Breast leaking is a common experience for many breastfeeding parents, often occurring as the body adjusts to milk production and feeding patterns. Understanding its causes and implementing simple strategies can help manage it effectively.
Why Breasts Leak
Breasts leak primarily due to the let-down reflex, also known as the milk ejection reflex. This physiological response is triggered when hormones, specifically oxytocin, cause the milk-making glands to contract and push milk toward the nipples. The let-down reflex can occur not only during feeding but also in response to various stimuli, leading to unexpected leaking.
Common triggers include a baby’s cry, even if it’s not one’s own, or simply thinking about or seeing a baby. Full breasts, especially in the morning when milk supply is often at its peak, or extended periods between feedings can also prompt leaking.
Strategies to Reduce Leaking
Applying gentle pressure to the nipple can often stop or slow leaking temporarily. This can be done discreetly with fingers, a hand, or even a forearm. However, excessive or prolonged pressure should be avoided to prevent potential inflammation or other issues.
Feeding or pumping more frequently helps manage breast fullness, which can reduce the likelihood of leaking. Nursing on demand, allowing the baby to feed whenever signs of hunger appear, helps the body regulate milk supply more effectively. Avoiding skipped feedings or pumping sessions is also important, as going too long between milk removals can lead to increased fullness and subsequent leaking.
For those with an oversupply, techniques like block feeding can be considered, where one breast is offered for a set period before switching. This signals the body to produce less milk from the rested breast. Expressing a small amount of milk before feeding can also help if breasts are engorged, softening the breast and reducing the intensity of the initial let-down.
Wearing dark or patterned clothes can help conceal any accidental leaks, offering more confidence when out in public. When a let-down is felt, crossing arms over the chest or subtly leaning forward can also help manage visible leaking.
Helpful Products for Leaking
Breast pads are a widely used product to absorb leaking milk and protect clothing. They are available in both disposable and reusable options, with varying levels of absorbency to suit individual needs. It is important to change breast pads regularly to maintain hygiene and prevent nipple irritation.
Milk collection shells, such as those made from silicone, can be placed inside a bra to catch leaking milk from the non-nursing breast. These shells are designed to collect milk that would otherwise be absorbed by a pad, making it available for later use. Some shells also offer benefits like protecting sore nipples and allowing them to breathe. Nursing bras are designed to provide support and accommodate breast pads comfortably, making them practical for daily wear.
When to Consult a Doctor
While breast leaking is generally a normal part of the breastfeeding journey, certain signs warrant medical consultation. If the leaking is accompanied by signs of infection, such as redness, warmth, significant pain, or fever, it is advisable to seek medical attention. Persistent pain or discomfort in the breasts that does not resolve with typical management strategies should also be evaluated by a healthcare professional.
Concerns about oversupply that significantly affect the baby’s feeding, such as gagging or choking during feeds, may also indicate a need for professional guidance. If leaking is causing significant distress or negatively impacting daily life despite consistent management efforts, a consultation can provide additional strategies or rule out underlying issues. Any unusual discharge, particularly if it is bloody, clear, or comes from only one breast, requires immediate medical attention.