Milk removal drives milk production and feeds the baby. The ability of a baby or pump to remove milk from the breast depends strongly on the milk ejection/letdown reflex. While normally robust, a number of factors can influence this reflex, some more obvious than others. When milk flow suddenly becomes an issue, the rush is on to determine why and what to do about it. This session will take a deeper look at how this reflex works, factors that can affect it positively or negatively, and potential strategies to help.
Learning Objectives:
Objective 1: Describe the impact of duct diameter and length on the milk ejection reflex.
Objective 2: List 5 inhibitors of the milk ejection reflex.
Objective 3: List one physical, one psychological, one pharmacological and one complementary strategy for an impaired letdown reflex and describe when each might be appropriate.
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