26 Feb 0 1673

Translation by Veronika Maslova: A baby who eats too much milk too quickly may be fussy, irritable at the breast and may be thought to have “colic.” Usually such a child gains weight very quickly. Also a typical picture: the baby begins to suck and, after a few seconds or minutes, begins to cough, choke and “fight” with the breast, as there is a strong flow of milk. He can tear himself away from the breast - and you see that mom’s milk is flowing like a fountain. Afterwards, the child sucks on again, but begins to worry again - and the performance is repeated. He may be dissatisfied with the "fountain", but is impatient if the stream flows slowly. This can be a testing time for everyone. In rare cases, a baby may wean itself off the breast altogether, usually around three months of age. What's happening? The baby eats a lot of low-fat foremilk at once. It leaves the stomach quite quickly, and a large portion of milk sugar, lactose, immediately enters the intestines. The enzyme (protein) that helps digest lactose may not be able to handle so much of it at once, and your baby will have symptoms lactase deficiency- screaming, gas, violent belching, frequent watery green stools.

Symptoms of increased during feeding:

• The child gags, swallows quickly and noisily, gasps for air, coughs while sucking, as if milk is flowing into his mouth.
• Pulls the breasts during feeding
• Squeezes the nipple during hot flashes to slow down the flow of milk
• Makes a clicking sound when sucking
• She burps a lot and produces a lot of gas.
• Pees a lot, copious, sometimes green foamy stools, sometimes streaked with blood
• Periodically refuses breastfeeding.
• Doesn't take the breast for comfort.

What to do about it?

There are two ways to correct the situation: 1) help the baby cope with a strong stream and 2) take measures to adapt the amount of your own milk to the needs of the baby. Since a powerful release of milk is a consequence of its excess production, most mothers will have to work on both programs. It may take a couple of weeks to get rid of excess milk supply, so try to be patient and keep trying.

Help for a child:

• Body position. Position the baby so that he sucks milk “uphill”, so that the force of gravity interferes with the pressure of the stream. The most effective positions are when the baby's head and neck are ABOVE the level of the nipple. Here are some of them.

1) Normal position (see photo 1), but mom leans back on the pillows.

2) The child is like a soccer ball, but the mother leans back (photo 2).

3) The baby is like a soccer ball, but is raised and seems to be sitting opposite the mother’s nipple (photo 3)

4) Sometimes it helps a lot to lie down while feeding. If lying on your side does not help, lie on your back or almost on your back, placing the child on top of you. However, do not use this position frequently; it can lead to blockage of the ducts.

• Try to feed one breast at a time if you are not already doing so. In some cases, you need to feed two or three feedings from one breast, pumping the full adjacent breast until it is comfortable.
• Feed your baby more often - less milk will accumulate between feedings and it will be easier for your baby to cope with it.
• Feed your baby before he becomes hungry as a wolf. Do not delay feeding by giving water (infant no need for water even in very hot weather) or pacifier. A savagely hungry baby can attack the breast and cause a very active let-down reflex. Feed your baby as soon as you see signs of hunger.
• Feed your baby when he is half asleep and relaxed - he sucks more gently and the stream is smaller.
• If possible, feed your baby in a calm, relaxed environment. Loud music and bright lights are not conducive to proper feeding.
• When you feel a rush while sucking, take the baby off the breast and let a stream of milk come out into the diaper. When it weakens, attach the baby again.
• If you have time, express some milk before feeding. But don’t grab this remedy first (after all, it stimulates milk production).
• A child may not like the fountain, but also become anxious and angry when the stream flows slowly. If you suspect the latter, pump your breasts while feeding.
• The problem becomes more complicated if the baby is not latched to the breast correctly. Proper latching is the key to easy feeding.
• Sometimes giving the child a lactase drug, 2-4 drops before each feeding, helps. It is available over the counter, but is expensive and only works sometimes.
• You can try a nipple shield if nothing else has worked. This is the second means of despair.
• Finally, you can give your baby expressed milk from a bottle rather than switching to formula.

• Let your baby burp more often if he is swallowing a lot of air.

Adjust your milk supply to your baby's needs

• If your baby is gaining weight well, try to feed him from one breast at one feeding.
  • If the baby has finished sucking on the first breast and wants to suck again, just attach him to the same breast again.
  • If there is discomfort in the second breast, express it a little, just to get a little relief, and then apply a cold compress. Your goal is to pump less and less each time until you finally no longer need it.
• Avoid stimulating the mammary gland in any way, for example, do not pump unnecessarily, do not shower your breasts for a long time, do not wear milk collection pads.
• Between feedings, apply cold compresses to your breasts (for 30 minutes, leaving for at least an hour). This will reduce blood flow and milk production.
• If feeding from one breast at a time doesn't work for a week, try holding your baby on one breast for a period of time before switching sides. It is called « blocking feeding» .
  • Start with 2-3 hours and add half an hour if necessary.
  • Do not reduce feeding time in general, but whenever the baby wants to eat again, just give him the same breast for that period of time.
  • If discomfort appears in the second breast, express it silently until it is comfortable, and then apply a cold compress. Your goal is to pump less and less each time until you finally no longer need it.
  • In more stubborn cases, mom may need to try feeding from one breast for more than 4 hours to determine the amount of time that works best.
• Additional measures for excess milk, which should be used only in the most stubborn cases - compresses from cabbage leaves and herbs.

Even if all these measures do not completely solve the problem, for many mothers, excess milk secretion and flow to the nipple normalize to some extent around 12 weeks. The hormonal changes that occur during this time make lactation more stable and more responsive to the baby's needs.

Sometimes children of mothers with copious and rapid flow of milk become very accustomed to this state of affairs and are unhappy when the flow weakens normally between 3 weeks and 3 months. Even if the stream is not actually weak, it may seem so to the child. See tips in the article "

Lactation of milk after childbirth

The appearance of a small screaming “bag” is the most beautiful moment in a woman’s life. They are preparing for it and are really looking forward to it. Excitement gives way to excitement, one problem is solved, and a second appears. Expectant mothers cannot ignore the following questions: what to do if suddenly it does not appear, what to feed the baby then. We will try to answer some of them.

The first minutes after the birth of a child

At the moment when milk begins to appear, pain is felt in the mammary glands. But every woman will have to go through it so that the baby is not only fed, but also receives useful nutrients.

In the first minutes after the baby is born, there is no milk in the breast. When pressed, a yellowish and thick liquid comes out. It's called colostrum. This product is very valuable, it appears just a little, but it is of great importance for the child. Colostrum is the basis for the development of immunity. It prepares the baby’s body to receive and digest food. Mom’s delicacy is very nutritious, which is why the newborn quickly gets full. In the first hours after birth, the baby is still weak; a couple of sips of colostrum are enough for him. Sometimes young mothers worry, it seems to them that there is nothing in their breasts. We can agree with this, there is very little high-calorie product, but it’s enough for a newborn. After adaptation, the baby gets used to new living conditions, and in order to satisfy his hunger, more product will be needed. This is where the question arises, on what day does milk come in after childbirth?

What determines the timing of milk appearance and how it happens?

There are a couple of reasons that affect the appearance of milk in the breast:

• The baby “came” into this world naturally or surgical intervention was performed (cesarean section).
• The child was born on time or ahead of schedule.
• The woman is a primigravida or she already has children.

After the second day, milk appears. Its color is still yellowish, but its consistency is no longer so thick. If there is excess, it can be expressed. Three days later, on the fourth after the baby is born, milk begins to flow sharply. The breast increases in size, becomes hard, and sometimes even the shape of the nipple may change if there is too much milk. There are cases when even body temperature rises.

If the birth occurred ahead of time, and stimulation was carried out for this, the young mother’s body takes much longer to “resuscitate” from stress. Therefore, the appearance of milk may be delayed for three days.

How many days the milk will arrive depends largely on the medications used during surgery. In this case, milk arrives on the sixth day. Now let's talk about what day milk comes in after childbirth for first-time mothers.

We are giving birth for the first time

Each woman is individual and so is her body. It is impossible to give an exact answer to the question posed. According to the statistics obtained, primiparous women usually begin to produce milk on the fourth day after the birth of the baby. This only happens if the baby is born at the right time and naturally.

There are cases when primiparous mothers begin to produce milk on the sixth day or even a week later. The supply of baby treats increases every day, peaking between the tenth and twentieth week. It remains at this level until the end of lactation.

The onset of lactation is accompanied by enlargement of the mammary glands, the appearance of pain, dilated veins can be seen through the skin, and the temperature rises. This condition accompanies the young mother for two days, after which normal lactation is established. The amount of mother's delicacy in the first week after the baby is born ranges from two hundred to three hundred milligrams.

Now let's talk about what day does milk come in after childbirth?
multiparous.

The appearance of milk after the birth of the second child

A woman always awaits the arrival of her baby with joy. And it doesn’t matter what kind of child it is, he is a gift given from above. As soon as the baby is born, it is placed on the mother's breast. There may be no milk there, but there is an invaluable drink - colostrum. And even if there is only a small amount of a nutritious drink, it will be enough for the baby for the first time. The second day comes and the mother begins to wonder: when does milk appear after childbirth? A woman is afraid that her baby will go hungry. For mothers who have given birth more than once, milk comes in faster than for first-time mothers. Most often, already on the third day the newborn receives adequate nutrition.

After the birth of the second child, when milk comes in, the pain is not felt as much, and the breasts do not expand much. The woman’s body is already ready for this process and knows what to do in this situation. But no matter what kind of birth you have, when milk comes in, you feel a heat in your chest. That is why in the maternity hospital the temperature is measured in the elbow.

The effect of caesarean section on the appearance of milk

It is often believed that cesarean section has a negative effect on lactation. That’s why now we’ll talk about what day milk comes in after childbirth during surgery. If you listen to the opinion of experts, they claim that the baby’s nutrition does not depend on the method of his birth. This means that a woman who has had a caesarean section has breast milk proceeds exactly the same as in a woman who gave birth naturally. One difference is that milk may appear on the fifth day after surgery. As mentioned above, each organism is individual, milk may appear in a week. Much depends on what medications were introduced during surgery. If lactation is delayed, you will have to feed the baby with a substitute. Time will pass and the milk will appear, but until then, try to keep the baby close to the breast and be sure to let him drink colostrum. This nutritious drink will help the baby in the future.

The baby was born premature

Now let's find out when milk should appear after birth if the baby is premature. Reasons for having a baby prematurely include:

• severe stress;
• the expectant mother has a chronic disease;
• multiple births;
• the placenta departed prematurely and others.

Childbirth can begin prematurely or as planned, as directed by the doctor. A woman is thinking about the question of whether she will start breastfeeding her baby on time or not. There is no need to worry ahead of time. You will feed your baby milk, but the question is: when? This largely depends on you.

If your baby was born prematurely, lactation may be delayed. The first drops of the desired treat may appear in a week, or even later.

In order to speed up the lactation process, the doctor prescribes complex therapy to the woman. A young mother herself can help solve this problem. We’ll tell you below what needs to be done for this.

And if it doesn't appear

It is no secret that there are cases when the nutritional mixture does not appear. The second question arises: what to do to get milk after childbirth? Often the cause of this situation is undeveloped breasts. Milk is not released, it seems that it is not there. In order for you to still be able to feed your baby a treat, try using these methods:

• massage your breasts;
• eat foods that enhance lactation;
• use harmless medications;
• The best way is to put the newborn to the breast. It may seem to you that the baby is sucking on an empty breast, but you should not give up, apply it again and again.

The human body contains the hormone prolactin, due to which milk lactation begins after childbirth. Frequent application of the baby to the mammary gland can awaken this hormone. Prolactin is synthesized best at night. So give your baby the breast at night and eventually the white liquid will come.

How to speed up milk production

Every young mother wants milk for her baby to appear faster. There are several methods that will help her with this. You already know when milk appears after childbirth, now let’s learn how to speed up its appearance.

• The hormones prolactin and oxytocin are responsible for lactation, as mentioned above. They are most intensely released when the baby is feeding. That's why feed your baby more often. This will help increase your milk supply.
• Do not deny your baby feeding at night. Hormones work best during this period.
• So that you don’t have to look for the answer to the question: on what day does milk come in after birth so that the baby has enough of it, during feeding, give the baby one breast or the other in turn. In this case, the mammary glands will develop evenly.
• After the third day after the birth of your child, reduce your fluid intake so that severe pain does not occur when milk comes in.

Afterword

At this point, you already know why milk does not appear after childbirth. You know what is the way out of this situation, so there is no need to worry too much, even for those young mothers who have not produced milk even after seven days. In practice, there are cases where a child tasted the first drops of healthy liquid ten days after birth and even later.

On what day does milk come in after childbirth?

On what day after birth does milk come in?

The production of breast milk is not a one-time process, and you should not expect that “rivers of milk” await you immediately after the birth of your baby. After the placenta detaches from the walls of the uterus, the ratio of hormones in the body of the woman who has given birth changes sharply, and the production of prolactin, the hormone responsible for the function of the mammary glands, increases.

Research shows that early breastfeeding helps stimulate lactation, and the sooner the first attempt at feeding occurs, the better. Ideally, this should happen already in the delivery room: latching the baby immediately after cutting the umbilical cord is becoming a worldwide practice. Even if the baby cannot latch on to the nipple, he needs a little help. One or two drops of colostrum (a precursor to milk) is enough to start the natural process.

It must be remembered that lactation is an individual process, and milk can appear either the next day or 5-7 days after birth.

Usually, on the first day after delivery, the breasts remain soft, and in subsequent days they increase in volume, harden, and become heavy - these are signs of milk coming in. The timing may also depend on individual characteristics body, and on the circumstances of birth: as a rule, after a natural birth, milk is produced faster than after a cesarean section.

Stages of lactation

The composition of breast milk continuously changes throughout the feeding period, constantly adapting to the needs of the baby. Conventionally, three stages of its “maturation” can be distinguished:

• Colostrum is a precursor to milk; in some women it appears even before birth, in others - 1-2 days after. Colostrum is a translucent yellowish liquid, rich in protein - it contains about 7%, while in the present it is only 4%, but its fat content is minimal. Colostrum helps to “tune” the baby’s gastrointestinal tract and helps clear it of meconium, the original stool.
• Transitional milk - replaces colostrum. This usually occurs 3-5 days after birth. The amount of fat in it is greater than in colostrum; it is opaque, white-yellowish in color. The arrival of transitional milk is accompanied by an increase in the volume of the mammary glands and an increase in body temperature.
• Mature milk – arrives at the end of 2-3 weeks. The percentage of protein and fat in it stabilizes, and production becomes regular with constant application to the breast.

In order for the lactation process to normalize, it is very important, especially in the first weeks, to put the baby to the breast upon request. The duration of the first feedings will be short, only 5-8 minutes, but do not worry - a few drops are enough for the baby in the first days of life. This mode allows the breast to “adapt” to the baby’s appetite, and milk will be produced in the required volume.

What to do if milk doesn't come in

Many factors influence the production of breast milk, and it happens that in the first days after childbirth, a woman’s breasts remain empty. Unfortunately, in some cases, milk may not appear at all - both genetic predisposition and the individual characteristics of the mother’s body can affect this. But don’t panic: such cases occur in no more than 2%.

Surgical delivery can also delay the process: during a cesarean section, the natural course of labor is disrupted, the baby does not pass through the birth canal, and the process of placental abruption is often artificially stimulated. Accordingly, the brain does not receive the necessary signals to produce prolactin, and the lactation process is delayed.

Stress can also affect this process: it is noted that in multiparous women, the process of milk production begins faster. For those who go through this difficult path for the first time, anxiety and stress levels can inhibit milk production.

To normalize lactation, a young mother must first calm down and not think about how many difficulties she will have to go through. Follow simple rules breastfeeding:

• Stay with your child as much as possible, pick him up more often. Skin-to-skin contact is very important for both baby and mother. The baby smells the mother, feels her touch and calms down, falls asleep better, at the same time the mother’s body begins to produce the necessary hormones.
• In the first weeks, put your baby to your breast as often as possible, even if only for a short time, so that he learns to latch onto the nipple correctly. Nipple stimulation also plays a big role in normalizing the process: to help milk come in faster, some breastfeeding experts recommend massaging your breasts with a hard towel.
• Normal milk production is impossible without adequate nutrition and normal water balance in the mother’s body. Drink more warm liquids - water, tea, compote.
• Do not supplement your baby with formula and ask the pediatric department staff not to do so. Having become accustomed to the nipple, from which it is much easier to obtain formula than from the mother’s breast, the baby will no longer want to “work” and will refuse natural feeding.

During feeding, try to take a comfortable position, relax and calm down - a positive attitude is especially necessary at this moment.

What to do if milk stagnation occurs

For a new mother, the problem can be not only the lack of milk, but also its too sudden flow. The breasts sharply enlarge, harden, become hard and hot to the touch, but when trying to feed or express, at best a few drops appear from it.

This situation can be dangerous: stagnation of milk can cause mastitis - an inflammatory process in the mammary gland, which, in turn, can cause a complete cessation of lactation.

In this case, young mothers should not look on the Internet for ways to stretch their breasts, or listen to “more experienced” roommates. The first thing you should do is tell your doctor about your problem. Both breast massage and other medical procedures must be carried out under the supervision of medical personnel, otherwise you can cause irreparable harm to your health.

The best prevention of milk stagnation is to constantly attach the baby to the breast. If this is not possible, you will have to learn the art of pumping - manually or using a special breast pump.

The process of establishing lactation is not always easy and painless, especially for first-time mothers.

Don’t give up at the first setbacks and think only about when your milk comes in after childbirth. If you are patient and overcome the difficulties of the initial stage, you will be able to provide your child with ideal food, for which there is simply no complete replacement, and will help his immune system develop.

A pleasant bonus for you will be a quick return to shape: according to research, breastfeeding women more easily lose the pounds gained during pregnancy.

On what day does milk come after childbirth and how to stimulate lactation

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I am glad to welcome you, dear readers! I think you ended up here for a reason; most likely, you will become a mother in the near future or are already holding a newborn in your arms and are trying to figure out what day your milk comes in after birth.

In the first case, everything is very clear: you are preparing for the most important moment in your life. But in the second case, such a question arises because childbirth has already occurred, but for some reason there is no milk.

In fact, a young mother needs to find out in advance about what day her milk comes in after the baby is born, so as not to worry unnecessarily. Knowing when the baby's "food" arrives will help the parent stay calm and pay attention to herself and her baby. This is what I propose to talk about today.

1. When does milk appear?

I have one friend who, during my pregnancy, said that from the 15th week I could observe the release of white drops from the breast, they say: “milk is starting to come out.” I was surprised, but she assured me: “That’s what happened to me.” What a twist! Time passed, weeks and months passed - I gave birth. Naturally, during the gestation period no “white liquid” was released. But even immediately after giving birth, I did not see the long-awaited milk.

It's simple: after childbirth, milk does not appear immediately. However, immediately after the birth of the child, a young mother may notice a yellowish discharge - this is colostrum. In general, it is generally accepted that milk will begin to be produced no earlier than the third day after birth. But even if this does not happen, there is no need to start thinking about how to speed up the flow of milk, because each person’s body is individual.

Moreover, it is important to consider some factors that can affect milk production:

• full-term baby (born naturally or by caesarean section);
• the baby is premature (born independently or after cesarean section);
• medications the woman received during childbirth;
• first or subsequent births.

In each individual case, milk arrives differently. According to statistics, for most women in labor, the first “white drops” appear on the third or fourth day after the birth of the baby. And 3% of mothers do not produce milk at all.

2. How to distinguish colostrum from milk

Often, first-time mothers have a question about how to find out that milk has begun to be produced, and not colostrum. Moreover, some parents even think about what to do if the milk has a strange consistency. It is better to understand this issue long before giving birth.

In fact, it is quite simple to understand that it is milk and not colostrum that has arrived: it has White color, quite liquid. It tastes sweeter than store-bought milk. Colostrum is more of a clear (yellowish) liquid.

Another criterion is the time frame. Immediately after birth, milk does not appear. Yes, a woman’s body is unique. Initially, it is colostrum that appears - it is “invented by nature” for “building immunity.” That is why immediately after the baby is born it is applied to the breast. The first drops of colostrum (and subsequent drops, of course, too) have a great effect on the baby’s body, “charging” it immune system.

3. When will the milk come in if the baby is full-term?

Women who give birth on time usually do not have problems with the appearance of milk. You should expect it already 3-4 days after birth little man. Until this moment, the baby will eat colostrum.

By the way, if the baby is full-term, it doesn’t matter how he was born: natural or through surgery, the outcome will be the same. Therefore, expectant mothers should not worry about the fact that they have been prescribed, for example, a caesarean section.

However, do not forget that there are always exceptions to the rules. Sometimes even when a baby is born on time, milk comes only on the 7th day. Another important factor: the use of medications during childbirth. Often, medications can delay the appearance of milk.

4. When does milk come in if the baby is premature?

Sometimes, the baby is born prematurely. The reasons can be very different:

• severe stress;
• factors that threaten the life of the mother or child;
• chronic maternal illness;
• multiple pregnancy;
• placental abruption;
• and others.

Labor may begin prematurely, unexpectedly or as directed by a doctor. In such cases, women begin to think about whether their lactation will be established and whether they will be able to breastfeed their child in the future.

However, there is no need to panic ahead of time. Statistics “show” that even with a premature pregnancy you will be able to feed your baby with your milk, there is only one question: after how many days?

Often, even colostrum can be “late” and not appear immediately after the baby is born. However, it comes. Of course, milk production also becomes somewhat distant. Usually, a young mother notices the first “white droplets” 7-8 days after birth.

5. Is there a difference between the first and subsequent births?

It would seem, why do women who have already given birth continue to be interested in milk production? They know how and under what circumstances both colostrum and milk are produced.

But there is nothing strange, a mother always wants to be the best for her children. That is why he makes sure that they get the “best food” as early as possible.

You and I already know when milk appears in first-time mothers. So, in multiparous women it appears a little earlier.

6. What to do if there is no milk

It also happens that milk does not appear at all. Or rather, this is what the parents themselves think. Often, the mother’s breasts are not developed at all, which is why milk is not released, which means it seems that there is none.

In fact, lactation does not occur in only 3% of cases. In other cases, you just need to make some efforts so that the child can receive the best nutrition in the world - mother's milk.

Now there are many ways to speed up milk production:

• breast massage;
• eating certain foods;
• various medications;
• And so on.

However, the most The best way- putting the baby to the breast. It may seem to you that your baby is sucking on an empty breast (perhaps this is really the case), but you don’t need to give up - continue to offer him food.

The human body contains the hormone prolactin, which affects milk production. Frequent application is the best way to “awaken” this hormone, due to which you will be able to see the long-awaited milk. Moreover, it is important to know that prolactin is best produced at night, so it is extremely important to offer the baby breastfeeding at night.

In any case, you can always consult a specialist on how to speed up the “arrival” of milk.

And know, if you are determined to breastfeed your baby, you will definitely succeed! The main thing is time.

You can watch a video from a lactation consultant about whether you might not have milk after giving birth here:

On this note, I will say goodbye to you, but not for long. If this article was interesting to you, recommend reading it to your loved ones. And subscribe to my updates, I have something to tell. Bye bye!

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On what day does milk come in after childbirth?

Even dads already know that milk does not come immediately after childbirth. There are ways to determine whether the baby is really satiated, whether he has enough nutrition.

If it turns out not, there are options to improve lactation.

How do nutrients arrive?

Nature has arranged for the newborn to get used to extrauterine life gradually. In accordance with its needs after childbirth, the mother’s body also “works,” including the arrival of milk:

• Colostrum appears first - immediately after birth, in the last weeks of pregnancy, on the first day;
• then it gradually transforms into transitional milk - for first-time mothers on days 3-6, for repeat mothers - on days 2-4;
• and then the mature one appears, the real one - on the 6-10th day.

Between the second and sixth days

Colostrum is super milk, high in calories (1500 kcal), which provides the baby with many nutrients, antibodies that promote the excretion of meconium and bilirubin - the substance that leads to jaundice. You don’t need a lot of this milk after birth; the volume of a newborn’s stomach is only 5-7 ml.

Gradually it becomes transitional - the volume increases, the fat content increases, the protein content decreases, and there is more water. Hot flashes can lead to breast enlargement, swelling, and a feeling of fullness.

Then the mature one appears, containing 88% water. On what day after birth such milk comes in is in many ways very individual.

When feeding, the baby first sucks out the so-called front part, which contains the most water and carbohydrates, and then the back part, which is the most nutritious. It varies even according to appearance. The anterior one is watery, bluish in color, the posterior one is bright white, dense, sometimes yellowish.

There are several rules that after childbirth will help a mother solve the problem of how to develop breast milk:

• attach the baby as soon as he shows signs of anxiety (at least every 15 minutes);
• let him suckle until he lets go of the breast, especially early in the morning. This is the best way to quickly establish lactation - the mother’s body receives signals about the baby’s needs and works in accordance with them. Cracks in the nipples do not appear from prolonged sucking, but from improper grip. There is a reliable way of what to do after childbirth so that milk appears faster. This means not skipping pre-dawn feedings, when prolactin is most intensely produced;
• do not use any substitutes - nipples, pacifiers, bottles. A child who is simply thirsty can suckle at the breast for five to ten minutes; if he is hungry, he will do it longer. Exceptional cases when ordinary water is required can be solved using a spoon, pipette, or syringe without a needle, but not with nipples;
• if milk comes in when the mother does not have the opportunity to feed on demand after giving birth (she needs to leave the house, etc.), she will have to use constant pumping.

The only cause for alarm should be crying under the breast or immediately after sucking. This means that either the quantity is really small, which is quite rare, or the most unpleasant thing begins - breast refusal.

Is the baby getting enough nutrition?

After giving birth, the most difficult thing is to understand that there really is enough milk, and not to look for ways to induce it. Mom can be guided by the following signs:

• how many times does the baby pee - by the third day this should happen 6-8 times, if less, dehydration is possible;
• how the stool changes - from black meconium in the first days to green and brown; when milk arrives after childbirth, the color turns yellow and the consistency becomes like mustard;
• the number of bowel movements is up to two or three times a day, although it happens after each feeding;
• a feeling of some fullness in the breasts before feeding, some emptying after, wetness of the bra in small quantities between feedings; but all this stops at about one month of age of the child, milk after birth comes in sufficient quantities when the child suckles on demand;
• baby’s behavior during feeding – vigorous sucking, swallowing sounds;
• The general condition of the baby is a satisfied, healthy appearance.

Control feeding during natural feeding very rarely shows real results. If the baby just wants to drink, then he can suck out only 10 g. This is not a reason after birth to worry about why the milk is not coming. Provided that the baby grows normally, gains weight, and develops.

The same goes for weight gain. The tables are very average, and some babies may gain weight less intensely, others more. In general, weight is a relative indicator. If everything goes well, then small deviations cannot be a sign of pathology. The normal limits for a baby older than a week are from 125 to 500 g per week.

Most newborns ask for the breast 10-15 times a day

You cannot judge that milk comes in small quantities after childbirth based on the condition of your breasts. By about a month, with the right approach to feeding, the breasts are almost always soft. Milk begins to be produced in it only while the baby is sucking. If you “accumulate” milk between feedings, its amount will begin to decrease.

Possible actions in case of deficiency

Sometimes inexperienced mothers after childbirth assume they have a lack of milk and look for ways to speed up its flow. It can be difficult to understand the situation on your own, but now there are lactation consultants who can help clarify the situation and improve lactation.

Some recipes traditional medicine may also be useful in this matter. Their effectiveness has not been proven in any way by medical research. Nevertheless, many women report success with use.

Traditional methods of treatment

Before trying one of the recipes, be sure to get permission from your pediatrician or feeding consultant. And you need to clearly understand how many days after birth milk comes in, in what volumes.

Nettle infusion will help you recover and cope with the problem.

• dry nettle leaves – 40 g;
• water – 2 l.

Preparation and use.

1. Boil water and pour it over the leaves.
2. Leave until cool, strain.
3. Drink a tablespoon three times a day.

About Maria cookies during breastfeeding.

Lactation collection.

For preparation you need:

• fruits of dill, oregano, anise, fennel in equal parts by mass;
• water.

Preparation and use.

1. The fruits are well ground - for example, using a coffee grinder.
2. Use it as tea - pour boiling water over a teaspoon of the mixture.
3. Take up to three times a day.

On what day does milk come in after childbirth?

The process of formation of milk ducts in the female breast and the initial secretion begins even before the birth of the child, during the period of gestation. Real mother's milk appears in women later, depending on the characteristics of their body, and also based on what type of birth it is. Most new mothers are very worried about this issue. Those for whom this is their first pregnancy should find out in advance on what day the milk comes in after childbirth. To know what you need to be prepared for.

The process of milk appearance

First, a woman produces colostrum and only then milk. The production of secretion begins in the last months of pregnancy and is episodic. Moreover, it can stand out in minimum quantity. Already during gestation, a woman’s mammary glands enlarge due to the growth of special tubules, through which milk secretion will later begin to flow.

If a pregnant mother's colostrum has a yellowish tint and thickness, then on the eve of labor, it thins out and becomes transparent.

The expectant mother may feel the colostrum moving through the ducts, causing slight itching. By the way, neither discharge from the breast during pregnancy nor the absence of this phenomenon is a pathology. And even more so, it is impossible to judge by these signs whether a young mother has milk or non-milk breasts.

In fact, from the moment of conception, the female body prepares to feed the baby. In some cases early discharge from the chest can be caused by the following factors:

• Changes in mood, outbursts of emotions, naturally leading to changes in hormonal levels, and it does not matter what feelings a woman experiences - positive or negative;
• Drinking hot tea, compote or other liquid;
• Massaging the mammary glands, sometimes prescribed by a doctor, often leads to this situation;
• Hygiene procedures using hot water.

Do not underestimate the properties of colostrum, because it contains many useful substances and is high enough in calories to satisfy the appetite of a newborn.

Beneficial properties and functions of colostrum:

1. Thanks to the secretion of the mammary glands, the child’s intestines are populated with beneficial lactic bacteria necessary for strong immunity;
2. The substance promotes the removal of primary feces from the body;
3. Prevents infection from entering the baby’s body, thanks to the protective cells contained;
4. Nourishes tissues and blood with essential vitamins, microelements and minerals;
5. Fills the blood with antioxidant elements that play a role in the adaptation of respiratory function.

In addition, colostrum prepares the newborn’s body to absorb full-fledged mother’s breast milk.

Women should know that there are cases when colostrum discharge, accompanied by pain, may indicate the onset of a purulent process. Mastitis threatens the health of the mother in labor and can make healthy breast secretions harmful to the baby.

When the production of colostrum is accompanied by pain in the abdomen, as well as in the lumbar region during the last months of pregnancy, there is a threat of labor progressing ahead of schedule. In addition, colostrum mixed with blood or an unpleasant odor should also alert a woman and be a reason to urgently consult a doctor.

Such symptoms indicate tumor growths or the presence of an infectious infection. If childbirth is imminent, the danger is that bacteria may enter the mother's milk.

Answering the question of women interested in what day milk comes after childbirth, we can say that colostrum first begins to be intensively released - within three days, maximum, weeks after birth. And only then does the mother produce milk.

On what day does milk come in after childbirth for first-time mothers?

Women giving birth for the first time still have many questions regarding feeding their baby after birth, including on what day does milk come in after childbirth for first-time mothers. To understand how the necessary secretion is produced, you should consider the entire process.

In general, doctors divide breast milk into three main types:

• Colostrum;
• First or transitional;
• Fully mature.

After the appearance of colostrum, from three to six days, primiparous women begin to produce milk. But it is considered transitional. In its composition the percentage of water and fat increases, and at the same time the protein content decreases. After colostrum, such milk continues the adaptation of the child’s body to a new meal and the active functioning of the digestive system.

Only on the sixth day and later does mature milk begin to be produced, which consists of more than 80% water, but despite this, it has all the important nutritional characteristics for feeding a newborn and the normal formation of his physiology.

This process looks like this:

1. After the birth of a child, on the first day, first-time mothers may have very little colostrum;
2. In subsequent days, its production may increase and decrease;
3. Milk may appear on the third, fourth and fifth days, while the woman’s breasts become hard, painful, and there may be an increase in body temperature;
4. The febrile state lasts no more than two days, and then, with normal secretion, the production process stabilizes.

In some women, the appearance of milk occurs gradually, in others - unexpectedly and very abundantly. Most often, in first-time mothers, good milk production begins late, a week after birth, since the body does this for the first time. On average, the amount of milk per day reaches no more than 250-300 ml. Further, the lactation period will depend on the individual characteristics of the mother, her diet, and the duration of feeding the child.

On what day does milk come in after childbirth in multiparous women?

In women who already have children, milk secretion most often begins earlier than in first-time mothers - already on the second or third day, because the body already knows what to prepare for. However, this process may also differ for different women due to the structural features of the mammary gland and other nuances. The quality of food, nervous state and emotional outburst can accelerate or delay the synthesis of secretion, both in primiparous women and in women who have given birth in the past. One thing is known - in order for milk to appear as quickly as possible, and for there to be more of it, it is necessary to feed the baby more often.

If milk is not enough, there are ways to increase its production:

• Try not to use pacifiers and pacifiers. Water can be given using a syringe without a needle. If the child wants to drink, just give him the breast.
• Do not restrict the baby during feeding, especially in the early morning, as this will allow prolactin synthesis in the breast to occur faster.
• Feed the baby on demand as soon as he begins to worry. By the way, the child sometimes acts up every 10-20 minutes.
• Even if it is not possible to feed the baby, milk should be carefully expressed every time.

On what day does milk come after childbirth in multiparous women cannot be answered offhand. It depends on many reasons. Sometimes complications occur during breastfeeding, for example, agalactia. However, fortunately, this is a fairly rare pathology when milk is completely absent. As a rule, it is caused by hormonal instability due to postpartum depression, nervous exhaustion, poor nutrition, or due to an insufficiently formed mammary gland.

Preconditions such as lack of sleep, a nervous home environment, and fatigue provoke a decrease in lactation. If the necessary secretion depends only on such factors, and not on internal diseases, a woman should reconsider her daily routine, paying more attention to her body.

Sometimes a phenomenon called galactorrhea occurs, when milk leaks from the breast between feedings. This condition of the gland can be observed with nervous disorders in a woman in labor. In both cases, in addition to physiotherapeutic procedures and medications, during treatment the woman must establish normal sleep and nutrition.

Knowing what day the milk comes in after childbirth, the mother will no longer worry or worry that the long-awaited baby will remain hungry. In the first few days, nutritious, calorie-rich colostrum will be enough for him, and when the child’s body adapts to the new type of nutrition, milk will appear.

How to properly attach a baby to the breast: video

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On what day does milk come in after childbirth?

It is very important for every responsible mother to feed her baby herself immediately after giving birth. Against this background, she may have a lot of anxiety and worries. You can protect yourself from unnecessary stress if you understand the peculiarities of physiology before giving birth. Every woman should know when milk comes in after childbirth. The main problems of this process should also be taken into account. Everything must be done to prevent their occurrence.

Each woman's body has individual characteristics. That is why it is difficult to determine what sensations should occur before the milk comes. However, doctors were able to identify a number of patterns. There are a number of simple measures that will allow milk to come in quickly and in sufficient quantities after childbirth.

Interesting! What is colostrum during pregnancy: at what stage is it released?

Process duration

Immediately after the baby is born, the female breast begins to actively produce colostrum. The drink is produced in small quantities. However, it is quite enough for the baby to eat in the first days of life.

With their help, it is possible to form the immune system in full. The body is ready to accept only such food.

That is why even a few sips will be enough for him. Colostrum allows you to fully satisfy your hunger.

During the period while the baby adapts, the nature of breast milk will change. On what day does milk come in after childbirth is difficult to answer.

It all depends on the individual characteristics of the female body and the severity of the birth process.

Informative! What causes hiccups in newborns after feeding: what to do

The fact whether there will be milk after childbirth can be influenced by the following factors:

• The general nature of the birth process - natural or artificial.
• Did the baby arrive on time or ahead of schedule?
• This was the first birth, or the woman already has children.

On what day does milk come in after childbirth? As a rule, the process of transition of colostrum to its normal state for feeding can be observed on the second day. There is a change in its consistency, shade and taste. After this, the pumping process can begin. On the third day, specific rushes of fluid are felt in the chest. This indicates the active functioning of the glands. They become dense and increase in size several times. If the volume is too large, then deformation of the nipple is observed. Against this background, mommy’s body temperature may increase.

Informative! Correct positions for feeding newborns

The sensations when fluid comes into the breasts are much faster after the first birth. In the future, the body already understands what should happen, so it reacts more easily. If a woman gives birth for the second time, then less activity is noticeable. As a rule, lactation begins only on the third day. However, there are also cases when this happens much earlier.

No milk after childbirth in women after the first caesarean section. However, the process can be established within a maximum of four days.

What should I do to get milk in a woman who gave birth ahead of schedule?

In addition, additional medications entered her body to stimulate the process. That is why the delay in production can last from one to three days.

With the right approach, the woman should not have problems with lactation in the future.

Additionally, it is necessary to answer the question of how to speed up the flow of milk after childbirth through cesarean section.

This is interesting! How much should a newborn eat at one feeding?

Without additional intervention, it appears during the period from four to six days. During this period, the medications that were administered to the woman during the operation will be completely removed from the body.

There is no need to worry if there is no milk after childbirth for five days. In medical practice, there are cases when lactation begins only a week later. We should not forget that the time of milk appearance has nothing to do with the further development of the lactation process.

Additional tools to speed up the process

For many women in labor, the question is quite acute: how to produce milk after childbirth in a short time? If such a need arises, then it is advisable to take the advice of a breastfeeding specialist:

• The process is regulated by two female hormones - prolactin and oxytocin. They begin to be produced at the moment when the baby tries to extract fluid from the breast by sucking. That is why it is recommended to increase the frequency of applying the baby to the breast. Thanks to this pastime, lactation can improve within just a few days.
• Scientists have been able to establish that prolactin production peaks at night. That is why during this period it is necessary to feed the baby several times. Simple application of crumbs also has a positive effect.
• With one feeding it is allowed to use only one breast. It is important to alternate from procedure to procedure. Thanks to this, it will be possible to achieve uniform development of the mammary gland.
• On the third day after giving birth, a woman should limit her water consumption. Its excess amount can lead to too intense production. In this case, mommy will suffer from pain and bloating, which can cause her a lot of discomfort.

Preventing Fatal Errors

You should only find out why milk does not come in after a cesarean section or childbirth from a doctor. It may be necessary to take measures to prevent the development of lactostasis.

To stop the progression of a serious illness, you should follow a series of simple rules:

• Feeding should begin with pumping small quantity liquids. This simple procedure allows for preheating. The breast becomes soft, so the baby can easily get the nutritional mixture through the nipple.
• Frequent changes of positions by the woman help to obtain hind milk from the breast. Only in this case is it possible to empty individual segments of the gland.
• If the baby is unable to completely empty one breast during feeding, then the woman is advised to continue pumping. Thanks to this it will be possible to prevent stagnation of milk. This process is dangerous and can lead to severe inflammation.
• Breasts after childbirth noticeably increase in size, so they need additional support. Only a nursing bra can provide it fully. It should be the right size and not rub.

Milk is absent only if the woman does not pay due attention to the process.

However, according to statistics, this process is typical for only 3% of all women. They have to feed their babies formula from the first days of life.

Feeding milk gives a woman positive emotions. That is why it is categorically not recommended to refuse this purposefully.

Modern medicine has all the resources to solve even the most complex problems. The disease cannot be started.

If you have the first symptoms, you should consult a doctor. He will be able to select safe means that will prolong lactation.

We should not forget that only breast milk contains all the nutrients for a baby.

Useful video: when milk comes in after childbirth

When does milk come in after childbirth?

When asked what to feed a newborn, we answer without hesitation: “breast milk.” However, not everyone can answer the question of when milk comes in after childbirth. To fill knowledge gaps or dispel doubts, if any, it is enough to study the information in detail.

I suggest you do this today! In this post, also look for information on how lactation occurs after cesarean section and whether it can be influenced at all.

What day does milk come in?

On what day do you think a woman begins to produce breast milk after giving birth? I am sure that there will be a lot of answers, which for the most part will be based on experience, meanwhile medicine is adamant: normally, nutritional fluid for the baby is released only on the 3rd day. Before this, there is colostrum in the chest, so no one will remain hungry.

At the same time, we should not forget that each organism is individual, and even more so if it belongs to a woman. Breast milk production is largely influenced by hormone synthesis, but there are a number of other factors that can change the course of events. This is about:

• type of delivery (natural birth or cesarean);
• time of birth of the baby (term or premature);
• the woman’s previous experience (what kind of births);
• medications she received at the time of delivery.

The earliest breast milk can come is at the end of the second day. Then the first white-yellowish drops appear on the laundry, the number of which is steadily growing by leaps and bounds. How quickly does milk flow to the breast? Rapidly and within a day, the mammary gland significantly increases in size, swelling and becoming dense. If there is an excess of milk, the shape of the nipple may change and even the temperature may increase.

It is worth noting that in primiparous women, the process of milk production is slightly slower. It can arrive on the 3rd or 5th day. In some cases, breast milk may not come at all (don’t be surprised, the phenomenon is observed in 3% of women). But, despite the speed, the chest usually fills up sharply and suddenly.

The process occurs faster in multiparous women. And this is not surprising, because their body is ready for change. This time the breasts do not fill up so much, and this happens on the 3rd day at most, although exceptions are always possible.

After a caesarean section, which was performed on time, milk appears around the 4th day. The only way to delay the date of its arrival is by stimulating labor (when emergency delivery or premature birth is carried out), but even in this case, lactation will only be delayed by 1 to 3 days.

Interestingly, after the birth of a baby due to a caesarean section, during which medications were used, breast milk production may be delayed by 4-6 days. This is explained by the slower restructuring of the body. But in general, the maximum how long a baby can wait for food is 7–8 days.

Note! It doesn't matter what day the milk came in. If a woman follows all the specialist’s recommendations regarding stimulating lactation, she will have plenty of it.

What does the child eat before and does he have enough?

We have already figured out how many days later breast milk comes. It remains to dwell on what happens before this. Before this, a woman’s body produces colostrum. This is a special yellowish liquid, droplets of which can be seen on underwear during pregnancy.

Normally, colostrum synthesis begins at the end of the first or beginning of the second trimester. At the same time, the mammary gland increases in size, and its sensitivity increases. An experienced specialist will also tell you that at such moments the tubules and ducts through which first colostrum and then breast milk will flow to the baby will also increase.

In the first days after birth, there is not much colostrum. But how do you know if your baby has enough? It turns out that for this it is enough to know its physiology. So, imagine: the ventricle of a newborn holds approximately 7 ml of fluid. At the same time, his intestines are just preparing for full-fledged work, but cannot yet digest even regular breast milk.

As a result, the baby is easily saturated with the breast drops that nature has provided for him. The main thing is to put it on your breast immediately after birth. At his first meal he will consume no more than 1 tsp. colostrum. But it will also allow him to provide his body with the substances necessary to maintain a strong immune system.

Moreover, such food definitely minimizes the risk of an allergic reaction, which cannot be said about the mixture. And these are not just words, but the results of research conducted by scientists. Remember this when thinking about what to eat for your baby after birth.

By the way, don’t worry about newborns losing weight on the first day. It does not depend on when the breast milk came and what the baby eats before that. These are natural changes that occur in his body at the time of adaptation to environment and they must be accepted.

How to speed up milk production

What can I do to get milk faster? Breastfeeding experts have several answers to this question. But, first of all, they explain the mechanism of its appearance, thanks to which you can deal with problems with lactation on your own.

• Two hormones are responsible for the process of producing “nutrition” for a newborn: prolactin and oxytocin. Nature itself increases their level in the blood, but you can additionally help it by putting the baby to the breast more often. Simply because active sucking promotes their synthesis.
• Prolactin is released into the blood more easily and quickly at night. Therefore, do not neglect night feedings. Deny yourself the pleasure of sleep in exchange for another satiation of the child. At one point, when it arrives in sufficient quantity, you will say to yourself: “Thank you.”
• To avoid the impression that there is not enough milk in one breast, it is necessary to alternately apply the baby to each of them. Moreover, you need to alternate the mammary glands in a strict sequence: first one, then the other. This will develop the milk ducts of each of them and enhance lactation.

What else needs to be done to make the milk come faster? Establish a drinking regime. A lack of fluid in the body can negatively affect the lactation process, however, you should not overdo it either. Approximately on the 3rd – 5th day, when milk should replace colostrum, it is necessary to remove the extra glass of tea from the diet. Otherwise, your chest will feel full. It will seem to turn to stone, creating discomfort and unpleasant sensations.

How to understand that milk has come and what to do with your breasts

Often, first-time mothers literally exhaust doctors in the maternity hospital with questions about why milk is not coming. Imagine their surprise when experts say that lactation has already begun. Would you say it's impossible? It turns out that in practice this happens all the time.

Good for those women who have symptoms of milk production on their face. This is when there is so much of it that it literally splashes like a fountain with minimal pressure on the chest. As a rule, in this case it comes sharply, suddenly. At the same time, the woman notes the following symptoms:

• firmness and breast enlargement at least 2 times;
• soreness in the mammary gland;
• identification of veins on its surface;
• whitish or yellowish marks on laundry.

This is a pleasant thing. On the unpleasant side, the temperature may also rise. The reasons for this phenomenon are banal: hormonal changes provoked an increase in blood circulation, which resulted in a sharp flow of milk. The newborn cannot yet cope with it; as a result, it stagnates and lactostasis or even mastitis appears.

How to prevent them? There are several options you need:

And most importantly, you need to regularly palpate the mammary gland for lumps.

It is difficult to describe the sensations that a woman experiences when milk comes in, although she does not notice it, but it is enough to watch the baby to be convinced of its appearance. It turns out after this:

• The baby's regurgitation turns yellow.
• The amount of his urine increases.
• Breast discharge becomes pale white or clear.
• Weight increases after feeding.

What if it didn't arrive?

Worried that your milk isn't coming in? Don't know what to do? Then listen to the advice of experts and:

• replace nipples and bottles with breasts - sucking stimulates lactation;
• make sure you get enough rest;
• drink more liquid - warm compotes, fruit drinks, tea with milk, tea to increase lactation.

What else can I do to get milk? Learn how to properly apply to the breast to facilitate the sucking process.

On what day does milk come in after childbirth?

On what day does milk come in after childbirth?

The answer to this question depends heavily on several factors:

1. What kind of births are there?

During the first birth, milk usually comes in 3-5 days. Earlier, if the child is with his mother, and is put to the breast at the slightest sign of anxiety.

1. Were there any interventions in the natural course of labor?

Medicines, stimulation, and epidural anesthesia disrupt a woman’s natural hormonal balance. Milk may come later: 5-7 days after birth

1. How was the baby born: natural birth or caesarean section?

During a caesarean section, the body does not receive a natural signal that the baby is born. If, in addition to this, there was no first breastfeeding, then the process of starting milk production occurs late and milk may appear only 7-10 days after birth.

In the first days after birth, when your milk has not yet come in, you may encounter some common advice that is detrimental to successful breastfeeding.

1. Your milk hasn’t come yet, the baby is hungry, at least you fed him formula...

The milk doesn't really come right away. But nature took care not to leave the baby hungry.

Even during pregnancy, colostrum is produced in the breast - a highly concentrated liquid, very nutritious, and saturates the baby in a couple of drops. When a child is born, he loses a lot of energy, and of course, not everyone will suck the mother’s breast for hours trying to get drops of precious milk.

Colostrum successfully solves several issues at once:

• saturates the child;
• provides protection to the gastrointestinal tract;
• protects weak kidneys from large volumes of fluid.

Therefore, there is no need to worry about your child being hungry!

It is important to put the baby to the breast at least 2 hours during the day, and about 3-5 times at night, to stimulate the breast and increase the production of prolactin in the body.

Prolactin is a hormone responsible for the amount of milk. Read more about prolactin during breastfeeding>>>

Make sure your baby is latching correctly. This will help prevent nipple cracks, and when the milk comes in, the baby will be able to suck it out effectively. This will protect you from stagnation of milk, a feeling of fullness in the chest and an increase in temperature.

1. You could put your baby in the nursery for the night, they’ll look after him there, and you’ll get some sleep, and you’ll see that the milk will come faster...

Of course, milk won’t come faster from such a life.

Milk production is a hormone-dependent process, and is focused on the frequency of feedings and the volume sucked from the breast. That is, the more often and more milk the baby sucks, the more milk comes.

There will be no child nearby, there will be no stimulation of the breast - the signal that a child has been born, he is healthy and needs to be fed will take a long time, the body will delay the arrival of milk.

Remaining close to the mother, feeling her scent, the child will express a desire to attach and suck the breast. Some more often, some with breaks to fall asleep. It is important that the breasts will be stimulated and the signal about the need for an early supply of milk will arrive faster.

Well, as for giving the child away to get some sleep, it’s different for each mother.

However, in my practice, there are more people who cannot sleep until they are convinced that the child is safe, is nearby, under the protection and supervision of a loving mother, and not in government walls with unfamiliar women, even nurses.

If the birth went well, then the baby does not require much care in the first 2-3 days.

Until the milk comes, he urinates little, spends a lot of time under the breast, in a blissful, sleeping state.

He may, of course, cry, but it’s better to be gently soothed at these moments by loving hands and the sound of his mother’s voice than by a pacifier and a doctor’s shout.

Lyudmila Sharova, lactation consultant.

Wait for me and I will come: on what day after the birth of the baby will milk appear

Milk after childbirth is an ideal nutrition that fully satisfies the baby’s needs. useful substances and strengthens the body's defenses. It doesn't come instantly. The body needs time to adjust from pregnancy and childbirth to breastfeeding. Usually milk appears 2-5 days after the baby is born. This period is always individual.

Is there enough colostrum in the first days?

Immediately after the birth of a child, a woman does not have breast milk. Despite this, it is very important to put your baby to the breast right away. The baby's sucking movements after birth are weak, and only a few drops of colostrum are released from the mother's breast. For most mothers, this is an alarming moment: it creates the illusion that the newborn will remain hungry.

In the first or second day, the woman in labor produces colostrum. Its volume for one feeding is from one teaspoon to one tablespoon. However, the baby's stomach is also small. Therefore, the newborn is easily satisfied. On the day of birth, female colostrum contains about 14% protein. Compared to breast milk, this is almost three times more. There is virtually no liquid in colostrum. Since the newborn's body is not yet able to process water, this is the best nutrition.

Does the baby have enough colostrum in the first days? Of course yes, provided that the mother applies to the breast on demand, and not strictly after 3 hours. A newborn baby eats just one teaspoon of nutritious and high-calorie colostrum. Supplementary feeding for a newborn baby is harmful.

An exception is a number of pathologies in a child or mother. Then the mixture is prescribed by a doctor for medical reasons.

What day does milk come in?

Despite the fact that women’s bodies are different and much depends on secondary factors, some doctors continue to insist that milk comes in on the 3rd day after childbirth.

In practice, milk after childbirth comes from days 2 to 5. The earliest arrival of breast milk in a woman is on the second day. Up to 3% of mothers are faced with the fact that they do not have food for their child at all.

How quickly milk appears after birth depends on the following factors:

• whether the baby was born on time or full-term;
• what method of delivery was chosen;
• what kind of births does the woman have;
• what is the attitude of the young mother and whether she is making efforts to establish lactation;
• whether the child is in the room with the mother from the first day.

If the baby is full term

With an urgent birth (at term), milk appears in the breast within a few days. A woman can notice the first drops of colostrum a month before the baby is born, and for some it is released even in the second trimester.

The thick, viscous liquid is replaced by regular breast milk on days 2-3 when staying with the baby. The arrival of milk may occur on the 4th day, and this is also the norm. The time when milk appeared does not affect lactation in the future. Therefore, this indicator is not so important. The main thing is that it has arrived and the child receives enough food.

If the baby is born prematurely

Premature birth is extremely stressful for the female body. If the baby breathes independently, can suck and receive food through the gastrointestinal tract, then milk appears soon after birth and is not delayed much. However, medications that were tried during childbirth can still delay the important moment.

Sometimes a premature baby appears who requires special conditions stay. Some children are not yet able to receive food by sucking and are forced to feed through a tube. In this case, the mother is recommended to express in order to maintain lactation. It should be remembered that breast milk reduces the risk of infant mortality and speeds up the body's recovery process. When the milk comes in depends on the regularity and frequency of pumping.

Child first, second or third?

After the birth of the first baby, milk may come later than in multiparous women. The difference is 1-2 days. The bodies of women who already have children adapt faster to new conditions. The mammary glands have already “passed through” and, from old memory, quickly provide “supply” in response to “demand”.

After childbirth, a primigravida woman’s milk comes in 3-5 days. After the appearance of the second, third and subsequent babies, it should appear no later than on the 3rd day. However, for each young mother these terms are individual. They depend on your mood, psychological state, the course of labor and your attitude towards breastfeeding.

Typically, multiparous women do not have concerns about when milk comes in after childbirth or whether it might not come. Mothers are already familiar with this process and patiently wait for the breast to become full and white droplets flow out of the nipple.

After cesarean

Patients who are about to have a cesarean section are especially worried about breastfeeding. After the operation, they will have to endure IVs, and in some cases they will be prescribed antibiotics.

On what day the milk comes in after a cesarean section depends on the medications used. After labor is induced, women are more likely to experience late milk supply. After a caesarean section, you must also put the baby to the breast in the first minutes. Sucking movements “trigger” the body’s recovery process and simulate milk production.

What to do in the first days so that milk comes on time

In order for milk to come in faster after birth, you need to put the baby to the breast more often. There are no special tricky or magical ways to stimulate lactation. All processes in a woman’s body are already laid down by nature. Therefore, a young mother just needs to be close to the child, learn to feel his desires, breastfeed on demand, support night feedings and not limit the time of sucking. It is important to learn how to properly latch on to your baby so that the baby gets enough nutrition and the mother does not have problems with breastfeeding.

Correct application

In order for milk to appear, the baby must be applied to the breast correctly. Full nipple latching allows for maximum suction of the contents and prevents the baby from swallowing air. Thanks to proper attachment, the baby remains full, he does not have colic, and the mother does not develop cracks and does not experience lactostasis with the arrival of milk.

For proper attachment, you need to turn the newborn towards you with his tummy. His muscles are weak enough to turn his neck on his own. The nipple should be brought close to the newborn's mouth. The baby's mouth should be wide open. It is necessary to place the nipple in the mouth so that the baby captures the areola as much as possible. It is more convenient to do this lying down, positioning the baby “from the armpit”.

Correct application looks like this:

• the baby's mouth is open wide and completely or almost completely captures the areola of the nipple;
• the lower lip is “turned” outward;
• the chin is in contact with the skin of the mammary gland;
• from under upper lip a small part of the areola protrudes (less than from under the lower one);
• sucking movements are deep and slow.

Feeding on demand and staying together with the mother in the maternity hospital

After childbirth, milk comes quickly if there is a demand for it. Therefore, maternity hospitals organize the baby and mother to stay together. It is advisable that in the first two hours after birth the baby is at the breast and periodically sucks. Stimulation of the mammary glands has a beneficial effect on the condition of the uterus and causes it to contract.

It is recommended to latch on to the baby on demand rather than to form a regimen of feeding. Special meaning have the first two weeks, since during this period the active development of glandular tissue occurs. The more often the baby latches on and the longer he sucks on his mother’s breast, the more milk will be produced.

With hepatitis B on demand, the child independently regulates the frequency and duration of attachments. In the first days after birth, he can suckle often and little by little. Contrary to the recommendations of some pediatricians, you cannot wait 2-3 hours until the child begins to scream heart-rendingly.

Night feedings

To make milk appear faster, you need to feed the baby at night and early in the morning. At this time, prolactin is produced. Stimulation of the breast ensures its entry into the blood. Breastfeeding consultants say that one of the foundations of successful lactation is night feeding.

Co-sleeping makes nighttime feedings easier for mom. If the baby is sleeping in the crib, the woman has to get up when the baby calls. Being close to the mother, the baby may not wake up and suckle, independently regulating the duration and frequency of attachments.

Supplementary feeding only for strict medical reasons

In maternity hospitals, you can often encounter forced supplementary feeding of a child, when he is taken away from his mother in the first hours after birth and offered formula. It is necessary to avoid such situations, since supplementary feeding with formula is the first enemy of full lactation.

It is necessary to distinguish between children who cannot eat mother's milk and those who have difficulty consuming it. Supplemental feeding should only be done for medical reasons:

• galactosemia;
• anatomical defects associated with cleft lip or other jaw abnormalities;
• some somatic pathologies in women;
• viral immunodeficiency;
• open form of tuberculosis.

Is it necessary to “decant”?

Often in maternity hospitals they offer to develop or strain the breasts. Midwives or nannies knead women's breasts, develop nipples, forcing the gland to work as needed. However, such manipulations are not only useless, but also dangerous. After the barbaric painful “straining” the woman is left with dents, bruises and bruises. Later, patients become visitors to mammologists and surgeons, as they are faced with severe lactostasis and mastitis.

Modern doctors and breastfeeding consultants do not accept this approach. The formation of lactation should be painless and comfortable. It is recommended to take a break between applications for no more than two hours in the first days. You can feed more often, but not less often.

Drinking enough

The volume of fluid does not affect the amount of breast milk. Therefore, you should not pour liters of water into yourself. This will lead to swelling of the body and chest. You need to drink as much as your body requires.

When milk comes in in large quantities, the mother is advised to limit fluid. But this method does not help cope with the volume of baby food. Lack of fluid also causes swelling as the body accumulates water in the soft tissues.

Are lactogenic teas necessary?

Lactonic agents are not able to speed up the appearance of milk. Therefore, there is no need to stuff yourself with teas and pills. Only a child can stimulate milk production.

Also, some herbal teas can cause an allergic reaction in the baby, so it is better to avoid them in the first days after birth.

Possible difficulties

After childbirth, a woman may face difficulties.

• The most common problem is the late arrival of milk.
• When it comes, it is in large quantities, and the child simply cannot cope.
• In the first days of breastfeeding, mothers notice pain in the breasts and nipples.

Milk doesn't come for a long time

Often women turn to obstetricians and nannies with the question of what to do if there is no milk. If it is not there even a week after birth, then the mother probably has the wrong approach to breastfeeding. This happens if a woman latches the baby on time, uses formula for supplemental feeding, or gives the baby a pacifier.

More serious reasons for lack of milk are:

• taking medications;
• stress accompanied by the release of adrenaline;
• diseases of the endocrine system;
• hypoglactia is very rare.

Excess milk

The flow of milk is accompanied by engorgement of the breast. It becomes so hard and swollen that the baby cannot latch onto the nipple.

If your breasts are engorged, there is no need to force or try to squeeze the contents out of the nipple. Your baby will be your best helper. In order for the baby to latch onto the nipple, the swelling must be relieved. Will help:

• cool compress;
• soft massage that provokes lymph outflow;
• kneading the areola.

If the newborn is sleeping and the breasts are full, you need to wake him up and feed him. This type of breastfeeding is called “on demand.”

Sore nipples and breasts

Breast pain in the first days of breastfeeding is a common complaint of young mothers. It is associated with improper attachment and the appearance of cracks in the nipples. The reason may also be the adaptation of the breast to feeding. More serious provocateurs of pain are infectious and inflammatory processes. If the mother attaches the baby correctly, and the pain does not go away within a week, you should seek help from a specialist.

On what day does milk come in after childbirth and how to stimulate lactation?

Lactation is a physiological process that occurs in the female body and provides adequate nutrition to the baby for a long time. Many pregnant women and those who have just given birth are very interested in how the milk arrives, what quality it is, and whether it is enough to nourish the baby.

Where does it all begin?

Even in the early stages of pregnancy, a woman notices that her breasts begin to swell and enlarge. And when you press on the nipple in late pregnancy, a white liquid appears from it. This is colostrum, which is prepared in the breast as the first food for a newborn baby. Colostrum is produced in the mammary glands only a few days after birth. It is very high in calories and contains a large amount of nutrients. Due to the fact that the volume of a newborn’s stomach is small, small portions of colostrum will be enough to nourish and satiate him. In primiparous women, colostrum is produced from 3 to 6 days after birth, and in multiparous women - 2-4 days. The volume and duration of colostrum production depends on the characteristics of the body, the stress experienced and the course of the birth itself.

How does milk appear?

As the newborn's stomach enlarges, milk production in the mother's mammary glands also increases, and its composition also changes. But these processes do not depend on each other. There are cases when after childbirth a woman does not produce milk at all. With a successful course of the postpartum period, on days 6-10, the proteins contained in colostrum are replaced by fats, and the percentage of water also increases. Mature breast milk consists of 85-90% water, which explains the recommendation not to let the baby drink when breastfeeding.

During lactation, a woman herself is able to notice when she begins to produce milk. The process will be accompanied by a feeling of fullness and swelling in the chest; if there is a large amount of milk, milk may flow out of the nipples.

Attachment to the breast and the feeding process affect lactation. Correct positioning of the baby stimulates milk production. If the baby suckles at the breast and does not compress the glands, then milk comes in with the required intensity.

With each single feeding, it is possible to distinguish between “front” and “hind” milk. That is, first the baby uses the first, then the second product. Foremilk is located at the exit from the breast, that is, near the nipples. It consists of a large amount of water and carbohydrates and has a bluish tint. And hind milk is thicker and fattier. It is much more nutritious and has a white color with a yellowish tint. Both products are useful and necessary for the development and growth of the child. With regular breastfeeding, the female body is able to produce milk for a long time. More often, women stop breastfeeding at 1-1.5 years of age. But cases of feeding up to three years and older are not uncommon.

Even dads already know that milk does not come immediately after childbirth. There are ways to determine whether the baby is really satiated, whether he has enough nutrition.

If it turns out not, there are options to improve lactation.

How do nutrients arrive?

Nature has arranged for the newborn to get used to extrauterine life gradually. In accordance with its needs after childbirth, the mother’s body also “works,” including the arrival of milk:

• Colostrum appears first - immediately after birth, in the last weeks of pregnancy, on the first day;
• then it gradually transforms into transitional milk - for first-time mothers on days 3-6, for repeat mothers - on days 2-4;
• and then the mature one appears, the real one - on the 6-10th day.

Between the second and sixth days

Colostrum is super milk, high in calories (1500 kcal), which provides the baby with many nutrients, antibodies that promote the excretion of meconium and bilirubin - the substance that leads to jaundice. You don’t need a lot of this milk after birth; the volume of a newborn’s stomach is only 5-7 ml.

Gradually it becomes transitional - the volume increases, the fat content increases, the protein content decreases, and there is more water. Hot flashes can lead to breast enlargement, swelling, and a feeling of fullness.

Then the mature one appears, containing 88% water. On what day after birth such milk comes in is in many ways very individual.

When feeding, the baby first sucks out the so-called front part, which contains the most water and carbohydrates, and then the back part, which is the most nutritious. It even differs in appearance. The anterior one is watery, bluish in color, the posterior one is bright white, dense, sometimes yellowish.

There are several rules that after childbirth will help a mother solve the problem of how to develop breast milk:

• attach the baby as soon as he shows signs of anxiety (at least every 15 minutes);
• let him suckle until he lets go of the breast, especially early in the morning. This is the best way to quickly establish lactation - the mother’s body receives signals about the baby’s needs and works in accordance with them. Cracks in the nipples do not appear from prolonged sucking, but from improper grip. There is a reliable way of what to do after childbirth so that milk appears faster. This means not skipping pre-dawn feedings, when prolactin is most intensely produced;
• do not use any substitutes - nipples, pacifiers, bottles. A child who is simply thirsty can suckle at the breast for five to ten minutes; if he is hungry, he will do it longer. Exceptional cases when ordinary water is required can be solved using a spoon, pipette, or syringe without a needle, but not with nipples;
• if milk comes in when the mother does not have the opportunity to feed on demand after giving birth (she needs to leave the house, etc.), she will have to use constant pumping.

The only cause for alarm should be crying under the breast or immediately after sucking. This means that either the quantity is really small, which is quite rare, or the most unpleasant thing begins - breast refusal.

Is the baby getting enough nutrition?

After giving birth, the most difficult thing is to understand that there really is enough milk, and not to look for ways to induce it. Mom can be guided by the following signs:

• how many times does the baby pee - by the third day this should happen 6-8 times, if less, dehydration is possible;
• how the stool changes - from black meconium in the first days to green and brown; when milk arrives after childbirth, the color turns yellow and the consistency becomes like mustard;
• the number of bowel movements is up to two or three times a day, although it happens after each feeding;
• a feeling of some fullness in the breasts before feeding, some emptying after, wetness of the bra in small quantities between feedings; but all this stops at about one month of age of the child, milk after birth comes in sufficient quantities when the child suckles on demand;
• baby’s behavior during feeding – vigorous sucking, swallowing sounds;
• The general condition of the baby is a satisfied, healthy appearance.

Control feeding during natural feeding very rarely shows real results. If the baby just wants to drink, then he can suck out only 10 g. This is not a reason after birth to worry about why the milk is not coming. Provided that the baby grows normally, gains weight, and develops.

The same goes for weight gain. The tables are very average, and some babies may gain weight less intensely, others more. In general, weight is a relative indicator. If everything goes well, then small deviations cannot be a sign of pathology. The normal limits for a baby older than a week are from 125 to 500 g per week.

Most newborns ask for the breast 10-15 times a day

You cannot judge that milk comes in small quantities after childbirth based on the condition of your breasts. By about a month, with the right approach to feeding, the breasts are almost always soft. Milk begins to be produced in it only while the baby is sucking. If you “accumulate” milk between feedings, its amount will begin to decrease.

Possible actions in case of deficiency

Eats mixture

Sometimes inexperienced mothers after childbirth assume they have a lack of milk and look for ways to speed up its flow. It can be difficult to understand the situation on your own, but now there are lactation consultants who can help clarify the situation and improve lactation.

Some traditional medicine recipes can also be useful in this matter. Their effectiveness has not been proven in any way by medical research. Nevertheless, many women report success with use.

Traditional methods of treatment

Before trying one of the recipes, be sure to get permission from your pediatrician or feeding consultant. And you need to clearly understand how many days after birth milk comes in, in what volumes.

Nettle infusion will help you recover and cope with the problem.

Nettle infusion.

Required components:

• dry nettle leaves – 40 g;
• water – 2 l.

Preparation and use.

1. Boil water and pour it over the leaves.
2. Leave until cool, strain.
3. Drink a tablespoon three times a day.

About.

Lactation collection.

For preparation you need:

• fruits of dill, oregano, anise, fennel in equal parts by mass;
• water.

Preparation and use.

1. The fruits are well ground - for example, using a coffee grinder.
2. Use it as tea - pour boiling water over a teaspoon of the mixture.
3. Take up to three times a day.

: Borovikova Olga

gynecologist, ultrasound doctor, geneticist

How can a nursing mother survive the “stormy rush” of milk?

Immediately after birth and during the first 2-3 days, colostrum is produced in the breasts. It is released in small quantities, and the mother practically does not feel it. Then, by the end of 3, beginning of 4 days after birth, the breasts begin to increase in size, become denser and more tense. These changes indicate the beginning of the milk arrival process.

They are often accompanied by pain and a slight increase in local temperature. It is difficult for a child to latch onto a swollen flat nipple and suckle on a tense breast.

To alleviate the condition during this period and avoid milk stagnation:

Don't drink too much liquid.
Hot drinks increase swelling; drink drinks cooled to room temperature.
Wear underwear that gently supports and does not put pressure on your breasts.
Feed your baby on demand.
Before and after feeding, massage your breasts with your fingertips from the periphery to the center.
Express some milk before feeding to ease breast tightness and help shape the nipple.
After feeding, express milk until your breasts are soft.

To express the breast during this period, it is convenient to use the Natural Feeling manual breast pump from Chicco [link-1], which, thanks to a super-soft silicone membrane with circular
pads provide a delicate circular breast massage.

Did you feel the arrival of milk?

Yes, it was very painful.
Yes, there was discomfort, which quickly passed.
No, I haven't noticed any changes.

Yes, it is important to know the tide information → Yes, it is important to know the tide information in advance to avoid making mistakes. Often, mothers who have not studied the process of lactation formation before giving birth are afraid in the first days that there is very little colostrum and begin to drink a lot of teas for lactation. Then on day 3-4 they have excessive hot flashes. During a hot flash, you really need to limit your fluid intake a little. Especially hot - because it increases blood flow to the chest and swelling. And the time it takes for everything to return to normal is individual. For some it takes a day or two, for others it takes several weeks. It is important not to panic during this period, but to feed, feed, feed... 08/21/2016 16:15:34, DrKatya

Hello! My colleague is absolutely → Hello!

My colleague is absolutely right. Moreover, so that panic does not cover you completely and does not force you to make mistakes, there are helpers for this, for example, us. We are ready here to answer all questions and quickly resolve difficult issues so that mothers are calm and children are well-fed.

All the best!
Sincerely,
Butuzova Olesya 08/22/2016 21:16:44, Olesya Butuzova

A breast pump is really a wand → A breast pump is truly a lifesaver for mothers after childbirth. In the first days after birth, a newborn is not very active in relation to the breast, and therefore the mother often has to deal with the problem of the rapid arrival of milk herself with the help of a breast pump. It is very important that the Chicco Natural Feeling breast pump gently expresses milk without damaging the delicate skin of the nipples. Because manual expression, especially for less experienced mothers, often ends in damage and swelling of the nipples - which adds even more problems. In addition, the massage pads in the Chicco breast pump promote the release of milk from distant milk sinuses, providing a more complete expression. It is difficult for an inexperienced mother to achieve such emptying of the breast when expressing by hand. 08/21/2016 17:49:51, DrKatya

It’s much easier to express with a breast pump → Expressing with a breast pump is much more comfortable. Especially if it is of high quality. The Chicco breast pump does not injure the nipple when expressing and has massage petals that help express milk from distant areas of the breast. When expressing by hand, the nipple is usually injured and swelling may occur. In addition, the mother gets tired of the process and tenses up - which prevents the breast from completely emptying. 08/31/2016 23:00:50, DrKatya

Yes, during weaning of the baby → Yes, while weaning your baby, you may also need a breast pump. If your breasts are too swollen and painful, under no circumstances should you bandage them - as is usually advised. This can cause mastitis. It is necessary to gradually pump the breasts until relief and massage them. To comfortably express your breasts during this period, you can use a breast pump. There is no need to be afraid that the milk will not come out when expressing. All the same, over time, without complete emptying of the breast, lactation will fade away. 08/31/2016 21:51:31, DrKatya

All mothers wonder how to increase lactation when there is not enough food for infant. Some advise drinking teas to increase lactation; Dr. Komarovsky recommends doing exercises and taking special tablets and medications in the form of vitamins. Also, stimulating lactation requires patience, because in order to have breast milk, you need not only to drink products and teas, but also to work on the production of prolactin so that the hormone increases in the blood.

Why doesn’t breast milk come on its own, which is why the flow disappears, and how to prevent this? To have a lot of breast milk, you do not need to have good genetic data. To increase lactation painlessly and urgently, you can take medications that increase hormone production, as well as carry out the necessary exercises.

Rapid increase in lactation after childbirth

To increase lactation and increase the fat content of breast milk, mothers can eat fatty foods. Well stimulates breast milk production:

The amount of breast milk you produce also depends on how many times you eat these foods. The volume of fluid consumed is also important. You need to drink at least 1.5 liters per day. The hormone prolactin “loves” when the body has a supply of fluid so that the components of substances can be quickly processed into food. Depending on how much food and water are supplied to the body, the influx will increase.

It is advisable to steam or boil products so that harmful minerals (salts, gases, oils) do not escape from fried components and substances. If your doctor recommends taking pills or drinking teas, don't refuse. Very often, after childbirth, lactation has not yet been established - one breast may be larger than the other, and after feeding there is little milk in the other breast. When pumping, it takes about 3 hours to produce a new secretion. If the baby is already hungry by then, feed him from the other breast. It will not be possible to quickly increase the quantity; you need to do everything gradually.

In order for the hormone prolactin to constantly increase, it is necessary to choose methods that will help normalize lactation.

If there is not enough milk during prolonged breastfeeding

If you no longer have enough milk, it is recommended to take special teas. They have a positive effect on the hormone, provoking the secretion of secretions from the glands. The teas are based on herbs that have a calming effect on the child. For a mother, this is one of the most simple ways after prolonged lactation, resume and continue feeding. If the baby does not eat enough or does not have enough food, it is recommended to increase the fat content of the foods. After 4-7 months, it is permissible to consume the amount of carbohydrate substances that was not possible before.

One serving should be 87% fat, carbohydrates and protein. The remaining percentage comes from vitamins and minerals. It is important that this is a portion calculation at a time; vitamins can be taken separately - fruits, vegetables, multivitamins. One serving of vitamins should have:

• 50% vitamin C;
• 20-30% vitamins of group A;
• 10-20% vitamins E;
• the rest is vitamins and minerals, active salts.

Also, the child does not have enough food if the mother constantly has no time to eat. As a rule, some mothers go to work trying to maintain lactation, but due to a tight schedule there is not enough time to have lunch. It is still recommended to find time for a snack, otherwise feeding will stop very soon. At the same time, it is permissible not to observe the fat and calorie content of foods. If the break between meals is more than 3 hours, you need to drink more water. After the end of the working day, you should not deprive yourself of tasty food; it is recommended to eat a hearty and tasty meal, so that there is still milk for night feeding. In cases where work situations dictate unspoken rules, and the employee must maintain a slim figure, women can reduce dinner to dietary dishes. At the same time, the fat content of the products should be 33%, no less.

Diets cannot be followed if lactation is more important for the mother, because physical exercise and a decrease in calorie content of food can provoke a reduction in adipose tissue in the glands, which is necessary for adequate feeding. Some women prefer to use herbs and natural components of substances to maintain lactation if there is not enough food for the baby.

Simple folk ways to increase milk flow

If the baby does not have enough milk, it is best to use cumin. It is recommended to drink either cumin tea or infusion, or prepare cream. Cumin helps increase the fat content of milk, and also significantly increases its flow to the milk ducts. Cumin is easy to prepare for kvass, which can be taken in hot summer months instead of regular water.

These are so simple and effective advice. The main thing is not to self-medicate, not to use unknown medications, the reaction of which has not been tested either by time or by test procedures.