home
about the project
Medical news
For authors
Licensed books on medicine
<< Previous Next >>

Lactation crises


In numerous publications on breastfeeding, there is such a thing as a lactational crisis. One of the nursing mothers, reading the description of the lactational crisis, exclaims joyfully, “Well, that's about me,” others, on the contrary, shrug their shoulders in dismay, others start to fear that this is very scary and they will definitely have it. What kind of animal is this, a lactational 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 always recovers by itself, without any special measures within 2-7 days. It is believed that lactational 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. Some sources indicate a different frequency - 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 a traditional explanation for this phenomenon. Ostensibly, periodically, the child’s energy consumption sharply increases and he begins to miss his usual portion. The chest does not keep up with the stepwise growth of the child. A less traditional and more physiological explanation connects such ebbs and flows with the effect of a change in the phases of the moon on lactation. What does it look like? Everyone has different things, but usually women complain about the baby's anxiety and cry during feeding or immediately after it and the increasing frequency of application. Others worry about the almost constant feeling of an "empty" chest. " Some mothers do not notice any changes in the condition of their breasts; they are exhausted by the almost continuous sucking of the baby. “It seems that my child forgot that he was growing up, he behaves like a newborn, although he is already 3 months old!” For an ordinary, so-called average child, lactational crises are not dangerous. If a woman knows that such a phenomenon exists, if she is confident in her ability to feed a baby, then she simply increases the frequency and duration of attachments to her breast. With the proper organization of feeding, 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 has different recovery periods, so one mother will have to endure 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 enough milk. Mothers are especially worried if the child initially did not gain weight very well, is premature, has little weight, and has recently been ill. When mom worries, strains, worries, she disrupts the production of the hormone oxytocin, on which the outflow of milk depends. All this necessarily affects the condition of the child, who begins to worry even more about the chest. It turns out a vicious circle, which is further exacerbated if they try to calm the baby with a dummy or begin to feed the mixture. A baby who receives a dummy or a bottle stimulates the breast by sucking less and less. Breasts that do not receive adequate stimulation, instead of increasing milk production, continue 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 mom needs to know which actions can help in this situation, and which can lead to trouble. Firstly, when reducing the amount of milk, in no case do not start to feed, milk, and soothe the baby with a dummy. Perhaps this is just a lactational crisis and everything will form by itself. As soon as the mother begins to worry about whether the child 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 attachment to the breast stimulates the restoration of lactation, therefore, you should never rush with corrective measures. Secondly, monitor the child’s nutritional adequacy by the number of urinations and do not focus on his behavior.
If the number of urinations is more than 12, the baby does not need any correction of nutrition. The child does not have a shortage of milk at all, he is annoyed and worried by something else. A temporary decrease in the number of urinations to 6-8 per day does not harm the child if it lasts no more than 3 days. Attach your baby more often and count urination. As a rule, after 3 days, their number will necessarily increase, but if the increase does not occur, you can temporarily give your child additional food with a spoon, but not earlier than 6 days! 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 close to take over part of the household chores. Even if mom does not feel very tired, rest in any case will not hurt her. She will surely devote the free 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 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 there is more milk, and on 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 was superimposed on the general cleaning of the house. On the one hand, mom overworked and slightly reduced milk production. On the other hand, trying to catch more time, she was late in responding to the requests of the child, and a couple of times she simply gave it to her father to entertain, as a result the child did not stimulate the breast sufficiently by sucking, and also missed her mother. Dad played with the baby for a long time and overworked him. If we add to this that the influence of the moon just contributed to a decrease in lactation, should I be surprised that next day my mother will feel some lack of milk. In turn, the child will definitely respond to this and, in response, will “hang” on his mother’s chest! You can call it the buzzword “crisis”, but the reason is not in some step processes there, but in a simple set of circumstances. Therefore, a competent mother and refers to this phenomenon calmly, usually the whole next day devotes to rest and pays more attention to the child. Literally in a day two harmony is usually restored!
It helps It does not help
Bowl the baby to the chest, offer him the chest every hour! Increase the duration of feedings. Feed more often at night. Count the number of urination of the child, so as not to worry. Take a break from household chores. Contact your family and friends for support. Contact a lactation consultant. "Calming" a crying baby with a dummy. Doping the baby with water. Use a bottle, regardless of what is poured into it. Supplement the child with mixtures before 6 days from the onset of the crisis. Continuous weighing of the child. Maternal physical fatigue, lack of domestic help. Doubts surrounding the presence of a mother of a sufficient amount of milk.

Of course, lactation is also affected by the physical fatigue of the mother and the moon phase and the increasing or vice versa decreasing activity of the child. The capabilities of the female mammary gland are usually designed for such fluctuations. If the whims of fate or weather lead to the fact that several fluctuations are summed up, then the result will already be noticeable. A wonderful "cure" for such a nuisance is the competent organization of feedings. Unlimited feeding at the request of the child is the main guarantee of restoring lost balance. And if the feeding is organized with errors, then the lactational crisis is another reason to start correcting them. Contact your breastfeeding consultants and we will help you! Mayorskaya M. B. lactation consultant.
<< Previous Next >>
= Skip to textbook content =

Lactation crises

  1. The concept of lactational crises.
    In some cases, a decrease in lactation is transient in nature, manifesting itself in the form of so-called lactation crises, which is understood as a temporary decrease in the amount of milk that occurs without an obvious apparent reason. They are based on shifts in the hormonal system of women associated with the periodicity of hormonal regulation of lactation, in combination with an increase in the motor activity of women and
  2. Task 50. LACTATION MASTITIS
    Puerpera F., 22 years old, was delivered 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 mammary gland, a sharp increase in body temperature to 39 ° C, chills . Status praesens. The condition is satisfactory. The skin is pale, dry. Marked engorgement of dairy
  3. GENERALIZED POST-BIRTH INFECTIOUS DISEASES LACTATIVE MASTITIS
    SEPTIC SHOCK IN OBSTETRICS One of the most serious complications of purulent-septic processes of any localization is septic or bacterial-toxic shock. Septic shock is a special reaction of the body, expressed in the development of severe systemic disorders associated with impaired adequate tissue perfusion, which occurs in response to the introduction of microorganisms or their
  4. GENERALIZED POST-BIRTH INFECTIOUS DISEASES LACTATIVE MASTITIS
    SEPTIC SHOCK IN OBSTETRICS One of the most serious complications of purulent-septic processes of any localization is septic or bacterial-toxic shock. Septic shock is a special reaction of the body, expressed in the development of severe systemic disorders associated with impaired 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 and affective states with polysystemic autonomic symptoms, characterized by a benign course. ETIOLOGY AND PATHOGENESIS The basis of the autonomic crisis is dysfunction of the hypothalamic-limbic-reticular complex. Causes of panic attacks: ¦ psychogenic - acute and chronic stress, 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 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 decrease in blood pressure, complicated and uncomplicated
  7. TABETIC CRISES
    Clinic. Tabetic crises are attacks of severe pain in the area of ​​an organ, combined with disorders of its functions that occur with spinal cord, late form of neuro-syphilis. In laryngeal crises, paroxysmal pain occurs in the larynx and is accompanied by phonation disorders (dysphonia) and its spasm. Gastric crises are characterized by severe pain in the epigastric
  8. HYPERTENSIVE CRISES
    D: Increased blood pressure (often acute and significant) with neurological symptoms: headache, flies or veil before the eyes, paresthesia, nausea, vomiting, weakness and extremities, transient hemiparesis, aphasia, diplopia. With a neurovegetative crisis (type I crisis, adrenal crisis): sudden onset, agitation, hyperemia and skin moisture, tachycardia, rapid and excessive urination,
  9. Vegetative crises
    Vegetative crises are paroxysms of polymorphic autonomic disorders associated with the activation of central (suprasegmental) vegetative structures. In the past, their appearance was attributed to pathologies of the hypothalamus, but at present it is obvious 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
  10. Vegetative-vascular crises
    Vegetative-vascular crises are psycho-vegetative syndromes that arise as a result of functional or morphological damage to the deep structures of the brain and are manifested by a variety of autonomic-neurotic and endocrine-metabolic symptoms. In children, vegetative-vascular crises are mainly observed at prepubertal and puberty. Allocate the following
Medical portal "MedguideBook" © 2014-2019
info@medicine-guidebook.com