For the first 2 to 5 days after your baby is born, you will make a small amount of breast milk called “colostrum” (also call liquid gold), which is all a healthy term baby need. Colostrum is a thick, rich milk that is high in nutrients. Around day 3 through 5, the normal breast milk will come in.

In other word – Agalactia is a failure of the mammary gland to produce milk or colostrum after parturition. Agalactia is seen most commonly in mares with fescue toxicosis. Occasionally lactating mothers may develop agalactia due to inadequate nutrition, pain, or disease. Mothers receiving pergolide mesylate for equine Cushing’s disease should stop treatment 2 weeks before foaling for normal mammary development and lactation.

The condition must be differentiated from the inability of the mare to “let milk down” after foaling or delayed lactation reported to occur in some mares.

Breast milk contains the perfect combination of nutrients for growth and development, as well as disease-fighting factors that can help protect against infections and reduce a child’s lifetime risk for problems like diabetes and obesity.

Breastfeeding can do great things for mothers, too, such as making it easier to lose weight and even lowering the risk of certain types of cancer. Studies have shown that breastfeeding reduces a woman’s risk of ovarian and breast cancers. It can also lower your risk for Type 2 diabetes and high blood pressure.

Breast milk is the best source of nourishment for infants and young children” and recommends babies breastfeed exclusively for the first two years, said Dr Qaisar Ahmed DM, DHMS.

Here are some things that may cause a delay of breast milk coming in:

• Severe stress
• Use of allopathic supplements during pregnancy.
• Cesarean (surgical) delivery.
• Bleeding after birth.
• Obesity (rear cases).
• Infection or illness with fever.
• Diabetes.
• Thyroid diseases.
• Strict or prolonged bed rest during pregnancy.

Milk supply depends on demand (milk removal.) Feeding frequently, when your baby shows hunger cues, is the best way to have a good supply. If you are having trouble with delayed milk production or a decrease in the amount of milk, then first take a look at the number and length of your feedings. And make sure that your baby is able to put his or her mouth around your nipple to nurse (latch on) and can transfer milk from your breast.

If you have a delay in your milk coming in, don’t feel discouraged. Continue to express milk. That means removing milk from your breasts with a breast pump or by hand. And continue to breastfeed often, even if you are supplementing with formula for a few days. Babies who are premature or jaundiced are especially likely to need formula temporarily.

Sometimes a mother has a health condition that may temporarily delay the large increase in milk production usually seen between 3 to 5 days following birth. These mothers may not begin to produce large amounts of milk until 7 to 14 days after giving birth. If this happens to you, don’t feel discouraged. Continue to breastfeed frequently, even if you also must give your baby infant formula for a few days. Babies who are premature or jaundiced are especially likely to need formula temporarily.

Don’t wait to get help if milk supply is ever a concern. The sooner you do, the better. Many communities have breastfeeding support groups that can be a good resource. Contact your healthcare provider if you are having problems breastfeeding. He or she may recommend a lactation consultant, a specialist in breastfeeding.

Diagnosis

Agalactia due to fescue toxicosis is diagnosed based on clinical presentation, prolonged gestation with minimal udder development, and agalactia following parturition. A diagnosis can be made based on abnormalities in prolactin, progestogen, and relaxing concentrations during the last 30 days of pregnancy. Detection of urinary ergot alkaloids with enzyme-linked immunosorbent assay (ELISA) testing can confirm exposure to infected fescue.

Allopathic treatment for no Breast milk or agalactia

There is no any treatment for agalactia in allopathic drug for human, accept of recommendation of supplements and home remedies and/or diet for mother, for example an Epsom salt bath, food rich of calories etc.

For fouls:

Begin treatment with a dopamine antagonist: domperidone, 1.1 mg/kg PO q24h (preferred), sulpiride, 3.3 mg/kg PO q24h, or perphenazine, 0.3 to 0.5 mg/kg PO q12h or acepromazine, 20 mg IM q6h.

Homeopathic treatment for no Breast Milk or agalactia

Homeopathy is very wide field of medicines; there are more than 200 medicines for increasing breast milk in my knowledge; here are very few of them:

Xylopia aethiopica

Tincture extracted in ethanol or potency from the fruits are used as a tonic to improve women fertility, breast milk production and quality and to aid delivery. Should be prescribed as a condiment, an emmenagogue, anthelmintic, antitussive, carminative and rubefacient.

Xylopia is used generally for pain and in the treatment of bronchitis, asthma, arthritis, rheumatism, headache, neuralgia and colic pain, galactagogue, emetic, rubefacient, stimulant and vermifuge (round worm infestation and as a treatment for biliousness), rheumatism, early stages of cancer, gastrointestinal problems, diabetes, colic, dysentery and also for kidney problems. The whole plant boiled with rice is used as purgative for children.

Fruits of Xylopia aethiopica are particularly high in zinc content, perhaps the reason behind its consumption during lactation.

Chamomilla

Scirrhous induration of the mammary glands. Suppression of milk (milk is cheesy or mixed with pus – Mastitis). Puerperal fever. Erysipelas of the mammae and soreness of the nipples. Profuse lochia (vaginal discharge after childbirth). it is also indicated when there is suppressed milk from anger spells.

Urtica Urens

A remedy for agalactia and lithiasis. Profuse discharge from mucous surfaces. Enuresis and urticaria. Spleen affections. Diminished secretion of milk. Uterine hemorrhage. Acid and excoriating leucorrhea. Pruritus vulvae, with stinging, itching, and oedema. Arrests flow of milk after weaning. Excessive swelling of breasts.

Calcarea Carbonica

Malnutrition. swelling of glands. Incipient phthisis. Abscesses in breast(s). Manses too early, too profuse, too long. Leucorrhea. Hot swelling breasts. Breasts tender and swollen before menses. Milk too abundant; disagreeable to child. Deficient lactation, with distended breasts in lymphatic women. Much sweat about external genitals. Sterility with copious menses. Uterine polypi.

Lac Vaccinum Defloratum

Made from cow’s milk, this medicine is best for malnutritional mothers. It quickly helps to bring breast milk flow in a few hours. Females with large size of breasts (fatty; Mastitis).

Asafoitida

Mammae turgid with milk in the unimpregnated. Deficient milk (Mastitis), with over sensitiveness, pain in breast.  Deficient milk with over-sensitiveness after confinement. Hysterical restlessness and anxiety. -Leucorrhea. Milk increased; or diminished – it normalizes the flow and quantity.

Alfalfa

Alfalfa favorably influences nutrition, evidenced in “toning up” the appetite and digestion resulting in greatly improved mental and physical vigor, with gain in weight. Disorders characterized by malnutrition are mainly within its therapeutic range, for example, neurasthenia, splanchnic blues, nervousness, insomnia, nervous indigestion, etc.

Acts as a fat producer, corrects tissue waste. Deficient lactation. Increases quality and quantity of milk in nursing mothers. Its pronounced urinary action suggests it clinically in diabetes insipidus and phosphaturia; and it is claimed to allay vesical irritability of prostatic hypertrophy. The rheumatic diathesis seems especially amenable to its action.

Costus afer Ker Gawl

Costus afer Ker Gawl, natively called the bush sugar cane is classified as an endangered medicinal plant. Costus afer Ker Gawl is highly valued for its antidiabetic, anti-inflammatory and anti-arthritic properties. Chronic inflammatory autoimmune diseases, cough, respiratory problem and sore throat. Alkaloids, saponins, flavonoids, anthraquinones, cardiac glycosides, terpenoids, phenolic compounds and tannins have been found to be present in the plant etc. it acts like a natural steroid, sex hormones, oral contraceptive and anabolic agent. Inflammation and/or infections in breast. Tumers of breast. Mastitis.

It also acts like an antioxidant, hypolipidemic, hepatoprotective, anti-inflammatory, and analgesic, anticancer, antimicrobial, insecticidal and nematocidal activity and also contains Verbasco side, which possesses antimicrobial activities. Acute and chronic toxicity studies.

Pulsatilla Pratensis

It is pre-eminently a female medicine. Uterine diseases, infections. Metrorrhagia. spasmodic, or ceasing. Swelling of breasts, with tensive pain. Lumps on breasts. Affections of nipples. Milk suddenly suppressed; lochia becomes milky white. After weaning, breasts swell.

Euphorbium

Decreased or blocked breast milk due to mastitis or tumors and/or due to cancer. Severe painful breast, pain like electric shock. Breast gangrene. Spasm in breast. Gradually decrease of breast milk.

Causticum

Manifests its action mainly in chronic rheumatic, arthritic and paralytic affections, indicated by the tearing, drawing pains in the muscular and fibrous tissues, with deformities about the joints; progressive loss of muscular strength, tendinous contractures. Broken down senile. Breast milk suppressed from fatigue or anxiety. Cracked nipples. They also have intense itching about the breast. Pain in the breast during nursing can also be felt by them. Uterine inertia during labor. Manses cease at night flow during day. Leucorrhea at night, with great weakness. PCOs.

Natrum Muriaticum

Prolapsus uteri. Sterility, with too early and too profuse menstruation. Loss of hair in children or during lactation. Child refuses breast; nursing sore mouth. Lancinating pains in breasts. Stitches beneath nipples. Dull stitch beneath r. nipple, also in abdomen. Breasts sensitive to slightest touch.

Grephitis

The typical Graphites patient is “fat, chilly, and costive.” Lymphatic glands are swollen. Obesity.  In the female the breasts are affected. Pain under left breast at menstrual period, often waking patient in the night. Hysterical melancholia with occipital headache. profuse leucorrhea.

Cyclamen

Catamenia too profuse and too frequent. Before menstruation (at night) labor-like pains; the abdomen was bloated and swollen on the previous day; the menstrual blood is black and clotted. Secretion from the swollen mammae like milk. Manses suppressed. Painful sensibility and excoriation of the breasts, with eruption of running phlyctenule. Obstruction and induration of the mammary glands. Hard cicatrices remaining after mammary abscess which may cause milk blockage.

Conium Maculatum

Cramps in the uterus, with pinching or contracting. itching and bearing down sensation. Before the catamenia, pains in the breasts. Breasts flabby. Inflammation of the mammae, with stitches; scirrhous of the mammae after contusion. Scirrhous induration of the mammary glands, with itching and shooting pains.

Hibiscus sabdariffa Linn or Roselle

Gossypium Herbaceum