
🥗 Galactogenic Foods
- Oats: Rich in iron and complex carbs.
- Protein: Lean meats, eggs, and legumes.
- Healthy Fats: Nuts (almonds), seeds (flax, chia), and avocados.
Safety Note on Supplements
⚠️Fenugreek Caution
The "Maple Syrup" Effect: Fenugreek can cause a baby's urine to smell like maple syrup, which can be confused with "Maple Syrup Urine Disease," complicating medical assessments.
Kidney Considerations: Herbal supplements are not FDA regulated. Since your baby has a renal condition (hydronephrosis), consult your nephrologist or pediatrician before taking concentrated supplements.
Mechanical Boosters
Breast Compressions
Gently squeezing the breast while nursing to push high-fat milk and keep baby interested.
Skin-to-Skin
Releases oxytocin to help with the "let-down" reflex and milk flow.
When to Seek Professional Help
If supply concerns persist despite these strategies, consult a lactation consultant (IBCLC) or your pediatrician. They can:
- ✓ Assess latch and positioning
- ✓ Rule out tongue-tie or other anatomical issues
- ✓ Discuss prescription galactagogues if appropriate
- ✓ Provide personalized strategies for your baby's specific needs