For weight/milk supply issues:

  • Breastfeed on demand for at least 8-12 times per 24 hours and stimulate baby to suck if sleepy.

  • Place baby skin to skin between feeds to encourage more frequent feeds and to assist with maternal milk production hormones.

  • Monitor baby’s weight loss by having regular weight checks. 

  • Watch for wet and dirty diapers and ensure baby is having enough output.

  • Avoid introducing pacifiers until breastfeeding is well established and baby is gaining appropriately.

  • Pump and hand express after all day and evening breastfeeding for 10-15 minutes (or 1-2 minutes after the point at which you notice the milk has stopped spraying out). The additional pumping will help to stimulate your breast to increase production.  

  • Watch the videos on hand expression and maximizing your milk supply at 

  • Pump 10 times in 24 hours for 15 minutes to maintain milk supply if baby is unable to achieve a deep latch and transfer milk.

  • Supplement baby with expressed breast milk and/or formula following breastfeeding. Your lactation consultant will communicate the adequate amount of supplementation.

  • Consider Galactogogue options to increase milk supply.

  • When bottle-feeding, pace the feeding to mimic breastfeeding by holding the baby upright and the bottle horizontally. Allow the baby to take breaks as needed.

  • For the first 4 months of life, baby should roughly be taking in 2.5 oz. of milk for every pound of body weight per 24 hours.  Divide the total by the number of average feedings a day and you will get the amount needed at each feeding. This calculation is good for the first 4 months of life after that it goes down to 2 oz.   

  • If your lactation consultant showed you how to use a supplemental nursing system(SNS), you may use that to supplement baby with expressed breastmilk and/or formula.




Here's the promised information about natural ways to boost supply. This is a great general resource for supply issues ( 


Herbal options - 

  • Malunggay- The galactagogue we prefer is Malunggay. It has the most evidence for efficacy and the fewest side effects. You can read up on some of the studies here - . Malunggay is available locally or can be purchased online at  

    • GoLacta or MotherLove are the 2 brands we trust.

    • The best approach is to start with 1 capsule, 3 times a day for the first 1-2 days to ensure you don’t have any reaction to the supplement. If all is well, increase to 2 capsules, 3 times per day for a week. If there isn’t any benefit after the first week, you can increase to 9 capsules per day (3 capsules, 3 times per day). While you might start to see effects as early as day 5 of use, Malunggay often achieves it’s best effect after 1-2 weeks of sustained use; give it a full 2 weeks at 6-9 capsules to determine whether it’s improving your supply. Once your supply is at the level you want, you can start to taper back down to the lowest daily dose that works for you (often between 2-6 capsules per day). Side effects - Malunggay is very high in iron and potassium, so keep that in mind if that is a concern for you.

  • Legendairy Milk – This is a local company who provides wonderful herbal supplement blends to help moms build better milk supplies. They have several blends - all are well-researched and carefully sourced to ensure safety. They have great customer support and can help guide you to the best blend for you. All their products are fenugreek-free, which we prefer.


Prescription Medication options - 

  • Domperidone (Motilium) has been used successfully in Canada and other areas of the world, and has significantly fewer side effects than Reglan.  However it is not FDA approved and is available in the united states. Domperidone   Here is some information if you want to know further about it.

  • Reglan (Metoclopramide) is another medication that is sometimes used to increase milk supply. However, one major side-effect of Reglan is severe depression; it is contraindicated in moms with a history of depression, and all moms who take this should keep an eye out for signs of depression. 

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