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Forceful Let-down (Milk Ejection Reflex) & Oversupply By Kelly Bonyata, BS, IBCLC.....My most favorite breastfeeding resource online! I make sure every patient I consult with knows about her excellent website!...Enjoy the links within this blogpost to Kelly's website at kellymom.com Is forceful let-down a problem? Does your baby do any of these things? Gag, choke, strangle, gulp, gasp, cough while nursing as though the milk is coming too fast Pull off  the breast often while nursing Clamp down  on the nipple at let-down to slow the flow of milk Make a  clicking  sound when nursing Spit up  very often and/or tend to be very  gassy Periodically  refuse to nurse Dislike  comfort nursing  in general If some of this sounds familiar to you, you may have a  forceful let-down . This is often associated with too much milk (oversupply). Some mothers notice that the problems with fast letdown or oversupply don’t start until 3-6 weeks of age. Forceful let-down runs

Dr. Ghaheri writes: I’m often asked what the harm is in doing a tongue release. “I mean, it’s just a little snip, right?” is what people say. Let’s go over some generic risks - pain, bleeding, infection, reattachment, damage to surrounding structures (tongue muscle, sublingual gland, salivary ducts, ranula) and lack of breastfeeding improvement are the most common risks cited. Some of them can become quite severe; for instance, bleeding - if the cut is made too deeply or too far off to the sides, significant bleeding can ensue. But there’s one risk that can be extreme in its effect that must be addressed. Too many practitioners perform releases without even knowing that it’s a possible outcome - feeding/oral aversion. Oral aversion is a clinical scenario where the infant has extreme reactions to anything happening around their mouths. This can include feeding in extreme cases - when this happens, often the only option is to admit the baby to the hospital and place a nasogas