Rus Articles Journal

It is not enough milk? It is worth understanding! Part 1

Very often consultants for natural feeding in the practice meet complaints of young mothers to shortage of milk. Let`s understand when “not enough milk“ is valid and how to solve a real problem of shortage to the kid of milk and when it is decided by mother or someone another (the pediatrician, the family familiar of mother) a situation.

So: whether there can be in general “not enough milk“? Answering this question, it is worth understanding concept of a gipogalaktiya (decrease in functions of mammary glands) in details. Gipogalaktiya is false and true which is subdivided on primary and secondary. Understand situations when the problem is decided by mother, independently or not without the aid of the family, acquaintances, nurses, obstetricians, the pediatrician or the doctor of a maternity welfare unit as a false gipogalaktiya. True primary gipogalaktiya according to researches takes place only approximately in 3% of cases.

So far as concerns primary gipogalaktiya, it is worth remembering that mammary glands are stuffed up at a fruit in mother`s womb, further already during puberty in a breast there is a ferruterous fabric (without which the lactation is impossible). It is considered that amount of ferruterous fabric, the form and the number of canals are caused genetically, and it is impossible to influence these parameters. I.e. what the woman could not make milk, there have to be very much also very serious failures in her organism at the level of pre-natal development. Thus, at the woman it can be lowered (more often) or be absent completely (that happens extremely seldom) ability of production of milk for the following reasons:

genetically caused, hormonal violations which in turn most often conduct not only to a gipogalaktiya and are shown by with

Even at true primary gipogalaktiya practically all women can feed the child (let and finishing feeding mix).

In practice secondary gipogalaktiya most often meets. There is it for a number of reasons.

Absence early postnatal (within 2 hours after the delivery) applyings to a breast. the Kid is often just spread on mother`s stomach, but to a breast not put. It is necessary to provide as much as possible early applying of the baby to a breast , it is desirable not later than the first two hours (even better: first 30 minutes) after the delivery. Perhaps, about it it is worth talking to medical personnel even prior to childbirth.

Reunion of mother and the kid born by means of Cesarean section 12 hours or even days later. If early applying to a breast did not take place for any reasons connected with mother`s health or a condition of the newborn, then for maintenance of a lactation it is necessary to organize decantations and to put the child to a breast so soon as it will be possible. Even if mother is under the influence of anesthesia, the native person or medical personnel can quite apply the kid to a breast or help mother to support a lactation by decantation.

Use of medicines in labor.
Remained in a uterus of part of a placenta.
Feeding of the kid since the birth on the mode.

we Will remind

that feeding on the mode appeared and it was even proved when it was necessary for mother early (nearly since a month or from three) to come to work. There were breaks of times in 3 - 4 hour on feeding for the working feeding mothers and if not these breaks, perhaps, women of that era would not nurse in general. And from our grandmothers and even mothers (who continued to feed on the mode just because their mothers so fed) most often it is possible to hear that breastfeeding came to an end, without having managed to begin: often children were fed only about one month, more than normally and even long was considered to feed till 6 months, it is rare - about one year, feeding to 2 - 3 took years place extremely seldom, and at the same time was considered as something wild. Now, when most of mothers is provided to itself and the child since the birth and at least till 1,5 years, feeding on the mode just ceases to make sense.

Use of substitutes of a maternal breast: pacifiers or small bottles with a pacifier. Here the simple rule works:“ sucking of a pacifier - minus feeding (minus stimulation of a breast for a sufficient lactation and minus some amount of milk for the child)“.

of Dopaivaniye of the baby water and/or other liquids. it is obvious that how many the kid drank, as much he did not eat mother`s milk. Water fills a tiny stomach, gives false feeling of saturation. It is known that simple water (not that which contains in maternal milk) is not acquired by the child, i.e. has no relation to prevention or treatment of dehydration, and only passes through a gastrointestinal tract of the baby, washing away at the same time flora by which “breast milk helps to become populated“.

If dokorm (or medicine) nevertheless it is inevitable, then it is necessary to give it not from a small bottle with a pacifier, and using a spoon, a pipette, the syringe without needle, system of a dokorm at a breast other

the Stress. One of the most widespread myths about breastfeeding - “from nerves vanishes milk“. It is meant that it vanishes forever. What really happens when mother is nervous, is frightened, feels pain? Adrenaline level in blood increases, it leads to decrease in level of oxytocin (the hormone which is responsible for outflow of milk from a breast since other hormone - Prolactinum is responsible for production of milk). Dairy channels are narrowed. Thus, at a severe stress milk does not cease to be produced, it just ceases to flow from a breast, it is complex to kid to exhaust it, the breast as if “does not give“ milk.

a Large number the drunk mother of liquid. a little wrong opinion that the amount of milk directly depends on amount of the drunk liquid Exists. In support of this point of view many the pharmaceutical and making baby food firms offer the big range of teas and drinks for improvement of a lactation, there are national and family recipes: tea with milk, meat broth, milk with caraway seeds, kefir, etc. And sometimes mothers even note positive influence of similar drinks. But scientific researches and experience of many feeding mothers show what needs to be drunk during breastfeeding on requirement when mother thirsts, it is no more and not less. Decrease in liquid conducts to dehydration of an organism of mother, problems with secretory system, skin, digestion since the maternal organism first of all spends liquid for production of milk to the baby. Increase in liquid on the contrary can lead to complication of outflow of milk and a laktostaz (there is a violation vodno - salt balance which regulation goes at the hormonal level).

does not recommend to drink

At the nagrubaniye which arose at milk arrival, or a laktostaza hot drink in the big portions (it can cause additional painful inflow of milk), at the same time you should not refuse drink of warm or cool liquid in the small portions at all. Let`s note that both artificial, and natural components of laktogonny drinks can cause an allergy and tummy pains in the baby (the last especially belongs to tea with whole or condensed milk).

Short circuit of muscles of a back, a disease of cervical department of a backbone or just inconvenient pose when feeding (mother says that a back, the area of shovels or a neck “flow“). It leads to milk outflow violation.

So-called “laktatsionny crisis“ which as a matter of fact is jump of growth of the child (on average it occurs aged 1,5 - 3 months and several days last) and often coincides with transition of a lactation to autokrinny level. Than more often and more effectively the baby sucks, the breast is more often and more fully emptied, the milk is produced more, at the same time the breast practically ceases to be filled out of sucking of the child.

the Time renewal of periods or new pregnancy is led to decrease in production of milk (regulation happens at the hormonal level). Mother needs to know that during periods of the child it is possible and it is necessary to nurse, and in most cases feeding during pregnancy is quite possible too. As soon as the periods come to an end, the amount of milk is restored provided that the kid continues to be put to a breast rather often. And here during pregnancy the organism of mother prepares for feeding of the younger child and approximately in the third or at the end of the second trimester the amount of milk very much decreases, or it vanishes absolutely, and at the end of the third trimester colostrum appears already again. If the senior kid is younger than one and a half years, it is worth taking care about finish feeding.

So and, decrease in production of milk can be, but at certain actions and mother`s spirit there is always an opportunity to restore amount of milk necessary for the child.

But what amount of milk it is necessary for the kid and how to understand, it is enough or not? Mothers often ask: “How many the baby has to exhaust milk (at a certain age)?“ Any specialist in a lactation cannot answer a question: “How many the kid has to exhaust a milk for one feeding?“ and here pediatricians most often without thoughts give some figures. What? Most often it is norms for artificially raised children: mix to the child really needs a certain quantity. Also it is given on the mode not to do much harm to a gastrointestinal tract of the child. A maternal milk the product, so natural and easy for digestion, that cannot even be told approximately how many the kid exhausts or has to exhaust for once. The baby can be put to a breast everyone half an hour and even more often and to exhaust in each applying different amount of milk from several milliliters up to much bigger volume. Concerning amount of the milk received by the child in days there are certain norms (150 - 200 ml on each kilogram of weight of the child). But also these norms approximate, since. in different days the kid can exhaust more or less milk, it depends on ambient temperature, on activity of the child, on a state of his health (more often than usually the kid can be put to a breast during a heat, during an illness or a teething).

What to consider as adequate reliable criteria which say that the child has enough milk?

the Increase in weight . It is correct to estimate an increase which is considered from the minimum weight of the child after some loss right after the birth (physiologically - to 10%). It is considered norm if to 2 - x to week age the kid just gains the weight at the birth. It is necessary to remember that children grow at peculiar “jumps“ therefore it is necessary to weigh the kid not more often than once a week.

Quantity of urinations of the child in days and quality of urine. Normal for the child 2 weeks are more senior also more urinations in days, at the same time urine light, transparent, almost flavourless is considered 10 - 12 . An occasion to urgently adjust breastfeeding - 8 - 10 urinations in days, less than 7 - an occasion to enter dokorm and to adjust breastfeeding.

Frequency of a chair of the child. the First three days the chair of the child represents darkly - green meconium. If is enough for the kid of milk, meconium all goes beyond 2 - 3 days, the chair brightens and by fifth day becomes such what will be throughout the entire period of breastfeeding. Colostrum possesses laxative action therefore with arrival of mature milk the kid begins to empty intestines less often. Normally, if the child till 6 weeks has a chair 1 - 2 once a day and is more often. The chair is possible even during each feeding. At babies 6 weeks are more senior the chair can be observed less than once a day, can be time in of 3 - 5 days, that too is quite normal provided that it does not disturb the kid, he urinates enough and puts on weight.

of the Increase in growth, circumference and the child`s breast. If to the child has enough food, it not just grows, it develops: there are new skills, he is active, with interest learns the world, it has more sounds and emotions. And here if the child at the age of 2 weeks - month is very quiet, sleeps too much, without waking up on 3 - 5 and more hours, it, most likely, says that it lacks food. Also he sleeps not with happiness and satiety, and from powerlessness and hunger.

to the Child has enough

milk if it effectively exhausts it, at the same time mother hears or sees the child`s drinks (the characteristic movements of a chin when swallowing).

To be continued