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Lactation crises


In numerous publications on breastfeeding, there is such a thing as a lactational crisis. Someone from the nursing mothers, reading the description of the lactation crisis, exclaims happily, “just now, this is about me,” others, on the contrary, shrug their shoulders in perplexity, others are afraid that this is very scary and they will have it. What kind of animal is this, a lactation crisis, and is it really inevitable? Lactation crisis is called a temporary decrease in milk production, which usually occurs after the establishment of mature lactation. In the presence of unlimited breastfeeding on demand, including nightly feeding, this situation is always restored by itself, without any special measures within 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 in 3, 7, 11 and 12 months. Some sources indicate another frequency - about 1.5 months. No matter how often they come, their duration is rarely more than 6-8 days, most often they last only 3-4 days. There is a traditional explanation for this phenomenon. Allegedly, from time to time the child dramatically increases the energy consumption and he begins to miss his usual portion. Breast does not have time for the step growth of the child. A less traditional and more physiological explanation links such ebbs and flows to the effect on lactation of a change in the phases of the moon. What does this look like? Everyone has different ways, but usually women complain about the child’s anxiety and screaming during or immediately after feeding and the increasing frequency of attachment. Others are experiencing because of the almost constant feeling of an "empty" breast. Some mothers do not notice any changes in the state of their breasts, they are exhausted by the almost continuous sucking of the child. “It seems that my child has forgotten that he grew up, he behaves like a newborn, even though he is already 3 months old!” For an ordinary, so-called average child, lactation crises are not dangerous. If a woman knows that such a phenomenon exists, if she is confident in her ability to feed a child, then she simply increases the frequency and duration of breast attachments. With the proper organization of feedings, an increase in the sucking activity of the child will inevitably lead to an increase in the volume of milk produced. It’s just that everyone’s recovery time is different, so one mom will have to suffer only 2 days, and the other all 6! Problems begin when a nursing mother is not sure of the correctness of her actions, doubts that she has sufficient quantities of milk. Moms are especially worried if the child was not initially very well in weight, is premature, low-weight, has recently been ill. When mother worries, strains, worries, she is disturbed by the production of the hormone oxytocin, which determines the flow of milk. 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 even more aggravated if they try to calm the child down with a pacifier or start to feed the mixture. A baby receiving a pacifier or bottle stimulates the breast with sucking less and less. Breast, not receiving adequate stimulation, instead of increasing milk production, continues to reduce it. Due to such illiterate actions, a small lack of milk very quickly becomes significant, and the child begins to really need additional food. To prevent this from happening, any mother needs to know which actions can help in this situation and which ones can lead to trouble. First, when reducing the amount of milk in any case, do not begin to feed, add, and calm the baby with a pacifier. Perhaps this is just a lactation crisis and everything is formed by itself. As soon as the mother begins to worry about whether the baby has enough milk, she very often tries to compensate the baby for this shortcoming without understanding the validity of her actions. However, only more frequent attachment to the chest stimulates the restoration of lactation, so you should never be in a hurry with corrective measures. Secondly, monitor the adequacy of the nutrition of the child according to the number of urinations and do not focus on his behavior.
If the number of urinations is more than 12, no correction to the baby’s nutrition is needed. The child does not have a lack of milk at all, he is annoyed and worried about something else. A temporary decrease in the number of urination up to 6-8 per day does not harm the child, if it lasts no more than 3 days. Put the child more often and consider urination. As a rule, after 3 days their number necessarily increases, but if the increase does not occur, you can temporarily give the child more food with a spoon, but not earlier than from day 6! Thirdly, for mom it is necessary to organize at least a short rest. Physical fatigue is often one of the reasons for a temporary decrease in lactation and increased nervousness of the child. Let someone of your relatives temporarily take over some of the household chores. Even if the mother does not feel very tired, rest in any case will not hurt her. She will surely dedicate the freed time to the child, which will help eliminate the source of tension between them and the child will in any case become calmer. Is it possible to do without them? Long-term observations of the staff of our Center allowed us 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 there are more milk on some days, and less on some days, but they always have a reasonable explanation for the child’s behavior. 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 was superimposed on general cleaning of the house. On the one hand, mother overworked and slightly reduced milk production. On the other hand, trying to have more time, I was late in responding to the child’s requests, and just a couple of times I just gave him some fun for dad, as a result, the child didn’t stimulate the breast enough with sucking, and even miss his mom. Dad played with the baby for a long time and overworked him. If we add to this that the influence of the moon has just contributed to the reduction of lactation, is it any wonder that the next day mother will feel some lack of milk. In turn, the child will necessarily respond to this and, in response, “hang” on her mother's breast! You can call it the fashionable word "crisis", but the reason is not in some kind of step processes, but in a simple set of circumstances. Therefore, a competent mother treats this phenomenon calmly, usually devoting the whole next day to rest and paying more attention to the child. Just a day or two harmony is usually restored!
It helps It does not help
Bowl the child to the chest, offer him the breast every hour! Increase the duration of feedings. Feed at night more often. Count the number of urinations a child does not have to worry about. Take a break from household chores. Seek support from family and friends. Contact your lactation consultant. "Calming" a crying child with a dummy. Feeding up the child with water. Using a bottle, no matter what is poured into it. Completion of the child mixtures before 6 days from the beginning of the crisis. Permanent weighing child. Physical fatigue of the mother, lack of domestic help. Doubts surrounding mom's availability of sufficient milk.

Of course, lactation is influenced by the physical exhaustion of the mother and the phases of the moon and the increasing or, conversely, decreasing activity of the child. The capabilities of the female breast are usually designed for such fluctuations. If the whims of fate or weather lead to the fact that several fluctuations are summed up, the result will already be noticeable. A good “cure” for such a nuisance is the proper organization of feedings. Unlimited feeding at the request of a child is the main guarantee for restoring lost balance. And if feeding is organized with errors, then a lactation crisis is another reason to start correcting them. Contact your breastfeeding consultants, and we will definitely help you! Mayorskaya MB consultant on lactation.
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Lactation crises

  1. The concept of lactation crises.
    In some cases, lactation reduction is transient in nature, manifesting itself in the form of so-called lactation crises, by which we mean a temporary decrease in the amount of milk that occurs without an obvious visible reason. They are based on shifts in the hormonal system of women associated with the frequency of hormonal regulation of lactation, in combination with an increase in the motor activity of women and
  2. Problem 50. Lactational mastitis
    Maternity F., 22 years old, delivery was resolved through the natural birth canal by a live full-term male child weighing 3500 g. On the 4th day of the postpartum period, complaints of headache, weakness, pain in the right breast, a sharp rise in body temperature to 39 ° С, chills . Status praesens. Satisfactory condition. The skin is pale, dry. There is a marked engorgement of dairy
  3. GENERALIZED POSTBIRTH INFECTIOUS DISEASES LACTATIVE MASTITIS
    SEPTIC SHOCK IN OBSTETRUM One of the most severe complications of purulent-septic processes of any localization is septic or bacterial toxic shock. Septic shock is a special reaction of the body, manifested in the development of severe systemic disorders associated with the violation of adequate tissue perfusion, which occurs in response to the introduction of microorganisms or their
  4. GENERALIZED POSTBIRTH INFECTIOUS DISEASES LACTATIVE MASTITIS
    SEPTIC SHOCK IN OBSTETRUM One of the most severe complications of purulent-septic processes of any localization is septic or bacterial toxic shock. Septic shock is a special reaction of the body, manifested in the development of severe systemic disorders associated with the violation of adequate tissue perfusion, which occurs 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 The dysfunction of the hypothalamic-limbico-reticular complex is the basis of the vegetative crisis. Causes causing panic attacks: ¦ psychogenic - acute and chronic stresses, in particular death
  6. Hypertensive crises
    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 increase in disorders of the target organs or the autonomic nervous system. Classification of crises Depending on the presence or absence of target organ damage and the need for an urgent reduction in blood pressure, isolated and uncomplicated
  7. TABETIC CRISES
    Clinic. Tabetic crises are attacks of the most severe pains in the region of any organ, combined with disorders of its functions that occur during dorsalis, the late form of neuro-syphilis. When guttural crises paroxysmal pain occurs in the larynx and is accompanied by phonation disorders (dysphonia) and spasm of it. Gastric crises are characterized by severe pain in the epigastric.
  8. HYPERTENSIVE CRISES
    D-ka: Increased blood pressure (often acute and significant) with neurological symptoms: headache, "flies" or a veil before the eyes, paresthesia, nausea, vomiting, weakness and limbs, transient hemiparesis, aphasia, diplopia. In neurovegetative crisis (crisis type I, adrenal): sudden onset, agitation, hyperemia and moisture of the skin, tachycardia, frequent and abundant urination,
  9. Vegetative crises
    Vegetative crises are paroxysms of polymorphic vegetative disorders associated with the activation of central (suprasegmental) vegetative structures. In the past, their appearance was attributed to the pathologies of the hypothalamus, but at the present time it is obvious that only a very small part of the crises can be explained by the organic lesion of the hypothalamus or the structures of the limbic-reticular complex, in which case they
  10. Vegetovascular crises
    Vegetative-vascular crises are psycho-vegetative syndromes resulting from functional or morphological damage to deep structures of the brain and manifested by a variety of vegetative-neurotic and endocrine-metabolic symptoms. In children, vegetative-vascular crises are mainly observed in prepubertal and adolescent age. There are the following
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