Re: so sad...
Often a baby will cough, choke, click, and/or sputter at the breast when there is a forceful letdown. I would spray milk halfway across the room, but not all forceful letdown comes replete with spraying. Also babies tend to be excessively gassy and sometimes spit up a lot when there is a forceful letdown. My fire hose of a letdown made my baby pretty miserable for a spell.
Originally Posted by @llli*happylilbabygirl
A reduction in supply can help if there is corresponding oversupply. But you've seen a drop in supply and it sounds like there is still a lot of fussiness associated with breastfeeding, right? Forceful letdown can occur independently from oversupply, so there are still some things you can do. Nursing reclined is what save my nursing relationship. Literally saved it. I would lean back on a few pillows, put my baby on my chest or stomach, and let my son latch. It can take a lot of adjustments in positioning to find something that works for you, so give it some practice even if it doesn't seem to work at first. Keep nursing very frequently. Frequent emptying of the breast helps. The really good news is that babies will grow into a forceful letdown. I sprayed for 15 months, but my baby was able to cope with it just fine once he was several months old.
You mentioned a foremilk/hindmilk imbalance caused by a forceful letdown, how do I know whether that is the problem and how do I go about fixing it?
I also had to really work on the gas with him. I had to give a tummy massage then bicycle his legs between every feeding to work out the gas incrementally. A warm bath every evening followed by more leg bicycling also helped. It's tough, but they really do grow out of it as they get older. Mine started giggling whenever he passed gas starting around 6 months. Much nicer than the screaming that preceded.
K. Sophia - Mama to my little lactivore, the amazing Mr. X (11/10).