Lactation breast engorgement

There are no silly or stupid questions - if it's important to you, or concerns you, then it's worth asking! Below you will find a list of links and information on some of the common concerns moms may have. Very rarely is a mother not able to produce enough milk to nourish her baby. Unfortunately due to myths and misinformation, many mothers are led to believe that they cannot produce enough milk, and are told to supplement their infants with formula. For almost ALL mothers, the more you nurse, the more milk you will have.
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Breast size and breastfeeding — small breasts can breastfeed just as well as big ones!

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Breastfeeding - Wikipedia

After those first few days, it is necessary for milk to be regularly removed from the breast via baby or pump to continue milk production. The breasts will begin to shut down milk production within several days if milk is not regularly and effectively removed. During the early weeks, assuming nursing is going well, a mom will often have more milk than baby needs. In exclusively breastfed babies, milk intake increases quickly during the first few weeks of life, then stays about the same between one and six months though it likely increases short term during growth spurts. After the first 6 weeks to 3 months or sometimes later — this varies for different mothers , the high baseline prolactin level that is the norm in the early weeks gradually decreases to the lower baseline that is the norm for later lactation. These are all normal changes and, on their own, do not mean that milk supply has decreased.
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Many of my pregnant and breastfeeding patients suffer from allergies and frequently ask me about the safety of antihistamines during pregnancy and breastfeeding. Should I advise them to use the older sedating medications? I have heard that they might be safer than the newer nonsedating class of drugs. Or have the newer ones been studied as well?
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A tender breast lump with reddened skin often signals a plugged milk duct, especially if the lump is beneath your areola. If it is a plugged duct, you might or might not also notice a wedge of redness or fullness extending back from the lump toward your chest. You might also notice a little white dot on your nipple that's a plug of dried milk in your nipple opening. With a plugged duct, the pain is pretty mild, and it comes and goes. Once the plug is out, you should feel immediate relief.
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