Breast volume and milk production during extended lactation in women

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Abstract
Quantitative measurements were made of relative breast volume and milk production from 1 month of lactation until 3 months after weaning, and the storage capacity of the breasts was calculated. The increase in breast tissue volume from before conception until 1 month of lactation was maintained for the first 6 months of lactation (means ±s.e.m.) (190·3 ± 13·1 ml, number of breasts, nb= 46). During this period of exclusive breast-feeding, 24 h milk production from each breast remained relatively constant (453·6 ± 20·1 g, nb= 48), and storage capacity was 209·9 ± 11·0 ml (nb= 46). After 6 months, breast volume, milk production and storage capacity all decreased. There was a relationship between 24 h milk production and the storage capacity of the breasts, and these both appeared to be responding to infant demand for milk. At 15 months of lactation, the 24 h milk production of each breast was substantial (208·0 ± 56·7 g, nb= 6), even though the breasts had returned to preconception size. This was associated with an apparent increased efficiency of the breast (milk production per unit breast tissue) after 6 months, which may have been due to redistribution of tissues within the breast. The possible causes of the decrease in breast volume are discussed.

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