I have a 4.5 mo LO and have had letdown issues since she was 6 wks. I know the letdown reflex is usually connected to stress, but I honestly don't think that is the problem. I'll have had a great week and suddenly my letdown will get very slow out of nowhere. It will last for a couple days and then get better for a week or so and happen again.
The slow letdown really seems to come out of nowhere. I'm a SAHM and don't think my stress/anxiety is particularly high. I have had some PPD and just started zoloft 2 weeks ago though -- could PPD be the cause? The zoloft seemed to be helping but the last 2 days or so I've felt gloomy again and my letdown got all screwy again. The past 2 days it literally will not let down in the middle of the night. LO will nurse for 20 minutes and I know she's getting something, but it never lets down. It doesn't makes sense -- I nurse in bed lying down and am very relaxed -- I've just woken up for God's sake! How much more relaxed can your body get?
I mainly look for that change in suck pattern or gulping b/c I know you can't always feel it (although I usually do) -- but I know letdown hasn't happened in the middle of the night the past 2 nights. She'll go back to sleep for maybe an hour and a half and be up again hungry. Can anyone help me figure out how to fix my letdown? A LC I talked to suggested maybe my oxytocin was low, and I've tried more skin-to-skin and other things but nothing seems to work. I'm SO tired of this. I now have to pump first before almost every feeding during the day to get the milk to let down first or my LO won't wait for it. She's had to wait 4-5 mintues before in the past and I think she's gotten frustrated. My supply seems to be fine, at least she is gaining weight well. She's 15 pounds at 4.5 mo.
Thanks for any help you can give me. This has been such an emotional roller coaster that I'm ready to give up. And I REALLY want to nurse -- I nursed my first 2 kids for 18 mo. each, so I can't fathom putting this baby on formula. But I can't keep doing what I'm doing -- pumping before every feeding, dealing with letdown issues, etc.