Aside from hormonal contraception, what causes decreased breast milk supply in a lactating woman?
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Factors shown to delay onset of lactation include maternal age ≥30 years, maternal body mass index (BMI) >25 kg/m2, birth weight >3,600 g, absence of nipple discomfort in the first 72 hours, and failing to breastfeed well in the first 24 hours (SOR: C, cohort study). Cigarette smoking was shown to decrease volume of pumped breast milk in mothers of hospitalized preterm infants (SOR: C, small cohort study).
Evidence Based Practice 15(12): 14.