Which statement reflects understanding about cramping during breastfeeding?

• A. Cramping means I'm producing too much milk.
• B. I may notice increased cramping when I am feeding my baby.
• C. Cramping will stop after a few days.
• D. Cramping is always unrelated to feeding.

Answer: (B)

Cramping during breastfeeding is usually from the uterus contracting in response to the hormone oxytocin released during milk let-down. This normal uterine contraction helps shrink the uterus back to its pre-pregnant size. Because each feeding can trigger a let-down, cramps may be more noticeable during nursing, which is why this statement best reflects the experience. Cramping isn’t a reliable sign of having too much milk, and it doesn’t have to resolve within a few days—the discomfort often lessens as the uterus involutes over the first week or two, though it can vary. If cramps are severe, persistent, or accompanied by heavy bleeding or fever, seek medical advice.