Are my breastfeeding problems caused by not breastfeeding or expressing enough?
Inadequate (infrequent or ineffective) breastfeeding may initially result in overfull breasts. Mothers may notice their breasts are uncomfortable or develop plugged ducts or mastitis. In the longer term, the breasts will make less milk. Breasts respond to a baby’s feeding behaviour. If the baby removes more milk from the breast, more is produced. If the baby removes less milk, less is produced. This is referred to as “supply and demand”. Babies may breastfeed infrequently when given unnecessary milk supplements or because of sleeps that are longer than five hours. Babies may breastfeed ineffectively when they are premature or weak or have a latching problem. Mothers may keep babies from feeding by offering a pacifier frequently or not offering the second side. Expression can also be ineffective.