Breast milk is the best gift for mommy and baby, and it is also an important beginning to establish a good parent-child relationship. For novice mommy, a good start is half the success of breastfeeding. If you can build up your confidence in taking care of your baby as soon as possible and know how to seek the help of medical staff or experienced relatives and friends when you encounter problems, the problems will often be solved smoothly, and you can easily master the fun of close contact with your baby!
What Mommy Must Know * * * Care Since pregnancy, the pregnant mommy's body has undergone subtle changes bit by bit, preparing for a new life in the near future. ...
Understand the structure and function of * * * Women's * * will gradually develop around puberty and enter a more mature stage after pregnancy. Not only the lobules and mammary glands will swell, but also the adipose tissue will thicken. After 20 weeks of pregnancy, they will also start to secrete a very small amount of milk, and even a few mothers with sufficient milk will have galactorrhea in the late pregnancy. These are exactly what the body prepares to feed its baby.
During pregnancy, * * * care remains the same. During pregnancy, Mommy's cups were upgraded due to bloating, which also made * * * more sensitive than before. It is suggested that pregnant mommy can wear loose and comfortable underwear made of sweat-absorbing and breathable materials. If you already have galactorrhea, you can also put a galactorrhea pad with good absorption in your underwear. The rest don't need special care, and the habit of taking a bath is ok.
Colostrum does not need to be deliberately squeezed out. Generally speaking, mommy will secrete colostrum in the late pregnancy. Colostrum is rich in antibodies. At present, there are some discussions abroad about whether colostrum needs to be squeezed before delivery. Some people worry that milking will cause uterine contraction, but others think that if colostrum accumulates early, there is no need for newborns to supplement formula milk. In this regard, Mao Xinjie, director of pediatrics at Boren General Hospital, reminded that if a mother wants to squeeze colostrum before delivery, it must be because the fullness of * * * has made you feel uncomfortable (at this time, you can also consider cold compress to relieve pain). Moreover, pregnant mommy must be evaluated by a doctor and carried out under the guidance of personnel with relevant breastfeeding knowledge, which will not cause harm to the health of herself and her baby.
The first intimate contact In recent years, "having children" and "sharing a room with parents" have become more and more popular. For mothers who are hesitant about this, they must know their strengths and weaknesses before making a decision. ...
Analysis of "Bed Feeding" As long as the parturient is conscious after delivery and the baby is in normal condition, bed feeding can be carried out immediately regardless of caesarean section or natural delivery, so that the parturient and the baby can have the closest contact at the first time. Dr. Mao Xinjie said that if the crying newborn is placed on the mother at this time, the baby will see a little breathing at first, and then he will enter the awake period and look around to understand the environment. He will also stretch out his hand and kick his body, gradually moving closer to * * *. When he found that his mother's * * * would contain * * * by itself, he would start breastfeeding for the first time with his natural instinct and the help of his mother.
Generally speaking, this process takes about 30-60 minutes before the baby starts breastfeeding for the first time. Dr. Mao suggested that, if circumstances permit, mommy should keep close contact with the baby until the baby wants to rest or end breastfeeding. Studies have pointed out that more skin contact with children is very helpful to stabilize emotions, which is also a magical moment that every parent who welcomes a new life should not and does not want to miss.
Analysis of "parent-child housing distribution" When there was no parent-child housing distribution measure before, I often heard novice mothers complain: "Every time I went to the nursery to feed, the baby fell asleep without drinking two drinks ..." It is precisely because of the separation of mother and child that I can't always take care of the baby's needs and the milk quantity can't be improved. However, in retrospect, the real problem is that each other missed the best breastfeeding opportunity.
Failure to get in touch with mother and baby as early as possible and bear great pressure may indeed affect the initial milk production. Sharing a room with parents at this time is a good way to promote milk production. As long as you observe that your baby has a desire to eat, you can breastfeed (the baby may lick clothes and Zhang Zhu's mouth will keep twisting). After a period of establishment of parent-child relationship and frequent breast feeding, usually the mother can gradually make enough milk for the baby to eat.
Although some mothers worry that parents and children can't have a good rest in the same room, the separated mothers are busy milking and worried about the baby's condition, but they can't relax. But strangely, if mommy and baby get along all day, the work and rest will naturally be adjusted to sleep with the baby and wake up together. Oxytocin released by the brain during breastfeeding also has the function of relaxing mommy, so that mommy will not feel tired even though she breastfeeds frequently. When parents and children live in the same room, the number of visitors must be reduced as much as possible. Unnecessary visitors are often the main reason for mommy's fatigue.
Breastfeeding has many benefits, and the nutritional value of milk varies greatly at different stages.
From the third trimester of pregnancy to the birth of the baby, whether it is colostrum, excessive lactation or mature milk, the composition of breast milk is dynamic, and mommy's milk is the most suitable care for the baby at all stages, and its nutritional value is different:
Colostrum: The milk secreted from the third trimester of pregnancy to a few days after delivery is yellowish in color, sticky in texture and high in antibody concentration, which not only best meets the nutritional needs of newborns, but also has a good protective effect. Transitional milk: From the 4th and 5th day after delivery, the mother can obviously feel that the color of breast milk is getting lighter, the weight is increasing, and the nutrients are increasing. Mature milk: Mature milk will be secreted about 10 days after delivery. Milk is light beige and rich in protein, lactose, fat, vitamins and minerals. Pre-milk & Post-milk: The milk when mommy feels full is called "pre-milk" and the milk when she is soft is called "post-milk". The front milk has low fat content but high water content, and is rich in protein, lactose and other nutrients, while the back milk is rich in fat when it is soft, so the calories of the front and back milk are different. Dr. Mao reminded that there is no obvious boundary between the front and back breasts. It is recommended to feed one breast from full to soft first, and then switch to the other side, so that the baby can completely eat all the nutrition of the front and rear breasts. The benefits of breastfeeding for mothers and babies
The benefits of breastfeeding for mommy and the benefits of breastfeeding for babies 1. Uterine contraction after midwifery. 2. Reduce the chance of osteoporosis in the future. 3. Reduce the incidence of breast cancer. 4. Reduce the incidence of specific types of ovarian cancer. 5. Promote metabolism and help restore pre-pregnancy weight. 6. Inhibit ovulation, delay menstrual cramps or get pregnant again. 7. Frequent close contact with the baby can actively promote the intimacy between parents and children. 1. Breast milk is balanced in nutrition and rich in antibodies and growth factors. 2. It has the characteristics of good digestion and easy absorption. 3. Conducive to the development of oral and maxillofacial muscles. 4. Reduce tooth decay and oral deformation. 5. It may contribute to language development. 6. Reduce the incidence of otitis media. 7. Reduce the infection rate of gastrointestinal tract. 8. Reduce the incidence of allergic diseases. It's easy to feed the baby! The simplest principle of correct breastfeeding posture is "feed the baby if he wants to eat". If the mother is serious about breast-feeding but the amount of milk has not increased, the first thing to consider is whether there is a problem of wrong feeding posture. The correct feeding posture is that the baby's mouth is wide open, the chin is close to the mother, and the lower lip is everted to contain the upper areola (the lower areola will contain more than the upper areola). As long as the breast posture is correct, the baby's crawling tongue is areola, which will prompt the brain to secrete more oxytocin and trigger the "milk ejection reflex", so that the mother can feel the milk gushing out (that is, "milk array"). If the baby's breast posture is wrong, it is easy to cause pain and skin damage. It is suggested that you can gently pull down the baby's chin with your index finger, so that he can open his mouth to hold the areola again, or move the baby to hold the breast again. Dr. Mao Xinjie reminded that breastfeeding can be successfully completed without rushing to put * * * into the baby's mouth. When the baby wants to eat and the mother is ready, let the baby open his mouth and hold the areola. When the baby shows an instinctive chest, the posture will be more correct than expected.
The baby's unique nursing nest has a concave structure in the upper jaw of the baby's mouth, which is called "nursing nest". When the mother's * * * goes deep into the baby's mouth, as long as the nursing posture is correct, it will be fixed in the nursing nest to help the baby suck more smoothly, and then the nursing nest will gradually degenerate and disappear with the baby's age.
It is common for novice mothers to know whether the tongue strap is too tight and the skin is damaged. Whether to stop breastfeeding is the second priority. The most important thing is to correct the breastfeeding posture and check whether the baby has problems such as tight tongue strap and candida infection. It is suggested that if mommy feels unbearable pain, she can temporarily keep her underwear dry during breastfeeding, or use a protective "* * * * cover", or even slightly reduce the number of times of pro-feeding, and squeeze out breast milk by hand to feed her baby. But in order to avoid confusion, it is best not to feed the baby with a bottle. She can feed her breast with a syringe, dropper or spoon.
Choose the most comfortable posture. Mommy can try different postures at the beginning of breastfeeding, and then choose one or two most comfortable breastfeeding postures to use. For example, if you have a caesarean section, you can learn the posture of football first. If you want to rest more, you can try lying down and feeding. But most people are still used to sitting and breastfeeding, so you can also try the cradle position first-mommy holds the baby's neck and back with one hand and let him be close to your body in a prone position. When the baby's posture contains * * * correctly, push his * * * inward, and their stomachs will be together. At this time, the baby's head, stomach and knees will be connected in a line. Mommy must remember to feed in a comfortable and unyielding posture to avoid the trouble of backache. However, every mother will encounter different breastfeeding problems. If you are determined to breastfeed, you can choose a medical institution or a month center with a tutor to master the tricks of breastfeeding faster.
The amount of milk depends on the number of times of sucking and the amount of postpartum milk secretion, mainly depends on whether the baby sucks regularly to get enough * * *, and has no absolute correlation with the size of * * * *. When the baby sucks hard at the mother's breast, the nerves around the areola will release lactation hormones from the pituitary gland to remind the body to secrete milk quickly to meet the baby's needs. Moreover, lactation hormones are secreted more vigorously at night, so mothers are also encouraged to breastfeed at night, so that they can continuously secrete milk.
In addition, in fact, some mothers are worried that their * * * is naturally depressed, so they will not be able to breastfeed smoothly. It is recommended that people with this problem let the baby suck as soon as possible after delivery. Babies are born to be the best breast-feeding experts. Regular sucking can help mothers shape and promote milk secretion.
Before Montgomery glands secrete oil for breast-feeding, mommy doesn't need to wash * * * extra, because Montgomery glands on areola are responsible for secreting oil, which can help areola and * * * maintain good extensibility for babies to suck. If it is too clean, it will make the skin lose the protection of oil, but it will be easier to crack and chapped by sucking. Maybe the mother will worry that direct breastfeeding may cause bacteria to invade the baby's body, or the bacteria in the wound will affect the pro-feeding. In fact, the bacteria in the baby's mouth are the same as those on * * * *, and there are white blood cells in breast milk that resist bacteria. The baby itself has the ability to resist a small amount of bacteria, so mommy can safely breastfeed as usual. The preservation and heating of breast milk is learned.
How long can breast milk be preserved? Freshly squeezed breast milk can be stored for 5-8 hours at room temperature, 6-8 days in refrigerator and 3-6 months in freezer. However, it is still necessary to remind mothers that the composition of breast milk is dynamic, and it is necessary to "last in first out" so that the baby can eat the milk that best meets the current physiological needs. If the amount of milk is too abundant, you can consider donating it to the breast milk bank, or making it into useful breast milk soap, so as not to waste a gift from heaven.
How to heat breast milk? Refrigerated breast milk must be heated in water before the baby can drink it. You can put it in a container and heat it in water (the water temperature is about 45℃, but it should not exceed 60℃), but you must never put it directly in a microwave oven or gas stove for heating. High temperature will destroy the activity and nutrients of breast milk. As for frozen breast milk, you can move it to a lower freezer the day before and thaw it slowly. After thawing, it must be drunk within 24 hours, and it will be discarded after that. After breast milk is refrigerated or heated, there will be a slight phenomenon of "oil-water separation" You can shake it gently to help the fat mix evenly and avoid shaking hard to destroy the antibody activity.
Adjust breastfeeding habits 2 weeks before returning to work.
Establishing a breast milk bank suggests that professional women start to adjust their work and rest two weeks before returning to work and start to establish a breast milk bank. Mommy should milk more after kissing, or milk the left side while the baby sucks the right side. Although there is little milk at ordinary times, there is still a lot of milk after 1 and 2 weeks, and it will continue to accumulate after returning to work.
Change bottle feeding before returning to work 1 week. One week before returning to work, mommy can start bottle feeding and try bottle feeding by caregivers. At first, the baby may be a little resistant. As long as caregivers give more patience, they can successfully help children preview their future life. After returning to work, you can kiss and feed once a day before going out, and continue to maintain the habit of bottle feeding during the day and kissing and feeding at night at other times.
Milking for 3 ~ 4 hours during work 1 time. After returning to work, you can take 3 ~ 4 milk bottles and 1 ice bucket out of the house every day, and milk at the frequency of 10 in the morning, 2 pm and 5 pm. If mommy works irregularly, it is recommended to find more breaks to milk. Frequent milking helps to maintain the regularity and weight of lactation and keep the mammary glands unobstructed without swelling. The extruded breast milk can be stored in a self-provided ice bucket or refrigerator in the working environment and taken home for ice storage after work.
Breastfeeding recipes may not be suitable for everyone. The first point is relaxation. You can ask dad to help mom with her back, or say more words of encouragement. In addition, you can try to adjust your diet. But at present, no food is effective for all mothers. A balanced diet is the most important thing. You can also drink more water and eat high-quality protein. Some mothers think that drinking fish soup, chicken soup and rye juice is very effective for lactation. Mommy might as well try it. Furthermore, mommy can gently press * * * * *, or try to press * * * * * for 10 ~ 15 minutes before milking, but if the time is too long, it may make * * * full of swelling and pain. If it causes discomfort, it should be stopped immediately to avoid serious injury.
The above methods may have different effects due to different personal conditions, but mothers must remember that squeezing and feeding more is the main method to promote lactation. Dr. Mao Xinjie reminded that if Mommy can make the baby "drink unlimited water" and the feeding posture is correct, but the milk yield has not improved for a long time, please seek medical assistance from professionals to help Mommy find out the reasons and improve.
What should I do if my mother has an obstruction in her breast? At this time, as long as the lump is aimed at the baby's chin for him to suck, and then with his gentle * * *, it will help to get through the breast and eliminate the lump. Or at the moment of * * * pain, you can try to press * * * with raw cabbage leaves, which can play a role in relieving pain and swelling. Mastitis usually has symptoms such as fever, muscle pain, fatigue, chills, redness, swelling, fever and pain. If there are signs of inflammation in the breast, mommy can still continue breastfeeding, without worrying about increasing the chance of infection in the baby. However, if you don't want to feed the inflamed party because of swelling and pain, you must endure the pain of milking to improve the symptoms.
As for mastitis, it is suggested that my mother go back to the medical hospital where she gave birth and find an obstetrician or a doctor who specializes in breastfeeding for treatment. I hope that with the help of professionals, my mother can return to breastfeeding smoothly in the near future.
Department of Medicine, Taiwan Province Provincial University. Graduation experience: Taiwan Province Pediatric College/Taiwan Province Pediatric Digestion College/Pediatric Department of National Taiwan University Hospital, part-time attending physician /IBC LC/ breastfeeding seed lecturer. Current position: Director of Pediatrics, Boren General Hospital.