As it starts, continues and how many lactation period lasts in women. Lactation - Possible Complications

What taboo is during lactation

Lactation period in women, what is it and what is its complexity? Lactation is a time when Mother feeds the child with his breast milk and is greater responsible for his health and well-being in connection with this. Frequent disorders of a diet of a nursing woman, consumption harmful products - The main causes of intestinal disorders and diathesis in the child. Also, the lactation period is the time when many drugs for mom are contraindicated due to their toxicity and high concentration of chemicals from the drug into breast milk. But let's start with the capital truths.

So, what is impossible during the lactation first?

1. Smoking and drink alcoholic beverages. And if you can still lead some discussions about rare smoking, although one cigarette, spilled by my mother, is undoubtedly, the child will not add health, then everything is clear about alcohol. Nursing mom should not take alcoholic beverages. At all. The only alternative is in this case the temporary cessation of breastfeeding, to the complete removal of alcohol from the body. It may take about the day. Some moms, especially those whose children are already gaining lures in large quantities, plump milk in advance to use it for feeding a child. And after drunk alcohol, milk is also constrained, but only so that the lactation does not get drunk, and lactostasses were not formed in the chest. Milk itself is poured.

Remember that alcohol in breast milk leads to deaths from children. They regularly write in the press.

2. In the first months of life, it is better not chocolate and citrus. Do not use protein products in excessive quantities. Small children are extremely prone to allergic reactions. Nursing mom can be used from eating almost everything, but little to the concentration of allergen in breast milk is not too high. This applies not only to chocolate, oranges, mandarin and similar exotic. But also eggs, chickens, milk and other protein products.

3. Drink medications without recommendation of the doctor. Use at its discretion biologically active additives. Reception of drugs during breastfeeding should be limited. Even banal vitamins can cause severe allergic reactions in a child. Therefore, doctors say that mom's in except for potassium iodida ("The commercial name of the drug is" iodomarine "), nothing needs to be drunk without their destination.

Paracetamol with breastfeeding can be used as a lung painkillers and antipyretic. This drug penetrates breast milk in minimal quantities. And the children give paracetamol, when the temperature increases after vaccinations or during the disease. Naturally, it is impossible to disturb the maximum recommended dosages for adults. And this is 4 grams of paracetamol per day.

But-SPAP during lactation is sometimes used by women to remove spasms during menstruation. But in fact, it is better to cope with this drug like "Nurofen", it has a pronounced painkillers. Yes, even menstrual blood loss reduces. And "Nurofen" is allowed for receiving children over 3 months. Therefore, in permissible dosages, treatment with the lactation is allowed.

As for various acute respiratory diseases, it is better to limit the folk remedies for treatment and symptomatic. That is, take medicines for breastfeeding, allegedly improving immunity, is not worth it. They do not have the declared effectiveness. And you will not be able to speed up your recovery. But well-being to improve in your power. For this purpose, antipyretic and painkillers, which we wrote earlier are used. As for the cold when lactation from folk remedies, then you can use herbs ragners for this purpose, only not for intake, but rinsing the throat. They are not killed by the microbes, but it's good to moisturize the throat and remove strong pain. The runny nose is treated with standard - vesseloring agents and moisturizing nose mucosa (can be simply physical). From cough you can make inhalations with saline. The main thing is not to miss the flu.

The lactation takes place different periods, and when the baby marks the year, in the case of feeding feeding, it gradually fades. Feeding is usually only morning and night, and therefore, if there is a need to take medicines, it is better to do it in the morning after feeding. Then most of the medicinal agent to the next, night feedings, will leave milk.

Breastfeeding is a useful and correct type of feeding of a newborn. It is worth understanding the benefits of breastfeeding, learn how to help yourself with possible complications and how to choose a diet for nursing.

The composition and benefit of breast milk

Breastfeeding is a natural and beautiful phenomenon binding mother with a child, besides this, it benefits health not only to a child, but also the mother. Children's body breast milk saturates nutritional and necessary child organisms substances. Enhances cognitive abilities, reduces the emergence of chronic diseases, contributes to the strengthening of immunity.

Maintenance Components of female milk, it is:fats, proteins, carbohydrates and minerals . And also the main component iswater . Everything is in a balanced state, we can say that there is nothing superfluous as part of the female milk.

Proteins

In breast milk there is a special fraction of proteins, which is practically not destroyed in the digestive system of the child and have immune activity, being the components of the body's protective system.

  • Laktorrin - containing iron glycoprotein. Due to its ability to bind iron can block this element, in the composition of bacterial cells of pathogenic microorganisms thereby suppressing their growth.
  • Immunoglobulins - This is a group of serum proteins. Their type is immunoglobulin Iga, capable of curling the intestine mucosa, throat thereby prevents viruses and bacteria through it.
  • Lizozyme - Like lactoferin has bactericidal activity, disrupting the integrity of the bacterial shell. In female milk, its concentration is 300 times higher than in a cow.
  • Alpha Lactalbumin - contributes to the formation of peptides with immunoregulating and antibacterial properties, supports the growth of bifioflores in the child's intestine. When it splitting into the gasts, bioactive lipids are formed, the so-called Hamlet complex, which contributes to the destruction of cancer cells.

Milk can independently change its composition, determining in saliva, which proteins now need a child!

Oligosaccharida

About 130 species of oligosaccharides are identified, the biological role of most of them has long been studied. Many of them are able to suppress the binding of virus and microbial toxins with cells of intestinal epithelium. All oligosaccharides are prebiotics, stimulating the growth of the useful intestinal microflora.

Water

In milk about 90% - water. Therefore, for a child it is simultaneously drinking, and food. And the temperature is optimal, such as needed for a good absorption of fluid. Thus, breast milk proves another advantage over artificial mixtures: Hisno need to heat or cool In case of overheating. Be sure to let the child chest on the first requirement, perhaps he just wants to drink, and dehydration is extremely dangerous for a fast-growing organism, as it violates the functioning of many organs.

Fat.

Fats in female milk are not completely familiar to us dairy fats. According to their consistency, they are an emulsion of a very subtle composition. These fats are easily digested with gastric juice and are 95% absorbed by the body. They are two times higher than the content of polyunsaturated acids than in cow's milk, as well as a very low melting point.Fat for women's milk, like most natural fats, has several main components in its composition:triglycerides; phospholipids; Sterina.

Carbohydrates

Carbohydrates in female milk are represented lactose . This dairy sugar differs in its structure from the lactose of animals. For a newborn child, she plays an invaluable role, since lactose supplies useful bifitobacteria into the intestines. Developing, they suppress pathogens of microorganisms, and therefore those kids whose breasts are much less likely to suffer from diseases of the digestive organs.

Minerals

Their composition is so optimal that does not imply a lack of any trace elements. If, for example, the cow milk contains the same amount of calcium and phosphorus, then in the maternal ratio of 2: 1. As well as compared to cow, female possesses increased content Such elements: zinc, copper, potassium and iron, sodium, chlorine, phosphorus, calcium iodine and others.

Calcium in milk is enough, it is less than in the cow's milk, but just as much as your baby needs to develop and is absorbed by it much better than the mixture.

Vitamins

By the number of vitamin A, d and e breast milksuperior a cow 2-3 times. And there are these vitamins in an optimal condition for the child. On the number of vitamins can only affect the nutrition of the mother.

Vitamin K. - Little in colostrum, a lot in ripe milk. On 2 weeks of the child's life, its own flora is formed for the synthesis of this vitamin.

Vitamin E. - enough for the needs of the child.

Vitamin D - It depends on the nutrition of the mother, so it is necessary to eat fish, eggs, butter and linseed oil.

Water soluble vitamins (ascorbic acid, nicotinic acid, riboflavin, thiamine, pyridoxine, folic acid and vitamin B6, B12 and others) Directly depend on the nutrition of the mother.

In addition, scientists noticed that during the absorption of maternal milk, the baby spends much less gastric juice than with the use of cow.

Enzymes and hormones

The main function of enzymes consists in accelerating biochemical reactions, and hormones in regulating their speed. Breast milk enzymes facilitate the absorption of its components. Since the synthesis of their own enzymes is still insufficient by the child. So the enzymes of pepsinogen and trypsin take direct participation in protein cleavage. Lipasa facilitates the splitting of fat due to its partial hydrolysis before entering the stomach.

Nucleotides.. When they talk about the content of protein in milk, it is more often due to the overall protein defined by the estimated method for the content of nitrogen. However, nitrogen-containing milk compounds include not only proteins, peptides and amino acids, but also other compounds containing nitrogen. These are substances nucleotides. - nitrogen-containing compounds, DNA precursors and RNAs, the content of which is in breast milk 7-10 mg / 100 ml. In the human body, their synthesis is limited and is carried out only in individual tissues. Therefore, food is an almost only possibility for admission to the body. Their functions are reduced to the following:

  • maturation of the immune system and the formation of an immune response;
  • universal energy source contributing to the growth and division of cells;
  • participate in the formation of normal intestinal microflora and the exchange of essential fatty acids.

Breast milk contains immune cells (macrophages and leukocytes) that provide protection against various infections. In addition, breast milk contains dozens of species bifidobacteria. necessary to form an adequate immune response and playing a huge role in the fight against infections and inflammation.

What is the benefit of breast milk for a newborn?

Strong immunity

So, a permanent flow of nutrient and useful elements that are present in the composition of breast milk, important antibodies transmitted from the mother to the child are coming. Babies are usually very susceptible to disease, and complications often appear. Scientists have proven that infants reduced the risk of development different species Allergies, asthma, and they are less likely there are respiratory diseases and stomach disorders.

Breast milk protects the child from infections

So if my mother gets sick , L. eykocytes in its body produce protective antibodies to the disease. Separate leukocytes fall into the chest gland and produce antibodies there. Antibodies to the infection of mothers get into milk and protect the child.

If a child is sick : Mom inhales and absorbs pathogens from the skin of the child, when kisses the child, sniffs, washes, presses towards himself. The immune system of Mom receives information about infection and activates its lymphocytes. Activated lymphocytes penetrate the mother's chest and begin to secrete antibody into milk. The child sucks the chest and receives renewed protection - antibodies developed specifically to combat the actual infection.

Prevention of disease

The latest studies are established that without the use of Mother's milk in babies, such diseases are developing such as obesity and even asthma, it is a very significant advantage of this process.

Normal growth

The necessary composition of minerals and nutritional elements, which contain breast milk perfectly accepts the child's body. The milk contains proteins, fats, antibodies and vitamins. It affects the quality of the Milk itself and the products consumed by the mother, during the first postpartum months, the mother should eat only high-quality and healthy products adhering to a certain diet.

Enhancing cognitive skills

Also, scientists have associated breastfeeding with an increase in IQ points, in an already matured child. After his growth increases cognitive abilities.

What is the benefit of breastfeeding for mom?

Decreased weight gained pregnancy

It is believed that women who scored excess weight During pregnancy, it is especially important not to give up breastfeedingSince the suction of nutrients from the organism of the mother, so-called proteins and fats occurs. What is burned a large number of Calories from breastfeeding, also this process accelerates metabolism.

Termination of uterine bleeding

Thanks to the hormone, oxytocin, which produces the body when lactation of the uterus, being protected without problems returns to the prenatal state. Strong bleeding can provoke postpartum complications. Reduce the chances of these complications will help breastfeeding.

Improving emotional state

Among women, there are such a dangerous consequence as postpartum depression. Using breastfeeding, with a close contact with the child, mothers have a decrease in anxiety and the overall emotional state is improved.

Strong bones

During pregnancy and breastfeeding in the body, the ability to absorb calcium increases, which is why the nursing mother is four times less frequently developing osteoporosis.

WHO Rules about baby breastfeeding

To feed your baby with breasts is capable of almost every woman, while having a sufficient amount of milk. According to statistics, only about 5% of women cannot breastfeed due to hormonal disorders.

  • Need to feed the child "on first demand ", Not by hours. Cut the baby when he began to sob, woke up and looking for the chest, trying and could not sleep. Remember that milk for your baby, not only the food, but also drink. If feeding falls on winterPerhaps the baby will need frequent applying to the chest. In the first days it will seem to you that you spend all the time with him "on your hands." Gradually, your regime will come to ten or twelve feeding during the day. The newborn baby is looking for her mother's chest every move. It can be capricious, twisted the head, open in search of the mouth, all these signs indicate the desire of the child to slip to the chest, not always for food, sometimes for calmness, and sometimes just feel the maternal warmth.
  • Feed one breast into one feeding. To put the baby to enter, do not rush to change the chest during feeding. Try to feed it only with one breast in one feed, since with a long-term sucking of the breast, the kid "gets" to the rear milk. It is more dense than the front, it contains fats, nutrients supporting satiety. The first Liquid Milk of Kroch, rather, will start than it will notice. But it is necessary to quench the child's thirst.
  • Without doctor . The lack of detectors and dopping by water is the main factor in the matter how to properly feed the newborn breast. Before the onset of the six-month age, he does not need anything other than your milk. Doping and reconciliation disrupt the natural intestinal microflora, extend the process of ripening the gastrointestinal tract.
  • Without dumb . Nipple, a bottle, a dummy - the main enemies of full-fledged breastfeeding. They form the baby from the baby the wrong sucking skills, which is negatively reflected at the lactation level, eliminates the full emptying of the chest, creates the risk of injury to the nipples in mom due to improper grip.
  • You need to attach a child to the chest for the first moments of life.

With the right attachment of the baby, the chest is stimulated into the designer to produce milk, and the baby sucking requests the amount of milk and the quality of milk.

Also, the right attachment will save you from trouble, such as the cracks of the nipples and so on. You can use the advice of an experienced relative or girlfriend, to consult with the breastfeeding consultant in the hospital. After all, the first attachment is the key to successful feeding in the future.

  • Cut the baby with breasts at night.


A break between feedings should not exceed 4 hours. Monitor this is necessary and at night. If the child does not wake up to eat himself, it should be wake up to offer a bough at the right time. Night feedings are important for lactation stimulation. They support the sufficient level of prolactin, on which the production of breast milk depends. The greatest amount of prolactin is produced at night, in a period of 2 to 8 hours. It is recommended to monitor such a routine that Introduces the appropriateness, that is, until the half-year kid.

How to apply kid to chest

How to cook chest to feeding and learn how to properly apply? The importance of the right attachment of the newborn to the chest is very large, because health directly depends on the baby not only the baby, but also the mother. The procedure is not properly carried out can lead to the passage of milk and the lad.


On the left is wrong, right right applying to the chest

The main rule, how to attach the child to the chest - the baby's chest needs to be given as deeper, so that his nipple, and straw in his mouth. To do this, it is necessary to get into the upper part already disclosed in search of the mouth, after which the child just press closer towards him.

Let's try to figure it out in more detail what and how to do. For successful applying, the child should widely reveal the mouth, as if yawning. To do this, choose a convenient position. Tilting his head a little further, nothing will turn out, as the language is lifted in this position, being behind the gums, and for convenient sucking it should cover the lower gum from above and cover the chest.

A little lifting your head can notice that the mouth opens quite widely, and the progress of the language does not cause problems. It is necessary to provide a child in which it can be with a wide open mouth and straightened necks, also to ensure that there is no pressure on the back of the head, give the neck and back.

It has great importance to a comfortable, convenient position and mothers, and baby when carrying out this procedure. Well setting up proper applying is provided. It is worth considering the fact that the child when feeding should be calm. After all, anyone is better focusing and quality performs work while in a good mood.

Lack of milk: How to determine and stimulate his appearance?

It is important to remember that it is necessary to stimulate the production of milk only to make sure that it really is not enough to the child. You can simply determine the lack of way, after watching the behavior of the baby. Increase lactation you need if:

  • kroch to complete feeding does not fall asleep express irritation;
  • can not withstand the usual time between applying to the chest, waking up earlier;
  • the appearance of a "hungry" chair is liquid, and has a brownish color;
  • the child urins less than 6 times a day;
  • badly adds weight.

If the kid has more than two features above, it makes sense to stimulate lactation. This process is supported by:

  • fixing stress;
  • compliance with feeding techniques;
  • application of additional means to help improve lactation. There are natural lactation stimulants. These are such teas to enhance it like "lactafitol", "HIPP" and other drinks and products that advise to apply nursing mothers.


  • pinning milk;
  • abundant drink. Try to drink at least 2 liters of fluid per day. Increasing fluid can be achieved by increasing the productivity of milk. It is not recommended to drink cow's milk in drinking, it does not increase lactation, but can cause allergies or colic in a child.
  • stimulation of nipples. You can deceive the stimulation of the nipples by imitating the increased need for milk and causing an increase in its quantity in the breast.

In addition, the nutrition of a nursing woman must be balanced and diverse. It helps the body in performing its natural functions, enriches milk necessary vitamins and microelements that are necessary for the baby. The diet of the nursing mother should be proteins, fats and slow carbohydrates. Sharp, smoked, canned and other water-delayed water products preferably eliminate, they can provoke allergies and reduce breast milk production.

Prayer before the icon of the Mother of God "Mammal" with a lack of breast milk

The joy of motherhood can spoil such a not a pleasant phenomenon - as a lack of different reasons, breast milk. Could cope with such a problem can help prayer before icon God's Mother "Mammal". To this image, the women who gave birth were most often, asking for blessing to feed their baby. The shrine is treated with the past that the baby's breast feeding was successful and long.

We accept, Mrs. the Mother of God, the tearful praying of the slaves of yours, to you flowing. Zirima to the Holy icon, on his hands wearing and the male eating your son and the god of our, gentlemen Jesus Christ. Moreover and painlessly gave birth to him, and the Materiality of the Grief of the Weigh and the disrespect of the sons and the dashing of human zrishi. Towels warmly sailing to the whole, Molima, the globular to the Ladyer: We are, sinners, convicted in diseases in the disease and in the Nathodics of Nutrition, our, graciously, and compassionately stand out, our babies, so-fighting them, from so far The illness and bitterness of the sorrow to get rid. Give them health and blessing, and the centhythmia from the strength by virtue of the time will be, and their feeds will be performed by joy and consolation, IKO and now the victim of your mouth and the lord of the Lord will make her praise. Oh, mother of the Son of God! Soaring on the mother of the Sons of Human and the Slendy People yours: the diseases of the diseases will soon be healed, putting sorrow and sorrow of quench on us, and do not despose tears and the ripples of your slaves. We hear us on the day of the sorrow before the icon of your fallen and on the day of the joy of deliverance to the grateful praise of our hearts. Moluba to the throne of your son and our God and God, and we will be sin and weaning our sin and try his lead the name of him, Jaco and we, and our chad, we will glorify you, the mercy of the intercession and the faithful hope of our kind, forever and ever . Amen."

In which cases it is necessary to grind milk?

Immediately in the postpartum period, milk in the chest is quite actively. If the child is not very often or incorrectly applied to the chest, it can be very much, which will cause discomfort at mom. In this case, the milk needs to be contacted, the main thing is not to rearrange, as you can cause hyperlactation. It is necessary to stop when the chest became soft.

When blocking dairy ducts, lactostasis, painful seals may appear, which can cause an increase in temperature. Milk is constrained from such sites. When the seals are dispersed, it is necessary to regularly apply the crumb to the chest, and then it is accepted independently.

If the fever takes antibiotics, which are dangerous for a newborn, the baby at the time of reception of drugs take away from the chest. At the same time, it is frozen up to 10 times a day. After recovery, breastfeeding continues. The premature children and children with pathologies are fed with recreational milk from the bottle. If the child was not attached to the chest 6 hours after childbirth, it is also necessary to start stirring. It happens the crowded milk iron becomes very solid, it prevents the baby to capture the nipple, in this case the stirring will help remove the edema of the gland. About how to do it, let's talk later.

How to fix breast milk?

Milk can be manually or breastsos. The milk pumps can be electric and manual. Before use, they need to be carefully soaked and sterilized. It is impossible to use women who have cracks on the nipples. When applying this unit, you need to follow the attached instructions. A good effect is provided when the chest is complete. In this case, it is possible to carry out a combined plumbing: for the beginning of the breast pump, and then manually.



Electric molosos

Selecting manually stitching need to make a light massage of the breast. In this process, you need to follow the smoothness of movements in order not to injure Areol. This lesson can occupy before half an hour.

How to store breast milk?

So, it is necessary to collect milk into a clean, sterilized ass. For long-term storage it is placed in the refrigerator. Breast milk has an antibody in its composition, they protect it from pathogenic bacteria. From 1 to 3 hours, milk can stay outside the refrigerator.

In a refrigerator. Enclosed milk in the refrigerator can stand more than a week. On the shelves, the average temperature regime is + 4-6 ° C, it allows you to keep the freshness of milk to 5-6 days. At 0 to + 3 ° C, the shelf life of the breast milk is extended to 8 days. It is recommended to put the product away, to the rear wall of the refrigerator, where the temperature is below.

Do not place exercice breast milk on the door, as the frequent door opening contributes to the temperature difference. Such jumps are unfavorable, because they allow the reproduction of harmful bacteria. Immediately after imprinting, milk cannot be removed into the refrigerator. It is necessary to hold it for some time indoors.

In the freezer. Freezing allows you to maintain breast milk for a long period, since the temperature in the freezer compartments on average is -18 ° C-24 ° C. The optimal temperature regime in this case is -18 ° C. Such storage conditions allow to preserve the freshness of just over 6-8 months. If the permanent temperature mode is from -20 ° C, the shelf life of milk increases to 12 months. If it is impossible to install a low temperature, it is permissible to store a frozen product at -5-8 ° C. It will remain suitable for half a year.

Nutrition milf when breastfeeding

As mentioned above, the diet of a nursing mother should be balanced, contain many minerals and vitamins. It's not easy to choose a diet, because some products are poorly tolerated children. Some moms make up special food intake schedules and note the child's response to this or that product.

  • Be sure to use meat (200g.), Bird fillets, not fatty fish, cottage cheese (100g.), Cheese (30g.), Vegetables (500g.), Fruits (300g.), Creamy (15g.) And vegetable (30g. ) butter.
  • Tube well-portable products: low-fat kefir and yogurt, sour cream, buckwheat, rice, oatmeal, potatoes, beef, turkey fillet, baked apples.

The main rules for feeding a breast child are:

  • 5-6 Mother's meals (3 main reception and 2 snack). Food intake is better to coincide with feeding - most best time 30 minutes before him.
  • Boiled and steam methods of preparation, refusal of fatty and fried products.
  • Use of only freshly prepared natural foods, semi-finished products, products with dyes and preservatives are excluded, all kinds of canned foods.
  • Introduction of a large amount of dairy products containing calcium.
  • Eating low-fat varieties of meat and fish.
  • Compliance with drinking mode - 1.5-1.6 liter per day (purified water, dining water without gas, compote, fruit). Fluid consumption is one of the important factors of prolonged lactation. You need to drink a glass of water 10 minutes before feeding. At the same time, it is impossible to use liquids over the norm, which can cause swelling, the load on the kidneys and excessive milk production and later lactostasis .
  • Lactation is excluded products, fermentation (legumes, sweets, pastries, kvass, black bread, bananas, grapes, sweet apples, sauer vegetables, white cabbage, cucumbers, carbonated drinks, pastry, sweet cheese, cottage cheese pasta and sweet cereals).
  • Restrict the use of raw vegetables and fruits, because in this form they enhance the peristaltics and cause bloating. For this reason, vegetables and fruits are better to bake or stew and begin to use small portions, since a large amount of fiber can cause the chairs of the child and bloody.
  • Vegetables with coarse fiber and essential oilswhich are strong digestive stimulants (radish, radishes, turnips, celery, sorrel, mushrooms), and the child can cause bloating and intestinal colic.

The rest of the products should be introduced gradually and with great care, they are able to cause allergies.

It is prohibited to use: bean, cabbage, smoked and pickles, sausage, canned food, beer, kvass, coffee, caviar, drinks with sugar content.

Possible problems with breastfeeding

It would seem that breastfeeding is a natural process, however, often mammies face problems, because of which they have to complete the GW. Even if the mom is experienced, and she did not have the first child, it is not insured against the emergence of problems with feeding. So what are the problems?

The breast is overflowed, the milk is blunting badly, the child cannot take the chest (swelling)

When the transition milk comes for 2-3 days, the chest is not knowing the needs of the baby, it is poured, becomes severe, complete and painful. If before the child took the chest with ease, now it is difficult for him to grasp the hard nipple. Considering that the first milk is mined as a baby, and is so complied with her mother - it is very difficult. Since the colostrum and first milk is quite viscous. Milk comes, the kid is crying because of the fact that the hungry, and grab the breasts is difficult for him. If the mother does not properly applies the baby to the chest, they may appear lumps in the chest. Not rare and increasing body temperature.

So, if you have a majority of those listed below symptoms then we have the so-called Burning of the mammary glands:

  • The chest on the feeling "stone", painful. Area rigid, ineelastic, crowded.
  • Pressing the Area is painful, which prevents baby feed.
  • The nipple becomes not noticeable, flat.
  • Milk does not follow - interferes with swelling, overlapping the path.
  • A child can be hard to grab such a breast, he slides with a dense areal on the nipple or can not sleep at all.
  • Feeding often does not make relief due to the fact that milk does not go.
  • Milk is also not very working.

So what should be done in such a situation? There is a way out, do not be afraid, these are not strong slaps, chest cotton and painful kneading lumps. They have no benefit. First you need to remove the edema and soften the Areol so that the milk can go out freely.

Essence very effective reception - AREOLA mitigation technique pressure on Jean Cotterman.

For this you need gently toes to gently and painlessly put pressure on the Area towards the chest and retain the pressure at least 1 minute.If the swelling is strong, then make an exercise 2-3 minutes, repeating, as needed.

At the time of the arole, it becomes soft and elastic, and the nipple is more pronounced. But most importantly, the ducts are exempt - the path for milk. The kid can succe and can get milk.

If your mother's nails are short enough, it can simultaneously press on the astole bent fingers of both hands, while its nail plates will almost touch the nipple. The goal is to create a ring of 6-8 small pits or dents on the Areole around the base of the nipple.

If mom is observed Strong swelling of Areola Applied pressure method with two fingers. This method allows you to achieve a more uniform distribution of the interstitial fluid. .

The essence of the method is as follows.

If mom has short nails, it should make a "hole" in the central part of the Area. Casting for the nipple, it needs to be pressed with your fingers inward, towards the chest for 1-3 minutes. At the same time, the bent first phalanges of the fingers increase the pressure area. If necessary, you can turn your hand at a different angle and repeat.

Why does it help? The reason is as follows. Any excess of the intercellular fluid is temporarily pressed inside, in the direction of the natural outflow of lymph.
The longitudinal compression of the ducts under the aroma shifts part of the milk backwards, in deeper ducts. The weakening of the voltage in the walls of the crowded ducts under the area reduces discomfort when applied. The elasticity of the nipple-areol complex increases, and as a result, the child can draw it into her mouth deeper.
Almost always after three minutes or even earlier, it is possible to cause the reflex separation of milk due to the uniform stimulation of the nerves that go to the nipple and the areole. This reflex promotes milk forward to the nipple.
After applying this method, it is easier for additional manual stirring for further softening of the Areola.

For greater effect, we make pressure mitigation like this:

  • Put on the back. Under the blades - a pillow - so that the chest is even higher.
  • Hand on the side of the chest, from which we plan to work, leaving aside.
  • Several times the edge of the palm is gently stitching breasts from the nipple in the direction of the plug-in lymph nodes - i.e. To the clavicle, and to the axillary - to the armpit. Movement - as if we accelerate the water. The goal is a little pre-"dispersed" swelling. It he gives pain and stone, and not actually milk (technique and idea Jean Coterman, Maya Him, Tatyana Kondrashova).

After that, there is actually a pressure mitigation - we put the fingers around the Area and keep the "chamomile". At least one minute, longer, if the swelling is strong. You will feel how Area becomes softer, your fingers will fall deeper.

When the area is completely soft and painless when compressed, you can apply baby. Or push if it does not suck. Now the milk will flow, and sucking will be effective, the chest will be softened further. Best Pose For feeding - put the baby on the chest from above. The nursing need to take the position of the middleside.

After feeding, you can make a cabbage sheet, after pre-washing and softening the rolling pin.

Remember, if you soften Areola, freeing the ducts from squeezing with edema, the milk will flow, and the heat can and really remove almost painlessly!

Cracks on nipples with breastfeeding, what to do?

Approximately the fifth day after delivery, with the wrong attachment of the child to the chest, cracks and abrasions may form on the nipples. At this moment, consultation of a breastfeeding specialist is desirable.

Fundamental rules:

  • The child should be sick to the chest capturing Aregol (not one nipple);
  • Patient chest sucking less;
  • Lubricate the nipple "Bepanten" or "Salleyry", take a wet napkin and applied to the breast, covering it with polyethylene and put on a bra. Before feeding the baby, the chest must be solid to warm water.

To prevent cracks and pain on the nipples: to master proper technique Feeding, no need to use chest pads for feeding, to remove the chest from the mouth of the baby Mizinyz, feeding the baby, lubricate your nipples with its own milk and give it to dry, wash the chest every day, at least once.

While waiting for the baby, future mothers decide for themselves: whether to feed crumbling or immediately go to adapted milk mixtures?

Most of course are inclined to natural feedingTrue, to establish it and continue at least the first six months it turns out from everyone, and the reasons here are very different. However, to know what the lactation period is, what features this process is characterized, and how to maintain it and complete it, it is worth knowing even those mothers that are not going to breastfeed. And all because the lactation is avoided by any born to the woman. While waiting for the baby, future mothers decide for themselves: whether to feed crumbling or immediately go to adapted milk mixtures?

Lactation - what is it?

What this term is called the process of milk production with breast glands. Women's chest is designed primarily for feeding children, and only then being considered as a symbol of female sexuality. Everyone has no pregnant woman in lactic glands there are ducts, but the secretory fabric is not enough.

As soon as conception occurs, the chest immediately begins to prepare for lactation. Under the influence of pregnancy hormones - progesterone and estrogen - ducts grow, alveoli form them. These alveoli consist of lactocytes - secretory cells. It is Lactocytes and produce milk. They begin to "work" from about the middle of the pregnancy, and if the hormone progesterone did not suppress their activity, they would produce real milk, but only a bit of the colostrum is distinguished from the nipples - "harbinger" of milk.

When the placenta comes out during childbirth, the level of progesterone drops sharply, and other hormones are started - oxytocin and prolactin. After a day, a natural maternal milk - the best food for a newborn begins to be produced from the chest. The composition of female milk is ideal for digestive system Baby, in milk there is:

  • dry substances - up to 12%
  • fat - about 4%
  • protein - from 1%
  • lactose - up to 7%
  • minerals and vitamins - about 0.25

Lactation period - how long does it last?

What is lactation period in women? This is the name of the process of producing milk from the moment the baby is attached to his chest for the first time, and until the last droplet disappears from it.

Each woman has an individual duration of lactation. It depends on what age the crumb of mother milk feeds. The World Health Organization (WHO) recommends continuing breastfeeding up to two years. But this does not mean that lactation stops immediately after the crumbs from the chest. Some women do not burn milk for a long time, and while it is produced at least in minimal quantity, breastfeeding is really restored.

However, in some cases, lactation can end suddenly, then they say that milk "gone". This often happens with a strong stress, a woman experienced.

How to maintain lactation?

To extend the lactation period, no special knowledge is required. The main rule is to give the chest to the child. In the process of sucking reflexively, oxytocin, which makes milk in milk ducts come. Despite the fact that after saturation of the baby, the chest seems empty, it does not mean that the milk ended in it. Prolactin works the more active, producing milk, the more often the breast is emptied. That is why pediatricians recommend breastfeeding on demand. If the crumb does not cope with the amount of food that his mother offers, milk can be stirred. This is required at the very beginning of lactation, the gradual organism begins to produce exactly the amount of milk that requires the baby.

Completion of the lactation period.

Sooner or later, but the lactation period is completed. Not only oxytocin and prolactin are responsible for the production of milk, but also a substance referred to as inhibitor. This is a polypeptide, which is contained in milk, it also oppresses dairy production. If the milk has not been removed for a long time from the mammary glands, the inhibitor accumulates, making it difficult to develop a new portion of milk.

Gradually, the milk "blows" is a natural process of completion of lactation, which is called involution. Milk glands are replaced with adipose tissue, the milk ceases to stand out. The completion of the lactation period can be provoked artificially - with the help of medicines or means

Period of breastfeeding

Periods of breastfeeding

In the process of lactation, the composition of milk is constantly changing and directly depends on the requirements of the growing body of the kid. Breast milk in composition differs not only from different mothers, but also at the same woman in different age periods Baby baby. For one feeding, milk composition also changes.

At the beginning of feeding the child gets front (early) milk . It has a bluish tint, watery, rich in proteins, lactose, vitamins, minerals. The front milk fully satisfies the need of a kid in drink. Contains up to 90% of water, so if the baby is on pure breastfeeding, it does not need to be dragging with water even in a hot climate.

At the end of feeding the baby receives rear (later) milk . It white color, more thick, contains more fat than the front milk. It is the rear milk that causes a sense of saturation at the kid.

For growth and development it is very important that the baby gets and the front and rear milk. If a slowly sucking child tear off the chest prematurely, then it will fall behind in growth and weight.

Preek period - It is characterized by the development of the first milk - colostrum. It starts immediately after delivery, and lasts 3-4 days. The duration of this period, as well as other periods, is individually for each woman.

The brushed yellowish color, more thick, than mature milk, to taste resembles an amniotic liquid. This is the only ideal balanced dietwhich corresponds to the specific needs of the newborn body. The colostrum contains little liquid that protects the immature buds of the newborn from overload. It has a laxative property and helps the baby easily allocate the original feces of Mekonia. The colostrum contains substances that contribute to the rapid ripening of the undeveloped bowel of the baby. The colostrum is extremely rich in immune factors - antibodies and leukocytes, which are the first immune defense for the newborn. The level of protection of colostrum is so high that it can be considered not only as a food product, but also as a medicine.

Physiological feature of this period:

Women's chest soft; The sensations of the tide of milk, swelling the breast no colosure is highlighted in a very small quantity, but this is enough for the newborn. Only in this period almost a round-the-clock stay of the child in the chest is allowed (if it requires it), because The kid will receive food literally on the droplets.

Period of formation of lactation - It begins with the arrival of transition milk (~ 3-5 days after childbirth), replaces the production of mature milk (~ 10-15 day after delivery) and lasts an average of 6-8 weeks. The duration of this period is very individual with all women. In terms of timing, it approximately corresponds to the period of newborn and adapting the newborn to the new conditions of existence.

Transient milk replaces the colostrum and gradually turns into mature milk. Mature milk is opaque, whitish and more liquid than colostrum. It also contains all the necessary substances for the correct growth and development of the baby.

This period is characterized by milk tide peaks. The arrival of milk is accompanied by swelling chest, a feeling of gravity and pain. Sometimes the peaks of the tide may be accompanied by a temperature lifting. Due to the fact that this period corresponds to the adaptation of the newborn and the establishment of lactation self-regulation, it is at this time, most often, a woman faces the main problems of breastfeeding (carp of nipples, lactostasis, mastitis, lactation crises).

Ripe lactation period - Begins after the lactation process has improved, includes the stage of administration of the feeding and, gradually, with the staging stage from the chest passes during the lactation period. This period will last as much as mom will feed the baby's chest.

After the formation of lactation, the dairy glands become softer, but the amount of milk does not decrease. On the contrary, with a frequent attachment of the baby to the chest, the amount of milk increases according to the needs of small.

Period of fading lactation - Starts with the staging of the chest and ends with a full fastening of lactation.

Hormonal lactation regulation. Lactation is regulated by two main hormones, which are produced by a pituitary. This is prolactin and oxytocin. These hormones are produced every time as stimulation of the receptors of the area of \u200b\u200bArea and Nipples, in response to an act of sucking.

Prolactin is produced after feeding Baby and promotes the synthesis of lactocytes of the next portion of milk for the next feeding. This process is called prolactin reflex or the reflex of the secretion of milk. Thus, only the process of sucking the child's breast makes produced to be produced by the next portion of milk. And it does not depend on the amount and quality of food eaten and drilled liquid. Night, prolactin is produced more than the day, so night feedings are especially valuable to maintain breast feeding.

Oxytocin is produced during feeding and contributes to the emission of milk from alveoli and ducts into Milky Sinuses, i.e. Promotes milk isolation. This is an oxytocin reflex or milk discharge reflex. This reflex can even work when the mother hears a child's hungry cry, while he feels painting in the chest and the release of milk. The kid can not independently obtain a sufficient amount of milk only in the process of sucking if it does not help the reflex of milk release.

The oxytocin reflex differs from the reflex prolactin by the fact that the thoughts may affect it, the emotions of the mother. If the mother is in stressful state; experiencing pain when feeding; experiencing fear, embarrassment; He considers himself unable to feed or does not want to feed the baby, the reflex of milk isolation is blocked. This leads to such complications as the heat of the mammary glands, lactostasis, hypogalactium. Therefore, that the reflex oxytocin worked - the mother should want to feed the baby, with love to think about the process of feeding and testing pleasant emotions.

Regulation of the amount of milk generated. The amount of milk produced depends only on how often the baby is applied to the chest and how much milk kid sucks for feeding. Those. In the breast of milk is produced exactly as much as the child requires. This process is called admission and demand. The more the child sucks the chest, the more milk is produced in the chest and vice versa. This is a natural mechanism for self-regulating the process of breastfeeding.

A special substance is also involved in the lactation self-regulation mechanism - feeding inhibitor. The inhibitor begins to be produced by lactocytes when the breast is filled with milk, and prevents the further secretion of milk. If milk is removed from the chest and with it inhibitor, the secretion of milk resumes. In addition to the attachment of the baby to the chest and the regular empty of the chest, the inhibitor is not produced in it, and the lactation process is not violated.

Thanks to this physiological mechanism of self-regulation of lactation, gradually the mother comes to the fact that the milk is produced exactly as much as the child is needed at the moment. Any interference with the process of breastfeeding (as regular stacing) interferes with the interaction of the "Mother Child" system and interferes with the process of self-regulating, making harm.

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