Bayındır Hospital Neonatal Doctor Namdar Uluşahin In recent years, the mother and expectant mother about breastfeeding and some of the hesitations arising from the easiest and abundant way to contribute to the breastfeeding in order to contribute to the successful breastfeeding continues to share with you.
Problems that can be observed in the first weeks
These problems, especially seen in the first mothers with their first child, occur in the first weeks.
Breast Swelling and Discomfort
Depending on the start of milk production after birth, swelling and tension occurs in the breasts between the second and seventh days. Although this feeling is perceived by the mothers as a discomfort, it is actually a symptom of milk production. It is due to increased blood and lymph flow to the breast. This swelling and tension will not cause problems in the future The baby should be breastfed frequently.
As the mothers breastfeed their infants for various reasons, their breasts do not discharge sufficiently during hospital deliveries. As a result, milk accumulates in the breast. As the breast becomes tense with the accumulated milk, it becomes difficult for the baby to hold the breast. There is more milk accumulation. The breasts harden and begin to ache. Because of the sense of pain, mothers go to breastfeed less. This makes the nozzles worse. Mastitis and abscesses are more likely to develop in these breasts.
First, this degree of swelling of the breasts should be prevented. The only way to do this is through frequent breastfeeding. Therefore, breastfeeding should be started as early as possible after birth. Frequent breastfeeding should prevent excessive swelling of the breasts.
The best way to treat is to increase the frequency of breastfeeding. If the baby is unable to hold the nipple as a result of excessive hardening of the breasts or if there is not sufficient discharge despite holding it, the nipples are emptied by hand or by squeezing. If the breasts can be softened by this method, the remaining procedure should continue with the baby. The baby should be fed with milk if it can reach the softness the baby can hold by squeezing or by pulling with a pump. Bottles should not be used in this type of nutrition. The milk should be given to the baby with a cup or spoon. Milking is continued until the nozzles soften. In addition, a warm, moist compress before breastfeeding and taking a warm shower again facilitates the flow of milk.
It can be observed in mothers whose breasts are tightened. It occurs as a result of the accumulation of milk in the womb. It usually lasts up to 24 hours. The fever goes away spontaneously. If it lasts longer than 48 hours, infection arises.
Pain in the nipples
The only reason baby's nipple grip that is faulty. Because of the pain, the mother breastfeeds her baby less frequently or for a shorter period. As a result, milk production is reduced. Nozzles should not be cleaned with soap. The baby should be allowed to release the breast spontaneously. The correct treatment of the breast is essential. If the breast is properly kept, the pain will go away in a short time. Resting the breast is a wrong practice. The use of creams or other medicines is of no use and can sometimes increase pain.
The most important reason breastfeeding technique that is wrong. First, the retention technique should be corrected. Breastfeeding should be started from the aching breast. The nozzle should be in contact with the air as much as possible. At the end of breastfeeding, some of the milk should be left on the breast. If it is not possible to breastfeed from the cracked side, milk should be milked. Breastfeeding should start from the less sensitive nozzle. After breastfeeding, the breasts should be rinsed with water and ventilated. After the nipple is dried by hand, a few drops of milk dripped from the nozzle should be gently applied to the nipple and dried automatically. Another reason for nipple cracks and pain is to leave the breast moist. Therefore, the breast should be kept dry after breastfeeding. Frequent pads should be replaced to prevent leaks from wetting the nozzle, and contact with air should be made between the breastfeeding. If an antibiotic cream should be used for superficial inflammation, the breast should be rinsed before breastfeeding. The most important cause of nipple infections after one month is fungal infections.
Mom's nipple shortness thinks they cannot breast-feed their babies. In fact, the nipple does not need to be long for breastfeeding. Since breastfeeding is not done from the nipple, it is not an advantage to have a long nipple. Not only the nipple, but a large portion of the areola should enter into the mouth, so there is not much need for breastfeeding. When the areola around the nipple is pulled by holding the side with two fingers lightly before the breast is given to the baby, it is seen that the baby has a shape that will enter the mouth. The insertion of the areola by holding it in the baby's mouth will provide a successful breastfeeding.
Clogging of the breast canals
The milk produced in the breast is conveyed through the fine channels per nipple. As a result of clogging of these channels, agglomeration occurs with pain and stiffness in those areas. Treatment is achieved by frequent emptying of the breasts. It is preferred that the baby does this. Therefore, the baby is often allowed to breastfeed. Breastfeeding should be started by the breast where the channels are blocked. If sufficient discharge is not achieved, manual or pump discharge should be performed frequently. Gently pat the nipple from the top to the occlusion site and this procedure should be repeated frequently. The mother should be allowed to rest. Taking a warm shower also works.
If the obstruction of the ducts cannot be removed despite the methods applied, infection in the breast tissue may develop and is rarely seen before two weeks. When mastitis occurs, there is swelling, tenderness and redness of the breast tissue. Fever can be seen. Mastitis does not prevent breastfeeding. The mother with mastitis should continue to breastfeed. Sucking from the breast with mastitis does not bring additional risk to the baby. Breastfeeding should be started from the intact breast and the milk should be passed to the other side. If breastfeeding is not possible, proper milking should be performed. If these procedures are not performed, that is, as long as the milk stays in the udder, the infection becomes widespread and milk production is reduced and stopped. Proper antibiotic treatment is required. Paracetamol or ibuprofen may be given to reduce pain and sensitivity. It is useful to put wet warm towels on the infected nipples. This process is repeated frequently.
How to Tell if Breast Milk Is Enough?
The biggest fear of mothers is that their milk is not enough for their babies. Babies cry for many reasons, for and without reason. Each time you cry, the baby is often calmed. So the idea that the baby is hungry settles in the mother. When the baby is told to go hungry, the mother immediately needs to start additional food. As a result of this, the baby starts to suck less and the milk production decreases and the way to cut quickly is taken. Babies need continuous suction because of their strong suction reflexes even when they are full. Every suction desire does not indicate that the baby is hungry, even if the goal is not to feed, this suction need is intended to fully absorb the pleasure. However, thanks to this feeling, babies often suckle their mothers and contribute to the proliferation and maintenance of breast milk. On the one hand, they maintain the milk while at the same time satisfy the sucking pleasure. Due to inaccuracies made here, additional foods are started, although this is often not necessary. It should be known that physiological weight loss may occur during the first 5 days of life during normal development of the baby. After this loss, babies start to increase their body weight. Around the 10th day of life, they reach their birth weight again. After 10 days, their weight increases continuously. Due to lack of knowledge of these properties, physiological weight loss of babies is misinterpreted and additional foods are initiated.
The first assessment is made at the end of the first month. 600 g per month for a healthy growth. And a weight gain on it is enough. Other than that, no criterion indicates that the baby is malnourished. However, it is not necessary to worry if the baby who is breastfed during the first month, starting from week 1, wets his diaper with his urine at least 6 times and 2-3 times with his stool, keeping in mind that daily changes may occur. Therefore, the end of the first month should be waited patiently.
Appetite Attacks in Breastfeeding Mother
It is a condition in which the baby cannot cry and soothe. Against the desire to suck more often and longer, the baby is always hungry. It typically occurs at 8-12 days, 3-4 weeks and 3 months, and then at different times. These attacks cause tension in the mother because they give the feeling that they cannot provide the baby's needs adequately. They are distinguished from gas pains by being at the times indicated above. Giving food can increase the problem. It should be known that the mother's milk will increase and adapt to the condition within 3-5 days. Feeding frequency should be increased.
Breastfeeding Mother Nutrition
It is made with foods that the mother eats milk. Breastfeeding is also necessary for feeding the baby because breastmilk meets all the needs of the baby. A significant portion of the mother's weight gain during pregnancy is stored as fat tissue for future milk production. The amount of breast milk and protein content does not vary much with the nutrients it receives. To meet the mother's and baby's energy protein and calcium requirements during breastfeeding, it is sufficient to add two cups of yogurt or milk and one egg and one matchbox of cheese to their daily diet. In order not to change the amount of milk, the amount of liquid taken by the mother should be increased. The amount of fluid taken per day should be up to 3 liters. To meet this, water, milk, buttermilk, compote, lemonade, sherbet, fruit juice drinks such as 14-16 cups is enough to buy. In order to meet the protein requirement, legumes such as beans, chickpeas, lentils, foods such as meat, chicken and plenty of fruits and vegetables should be eaten. Some babies react to certain foods that mothers receive. When bitter, fatty foods are taken, the baby may have crying attacks that are mixed with colic.
Colic is usually defined as the baby crying at regular intervals to disturb the family for a certain period of time. These crying bouts and restlessness are often seen between evening hours and midnight, but can occur at any time during the day. The duration of restless periods peaks at 3 hours in the 6th week and goes down to 1-2 hours in the 3rd month. Colic pains of babies are usually 2-3. weeks. Infants cry, scream, and pull their feet towards her belly. There is no known cause of colic pains.
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