IN FOCUS: Low Milk Supply. Why It Happens & What Actually Helps

Worrying that your baby is not getting enough milk is one of the most common anxieties in early motherhood.And often, it can become a source of guilt and self-doubt long before anyone has properly explained what is actually happening.In this gateway episode, Dr Natalie Hutchins is joined by Dr Mythili Pandi, a family physician and International Board Certified Lactation Consultant (IBCLC), to unpack how milk production really works, and why low milk supply is often more complex than women realise.They explain the role of oxytocin and prolactin, and how everything from birth trauma and pain to blood loss, C-sections, sleep deprivation, and lack of support can affect supply in those early days.Just as importantly, they talk about what low supply actually looks like.Because in many cases, what feels like “not enough” may not be low supply at all.Simple things, such as whether your baby is producing enough wet and dirty nappies, are often more useful than tracking exact minutes or volumes.This conversation also covers latch, milk transfer, and why night feeds matter so much for maintaining supply. While supplements are often marketed as the answer, the reality is that support, reassurance, and the right guidance are usually far more important.KEY TAKEAWAYS* Low milk supply is often influenced by birth experience, stress, pain, and support* C-sections and blood loss can delay milk coming in* Milk production relies on oxytocin and prolactin* A good latch should not feel painful* Wet and dirty nappies are often the best indicator your baby is getting enough* Supplements have limited evidence* Night feeds are key for maintaining supply* Most women benefit more from support than quick fixesIf breastfeeding feels hard, it does not mean you are failing.Often, understanding what is happening and getting the right support can make all the difference.. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thewomanshandbook.substack.com