Overproduction
Some women make breast milk more easily than others. When the amount of breast milk that is produced is much greater than the baby's needs, we speak of an overproduction. You can recognize an overproduction by a very full feeling in the breasts (engorgement) and often much leakage of milk (you then have these complaints after the normal engorgement period). Even if the baby has drunk, the breast often feels full. In addition, it may be that the baby regularly chokes during feeding or has a different color stool.
If you have overproduction, it is important that the baby drains as much of one breast as possible during a feeding. It is only wise to offer the other breast when the first breast feels supple, and the baby indicates that it is no longer getting so much milk from the breast. Usually, in case of overproduction, one breast per feeding will suffice.
If your baby returns within an hour of the last feeding, put him back on the same breast where he last drank. This is to ensure that the baby can also get enough fat from the breast at the end of the feeding.
When the tension in the breasts between feedings is so great that it feels very uncomfortable, or even painful, it is good to express some milk, or to latch the baby if he wants to. Do not express more milk than necessary to prevent additional stimulation from increasing production further. Also, in case of overproduction, be alert for signs of a breast infection.
If, in addition to overproduction, you also have a very strong let-down reflex and your baby often chokes, it can be nice to choose a feeding position in which you lie back a bit.
If you or your baby continue to suffer from overproduction, it may be advisable to consult a lactation consultant.