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The Causes of Delayed Onset Milk Production

A First Baby: If you're having your first baby, you may experience a slight delay in your

milk production.

It could take up to the 5th day postpartum for a first time mother's breasts to fill up with milk.

With your next baby, your milk will most likely come in sooner.

A Difficult Delivery: long stressful labor, and a traumatic birth experience with the use of

anesthesia, pitocin, and an abundance of I! fluids, can slow down the production of breast

milk .

A Premature Delivery: lthough your body is capable of making breast milk by the end of

your second trimester, the early end of pregnancy, the stress of a premature delivery, and the

inability to breastfeed your preemie immediately after birth, can delay the production of your

milk.

A C-section: "ue to surgery, stress, pain, and the emotional factors associated with having a

cesarean section, it can take longer for your milk to come in.

A Poor atch: ny problems with your baby's ability to latch on and breastfeed can interfere

with the initiation of milk production. #ewborns with a tongue$tie, cleft lip%palate, or

neurological issues may not be able to latch on well. &r, if your nipples are flat, inverted or

very large, it may be more difficult to get breastfeeding started.

 Diabetes: It may take longer for milk production to begin in diabetic mothers. his could bedue to a combination of reasons including hormonal issues, the high rate of c$sections in

diabetic mothers, premature delivery, and the separation of mom and baby at birth.

Other !ormonal "ssues: (others who have symptoms of  hypothyroidism or )*&+ may

also take longer to make breast milk.

Obesity: eing overweight before conception, or gaining too much weight during pregnancy,

can interfere with the onset of your milk production after the delivery of your baby.

#etained Placental Fra$ments: When some of the placenta stays behind after childbirth, it

can prevent the hormone changes needed in your body for milk production to begin.

Theca utein Cysts: hese testosterone producing ovarian cysts can delay the onset of milk

 production. hey normally go away on their own within a few weeks after childbirth. &nce

they resolve, the testosterone levels decrease allowing full milk production to begin.

+ources:

merican cademy of )ediatrics. #ew (other-s uide o reastfeeding. antam ooks. #ew /ork. 0122.

3artmann, ). and *regan, (. 4actogenesis and the ffects of Insulin$"ependent "iabetes (ellitus and )rematurity. he 6ournal of #utrition. 01127 282922:

812;+$8101+.

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3urst, #. (. <ecogni=ing and reating "elayed or >ailed 4actogenesis II. 6ournal of (idwifery ? Women-s 3ealth. 011@7 509;: 5AA$5BC.

4awrence, <uth ., (", 4awrence, <obert (., (". reastfeeding uide >or he (edical )rofession +eventh dition. (osby. 0122.

<iordan, 6., Wambach, D. reastfeeding and 3uman 4actation >ourth dition. 6ones and artlett 4earning. 0121.