"Milk let-down is normally a physiological act of the woman's body that occurs naturally in the first days after giving birth." This is explained by the Federation of Associations of Midwives of Spain, which also adds that, in the case of delay or complications, there are measures to facilitate it.
This rise in milk, also called lactogenesis, usually occurs between approximately 48 and 72 hours after delivery; in mothers who are mothers for the first time it usually occurs later, while those who have already been it occurs before. Until then, the baby drinks colostrum, a dense, yellowish fluid rich in protein and defenses.
For milk to come in, two things have to happen: a series of hormonal changes that occur after childbirth and correct and frequent stimulation of the breast.
There is evidence that skin-to-skin contact of the newborn with the mother immediately after delivery favors the initiation of lactation. This early contact is also beneficial to establish the bond, to regulate temperature, heart and respiratory rate, oxygen saturation, etc. If the newborn spends all the time with his mother and there are no restrictions or schedules, the lactogenesis process is favored. For example, night feedings produce high oxytocin peaks, so it is very important to favor them.
It is advisable that midwives observe in those first hours what the feedings are like, to ensure an adequate position and attachment of the baby. If the coupling is correct, a more satisfactory and lasting lactation is ensured.
In any case, it should not be overwhelmed. As indicated, the rise of milk is a physiological process regulated by the production of certain hormones. Emotional changes and stress affect, so it is important to remain calm and let yourself be guided by specialists.
