Insufficient milk: Etiology and interventions (or where has all the milk gone?)

Time-frame: 60 minutes
CERP: yes

Insufficient milk (real or perceived) is a major reason for formula supplementation and the abandonment of breastfeeding. Much of this issue can be attributed to mismanagement of early breastfeeding or a slow start due to multiple factors such as birth interventions, maternal diabetes and/or obesity, breast anomalies, and infants factors that preclude appropriate milk transfer. Interventions depend on the etiology of the cause and range from simply more breastfeeding all the way to milk expression and the use of galactagogues. There are however some situations where none of the traditional interventions work to resolve the problem. Is there something else going on in cases where our usual tricks don’t work? New research has identified two areas of concern–genetic and environmental. This presentation will go beyond the common etiology and interventions and look more deeply into genetic and environmental contributors to low milk supply.



Marsha Walker RN, IBCLC


Country: USA
Phone number: 781-893-3553
Email: Marshalact@gmail.com
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Publications

Breastfeeding Management for the Clinician: Using the Evidence, 5th edition

Breastfeeding Management for the Clinician: Using the Evidence is the perfect tool for busy clinicians who need a quick, accurate, and current reference. It provides the essentials of breastfeeding management to support best outcomes for breastfeeding families. Now in an updated and modernized fifth edition, this unique resource features new information on the political and social landscape of breastfeeding, LGBTQI+ families, milk sharing, exclusive pumping, new breastfeeding products, breastfeeding in emergencies, additional feeding care plans, and access to downloadable Patient Care Plan Handouts to help both patients and clinicians navigate common breastfeeding challenges and questions. Breastfeeding Management for the Clinician: Using the Evidence, Fifth Edition includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge and a problem-solving approach, this reference helps busy clinicians integrate the latest research into their everyday clinical practice.