Life
Breastfeeding may be one of the most natural things in the world, but it’s not always the easiest. I remember the first two weeks of breastfeeding my daughter being absolute torture every time she latched on, thanks to sore, cracked nipples. But even after we mastered nursing and everything was going smoothly, I was still left wondering why breastfeeding letdown hurts and what I could do to minimize the pain.
For those who aren’t familiar, breastfeeding letdown is the release of your breast milk. Lactation counselor Ashley Morris explains to Romper, “Letdown is a reflex and is initiated by various stimuli. The stimulation signals the release of oxytocin — the love hormone. Oxytocin helps the tiny muscles around your milk-producing cells to contract and squeeze milk into the ducts."
It usually occurs once your baby latches on and begins to nurse, but can happen at other times, too, like when you hear your child crying, or if your baby skips a feeding and your breasts are overfull. Not all women can feel the letdown happening, but if you do, you might find it painful. Your breasts might tingle, providing a pins and needles sensation that is reminiscent of a limb waking up after “falling asleep.”
I felt my body’s letdown reflex often and couldn’t help but grimace every time. This feeling is totally normal, but if you’re experiencing more intense pain, there might be something else at play, and you should consult with a doctor. But for those experiencing ordinary pains, here are five things that may cause your breasts’ letdown reflex to hurt, and what you can to do relieve the pain.
4
Blocked Milk Duct
If your baby isn’t nursing as often or your breasts aren’t emptied during a feeding, you may be susceptible to a blocked milk duct. This can cause inflammation of the surrounding tissue. Jennifer Ritchie, International Board Certified Lactation Consultant (IBCLC) and author of The Smart Parents Guide To Breastfeeding, tells Romper, “Blocked milk ducts do not affect the oxytocin release or letdown — it’s a blockage in the milk duct. The letdown would still happen, but the milk won’t come out because it’s physically unable to.”
This is, obviously, pretty painful. If you can handle it, let your baby nurse on the breast with a blocked milk duct to hopefully unclog it with their sucking. Massaging the area or using a hot compress can also help.
5
Mastitis
An untreated blocked milk duct can also cause mastitis, which is inflammation in the breast tissue that can lead to an infection, according to the Mayo Clinic. “Mastitis most commonly occurs after the milk comes in or during the second stage of lactation,” says Ritchie. “If the milk is unable to get out, the breast tissue surrounding the blocked milk gets infected. If the mom is engorged and in pain, it can definitely impact getting the milk out.”
Experts:
Ashley Morris, lactation counselor and Willow customer care lead
Jennifer Ritchie, IBCLC and author of The Smart Parents Guide To Breastfeeding
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