You sometimes may notice that your milk does not flow easily, or
let-down, when you attempt to
breast-feed or use a breast pump. Emotional stress,
fatigue, anxiety, smoking, pain, or being cold are common causes of poor
let-down.
With poor let-down, you may not experience the tingling and leaking
of milk that usually occurs when your milk begins to flow. You may develop sore
nipples because your baby has to work harder or you have to pump longer to get
the breasts to release milk.
Increasing your comfort and level of relaxation often helps. If this
does not work, ask your doctor or a
lactation consultant for help.