Every woman is naturally programmed to breastfeed her
baby.
There are no non-lactating mothers,
there are just different rates of
lactation establishment.
It is only important to know some
fundamental points and use various
little tricks
.
Pumping
In what cases is milk pumping used?
To support lactation,
In case of temporary contraindications to feeding on the part of the mother or baby
Feeding a premature or weakened baby born with low weight
When the breasts are engorged and the mother experiences discomfort after feeding
To relieve the condition of breast engorgement and milk stasis
Feeding the baby with postnatal complications
Providing milk for the child while the mother is absent
Lubrication of nipples and areola with colostrum or milk for the prevention or treatment of cracks
To stimulate lactation in case of insufficient milk supply
At the same time, it is not advisable to pump milk after each feeding if the breasts are soft, feeding is frequent, and there is enough milk. In this case, pumping can even be harmful (trauma to breast tissue, triggering hyperproduction of milk)
Pumping Technique
Before expressing milk, it is necessary to stimulate the milk ejection reflex, as its activity without sucking is very low.
To do this:
if possible, have skin-to-skin contact with the baby, eye to eye
drink a warm beverage
warm up the breast (shower, compress)
do a gentle massage of the breast and nipples
it is good for someone to give you a back massage on both sides of the spine
Wash your hands, prepare the dishes,
clean,
sterile,
if you are going to supplement the baby.
Place your fingers, thumb and forefinger, on either side of the areola and press in the middle towards the chest wall.
Press the area behind the nipple and areola with your fingers.
Press all around the radius of the areola
to express from all segments.
Is the baby getting enough milk?
Wet diaper test.
A child should urinate 6 or more times a day starting from the 5th day of life. The urine should be colorless or pale yellow.
Diapers are counted for one day,
for example,
from 9 AM to 9 AM the next day.
Disposable diapers are excluded for one day.
If there are 6 wet diapers, it means the baby is getting enough milk,
if 10 or more, it means the baby's needs are fully met.
If there is still not enough milk
And yet there are situations,
when there is not enough milk.
In such a case, the child becomes restless, cries frequently,
cannot endure the interval between feedings, or on the contrary, seems sluggish,
apathetic.
Shows poor weight gain,
urinates less frequently,
and the urine has an intensely yellow color,
stools are dense - once a day or less.
Situations where the mother has insufficient milk
can occur at any period of lactation.
This can happen in the first days after childbirth,
when milk is produced too slowly,
and later on at more advanced stages of lactation.
Так называемые лактационный и голодный криз.
Lactation Crisis
In 2/3 of breastfeeding women, 1-1.5 months after childbirth, then at 3, 7, and 12 months of lactation, there is a short-term decrease in the volume of lactation, accompanied by the absence of a feeling of milk letdown. Their frequency is 1.5 months, and the duration is 3-4 days. Very rarely do mothers know that after childbirth, on days that are multiples of 7 (7, 14, 21, 28 days), the hormonal background changes,
всплеск половых гормонов несколько подавляет лактацию.
Lactation crisis is a completely reversible phenomenon,
and with the right approach, the volume of
milk is quickly restored.
For a healthy and well-nourished baby, lactation crises do not pose any danger.
Hungry crisis
It occurs at 3, 7, and 12 weeks of lactation.
The appearance of the crisis is related to the characteristics of the child's growth.
The intensity of growth increases,
потребность в мамином молоке возрастает и поэтому не обеспечивается фактическим объемом. Явление это также полностью обратимое при соблюдении определенных правил.
False Milk Insufficiency
The baby sucks for a long time,
frequently asks for the breast,
asks for food at night,
the breast has become soft and does not fill up,
as it used to – perform the wet diaper test.
In case of delayed milk secretion (not 3-5 days,
but 15-20),
lactation or hunger crisis, take measures:
Rest for at least 48 hours, forget about chores, cooking, etc., pay more attention to your diet and hydration
Breastfeed at least 12 times a day, feed the baby from both breasts in one feeding
Encourage and support prolonged sucking during one feeding
Supplement with expressed milk or formula from a spoon, cup, pipette, or syringe 2-4 times a day
Make sure to feed at night for intense production of prolactin
Do not provide any artificial nipples (including pacifiers)
Carry out additional activities to stimulate lactation: pumping, homeopathic treatment, lactogenic diet
