Breastfeeding

Forceful letdown

Any tips for dealing with a forceful letdown? Baby has been gassy and has reflux at night, so I'm assuming the forceful letdown is the issue. She does not seem to have symptoms of an allergy/intolerance, but she often coughs and pulls off the breast when I get a letdown, and the milk will flow out of both breasts. My baby is only 3 weeks old, so I am hesitant to treat it as an oversupply issue while my supply is still regulating. I do not have a pump right now, but will be getting one soon. I burp her often, and I know about laid-back nursing...is there anything else I can try?
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Re: Forceful letdown

  • You can take a burp cloth and spray into that after let-down until the flow slows down, then put baby back on.  I also tried to nurse frequently so that DD wouldn't be too hungry and eat too fast, and also so I wouldn't be too engorged.  It took a few weeks to regulate but things have been great since then.  Good luck! 

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  • I had overactive letdown and oversupply at first, I found spraying into a cloth diaper helped the letdown issue for my LO but it made my supply issue worse. Block feeding helped both issues a bit, but using a nipple shield was the only way nursing ever worked for us during that time. Now that my letdown and supply have lessened we don't use the shield.
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  • I had to lie back while feeding for awhile so LO wouldn't choke at let down. My biggest problem was that I couldn't (and still can't) feel when I let down, so I didn't know when it was happening. In the beginning, I did pump a tiny bit .5-1 oz before feeding LO so I wasn't so full. It did help when combined with laying back.
    TTC since December 2011
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  • I can tell when a letdown starts because my boobs feel tingly and get a bit harder...almost like a contraction in my boobs. It's kind of weird explaining it like that  :))
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