Re: I keep getting mastitis, and I think it’s because I make too much milk. What can I do to lower my milk supply?
As I have said numerous times in my practice, oversupply sounds like a "good problem" to have when breastfeeding, but it is a problem nonetheless and must be managed appropriately, or mastitis will reccur throughout breastfeeding. If the baby is gaining weight well, most moms try to use one breast at each feeding. If the baby still appears a little fussy afterward, go back to the same side for several more minutes until the baby is satisfied. Try to leave the other breast alone until the next feeding and then use that side. If moms are unable to tolerate waiting until the next feeding, then pump or hand express for only a few minutes to help alleviate the extreme fullness of that breast. Try to use one breast per feeding for three to five days until the breasts become adjusted. If there is still oversupply, try to use one breast for a three-hour block of time. It is important to note that we are not limiting the baby to every three hours, we are "assigning" a breast a 3 hour time frame, also known as block nursing. Some moms feel that a cold compress or cold cabbage leaves applied to the breasts after a feeding help alleviate the discomfort.