Hyperlactation Syndrome: Symptoms, Causes, and Treatment

Hyperlactation syndrome is when a breastfeeding mother produces an oversupply of milk, causing discomfort for both the mother and baby. This condition can lead to issues like engorgement, leaking, and fussiness during feeds. It affects around 4-5% of breastfeeding women. While having more milk may seem beneficial, it can actually make nursing challenging. Fortunately, strategies like block feeding and using a breast pump can help manage hyperlactation syndrome. Seek support from a lactation consultant or healthcare provider for personalized guidance.

Causes of Hyperlactation Syndrome

• Increased breast milk production due to oversupply
• Frequent or prolonged breastfeeding sessions
• Overstimulation of milk production from baby's latch or suckling
• Hormonal imbalances such as high levels of prolactin
• Previous history of oversupply with a previous child

Symptoms of Hyperlactation Syndrome

Recognizing the symptoms of hyperlactation syndrome early is crucial for improving outcomes for both the breastfeeding parent and the baby. This condition occurs when there is an oversupply of breast milk, leading to various issues. Symptoms to watch out for include:

• Excessive milk production
• Baby choking or gagging during feeds
• Baby clamping down on the nipple
• Baby swallowing excessively fast
• Baby showing signs of discomfort or arching away during feeds

Diagnosis of Hyperlactation Syndrome

Hyperlactation syndrome, characterized by an oversupply of breast milk, can lead to issues for both the mother and baby. Accurate diagnosis is crucial to address associated problems effectively. The diagnostic process typically involves:

• Reviewing medical history and symptoms
• Physical examination of the breasts
• Weighing the baby before and after feeding to assess milk intake
• Assessing infant behavior during feedings
• Observing milk flow and volume during feeds

Treatment Options for Hyperlactation Syndrome

Hyperlactation syndrome can be effectively managed through various treatment approaches tailored to the individual's needs.

Medical Management

• Entails using medications to decrease milk supply.
• Rationale: To regulate milk production to a manageable level.
• Primary Objective: Reduce oversupply and associated symptoms.
• Steps: Consultation with a healthcare provider for prescription and monitoring.

Adjusting Feeding Techniques

• Involves modifying breastfeeding positions and frequency.
• Rationale: Helps control milk flow and volume during feeds.
• Primary Objective: Improve infant comfort and reduce milk transfer.
• Steps: Working with a lactation consultant for guidance and support.

Expression Management

• Focuses on regulating milk removal through pumping or hand expression.
• Rationale: Prevents overstimulation of milk production.
• Primary Objective: Maintain supply while avoiding overproduction.
• Steps: Establishing a pumping schedule and monitoring output.

Prevention and Management of Hyperlactation Syndrome

Hyperlactation syndrome can be managed effectively with lifestyle changes and proactive measures.

Lifestyle Modifications:

• Ensure proper breastfeeding techniques to prevent overstimulation of milk production.
• Practice frequent but shorter feeding sessions to help regulate milk supply.
• Avoid stimulating the breasts unnecessarily between feedings.

Regular Screenings:

• Regularly monitor milk supply and baby's weight gain to assess feeding effectiveness.
• Consult a lactation specialist for guidance on managing hyperlactation.
• Seek medical advice if experiencing symptoms like engorgement, mastitis, or oversupply issues.

Supportive Care:

• Engage in self-care practices to reduce stress, such as adequate rest and hydration.
• Consider using a breast pump to express milk and relieve discomfort if needed.
• Join a support group to connect with other mothers facing similar challenges and seek advice.

If you’ve been having any symptoms or worries about hyperlactation syndrome, please reach out to our doctors. They will listen to your concerns, answer your questions and guide you through the next steps.