Principles for Maintaining or Increasing Breast Milk Production

JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing

Volumn 41, Issue 1, 2012, Pages 114-121

  Kent, Jacqueline C ^a   Prime, Danielle K ^b   Garbin, Catherine P ^a  

^a UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^b Australian Cervical Cancer Foundation   (Nepal)

Author keywords

Breast expression; Breastfeeding; Insufficient milk; Lactation; Milk production

Indexed keywords

BREAST FEEDING; BREAST MILK; FEMALE; HUMAN; LACTATION; MILK EJECTION; MOTHER CHILD RELATION; NEWBORN; ORGANIZATION AND MANAGEMENT; PATIENT EDUCATION; PHYSIOLOGY; POSTNATAL CARE; PREGNANCY; PROCEDURES; PSYCHOLOGY; SECRETION (PROCESS); STATISTICS AND NUMERICAL DATA;

BREAST FEEDING; FEMALE; HUMANS; INFANT, NEWBORN; LACTATION; MILK EJECTION; MILK, HUMAN; MOTHER-CHILD RELATIONS; PATIENT EDUCATION AS TOPIC; POSTNATAL CARE; PREGNANCY;

EID: 84864371300     PISSN: 08842175     EISSN: 15526909     Source Type: Journal    
DOI: 10.1111/j.1552-6909.2011.01313.x     Document Type: Article

References (67)

1. Academy of Breastfeeding Medicine Protocol Committee. (2011). ABM Protocol #9: Use of galactogogues in initiating or augmenting the rate of maternal milk secretion. Breastfeeding Medicine, 6(1), 41-49.
2. American Academy of Pediatrics. (2005). Breastfeeding and the use of human milk. Pediatrics, 115(2), 496-506.
3. Amir, L. H. (2006). Breastfeeding-managing 'supply' difficulties. Australian Family Physician, 35(9), 686-689.
4. Arthur, P. G., Hartmann, P. E., & Smith, M. (1987). Measurement of the milk intake of breast-fed infants. Journal of Pediatric Gastroenterology and Nutrition, 6(5), 758-763.
5. Australian Health Ministers. (2009). Australian national breastfeeding strategy 2010-2015. Canberra, Australia: Australian Government Department of Health and Aging.
6. Australian Institute of Family Studies. (2008). Growing up in Australia: The longitudinal study of Australian children. Canberra, Australia: Author.
7. Campbell-Yeo, M. L., Allen, A. C., Joseph, K. S., Ledwidge, J. M., Caddell, K., Allen, V. M., & Dooley, K. C. (2010). Effect of domperidone on the composition of preterm human breast milk. Pediatrics, 125(1), e107-e114.
8. Camurdan, A. D., Ilhan, M. N., Beyazova, U., Sahin, F., Vatandas, N., & Eminoglu, S. (2008). How to achieve long-term breast-feeding: Factors associated with early discontinuation. Public Health and Nutrition, 11(11), 1173-1179.
9. Centers for Disease Control and Prevention. (2010). Centers for disease control and prevention breastfeeding report card - United States, 2010. Atlanta, GA: Author.
10. Cox, D. B., Owens, R. A., & Hartmann, P. E. (1996). Blood and milk prolactin and the rate of milk synthesis in women. Experimental Physiology, 81(6), 1007-1020.
11. Czank, C., Henderson, J. J., Kent, J. C., Lai, C. T., & Hartmann, P. E. (2007). Hormonal control of the lactation cycle. In T. W. Hale & P. E. Hartmann (Eds.), Hale & Hartmann's textbook of human lactation (1st ed., pp. 89-111). Amarillo, TX: Hale Publishing.
12. Daly, S. E., Di Rosso, A., Owens, R. A., & Hartmann, P. E. (1993). Degree of breast emptying explains changes in the fat content, but not fatty acid composition, of human milk. Experimental Physiology, 78(6), 741-755.
13. Daly, S. E., & Hartmann, P. E. (1995). Infant demand and milk supply. Part 1: Infant demand and milk production in lactating women. Journal of Human Lactation, 11(1), 21-26.
14. Daly, S. E., Owens, R. A., & Hartmann, P. E. (1993). The short-term synthesis and infant-regulated removal of milk in lactating women. Experimental Physiology, 78(2), 209-220.
15. Damanik, R., Wahlqvist, M. L., & Wattanapenpaiboon, N. (2006). Lactagogue effects of Torbangun, a Bataknese traditional cuisine. Asia Pacific Journal of Clinical Nutrition, 15(2), 267-274.
16. Dewey, K. G., & Lonnerdal, B. (1986). Infant self-regulation of breast milk intake. Acta Paediatrica Scandinavica, 75(6), 893-898.
17. Dougherty, D., & Luther, M. (2008). Birth to breast-a feeding care map for the NICU: Helping the extremely low birth weight infant navigate the course. Neonatal Network, 27(6), 371-377.
18. Feher, S. D., Berger, L. R., Johnson, J. D., & Wilde, J. B. (1989). Increasing breast milk production for premature infants with a relaxation/imagery audiotape. Pediatrics, 83(1), 57-60.
19. Fleet, I. R., & Linzell, J. L. (1964). A rapid method of estimating fat in very small quantities of milk. Journal of Physiology, 175, 15-17.
20. Food and Agricultural Organization. (n.d.). Energy requirements of infants from birth to 12 months. Retrieved from
21. Forlenza, G. P., Paradise Black, N. M., McNamara, E. G., & Sullivan, S. E. (2010). Ankyloglossia, exclusive breastfeeding, and failure to thrive. Pediatrics, 125(6), e1500-e1504.
22. Gabay, M. P. (2002). Galactogogues: Medications that induce lactation. Journal of Human Lactation, 18(3), 274-279.
23. Garbin, C. P., Deacon, J. P., Rowan, M. K., Hartmann, P. E., & Geddes, D. T. (2009). Association of nipple piercing with abnormal milk production and breastfeeding. Journal of the American Medical Association, 301(24), 2550-2551.
24. Gartner, L. M., Morton, J., Lawrence, R. A., Naylor, A. J., O'Hare, D., Schanler, R. J., & Eidelman, A. I. (2005). Breastfeeding and the use of human milk. Pediatrics, 115(2), 496-506.
25. Gatti, L. (2008). Maternal perceptions of insufficient milk supply in breastfeeding. Journal of Nursing Scholarship, 40(4), 355-363.
26. Geddes, D. T. (2007). Inside the lactating breast: The latest anatomy research. Journal of Midwifery and Womens Health, 52(6), 556-563.
27. Geddes, D. T., Langton, D. B., Gollow, I., Jacobs, L. A., Hartmann, P. E., & Simmer, K. (2008). Frenulotomy for breastfeeding infants with ankyloglossia: Effect on milk removal and sucking mechanism as imaged by ultrasound. Pediatrics, 122(1), e188-e194.
28. Geddes, D. T., Sakalidis, V., Hepworth, A. R., McClellan, H. L., Kent, J. C., & Hartmann, P. E. (2010). Baseline and peak vacuums applied during breastfeeding and feeding with a vacuum release teat. Journal of Human Lactation, 26(4), 428.
29. Hartmann, P. E. (1991). The breast and breast feeding. In E. Philipp, M. Setchell, & J. G. Ginsberg (Eds.), Scientific foundations of obstetrics and gynaecology (4th ed., pp. 378-390). London, UK: Heinemann.
30. Hill, P. D., Aldag, J. C., & Chatterton, R. T. (2001). Initiation and frequency of pumping and milk production in mothers of non-nursing preterm infants. Journal of Human Lactation, 17(1), 9-13.
31. Hill, P. D., Aldag, J. C., Chatterton, R. T., & Zinaman, M. (2005). Comparison of milk output between mothers of preterm and term infants: The first 6 weeks after birth. Journal of Human Lactation, 21(1), 22-30.
32. Hörnell, A., Aarts, C., Kylberg, E., Hofvander, Y., & Gebre-Medhin, M. (1999). Breastfeeding patterns in exclusively breastfed infants: A longitudinal prospective study in Uppsala, Sweden. Acta Paediatrica, 88(2), 203-211.
33. Hurst, N. M., Valentine, C. J., Renfro, L., Burns, P., & Ferlic, L. (1997). Skin-to-skin holding in the neonatal intensive care unit influences maternal milk volume. Journal of Perinatology, 17(3), 213-217.
34. Jones, E., Dimmock, P. W., & Spencer, S. A. (2001). A randomised controlled trial to compare methods of milk expression after preterm delivery. Archives of Disease in Childhood Fetal and Neonatal Edition, 85, F91-F95.
35. Kent, J. C. (2007). How breastfeeding works. Journal of Midwifery & Women's Health, 52(6), 564-570.
36. Kent, J. C., Geddes, D. T., Hepworth, A. R., & Hartmann, P. E. (in press). Effect of warm breastshields on breast milk pumping. Journal of Human Lactation.
37. Kent, J. C., Langton, D. B., Hepworth, A. R., & Hartmann, P. E. (2010). Breastmilk production: Perception and measurement. Proceedings of the Nutrition Society of Australia 34, 94.
38. Kent, J. C., Mitoulas, L., Cox, D. B., Owens, R. A., & Hartmann, P. E. (1999). Breast volume and milk production during extended lactation in women. Experimental Physiology, 84(2), 435-447.
39. Kent, J. C., Mitoulas, L. R., Cregan, M. D., Geddes, D. T., Larsson, M., Doherty, D. A., & Hartmann, P. E. (2008). Importance of vacuum for breastmilk expression. Breastfeeding Medicine, 3(1), 11-19.
40. Kent, J. C., Mitoulas, L. R., Cregan, M. D., Ramsay, D. T., Doherty, D. A., & Hartmann, P. E. (2006). Volume and frequency of breastfeeds and fat content of breastmilk throughout the day. Pediatrics, 117, e387-e395.
41. Kent, J. C., Ramsay, D. T., Doherty, D., Larsson, M., & Hartmann, P. E. (2003). Response of breasts to different stimulation patterns of an electric breast pump. Journal of Human Lactation, 19(2), 179-187.
42. Lai, C. T., Hale, T. W., Simmer, K., & Hartmann, P. E. (2010). Measuring milk synthesis in breastfeeding mothers. Breastfeeding Medicine, 5(3), 103-107.
43. Larsen, J. S., Hall, E. O., & Aagaard, H. (2008). Shattered expectations: When mothers' confidence in breastfeeding is undermined-a metasynthesis. Scandinavian Journal of Caring Science, 22(4), 653-661.
44. Lawrence, R. A., & Lawrence, R. M. (2011). Breastfeeding: A guide for the medical profession (7th ed.). Maryland Heights, MO: Mosby/Elsevier.
45. McInnes, R. J., & Chambers, J. (2008). Infants admitted to neonatal units-interventions to improve breastfeeding outcomes: A systematic review 1990-2007. Maternal and Child Nutrition, 4(4), 235-263.
46. Meier, P. Choosing a correctly-fitted breastshield. McHenry, IL: Medela Inc. Retrieved from .
47. Meier, P. P., Engstrom, J. L., Crichton, C. L., Clark, D. R., Williams, M. M., & Mangurten, H. H. (1994). A new scale for in-home test-weighing for mothers of preterm and high risk infants. Journal of Human Lactation, 10(3), 163-168.
48. Mitoulas, L. R., Lai, C. T., Gurrin, L. C., Larsson, M., & Hartmann, P. E. (2002a). Efficacy of breast milk expression using an electric breast pump. Journal of Human Lactation, 18(4), 344-352.
49. Mitoulas, L. R., Lai, C. T., Gurrin, L. C., Larsson, M., & Hartmann, P. E. (2002b). Effect of vacuum profile on breast milk expression using an electric breast pump. Journal of Human Lactation, 18(4), 353-360.
50. Morton, J., Hall, J. Y., Wong, R. J., Thairu, L., Benitz, W. E., & Rhine, W. D. (2009). Combining hand techniques with electric pumping increases milk production in mothers of preterm infants. Journal of Perinatology, 29(11), 757-764.
51. Neifert, M. R. (2001). Prevention of breastfeeding tragedies. Pediatric Clinics of North America, 48(2), 273-297.
52. Neifert, M. R. (2004). Breastmilk transfer: Positioning, latch-on, and screening for problems in milk transfer. Clinical Obstetrics and Gynecology, 47(3), 656-675.
53. Neifert, M. R., McDonough, S. L., & Neville, M. C. (1981). Failure of lactogenesis associated with placental retention. American Journal of Obstetrics and Gynecology, 140, 477-478.
54. Otsuka, K., Dennis, C. L., Tatsuoka, H., & Jimba, M. (2008). The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 37(5), 546-555.
55. Prime, D. K., Garbin, C. P., Hartmann, P. E., & Kent, J. C. (2010). A comparison of simultaneous and sequential breast expression in women. Journal of Human Lactation, 26(4), 433.
56. Prime, D. K., Geddes, D. T., Hepworth, A. R., Trengove, N. J., & Hartmann, P. E. (2011). Comparison of the patterns of milk ejection during repeated breast expression sessions in women. Breastfeeding Medicine, 6(4), 183-190.
57. Prime, D. K., Geddes, D. T., Spatz, D. L., Robert, M., Trengove, N. J., & Hartmann, P. E. (2009). Using milk flow rate to investigate milk ejection in the left and right breasts during simultaneous breast expression in women. International Breastfeeding Journal, 4, 10.
58. Prime, D. K., Geddes, D. G., Spatz, D. L., Trengove, N. J., & Hartmann, P. E. (2011). The effect of breastshield size and anatomy on milk removal in women. Journal of Human Lactation 26(4), 433.
59. Prime, D. K., Kent, J.C., Hepworth, A. R., Trengove, N. J., & Hartmann, P. E. (2011). Dynamics of milk removal during simultaneous breast expression in women. Breastfeeding Medicine, e-pub ahead of print. doi:10.1089/bfm.2011.0013.
60. Ramsay, D. T., Kent, J. C., Owens, R. A., & Hartmann, P. E. (2004). Ultrasound imaging of milk ejection in the breast of lactating women. Pediatrics, 113(2), 361-367.
61. Sacco, L. M., Caulfield, L. E., Gittelsohn, J., & Martinez, H. (2006). The conceptualization of perceived insufficient milk among Mexican mothers. Journal of Human Lactation, 22(3), 277-286.
62. Shrago, L. C., Reifsnider, E., & Insel, K. (2006). The neonatal bowel output study: Indicators of adequate breast milk intake in neonates. Pediatric Nursing, 32(3), 195-201.
63. Spatz, D. L. (2004). Ten steps for promoting and protecting breastfeeding for vulnerable infants. Journal of Perinatology and Neonatal Nursing, 18(4), 385-396.
64. Ueda, T., Yokoyama, Y., Irahara, M., & Aono, T. (1994). Influence of psychological stress on suckling-induced pulsatile oxytocin release. Obstetrics & Gynecology, 84(2), 259-262.
65. Wan, E. W., Davey, K., Page-Sharp, M., Hartmann, P. E., Simmer, K., & Ilett, K. F. (2008). Dose-effect study of domperidone as a galactagogue in preterm mothers with insufficient milk supply, and its transfer into milk. British Journal of Clinical Pharmacology, 66(2), 283-289.
66. Wilde, C. J., & Peaker, M. (1990). Autocrine control in milk secretion. Journal of Agricultural Science, 114, 235-238.
67. Yamauchi, Y., & Yamanouchi, I. (1990). Breast-feeding frequency during the first 24 hours after birth in full-term neonates. Pediatrics, 86(2), 171-175.