Logo - The Possums baby and toddler sleep program.

the possums
sleep program

find essentialsbrowse the programabout the programspeak to dr pamaudiologin / sign up

search for articles

  • program 1: when you need help
  • the first days of life

The size of your breasts doesn't predict how much milk you'll make

Dr Pamela Douglas7th of Oct 202427th of Dec 2024

x

Your breast size and shape doesn't determine your milk production

Lactating human breasts are diverse on the outside, and diverse on the inside. The size of our breasts doesn't determine how much milk our breasts can make.

The most important thing that sets your milk supply is how frequently milk is removed from your breasts in the first days of your baby's life, ongoing.

On rare occasions a woman might have an anatomic condition which interferes with her capacity to make milk - but even then, the best thing to do if you hope to breastfeed is to give it your all out hottest go, and see what happens.

My own story

Once, about thirty-five years ago, in the last weeks of my first pregnancy, I lay on an examination couch while a midwife checked my belly for the baby's size and lie. I mentioned I was worried I mightn't make enough milk because I had such delicate breasts. "Small breasts", I would have said back then.

"Have they been changing?" she asked. I explained they had been hot and tight and sensitive since early in my pregnancy, as a network of purple veins became visible under the skin.

"Well, those are normal breast changes during pregnancy," the midwife said. "But let me take a look." I lifted up my blouse and bra, lying there on the couch.

I don’t remember consenting before the midwife began to squeeze my breast and areola, suddenly. It felt completely wrong. It hurt. I can’t recall if any colostrum appeared but I quickly asked her to stop. I think the midwife was wanting to show me that I was already making milk.

Just before my baby arrived, however, another midwife talked kindly to me about her clients of Asian heritage, many with very slight bodies and delicate breasts, "even smaller than yours", I remember her saying! - and how incredibly generous their milk could be.

It was that conversation, not the expression of colostrum, which helped me believe in my breasts. Perhaps my breasts had less fatty tissue than some other women's breasts, but they were dense with milk glands. My breast shape didn't put me (or you, too, if you have petite breasts) at risk of low milk supply.

Recommended resources

You can find out about

  • How to help your breasts make plenty of milk here

  • Frequent and flexible breastfeeds here

  • Insufficient glandular tissue here

  • Inverted nipples and what to do in pregnancy here

  • Nipple piercings, breast surgery, and milk supply here

  • What causes low supply here.

x

Finished

share this article

Next up in the first days of life

How to spot hospital hitches and glitches as you begin your breastfeeding relationship

x

There is so much to be grateful for when we're being cared for by a health care system in an advanced economy

Excellence in affordable and accessible health care, including for mothers and babies, is a fundamental human right, not yet afforded to many in low and middle income countries - and also not yet afforded to some groups within advanced economies.

Before all else, I acknowledge how fortunate people like me are to be living in advanced economies and receiving the protection of world-class health systems and hospitals.

I also acknowledge that everyone helping you in the hospital setting wants the best possible outcomes for you and your baby. Hitches and glitches in breastfeeding support is a systems problem, not the fault of any particular practitioner!

It's common to strike hitches and glitches in breastfeeding support when you're in hospital

But here is a list of things which commonly go wrong for us as...

more articles in the first days of life

  • 4

    minute
    read

    Be ready for discombobulating body changes and a busy mind
  • 4

    minute
    read

    How to help your breasts make plenty of milk from the very beginning
  • 2

    minute
    read

    Why do newborns need to suckle so much when their tummy is so little?
  • 4

    minute
    read

    What you need to know about your newborn's poo and wee in the first week of life
View full article list
Possum sleep program logo

the possums
baby & toddler
sleep program

about the programfind essentialsspeak to dr pamaudiocode of ethicsterms & conditionsprivacy policyFAQs / help
Dr Pam logo

© Dr Pamela Douglas 2025

visit drpam.baby for more programs