Milk removal drives milk production and feeds the baby. The ability to remove milk from the breast depends strongly on the milk ejection or letdown reflex. While normally robust, a number of factors can influence it, 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.