Posted by Krystal Duhaney, RN, IBCLC May 20th, 2025

7 Signs of Low Milk Supply (And What Actually Works to Fix It)

7 Signs of Low Milk Supply (And What Actually Works to Fix It) - Milky Mama

Hey mama, let's talk about something that's probably keeping you up at night (besides your adorable little milk monster). That constant worry about whether your baby is getting enough milk from you.

I've been exactly where you are. Staring at your baby, wondering if they're satisfied, if you're enough for them. It's like having your heart walk around outside your body, isn't it?

You're so not alone in this. About 60% of moms who quit breastfeeding say milk supply worries pushed them over the edge. But here's the kicker - while low supply is definitely real for some of us, it's also way over-diagnosed.

Let's sit down (grab that lukewarm coffee you've reheated twice already) and figure out what's really happening with your supply. No magic wands or miracle cures - just real talk from someone who's walked miles in those leaky nursing bras.

How to Tell If You Have a Low Milk Supply: Real Signs vs. Common Misconceptions

First things first - let's sort fact from fiction. Your body's probably a milk-making rockstar, but sometimes our mom-brains convince us otherwise.

Real Signs of Low Milk Supply

1. Poor Weight Gain in Your Baby

The scale doesn't lie, even when your anxiety does. After that first normal weight drop, your little chunk should:

  • Be back to birth weight by about 10-14 days
  • Pack on roughly 5-7 ounces weekly in the early months
  • Follow their own little growth curve at checkups

If your pediatrician's eyebrows shoot up at weight checks even though you're nursing round the clock? That's when we might need to talk supply.

2. Consistently Low Diaper Count

Never thought you'd celebrate poop, did ya? By day 5, you should be drowning in:

  • At least 6 wet diapers daily (light yellow, not dark apple juice color)
  • At least 3-4 poopy diapers in the first month - yellow, seedy, and weirdly not gross

A serious drop in diaper action might be your baby's way of saying "Hey, the milk bar's running dry."

3. Dehydration Symptoms

This is the serious stuff. Watch for:

  • Dry, parched mouth like they've been crawling through the Sahara
  • Sunken eyes or that soft spot (fontanelle) looking dented in
  • Pee that's dark yellow or strange orange crystals in the diaper
  • A baby who's extra sleepy and hard to wake up

Don't mess around with this. Call your doctor yesterday. These aren't just supply issues - they're "get help now" signals.

4. Ineffective Latch and Milk Transfer

Sometimes the issue isn't making milk—it's getting it from the dairy (you) to the customer (baby). Red flags to watch for:

  • Pain that lasts the whole feeding (not just that initial toe-curling latch)
  • A frustrated baby who either fights your breast like it's their worst enemy or nods off after two measly sucks
  • Nipples that look squished, lipsticked, or have actual battle scars after feeding
  • Quiet feeding sessions - breastfeeding shouldn't be silent! You want those cute little gulps.

5. No Breast Changes During Pregnancy or After Delivery

Most of us get slapped with some obvious boob changes when growing humans:

  • The "none of my bras fit and I'm not even showing yet" growth spurt
  • Areolas going darker (Mother Nature's bullseye for your newborn's terrible aim)
  • Tenderness that makes hugging an extreme sport

If your breasts basically ignored the memo about pregnancy, it might signal insufficient glandular tissue.

6. No Sense of Milk "Coming In"

Not everyone gets that dramatic "overnight water balloon" feeling when milk arrives around day 3-5. But most of us feel something—fullness, warmth, weird tingling, or heaviness.

Zero changes whatsoever? Might be worth chatting with a lactation pro.

7. Consistently Low Pumping Output (With Proper Technique)

If you're pumping regularly and:

  • Getting barely enough to wet the bottom (less than 1⁄2 oz total after 15-20 minutes)
  • Never seeing improvement even with consistent pumping
  • Tried all the fancy flanges, massage techniques, and pump settings with zero change

This could mean actual supply problems—but only if your pumping game is on point. Because let's be real, pumping is a skill nobody was born with.

Common Misconceptions That Are Probably NOT Your Supply

Before you spiral down the Google rabbithole at 3 AM, these super common concerns usually don't mean what you fear:

  • A suddenly fussy baby - Could be a growth spurt, developmental leap, or just Tuesday. Babies are mysterious little beings with their own agendas.
  • Feeling "empty" breasts - Soft breasts often just mean your body got its act together and streamlined milk production. Like upgrading from a clunky factory to a sleek, efficient operation.
  • Baby wanting to nurse constantly - Cluster feeding is so normal it should be highlighted in the baby manual under "perfectly normal things that will make you question your sanity."
  • Baby taking a bottle after nursing - Bottles and boobs are apples and oranges. Some babies accept bottles as a sort of dessert option even when they're technically full.
  • Pumping just a tiny amount - Pumps aren't babies, and some of us just don't vibe with plastic flanges. Your body might be like "Um, you're not my baby, strange plastic contraption."

What Actually Works to Increase Milk Supply

If you've checked the list and think, "Yep, I'm actually dealing with low supply," let's skip the snake oil and focus on what really works. No magic beans here—just strategies backed by both science and real-mom experience.

1. Optimize Breastfeeding Frequency and Technique

The absolute best way to make more milk is to take more milk out. It's supply and demand, like Economics 101 but with more crying (from both of you):

  • Nurse on demand - Not by the stupid clock. When baby starts rooting, smacking lips, or chewing on their fist like it's a ribeye, that's go time!
  • Fix that latch - A good lactation consultant is worth selling a kidney for. They can spot and fix issues that might be invisible to you.
  • Empty those breasts - Let baby drain the first side completely before offering the second. That fatty hindmilk is the good stuff!
  • More is more - Aim for 8-12 feedings in 24 hours. And those middle-of-the-night feedings? They're important (sorry about your sleep, truly).
  • Try "power pumping" - It mimics those cluster feeding sessions but with your pump: pump 20 min, rest 10, pump 10, rest 10, pump 10. It's like sending your boobs to milk-making bootcamp.

2. Address Physical and Medical Factors

Sometimes there's actually something physical going on:

  • Check for tongue or lip ties - These little bits of tissue can make milk transfer inefficient. It's like trying to drink a milkshake through a coffee stirrer.
  • Get your thyroid checked - Both hypo- and hyperthyroidism can mess with your milk factory. Your hormones are like the foremen of the milk production line.
  • Consider PCOS or insulin resistance - These conditions can impact how your body produces milk. They're like having a power outage at parts of the milk plant.
  • Retained placenta fragments - If tiny bits were left behind, they can prevent normal hormone shifts. It's like leaving the emergency brake on while trying to drive.
  • Review your medications - Some can reduce supply, including certain birth control methods. Turns out those hormones don't just prevent babies—they can impact feeding them too.

3. Evidence-Based Galactagogues (Milk Boosters)

While food and herbs shouldn't be your first approach, some actually have decent research backing them up:

  • Galactagogue herbs - Blessed thistle, moringa, and goat's rue have some solid studies behind them (all of which are herbs we use in our herbal supplements)
  • Food that helps - Making sure you eat enough calories (this isn't diet time!), staying hydrated, and including oats, barley, and flaxseed can support your milk factory.
  • Specialized lactation supplements - Formulations that combine multiple evidence-based ingredients often work better than single herbs alone.

I've seen our Emergency Brownies work miracles for moms in our community. They taste way better than chewing on fenugreek seeds (which taste like bitter licorice, btw). Many moms report seeing results within 24-48 hours of their first brownie—and they don't make you smell like IHOP.

4. Lifestyle and Emotional Factors

Don't underestimate how much everyday life impacts your milk-making abilities:

  • Rest and stress management - I know, I know—with a newborn? But sleep deprivation and stress are milk supply assassins. They sneak in and silently murder your production. Accept help when offered and actually nap when the baby naps (the laundry mountain can wait).
  • Stay hydrated - While chugging gallons won't magically double your supply, being dehydrated definitely tanks it. Your milk is mostly water, after all. Keep a water bottle at every nursing station—you'll be trapped under a sleeping baby anyway.
  • Skin-to-skin contact - This isn't just fluffy advice—it literally increases prolactin and oxytocin, your milk-making hormones. Think of them as the recipe for milk production. Strip that baby down to a diaper and snuggle up!
  • Find your people - Breastfeeding was never supposed to be a solo expedition. It take a village to raise a child, but apparently also to feed one. Whether it's a local La Leche League, an online mom group, or a lactation consultant, find supporters who get it.

When to Consider Supplementation

Sometimes, even while working on building your supply, you need to make sure your baby isn't starving. Consider supplementation if:

  • Your baby's weight gain has stalled or reversed despite your best efforts
  • You're seeing those dehydration symptoms we talked about
  • Your pediatrician is concerned (they're on your team, even when it doesn't feel like it!)

And listen carefully: supplementation doesn't mean you've failed or that breastfeeding is over. Options include:

  • Your own expressed milk (if you have any stashed)
  • Donor milk from screened donors (if available and affordable)
  • Formula (a completely valid option when needed)

Ways to supplement that don't torpedo your breastfeeding journey include:

  • Supplemental nursing systems (those tubes that deliver extra milk while baby nurses)
  • Cup, spoon, or syringe feeding for tiny babies
  • Paced bottle feeding (which mimics breastfeeding rhythm so baby doesn't develop a preference)

The Milky Mama Comprehensive Approach

As a mom who's been down this road (and oh, it's a bumpy one), I've found that a combination approach usually works best. That's exactly why we created our Bestseller Bundle – it's basically your milk-making survival kit:

  • Emergency Brownies - For those "holy crap I need help RIGHT NOW" moments and overnight supply support. Those 3 AM feeds are prime milk-making time, even though you'd rather be unconscious.
  • Lactation Cookies - For everyday maintenance and a yummy excuse to eat cookies for breakfast. Because if anyone deserves cookies for breakfast, it's a breastfeeding mom.
  • Tropical Punch Drink - Because plain water gets boring fast, plus it provides extra galactagogue support. It's like your hydration with superpowers.

The feedback from thousands of mamas has been pretty mind-blowing – many see serious improvements within just days of starting the bundle. We designed it to provide around-the-clock support whether you're just starting out or trying to keep an established supply going.

Final Thoughts: Trust Your Body and Seek Support

Here's what I want you to remember, mama: Your body probably knows what it's doing better than you think. Most of us can make enough milk for our babies, even if we need a boost sometimes.

If you're worried about your supply:

  1. Check the real signs we talked about, not those misleading ones that send you into late-night panic spirals
  2. Focus on getting milk out more often and more completely
  3. Rule out physical issues that might need addressing
  4. Consider trying some evidence-based galactagogues
  5. Remember that stressing about supply can actually tank your supply (which is the cruelest joke Mother Nature ever played on us)

Most importantly, remember you're not walking this path alone. Whether you reach out to a lactation consultant, join our Milky Mama community, or just text a friend who's been there—asking for support isn't waving a white flag. It's being the resourceful, determined mother your baby deserves.

You've got this. And on the days when you definitely don't got this (we all have them), we've got you. ❤️


Frequently Asked Questions About Low Milk Supply

How do I know if I have a low milk supply?

The most reliable signs include poor weight gain in your baby, consistently low diaper count (fewer than 6 wet and 3-4 soiled diapers daily after day 5), dehydration symptoms, ineffective latch and milk transfer, absence of breast changes during pregnancy or after delivery, no sense of milk "coming in," and consistently low pumping output despite using proper technique.

Watch for the signs we discussed earlier in this article, but remember—many common breastfeeding behaviors (like frequent nursing or baby taking a bottle after nursing) are often misinterpreted as supply problems when they're actually normal.

Does feeling "empty" breasts mean I have low milk supply?

Nope! Soft breasts usually just mean your body has adapted to breastfeeding demands and become more efficient at milk production. Most milk is actually made during feeding itself through a process called "autocrine control." Isn't that wild? Your body literally makes milk while baby nurses.

Soft breasts don't indicate low supply unless accompanied by other signs like poor weight gain in your baby. Many experienced breastfeeding moms never feel "full" but still feed their babies perfectly well.

What's the most effective way to increase milk supply?

Remove milk more frequently and efficiently—it's all about supply and demand! This includes:

  • Nursing on demand (8-12 times in 24 hours)
  • Getting that latch right (seriously, see a lactation consultant if you're struggling)
  • Emptying breasts completely at each feeding
  • Not skipping night feedings (they're prime milk-production time!)
  • Trying power pumping to simulate cluster feeding

Addressing medical factors, using evidence-based galactagogues, and managing stress and rest are also super important supporting strategies. But frequency and effectiveness of milk removal is your milk supply's best friend.

Does pumping little milk mean I have low supply?

Not necessarily! Pumping output is not a reliable indicator of your actual milk supply, and this trips up so many moms. Your body responds differently to a plastic pump than to your adorable baby.

Many women don't respond well to pumps but can still feed their babies just fine at the breast. Factors like pump type, flange size, technique, and your body's individual response all affect output. Judge your supply by baby's weight gain and diaper count rather than those pump bottles.

When should I consider supplementing while breastfeeding?

There are definitely times when supplementation makes sense:

  • Your baby isn't gaining adequate weight despite optimization efforts
  • You're seeing signs of dehydration (dry mouth, sunken eyes or fontanelle, dark urine, lethargy)
  • Your pediatrician recommends it (they're on your team!)

Remember, supplementation doesn't mean the end of breastfeeding. You can supplement with expressed breast milk, donor milk, or formula using methods that support continued breastfeeding like supplemental nursing systems, cup/spoon feeding, or paced bottle feeding.

What foods and herbs actually help increase milk supply?

While diet alone usually can't fix true low supply, some foods and herbs have decent evidence behind them:

  • Oats (there's a reason lactation cookies often contain oatmeal!)
  • Blessed thistle, moringa, and goat's rue
  • Brewer's yeast
  • Flaxseed and other healthy fats

Our Emergency Brownies and Lactation Cookies combine several of these galactagogues in a delicious format that makes it easy to get consistent doses—much tastier than choking down handfuls of capsules!

Can stress really affect my milk supply?

Absolutely! Stress and anxiety release hormones that can interfere with oxytocin and prolactin—your key milk-making and milk-releasing hormones. It's frustratingly ironic that worrying about your supply can actually decrease it.

Try stress-reduction techniques like deep breathing, gentle stretching, or just binge-watching your favorite show while nursing. And remember that adequate rest is crucial—I know it's tough with a baby, but try to nap when they nap at least occasionally. The dishes can wait.

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