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The human breast does not store a large volume of milk as cow’s do. Most of the milk your baby ingests during breastfeeding is produced during nursing. Suckling stimulates the release of a hormone (prolactin), which stimulates milk production. Suckling also causes the release of another hormone (oxytocin). Oxytocin, in turn, stimulates contraction (or the “let-down reflex”) of the milk glands. The milk is squeezed out of the milk gland, into the milk ducts, and into the nipple.
Begin by rolling your nipple between your thumb and finger. Using the flat part of your fingers, gently massage your breasts in a circular pattern. It may take several minutes for your milk to let-down. Anxiety or stress can interfere with the let-down reflex, so try your best to relax. Looking at a picture of your baby; holding a piece of her clothing; listening to music; or listening to a relaxation tape can help to trigger a let-down reflex.
At the core of milk production are the mammary glands, which contain tiny alveoli—milk-producing sacs lined with specialized cells. These alveoli are grouped into lobules, which connect to an intricate system of milk ducts that carry milk toward the nipple. When a baby suckles, the milk ducts contract, allowing milk to flow.
The nipple serves as the exit point for milk, with multiple small openings where ducts release milk during nursing. Surrounding the nipple, the areola contains Montgomery glands, which secrete natural oils that keep the skin hydrated and protect against bacteria. This helps support a secure and comfortable latch for the baby.
Two breastfeeding hormones are involved in breast milk production: prolactin and oxytocin. When your baby latches onto the nipple, sensory signals are sent to your brain, triggering the release of prolactin, which tells your body to make more milk. At the same time, oxytocin steps in to help, causing the milk ducts to contract and gently push the milk toward the nipple, this is known as the let-down reflex. This incredible cycle keeps your milk supply flowing and adapts to your baby’s needs with every feed.
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