Nondrug therapy for postpartum lactation promotion

Nondrug measures are first-line treatment for postpartum lactation promotion, and should be continued regardless of whether drug therapy is used.

To promote lactation in an individual with low supply of breast milk:

• encourage more frequent breastfeeding from both breasts
• assess and treat breast engorgement and nipple trauma
• provide advice on correct positioning and attachment
• encourage regularly expressing after breastfeeds for additional breast stimulation and drainage
• refer to a lactation consultant for ongoing support.

Low supply of breast milk may cause significant distress. Discuss the individual’s concerns, and consider the need for additional psychological support.