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Lactation crises


In numerous publications on breastfeeding, there is such a thing as a lactation crisis. One of the nursing mothers, while reading the description of the lactation crisis, exclaims joyfully, "just about, this is just about me," while others, on the contrary, shrug their shoulders in disbelief, others start to fear that this is very scary and they will definitely have it. What kind of animal is this, a lactation crisis, and is it really so? The lactation crisis is the temporary decrease in milk production, which usually occurs after the establishment of mature lactation. With unlimited breastfeeding on demand, including night feeding, this situation is always restored by itself, without any special measures for 2-7 days. It is believed that lactation crises are most often observed in the first 3-6 weeks of a child's life, and then can be repeated at 3, 7, 11 and 12 months. In some sources, another periodicity is indicated - about 1.5 months. No matter how often they occur, their duration is rarely more than 6-8 days, most often they last only 3-4 days. There is also a traditional explanation for this phenomenon. Allegedly, the child's energy consumption increases sharply and his usual portion begins to miss him. The breast does not keep up with the stepped growth of the child. A less traditional and more physiological explanation connects such tides and ebbs with the influence on the lactation of the phase change of the Moon. What does it look like? All of them are different, but usually women complain about the child's anxiety and cry during or immediately after feeding and the increased frequency of the application. Others are experiencing because of the almost constant sensation of an "empty" chest. " Some mothers do not notice any changes in the state of their breasts, they are almost exhausted by the sucking of a child. "It seems that my child forgot that he grew up, he behaves like a newborn, although he is already 3 months old!" For a normal, so-called average child, lactation crises do not pose a danger. If a woman knows that such a phenomenon exists, if she is sure of her ability to feed a child, then she simply increases the frequency and duration of application to the breast. With the proper organization of feeding, increasing the child's sucking activity will inevitably lead to an increase in the volume of milk produced. Just the timing of recovery at all different, so one mom will have to suffer only 2 days, and the other all 6! Problems begin when the nursing mother is not sure of the correctness of her actions, she doubts the availability of sufficient quantities of milk. Especially strongly worried about mothers, if the child initially did not add weight very well, prematurely, small, recently sick. When mom worries, strains, worries, her hormone production of oxytocin is disturbed, on which the outflow of milk depends. All this necessarily affects the condition of the child, who begins to worry even more at the breast. It turns out a vicious circle, which is further exacerbated if the child is trying to calm down with a pacifier or begin to supplement the mixture. A child who receives a pacifier or bottle stimulates the breasts less and less often by sucking. Breasts that do not receive adequate stimulation, instead of increasing the production of milk, continue to reduce it. Due to such illiterate actions, a small lack of milk very quickly becomes significant, and the child really needs supplementation. To prevent this, any mother needs to know what actions can help in this situation, and which can lead to trouble. Firstly, with a reduction in the amount of milk, do not start feeding, dopaivat, and soothe the child with a pacifier. Perhaps this is just a lactation crisis and everything will be formed by itself. As soon as mother begins to worry about whether the baby has enough milk, she very often tries to compensate the child for this deficiency, without understanding the validity of her actions. However, only more frequent application to the breast stimulates the restoration of lactation, so one should never rush with corrective measures. Secondly, monitor the sufficiency of the child's nutrition by the number of his urination and do not be guided by his behavior.
If the number of urination is greater than 12, no correction for the baby is needed. The child does not lack any milk, it is irritated and disturbed by something else. Temporary decrease in the number of urination to 6-8 per day does not harm the child if it lasts no more than 3 days. Apply the baby more often and count the urination. As a rule, after 3 days, their number necessarily increases, but if the increase does not occur, you can temporarily give the child a supplementation with a spoon, but not earlier than from day 6! Thirdly, it is necessary for the mother to organize at least a short rest. Physical fatigue, often is one of the reasons for the temporary reduction of lactation and increased nervousness of the child. Let someone from the family temporarily take over some of the household chores. Even if the mother does not feel very tired, rest in any case will not hurt. She will devote the freed time to the child, which will help to eliminate the source of tension between them and the child will in any case become calmer. Is it possible to do without them at all? Long-term observations of the employees of our Center made it possible to establish such a pattern. Experienced mothers, trained in successful breastfeeding and confident in the stability of their lactation, do not suffer from any crises. No, they also notice that on some days milk is more, and in some less, but they always have a reasonable explanation for this behavior of the child. The most attentive of them notice that such phenomena are most often associated with the coincidence of several factors. For example, the "successful" phase of the moon overlaid with a general cleaning in the house. On the one hand, Mom overworked and slightly reduced the production of milk. On the other hand, trying to do more, delayed responding to the requests of the child, and a couple of times and just gave it to amuse the pope, as a result the child did not sufficiently stimulate the breast by sucking, and even missed his mother. Dad played with the baby for a long time and overworked him. If to add to this, that the influence of the Moon just contributed to a decrease in lactation, is it any wonder that the next day my mother will feel some milk shortage. In turn, the child will react to this and, in response, "hang" on my mother's breast! You can call it the fashionable word "crisis", but the reason is not in some step processes, but in a simple confluence of circumstances. Therefore, a competent mother and refers to this phenomenon calmly, usually the whole next day devotes rest and pays more attention to the child. Literally every other day, two harmony is usually restored!
It helps It does not help
Put the baby on the bowl, offer him a breast every hour! Increase the duration of feeding. Feed more often at night. Count the number of urination of the child, so as not to worry. Relax from household chores. Apply for support to relatives and friends. Contact a lactation consultant. "Calming" a crying child with a pacifier. Dopaivanie child with water. Use a bottle, no matter what is poured into it. Supplementing the infant with the formula before 6 days from the beginning of the crisis. Constant weighing of the child. Physical fatigue mother, lack of help around the house. Doubts of others in the presence of mom enough milk.

Of course, lactation is also affected by physical fatigue of the mother and phase of the moon and the increasing or decreasing activity of the child. The possibilities of the female breast are usually designed for such fluctuations. If, however, the whims of fate or weather lead to the fact that several fluctuations are added up, the result will already be noticeable. A remarkable "cure" for such trouble is the competent organization of feeding. Unlimited feeding at the request of the child is the main guarantee for the restoration of the lost balance. And if the feeding is organized with errors, then the lactation crisis is an additional reason to start correcting them. Consult breastfeeding consultants and we will help you! Maiorskaya MB Consultant on lactation.
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Lactation crises

  1. The concept of lactation crises.
    In a number of cases, the reduction of lactation is transient in nature, manifested in the form of so-called lactation crises, by which is meant a temporary decrease in the amount of milk that occurs without an apparent apparent cause. They are based on the shifts in the hormonal system of women associated with the periodicity of hormonal regulation of lactation, combined with an increase in the motor activity of women and
  2. Problem 50. LACTATION MASITE
    Rodilnitsa F., 22 years old, was given birth through natural birthmarks by a live, full-grown male child weighing 3,500. On the 4th day of the postpartum period, complaints of headache, weakness, pain in the right breast, a sharp increase in body temperature to 39 ° C, chills . Status praesens. The condition is satisfactory. The skin is pale, dry. There is marked engorgement of dairy
  3. GENERALIZED POST-INFECTIOUS INFECTIOUS DISEASES LACTATION MASTI
    SEPTIC SHOCK IN OBSTETRICS One of the most serious complications of purulent-septic processes of any localization is a septic or bacterial-toxic shock. Septic shock is a special reaction of the body, manifested in the development of severe systemic disorders associated with a violation of adequate tissue perfusion, occurring in response to the introduction of microorganisms or their
  4. GENERALIZED POST-INFECTIOUS INFECTIOUS DISEASES LACTATION MASTI
    SEPTIC SHOCK IN OBSTETRICS One of the most serious complications of purulent-septic processes of any localization is a septic or bacterial-toxic shock. Septic shock is a special reaction of the body, manifested in the development of severe systemic disorders associated with a violation of adequate tissue perfusion, occurring in response to the introduction of microorganisms or their
  5. Vegetative Crises
    Vegetative crises, or panic attacks, are paroxysmal emotional-affective states with polysystemic vegetative symptoms, characterized by a benign course. ETIOLOGY AND PATHOGENESIS At the heart of the vegetative crisis lies the dysfunction of the hypothalamic-limbic-reticular complex. The causes of panic attacks: | psychogenic - acute and chronic stresses, in particular, death
  6. Hypertensive crises
    A hypertensive crisis is a sudden significant increase in blood pressure from a normal or elevated level, which is almost always accompanied by the appearance or intensification of disorders from the target organs or the autonomic nervous system. Classification of crises Depending on the presence or absence of damage to target organs and the need for an urgent reduction in blood pressure, complicated and uncomplicated
  7. TABETIC CRISES
    Clinic. Tabetic crises are attacks of severe pain in the area of ​​any organ, combined with the disorders of its functions, arising in the dorsal air, the late form of neuro-syphilis. In guttural crises, paroxysmal pain occurs in the larynx and is accompanied by disorders of phonation (dysphonia) and spasm of it. For gastric crises are characterized by severe pain in epigastric
  8. HYPERTENSIVE CRISES
    Д-ка: Increased blood pressure (often acute and significant) with neurological symptoms: headache, "flies" or a veil before your eyes, paresthesia, nausea, vomiting, weakness and limbs, transient hemiparesis, aphasia, diplopia. With neurovegetative crisis (type I crisis, adrenal): sudden onset, agitation, hyperemia and skin moisture, tachycardia, rapid and profuse urination,
  9. Vegetative Crises
    Vegetative crises are paroxysms of polymorphic vegetative disorders associated with the activation of central (nadsegmental) vegetative structures. In the past, their appearance was attributed to the pathology of the hypothalamus, but it is now evident that only a very small part of the crises can be explained by organic damage to the hypothalamus or structures of the limbic-reticular complex, in which case they
  10. Vegetative-vascular crises
    Vegetative-vascular crises are psycho-vegetative syndromes arising as a result of functional or morphological damage to deep structures of the brain and manifested by various vegetative-neurotic and endocrine-metabolic symptoms. In children, vegetative-vascular crises are mainly observed in prepubertal and puberty. Allocate the following
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