In short: Lactation crisis is a temporary decrease in milk production associated with a growth spurt in the child. Milk does not "disappear". The main way to cope is to put the baby to the breast more often. Usually, after 2-4 days, lactation is restored.
What is a lactation crisis?
Lactation crisis is a period when milk production temporarily "does not keep up" with the needs of a growing child. The baby suddenly begins to demand the breast much more often, seems unsatisfied after feedings, and is capricious. Many mothers at this point think that the milk is "gone" or "burned out" and decide to supplement with formula – often prematurely.
In fact, milk does not disappear anywhere. It's just that the child has moved to a new stage of growth and needs more nutrition. The mother's body receives a "signal" through frequent feedings and after a few days rebuilds to a new level of production.
When does a lactation crisis occur?
Crises most often coincide with a child's growth spurts. Typical periods:
- 3–4 weeks of life
- Weeks 6–8
- 3 months is often the most pronounced crisis
- 6 months
- 9 months
- 12 months
In addition to growth spurts, lactation can be temporarily reduced by: severe stress, illness of the mother, a sharp reduction in the number of feedings, a long break in latching.
How to distinguish a crisis from a true lack of milk
During a crisis with sufficient lactation:
- The child wets at least 6 diapers per day
- Before the crisis began, weight gain was normal
- Anxiety arose suddenly against the background of this previously calm child
- The crisis lasts no more than 3-7 days
Signs that require attention: poor weight gain before the crisis, few wet diapers, lethargy and drowsiness of the child. In this case, you need to consult a doctor, and not wait on your own. Read more about objective signs in the article on how to understand that a child is full.
What helps to survive a lactation crisis
The main rule: more feedings. Each attachment to the breast is a signal to the body to produce more milk.
- Increase the frequency of feedings - give the breast at every sign of anxiety, without waiting for strong crying
- Offer both breasts in one feeding to stimulate both breasts
- Do not skip night feedings - prolactin is produced most actively at night. Read about the connection between feeding and sleep in the material Night feedings in a newborn
- Rest – fatigue and stress reduce prolactin levels
- Drink enough water – dehydration negatively affects lactation
- Skin-to-skin contact – helps stimulate the release of oxytocin and prolactin
Do not rush to introduce formula: The introduction of supplemental feeding with formula reduces the number of attachments to the breast, which further reduces milk production. If you decide on mixed feeding, read how to organize it correctly.
Crisis of 3 months: why it is the most frightening
At 3 months, the breasts usually cease to feel full between feedings – lactation "calms down" and begins to work "on demand". Milk arrives during feeding rather than being stored in the breast permanently. This scares mothers: the breasts are soft, milk does not leak, it seems that it is not there.
In fact, this is a sign of mature, well-regulated lactation – not a crisis. If the child gains weight normally and wets diapers well, there is nothing to worry about.
When to see a doctor
- The crisis lasts more than 7 days without improvement
- The child loses weight or does not gain it
- Few wet diapers
- The baby is lethargic, does not wake up for feedings
- Mom has chest pain, fever (mastitis or lactostasis is possible)
Frequently Asked Questions
Can I pump during a crisis for stimulation?
Yes, extra pumping after feeding can help to further stimulate lactation. It is especially effective in the first days of the crisis. For more information about the technique, see the article on how to express milk.
Does stress affect milk?
Stress does not "stop" milk production completely, but it can disrupt the oxytocin-controlled milk ejection reflex. At the same time, the baby can suck correctly, but get less milk. Ways to help: warm shower before feeding, a calm environment, skin-to-skin contact.
Conclusion
Lactation crisis is a temporary phenomenon that, with the right tactics, resolves on its own. The main weapon is frequent application and patience. Most mothers who have gone through a crisis without the introduction of formula note that after a few days the situation returned to normal.
Bibliography
- Mohrbacher N, Stock J. The Breastfeeding Answer Book. 3rd ed. La Leche League International; 2003.
- Neville MC, Morton J. Physiology and endocrine changes underlying human lactogenesis II. J Nutr. 2001; 131(11):3005S–3008S.
- Dewey KG. Maternal and fetal stress are associated with impaired lactogenesis in humans. J Nutr. 2001; 131(11):3012S–3015S.
- National program for optimizing the feeding of children in the first year of life in the Russian Federation. Union of Pediatricians of Russia, 2019.
- La Leche League International. The Womanly Art of Breastfeeding. 8th ed. Ballantine Books; 2010.
This material is for informational purposes only and does not constitute medical advice and is not a substitute for medical advice. If a child has alarming symptoms, a pronounced deterioration in health, problems with breathing, feeding or weight gain, it is necessary to contact a qualified medical specialist as soon as possible, and not rely only on information from the Internet.
