1. Feed your baby more often
This is the easiest one and probably the most effective of all interventions especially if the reason your supply is getting lower is due to early introduction of solids, overuse of pacifier, scheduled feedings, or baby sleeping through night.
This one is the least fun. It is definitely not fun to pump after or in between feedings, but it is one of the most crucial steps to uping your supply. Since Scarlett sleeps 6-7 hours or more at night now I set my alarm and pump once during this time. I set up my pump the night before so I can just quickly pump 15 minutes and go back to sleep. And since milk can be left at room temp for 6-8 hours I just leave it there until morning. If you didn't want to pump at night you could just throw an extra session in during the day. I also pump after 1-2 feedings during the day now. The more you remove milk from the breasts, the more milk your body will make.
It is also important when pumping to make sure you have a good pump which effectively removes milk from the breast. I used a Medela pump in style to start with, but have recently been able to borrow a hospital grade pump from the lactation consultant I see.
3. More Milk Plus or Reglan
More Milk Plus is a blend of fennugreek, blessed thistle, nettle leaf, and fennel seed. There is also one called more milk special blend which contains the added component goat's rue which stimulates mammary gland production and is helpful is the early weeks of breastfeeding or when production has been low from the start. I personally have only used more milk plus and it seems to help a little bit, but I may branch out and try the more milk special blend since my supply has been lower from the start because of her suck. It is important when taking these supplements to take them a half an hour before or after meals and with a small amount of water.
If either of these does not work you can get a prescription for Reglan an anti-nausea medication that has the side effect of increased breast milk production. I have not used it, but know a few woman who say it increased their supply a lot. I would only use it as a last resort since one of the side effects is extreme depression and having gone through depression before do not want to go there again.
This tea contains the herbs anise, fennel, and corriander. You can drink up to 7 cups a day. Right now I drink around 2-3 cups and I personally love the taste. I have better results with it when I steep the tea covered for about 10-15 minutes.
5. Brewers Yeast or Nutritional Yeast
I love nutritional yeast. I actually learned about it from a vegan friend of mine who uses it as a cheese substitute. It is full of B vitamins and protein. It is also very good for your milk supply. I typically drink it in a glass of water or put it on my popcorn. It can also easily be added to recipes containing cheese or more milk cookies. The more milk cookies call for brewers yeast, but nutritional yeast works well too. I used nutritional yeast a lot in the first month of nursing, but haven't used it too often since then due to our problems with thrush (it feeds the yeast infection).
I love hot cereal and was glad to find out that oatmeal is a galactagogues (a substance which increases milk supply). I tend to make microwavable oatmeal or grab a snack bar containing oatmeal (my favorite are cliff bars).
Did you know that your milk supply rises slightly after a short nap! Another reason to nap with your little one!
8. Good Nutrition
Eating lots of healthy high protein snacks throughout the day helps give your body energy to make milk.
9. Drink Water
Water is very important in milk production! I try to drink at least 10 glasses a day, one before every nursing session.
10. Breast Compressions
These have worked well for me, especially since Scarlett has a hard time getting all of the milk from my breast. They can be used to stimulate a milk ejection reflex or keep the baby drinking (not just sucking or nibbling) at the breast. Jack Newmann (awesome breastfeeding guru) has a great handout on breast compression here.
Other causes of low milk supply that these tips may not help would be low supply due to hormonal birth control, hypothyroidism (would need a specific medication), breast injury, underdeveloped milk ducts and glands (very rare), and anemia. It is so important if you believe you are having supply issues to talk with a board certified lactation consultant. I know that seeing a lactation consultant (sometimes weekly) has helped me so much. Many of these ideas came from her!