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  • Coping with an Overactive Let-Down: Helping Baby Handle Fast Milk Flow

    Founder of Nella Vosk โ€ข 14+ years supporting families across motherhood, feeding, and early childhood wellbeing

    Coping with an Overactive Let-Down: Helping Baby Handle Fast Milk Flow

    Frequently Asked Questions

    For most mothers, yes. The intensity of let-down typically reduces as your body calibrates supply to your babyโ€™s actual demand, usually within the first 6 to 12 weeks. Your baby will also become a more efficient feeder as they grow, making it easier for them to manage the flow.

    If symptoms persist beyond 12 weeks, a lactation consultant can help assess whether thereโ€™s an underlying oversupply issue.

    Not necessarily, though they often occur together. Oversupply refers to producing more milk than your baby needs, while overactive let-down refers to the force of the milk ejection. You can have a forceful let-down without significant oversupply, and vice versa.

    However, oversupply frequently contributes to a stronger let-down because thereโ€™s more volume behind each ejection.

    Yes, this can happen. When a baby takes in large amounts of foremilk quickly due to fast flow, they may receive a higher proportion of lactose relative to fat.

    This can result in green, frothy, or explosive stools โ€” sometimes referred to as โ€œlactose overload.โ€ Itโ€™s usually not a sign of a lactose intolerance but rather a flow management issue that improves as the let-down is better managed.

    If youโ€™re experiencing oversupply alongside overactive let-down, it may be worth temporarily reducing or pausing galactagogue-containing foods including lactation cookies, until your supply regulates. Once your supply is better balanced, you can reassess whether these are appropriate for your needs.

    Every motherโ€™s supply response is different, so consider working with a lactation consultant for personalised guidance.

    Laid-back nursing (biological nurturing) is generally considered the most effective position for managing a forceful let-down. By reclining at roughly a 45-degree angle with your baby lying on top of you, gravity naturally slows the flow. Side-lying and upright (koala) holds are also effective alternatives.

    The key principle is positioning your baby โ€œuphillโ€ from the breast so theyโ€™re not fighting gravity and flow simultaneously.