How to Slow Down a Fast/Overactive Let-Down Reflex While Breastfeeding

Tips to Slow Down a Strong Let-Down Reflex

1. Pump or Hand Express Before Feeding

   • Express a small amount of milk before nursing to slow the initial milk flow.

   • This can help prevent baby from gulping too quickly and reduce coughing or choking during feeds.

   
   

2. Use an Upright Nursing Position (Koala Hold)

   • Position baby so that their head and throat are above the nipple.

   • Keeping baby in an upright sitting position during feeds helps slow milk flow and allows better control over swallowing.

   
   

3. Lay Semi-Reclined or Fully Reclined

   • Gravity can help slow milk flow when you nurse in a semi-reclined or fully reclined position.

   • Side-lying is another great option to prevent milk from overwhelming baby.

   
   

4. Gently Compress the Top of the Breast

   • Placing light pressure at the top of the breast can slow the speed of milk flow.

   • Be gentle to avoid blocking milk ducts.

   
   

5. Burp Baby Frequently

   • Burping every 5-10 minutes during feeds can help reduce reflux and discomfort.

   • This also prevents excess air intake, which can lead to gassiness and fussiness.

   
   

6. Use a Nipple Shield Temporarily

   • A nipple shield can help regulate flow until your milk supply balances.

   • Only use this method temporarily and with lactation support if needed.

   
   

A strong let-down reflex can be managed with simple adjustments to feeding positions and techniques. Over time, as your body regulates milk production, let-down will likely become more manageable.

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